STATES STATES STATES

studied byStudied by 0 People
0.0(0)
Get a hint
hint

US. National Association of Children's Hospitals and Related Institutions (NACHRI)

1/191

Tags & Description

Studying Progress

New cards
191
Still learning
0
Almost done
0
Mastered
0
191 Terms
New cards

US. National Association of Children's Hospitals and Related Institutions (NACHRI)

The non-profit advocacy group for pediatric hospitals in the _________.

New cards
New cards

Minimally Invasive Surgery

Use of fiber optics, guide images, microwaves and other technologies to do surgery rather than cutting large sections of tissue.

New cards
New cards

Ambulatory Surgery Center (ASC)

Normally costs 50% less than an inpatient hospital procedure because they practice line by line billing.

New cards
New cards

HHS

Department of Health and Human Services.

New cards
New cards

Laparoscopy

Laparotomy performed with a laparoscope that makes a small incision to examine the abdominal cavity (esp. ovaries and Fallopian tubes).

New cards
New cards

Endoscopy

Inspection of body organs or cavities using a lighted scope that may be inserted through an existing opening or through a small incision.

New cards
New cards

Phacoemulsification

Method to remove cataracts in which an ultrasonic needle probe breaks up the lens, which is then aspirated.

New cards
New cards

Arthroscopy

A minimally invasive operation to repair a damaged joint.

New cards
New cards

Natural Orifice Surgery

Abdominal surgery where the entrance wound is through either the stomach or through the vagina.

New cards
New cards

Single Payer System

Government run healthcare system. Healthcare system is made up of a) cost, b) access and c) quality.

New cards
New cards

Altruism

Helping people.

New cards
New cards

Supply Chain

Taking raw materials and processing them until they become a useable good.

New cards
New cards

Evidence Based Medicine

Used EMR's to compile statistics to determine the "best practice."

New cards
New cards

Compliance

The % of goods and services used in hospitals that have been negotiated with the GPO's.

New cards
New cards

Indemnity Insurance

"Standard' type of health insurance individuals can purchase, provides comprehensive major medical benefits and allows insured individuals to choose any physician or hospital when seeking medical care.

New cards
New cards

Preferred Provider Organization (PPO)

A prepaid health insurance plan in which providers agree to deliver services for discount fees; patients can go to any provider, but using nonparticipating providers results in higher costs to the patient. Part of managed care.

New cards
New cards

Health Maintenance Organization (HMO)

A prepaid health insurance plan in which patients receive health care from designated providers. Part of managed care.

New cards
New cards

National Insurance Costs

The average US family pays $14,000 a year for insurance coverage with 3/4 being paid by the employer and 1/4 being plaid by the employee.

New cards
New cards

Patient Protection and Affordable Care Act

This is the health care reform law. Focuses on reform of the private health insurance market; providing better coverage for those with pre-existing conditions; improving prescription drug coverage in Medicare.

New cards
New cards

Corporate Structure of Hospitals

  1. Department Heads

  2. Medical Executive Committee

  3. Board

New cards
New cards

Accountable Care Organization

A term used in the Patient Protection and Affordable Care Act to define an ideal healthcare organization able to have very low costs caused by successful capitalization on medical goods and services.

New cards
New cards

Common Law

A civil law established by following earlier judicial decisions.

New cards
New cards

Statutes

Laws enacted by a state or federal legislature that in certain cases can overwrite common law.

New cards
New cards

Executive Order

A rule issued by the president that has the force of law.

New cards
New cards

Civil Law

Wrongs against a particular person or organization.

New cards
New cards

Tort

Any wrongdoing for which an action for damages may be brought.

New cards
New cards

declining reimbursement

Less resources to recruit, compensate, and develop workforce.

New cards
New cards

declining supply of workers

Shortage of skilled workers.

New cards
New cards

increasing population need

Increased volumes of patients and workload for HSO.

New cards
New cards

external pressure on HSO's

HR must ensure high performance in HSO.

New cards
New cards

National Labor Relations Act

1935 law that provides bargaining units and collective bargaining in hospitals and health service organizations.

New cards
New cards

Fair Labor Standards Act

1938 law regulating minimum wage, overtime pay, and minimum worker ages.

New cards
New cards

Equal Pay Act

1963 law prohibits discrepancies in pay between men and women.

New cards
New cards

Civil Rights Act

1964 law that prohibits discrimination based on gender, race, or religion.

New cards
New cards

Age Discrimination in Employment Act

1967 law that prohibits discrimination of employees 40 years and up.

New cards
New cards

Occupational Safety and Health Act

1970 law that requires employers to maintain a safe workplace and adhere to standards specific to healthcare employers.

New cards
New cards

Rehabilitation Act

1973 law that protects rights of handicapped.

New cards
New cards

Employee Retirement Income Security Act

1973 that grants protection to employees for retirement benefits to which they are entitled.

New cards
New cards

Pregnancy Discrimination Act

1978 law stating that pregnancy is considered a medical condition and prohibits exclusion of pregnancy in benefits and leave policies.

New cards
New cards

Consolidated Omnibus Budget Reconciliation Act (COBRA)

1986 law that gives benefits like health coverage for a limited time due to various circumstances like termination, layoff, death, reduction of hours per week, and divorce.

New cards
New cards

Immigration Reform and Control Act

1986 law that establishes penalties for employees who knowingly hire illegal aliens.

New cards
New cards

Worker Adjustment and Retraining Notification Act

1986 law that requires employers who will make a mass layoff or plant closing to give 60 days advance notice to affected employees.

New cards
New cards

Americans with Disabilities Act

1990 law that gives people with disabilities access to public services and requires employers to provide reasonable accommodation for applicants and employees.

New cards
New cards

Family Medical and Leave Act

1993 law that permits employees in organizations to take up to 12 weeks of unpaid leave each year for family or medical reasons.

New cards
New cards

Health Insurance Portability and Accountability Act

2003 law that guarantees employees protection from outside access to personal health info and limits employers' ability to use employee health info under health insurance plans

New cards
New cards

conceptual skills

Ability to critically analyze and solve complex problems.

New cards
New cards

technical skills

Expertise or ability to perform a specific work task.

New cards
New cards

interpersonal/human relation skills

Enables a manager to communicate with and work well with other individuals.

New cards
New cards

functional organizational structure

Most common organizational structure; pyramid shaped; used in larger organizations; deep vertical structures; strict chain of command ensures that communication and assignment and evaluation of tasks are carried out; used most frequently in HSO's.

New cards
New cards

matrix management method

Administrative structure; dual authority system where individuals are assigned to complete specific work tasks; advantages are improved coordination and communication, also increases flexibility of organization to carry out work.

New cards
New cards

product/service line management

Organized around selected services to control service delivery; Advantages are resource control, accountability, enhanced clinical quality of service.

New cards
New cards

environment for HSO's

Entities and influences outside of the organization's boundaries.

New cards
New cards

open systems

Organizations which are affected by, and also affect, their environment.

New cards
New cards

exchange relationships

Transaction between 2+ organizations where something of value is exchanged and both gain value.

New cards
New cards

input/output management model

Management acquires inputs, uses inputs to provide services, and creates outputs.

New cards
New cards

managers

Persons appointed to positions of authority who enable others to do their work effectively, who have responsibility for resource utilization, and who are accountable for work results.

New cards
New cards

line managers

Those that supervise other employees.

New cards
New cards

staff managers

Those that carry out work and advise their bosses.

New cards
New cards
  1. Planning

  2. Organizing

  3. Staffing

  4. Controlling

  5. Decision-Making

  6. Directing

6 management functions

New cards
New cards

organizing

Establishing authority and responsibility management.

New cards
New cards

staffing

Acquiring and retaining human resources.

New cards
New cards

directing

Initiating action in the organization by leading, motivating, and communicating.

New cards
New cards

controlling

Monitoring, adjusting, and improving aggregate performance.

New cards
New cards

decision making

Evaluating alternatives and making choices.

New cards
New cards

managerial tasks

Include core tasks, routine add-ons, and specialty add-ons.

New cards
New cards
  1. Self

  2. Team/Work Unit

  3. Organization

domains of management

New cards
New cards

organizational culture

Ingrained patterns of shared beliefs, values and behaviors, with associated symbols and rituals, that are acquired over time by members.

New cards
New cards

direct care

Deals directly with the patients such as a hospital, nursing home, physician practice, and assisted living facilities.

New cards
New cards

indirect care

Supports the care of individuals through products and services made available to direct care settings. Ex) Consulting firms, associations, pharmaceutical companies, and medical suppliers.

New cards
New cards

70%

Percentage of expenditures in healthcare that go to pay the workforce.

New cards
New cards

contracts

The most basic/important item in business relationships.

New cards
New cards

restrictive covenant

Worst provision for the employee in a contract.

New cards
New cards

at will contract w/ or w/o restrictive covenant

What is the best deal for employer in a contract?

New cards
New cards

contract with money/stability and free agency

What is the best deal for you in a contract?

New cards
New cards

patients and skills

As a physician what are your bargaining tools in a contract?

New cards
New cards

covenant

Restriction on free agency.

New cards
New cards

integration clause

Tells us what the whole deal is.

New cards
New cards

ADR provision

How we're going to resolve disputes.

New cards
New cards

maximum notice possible and severance

What provisions are best for you in a termination without cause?

New cards
New cards

fairness and consistency

What are the 2 key principles in hiring?

New cards
New cards

business plan

Good place to start on how to set up your practice:

  1. Executive summary

  2. Mission statement

  3. Ownership/management

  4. Market analysis

  5. Financing

  6. Projected patient base/referral sources

  7. Services

  8. Location

  9. Assets

  10. Operational plan

  11. Human Resources

  12. Marketing

New cards
New cards

reimbursements for physician services

These must be credentialed!

New cards
New cards

joint several liability

Risk is that if one person screws up, all in the partnership are liable.

New cards
New cards

LLP-limited liability partnership

Risk is that liability is limited individually.

New cards