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35 Cards in this Set
- Front
- Back
Define Diagnosis related Group
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A system of prospective payment used by medicare that pays a provider a set amount for a specific condition.
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List 5 major trends that will impact healthcare in the next 5 years?
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1. growth of managed care
2. bioterrism 3. culture diversity 4. nursing shortages 5. increased use of computerized patient records 6. increasing aged population 7. changing demogaphics 8. emphsis on the case management |
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Define intergrated health care networks.
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organiztional health care structures that deliver a continum of care, provide coverage for a group of individuals and accept fixed payments for that group.
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define Quality management
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A prevenative approach designed to address problems efficently and quickly.
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Define Benchmarking?
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A method of comparing performance using identified indicators across instiutions or disciplines. compares an organizations data with similar organiations.
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What is the purpose of managed care?
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Managed care was developed in order to improve the utilization of health care resources and emphasize prevention.
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What is shared Governance?
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A method that provides for sharing of decision making resonsiblities among staff and management.
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Give exmples of an organization that uses shared governance.
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Nursing council
practice committee that would develop clinical policy on catheter usage. |
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Give Three examples of a health care goverance board.
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1. Board of trustees
2. State board of health 3. board of directors 4. Governing boards for a professional organization |
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Define Organizational culture.
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Includes the norms, traditions, physical and organizational attributes, communication patters, policies and procedures for a specific group or organization.
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Who is resonsible for developing a vision for a organization.
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governing board,
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whatis the principal purpose of a mission statment.
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General statement of the purpose of an organzation or reason for their existence.
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What is a visio statement.
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A description of the goal to which an organzation aspires
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Define the philosophy of an organization.
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The mission, values and vision of an organzation.
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Strategic planning includes a planning committe that should include who?
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Top adminstrators, Representatives of those closest to the work, staff to collect data, all willing to be involved and contribute.
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The schools of organiztional theory include what groups.
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Classical, neoclassical, systems theory, contingency theory, and chaos theory.
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Define the Hawthorn Effect
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The tendency for people to perform as expected because of special attention.
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List the 4 major elements in Classical theory.
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Division of labor
Chain of command Organizational structure Span of control |
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In the Classical theory what does the element of division of labor mean to the organization.
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1. Reduces the number of task each person must carry out
2. increases eficiency 3. leads to specialization 4.economically beneficial. |
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In classical theory what one of the 4 major elements is chain of command, define chain of command and list 2 types of authority.
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-hierachy of authority and resonsibilites within a group
2 types-- line- linear authority, resonsible staff authority- advisory relationship in which responsiblity for actual work is assigned to others. |
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In Classical theory one of the four elements is organizational structure, please describe it.
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the arrangment of the work group, the design of the group is to foster survival and success.
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Organiztional theory was founded by who?
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Max Weber- he defined bureaucracy s the ideal intentinally rational most efficient form of a group
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Neo classical theory is also known as what.
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Humanistic theory
people desire social relationships and respond to group pressure and search for personal fulfillment |
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Hawthore effect states
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That individuals cannot be bribed to do things hey consider unreasonable.
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What is the purpose of organiztional theory.
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Helps explain how certain organiztional designs link with the intended outcomes of a system
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Desribe the differences bwtween line authority and staff authority.
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A manager with line authority has employees that report directly to them. A manger with staff authority advises employees but doesn't direct their work.
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What advantage does chaos theory offer as an organizational design.
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it supports flexiblity and adaptablity of an organiztion but it does not have a formal structure or standards
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Define systems theory.
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Maintains a systems view of productivity as a function of structure, people, technology and enviroment.
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Define these three terms linked to systems theory.
input- throughput- output- |
input- Resources such as employees, paitents, materials, money and equipment
throughput- the work process in order to produce a product output-The product of a work process |
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Organizational theory defines system as
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A set of interrelated parts arranged in a unified whole.
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Chaos theory proposed
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That natures work does not follow a straigt line
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In chaos theory it is thought that organizations are
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made up of intertwined and diversified choices that generate unanticipated condequences.
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Chaos theory stated that the life cycle of a group
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is totally dependent on its adaptability and resonse to changes in the enviroment.
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Name some general trends that influence the enviroments in which the organization operates.
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cost containment, changing demographics, social and political impacts, changes in management, ethics
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Name some methods that can hold health care accountable.
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1. care coordination
2. case management 3. Diease management 4. outcome measurments |