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Chapter 6
Radiology Administration
29
Science
Undergraduate 3
10/14/2014

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Term
adverse drug events (ADEs)
Definition
injuries, large or small, caused by the use (including nonuse) of a drug; can be as harmless as a drug rash or as serious as death from an overdose; the two types of ADEs are those caused by errors and those that occur despite proper use
Term
board of directors or governing board
Definition
group of people authorized by law to conduct, maintain, and operate a hospital for the benefit of the public and whose legal and moral responsibility for policies and operations of the hospital are not for personal benefit of the members
Term
certificate of need (CON)
Definition
certificate approved by a local (state) review board permitting hospitals to construct new or additional facilities, open new services, or make large purchases-- a condition required for reimbursement by medicare
Term
chief executive officer (CEO)
Definition
person appointed by the board of directors who has full accountability for the entire hospital or health care organization
Term
clinical support services
Definition
services providing the components of patient care that collectively support the physician's plan for diagnoses and treatments
Term
continuous quality improvement (CQI)
Definition
system of development in the workplace for daily improving performance at every level in every operational process by focusing on meeting or exceeding customer expectations
Term
department
Definition
unit of the hospital with specific functions or specialized skills such as housekeeping, surgery, radiology, or accounting
Term
department chair
Definition
physician who represents a department or service and sits as a formal member of the executive medical staff committee; responsible for all of the medical operations of a hospital department and may also oversee a residency training program
Term
human resources department
Definition
ancillary department of the hospital responsible for recruiting, selecting, supporting, and compensating employees, developing and maintaining skills, quality, and motivation; collective bargaining; and occupational health and safety
Term
the joint commission (TJC)
Definition
the joint commission is an independent not-for-profit organization that evaluates and accredits more that 17,000 healthcare organizations and programs in the U.S. and is the nation's primary standard-setting and accrediting body in healthcare; TJC standards focus on improving the quality and safety of patient care provided by health care organizations
Term
medical director
Definition
physician responsible for the medical operation and quality of a hospital department or service; also responsible for providing input regarding policies and procedures and day-to-day operations of the department
Term
medical error
Definition
the failure to complete a planned action as intended or the use of a wrong plan to achieve an aim; can be related to an incorrect diagnosis, equipment failure, infection, or a misinterpretation of an order
Term
medical staff
Definition
formal organization of physicians authorized to admit and attend to patients within a hospital; have authorized privileges, bylaws, elected officers, and various committees and activities (e.g. medical director, department chair, and service chief)
Term
mission statement
Definition
statement of an organization that summarizes it's intent to provide service in terms of the services it offers, the intended recipients of services, and a description of the level of cost
Term
Occupational safety and health administration (OSHA)
Definition
federal agency that enforces standards for safety in the workplace, conducts inspections, and directs determination of fines for noncompliance with policies and regulations
Term
performance improvement (PI)
Definition
process of identifying and analyzing important organizational and individual performance gaps, planning for future performance improvement, designing and developing cost-effective and ethically justifiable interventions to close performance gaps, implementing the interventions, and evaluating the financial and non-financial results
Term
Radiology (Imaging) department
Definition
organization of a hospital or medical clinic that provides diagnostic imaging through medical technologies such as x-ray examination, fluoroscopy, CT, IR, MRI, nuclear medicine, and ultrasound
Term
service chief
Definition
physician responsible for overseeing a component or subdepartment of a hospital service-- for example, a radiologist who is chief of the nuclear medicine service
Term
third party payors
Definition
insurance companies, medicare, Medicaid, and other commercial companies that are the payers of inpatient and outpatient medical expenses for the patient
Term
total quality management (TQM)
Definition
management of quality in the workplace from a perspective of total involvement of every employee, with a strong focus on process measurement and control
Term
what does JCAHO stand for? and what other aliases might it go under?
Definition
joint commission of accreditation of healthcare organization
Aliases- the joint commission
Term
Explain the primary difference between a clinic and an outpatient imaging facility.
Definition
A clinic provides patient care by nonradiologist physicians as it’s primary function, while an imaging center’s primary function is diagnostic imaging.
Term
What is HIPAA? When was it established? What does HIPAA mean for a radiologic technologist?
HIPAA is the Health Insurance Portability and Accountability act of 1996.
Definition
Health Insurance Portability and Accountability Act of 1996.
Health care information cannot be obtained or shared without the express permission of the individual or designee. Always protect patient confidentiality.
Term
What does PACS stand for? What does a PACS system do? How is this an improvement over film-based systems?
Definition
PACS stands for picture archiving and communications system- a system for acquiring, archiving, interpreting, and distributing digital images throughout a health system enterprise.
better than film- allows the health care provider to access digital imaging information anytime and anywhere care is being provided, faster turn-around time for imaging diagnosis, simultaneous consultation with radiologist, always retrieve file without fear of it being lost
Financial benefits- elimination of film, storage, processor, processor maintenance, and paper supply costs
Term
internal infection control committee
Definition
regulates infection control policies and procedures and conducts epidemiologic studies for patient and employee protection.
Term
internal corporate compliance committee
Definition
developed to prevent an organization from committing health care fraud. Formalizes commitment to do the right thing in all situations and interactions within the health care system.
Term
internal risk management committee
Definition
manage and control the amount of legal and financial risk to the organization and ensure that a hospital continues to remain in good standing with it’s reputation in the community. Goal- keep the organization, employees, and patients free from any risks that may hinder quality of care and to guarantee the safety of all it’s customers.
Term
internal radiation safety committee
Definition
required by the NRC or state radiation governing body and TJC, regulates hospital activities for radiation safety and nuclear medicine activities. Defines safe handling of radioactive materials and policies for patients and staff exposed to radiation. Policies and procedures used in the case of radiation accidents are also within the responsibilities of radiation safety committees.
Term
Explain how internal committees are different from such external forces such as JCAHO and OSHA. What sorts of things do the following committees work on?
Definition
Internal committees also regulate operations in a hospital. – People on committees that work within the hospital- Paid employees to carry out specific functions to keep the overall functioning running smoothly.
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