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25 Cards in this Set
- Front
- Back
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Reasons for healthcare variation?
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Physician practice patterns
Availability of technology Appropriateness of care for specified conditions Lack of prevention |
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Hill-Burton Act of 1946
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Provided $4 billion in funding to build hospitals.
In return, hospitals had to provide uncompensated care for a period of time. |
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Medicare / Medicaid
Year of enactment? |
1965
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Medicare - Part A
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Hospital coverage
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Medicare - Part B
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Physician coverage
Requires monthly premium |
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Medicare - Part C
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Offers various health plans
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Medicare - Part D
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Prescription drug coverage
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How many employees one manages?
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Span of control
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What are the levels of interdependence (in departments)?
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Pooled, Sequential, Reciprocal
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Methods of coordination?
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Committees, Manuals, Job Descriptions, Rules, Personnel Procedures, Customs, Feedback, Written Reports, Integrators, Quality Improvement Teams (QIT)
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Hawthorne Studies (1930s)
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Act differently when being watched.
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Mintzberg's Integrated Organizational Design
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Simple structure, machine bureaucracy, professional bureaucracy, divisionalized form, adhocracies
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Organizational triad:
Governing body |
Composed of business/community leaders, lawyers, bankers, MDs
Can be very large Help w/ planning, not operations (that's CEO's job) Acts on behalf of community by reflecting the needs of the community 3 functions: Monitoring (org meeting goals?), Resource Allocation, Contributors of resources |
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Organizational triad:
Management |
C-suite: CEO, COO, CFO, CMO, CNO
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Organizational triad:
Clinical staff/PSO |
PSO-Professional Staff Organization
Mainly self-governed to reflect the autonomy of professional staff Functions: Credentials, Sx case review, Med records, utilization review, Quality assessment |
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Types of HS governance?
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Centralized - Authority at higher level. Decisions made quickly.
Decentralized - |
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2 Types of diversification?
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Concentric - related services added
Conglomerate - unrelated (to primary business of organization) services added |
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Reasons for diversification?
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Community service
Innovation Risk management Professional staff relations |
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Types of medical technologies?
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Prevention, Survival(lifesaving), Diagnostic, Illness management, System Management, Cure.
PSDISC |
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Tool to assess technology?
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TEAM - Technology Evaluation and Acquisition Methods
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AHRQ
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Agency for Healthcare Research and Quality
Lead federal agency on quality research |
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Technology for access to providers and patients in distant locations?
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Telemedicine
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Types of Decisions (3)?
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Ends-means
Administrative-Operational Nonprogrammable-Programmable |
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Types of problem solving (3)?
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Prospective
Retrospective Concurrent |
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Group Decision Making (good / bad)?
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Good: better quality decisions, better buy-in
Bad: Danger of group-think, lengthy process |
