Term
| What do modern management systems consist of? |
|
Definition
| Systems thinking, authority sharing, and teamwork. |
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|
Term
| What does modern management focus on first? |
|
Definition
|
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Term
|
Definition
| A written description of the organization's position on a topic : "What we do" |
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Term
|
Definition
| How the organization incorporates the policies in a process to fulfill the policies. |
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Term
|
Definition
Supervisory
Middle
Executive |
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|
Term
| What is the highest level of management? |
|
Definition
|
|
Term
| What does supervisory management do? |
|
Definition
Supervise small work groups
Direct daily work
Monitor quality and productivity
Assists in policy/procedure revision.
Answers to middle management |
|
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Term
| What does middle management do? |
|
Definition
Develop, implement, and revise policies and procedures under direction of executive managers.
Execute organizational plans
provide operational information needed for planning. |
|
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Term
| 2 divisions of executive management level |
|
Definition
| Executive Manager (hospital employee) and Governance (Board of Directors-final authority) |
|
|
Term
| What does the executive manager do? |
|
Definition
Set the organization's future direction
Oversee departments
Fulfill the mission
Work with community leaders |
|
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Term
| Role of the Governing Board? |
|
Definition
| Ultimately responsible for the organization |
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Term
|
Definition
Graphic representation of the organization's formal structure.
Show the various activities and categories/members assigned to carry them out (who reports to who)
Solid line=direct report
Broken line=indirect report |
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Term
|
Definition
| The realistic description of the general purpose of an organization or group. |
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Term
|
Definition
| Short description of the organization's ideal future state. |
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Term
|
Definition
| The behaviors expected of associates/employers at all levels. |
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Term
| What is the most important aspect of the organization's success? |
|
Definition
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|
Term
| What are the key functions of leadership? |
|
Definition
| Authority, responsibility, and accountability. |
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Term
| What does effective team leadership lead to? |
|
Definition
| Improved performance, increased productivity, and decreased expenses. |
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Term
| 4 steps of a functional team |
|
Definition
| Forming, Storming, Norming, and Performing |
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Term
|
Definition
| When the team members first come together and may not know their positions within the group, nor what extent they can trust other members. |
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Term
|
Definition
| Occurs when individual team members examine their role within the group |
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Term
|
Definition
| When each team member comes to understand his or her role. |
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Term
|
Definition
| When the team can be productive and work successfully on the team goals. |
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Term
| What do teams need to have? |
|
Definition
|
|
Term
| What is the team leader's role? |
|
Definition
| Keep the team on track and ensure each member has an opportunity to contribute. |
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Term
|
Definition
Advertising positions
Take in resumes and applications |
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Term
|
Definition
| When staff feels appreciates and treated fairly. |
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Term
| T/F Team leaders can give authority |
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Definition
| False - Responsibilities can be delegated, but the ultimate authority still lies with the manager. |
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Term
| 5 stages of performance management |
|
Definition
| Planning, Monitoring, Developing, Rating, and Rewarding. |
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Term
|
Definition
| Utilizes control over the situation, constructive confrontation, and compromise. |
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Term
|
Definition
| Policies and procedures used to handle employee complaints |
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|
Term
| Supervisor's stages of employee development |
|
Definition
Exploration and trial
Establishment and advancement
Midcareer growth, maintenance, and decline
Disengagement |
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|
Term
| Strategies for developing staff skills |
|
Definition
On-the-job-training
Informational presentations
Action-based methods |
|
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Term
|
Definition
| Aligns the needs of the organization with skills and interests of the employee and designs the job to meet it. |
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Term
| Fundamentals of work planning |
|
Definition
| Strategic planning and Operational planning |
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Term
|
Definition
| How the organization will respond to changes in the external environment and in the foreseeable future usually for 5-10yrs. |
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Term
| 10 general steps of strategic planning |
|
Definition
1. Conduct an environmental assessment
2. Develop and/or revise the mission and vision statements in response to the environmental assessment
3. Develop and/or revise the values statement
4. Develop and/or revise the strategic plan for upcoming year
5. Revise the strategic plan for succeeding years
6. Develop specific action steps for upcoming year
7. Discuss the proposed strategic plan
8. Officially document the Board's approval
9. Communicate the strategic plan
10. Develop operational plans on the basis of the action steps and future direction. |
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Term
|
Definition
| Tied to the budget and done annually by each department |
|
|
Term
| What does financial control begin with? |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| Money that will be paid to the organization or income that will be earned |
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|
Term
|
Definition
| Money spent on the organization. |
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Term
|
Definition
| Fixed costs and Variable costs |
|
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Term
|
Definition
| Costs that remain the same regardless of how much work is done. |
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|
Term
|
Definition
| Costs related to how much work is done, such as materials or employee salaries. |
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Term
|
Definition
| Items the organization will purchase whose value extends beyond one year: High-ticket Items |
|
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Term
| 3 areas of supply management |
|
Definition
| Purchasing process, Inventory control, and Supplier relationships |
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Term
|
Definition
1. Job descriptions
2. Performance standards
3. Work schedules
4. Written policies and procedures |
|
|
Term
|
Definition
Outlines work to be performed
Used in recruitment and interviewing
Used in establishing wages
Clarifies tasks to be performed. |
|
|
Term
|
Definition
| Process of comparing your standards against industry standards to determine where you stand. |
|
|
Term
| What is work distribution based on? |
|
Definition
| The staff's capabilities and job responsibilities. |
|
|
Term
| What are staffing needs driven by? |
|
Definition
| Hours of coverage and their understanding of workload. |
|
|
Term
| What purpose do meeting minutes serve? |
|
Definition
| Factual record of proceedings, historical record of activities, and legal documentation for evidence. |
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Term
|
Definition
1. Promote understanding, clarity, and consistency of behavior.
2. Eliminate repetitive decision making
3. Assist in the orientation of new employees
4. Provide documented controls as required by licensing and accrediting agencies. |
|
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Term
| Purpose of employee handbooks |
|
Definition
>Summarizes pertinent organizational policies
>State laws require certain policies be provided to employees
>Disclaimers allow organization to change policies/procedures after handbook is provided |
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Term
|
Definition
| A procedure to safeguard the rights of the employees |
|
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Term
|
Definition
| Managers and supervisors must have just cause for disciplining employees. |
|
|
Term
|
Definition
| Determines in the violated rule or order reasonable related to orderly, efficient and/or safe operations of the department |
|
|
Term
| What is the primary purpose of a job description? |
|
Definition
| To identify the essential functions of the position. |
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Term
|
Definition
| The logical process to determine the position's purpose, essential functions, job setting, and job qualifications. |
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|
Term
| Medical records are what type of data source? |
|
Definition
|
|
Term
| Registries are what type of data source? |
|
Definition
|
|
Term
| 4 major purposes for secondary data sources |
|
Definition
1. Quality, performance, and patient safety.
2. Research
3. Population health studies
4. Administration uses. |
|
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Term
|
Definition
| Users within the organization. |
|
|
Term
| Who are external users of data sources? |
|
Definition
| Individuals and institutions outside the facility. |
|
|
Term
| What are the types of secondary data sources? |
|
Definition
| facility-specific indexes such as MPI, diagnosis, operation, and physician. |
|
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Term
|
Definition
| Master Patient Index: Used to retrieve health information for specific patients. |
|
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Term
|
Definition
| Secondary data that contains more information than indexes. |
|
|
Term
| Data that must be included in facility-based cancer registries |
|
Definition
>Demographic info
>Industrial or occupational history
>Administrative info
>Pathological info |
|
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Term
|
Definition
| Defines cases to be entered in registry |
|
|
Term
|
Definition
| Identify cases that meet the case definition |
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Term
|
Definition
| Number in the cancer registry that is made up of the year and sequential number |
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|
Term
| Information collected on cancer |
|
Definition
>Type and site
>Diagnostic methods
>Treatment methods
>Stage at time of diagnosis |
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|
Term
|
Definition
Size and extent of spread of tumor:
>T= size of primary and if it has spread to nearby tissues
>N= whether or not the cancer has spread to nearby lymph nodes
>M= whether or not the cancer has spread to distant areas of the body. |
|
|
Term
|
Definition
Classifies cancer cells in terms of how abnormal they look under a microscope and how quickly the tumor is likely to grow and spread.
>Scale is 1 thru 4 and describes the cell's differentiation. |
|
|
Term
| Follow-up methods for cancer registry data |
|
Definition
>Hospital records
>Physician queries
>Contacting patients
>Obituaries
>Social Security Death Index |
|
|
Term
| What type of cancer registry usually doesn't collect follow-up data? |
|
Definition
| Population-based registries |
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|
Term
|
Definition
| For performance improvement and research |
|
|
Term
| What is the focus of trauma registries? |
|
Definition
| Patient's quality of life |
|
|
Term
| Birth defects registries and their basis |
|
Definition
| Collect info on newborns with birth defects and are usually population-based |
|
|
Term
|
Definition
| Used in managing and research |
|
|
Term
| Purpose of follow-up in diabetes registries |
|
Definition
|
|
Term
| Implant registry and reporting requirements |
|
Definition
Tracks performance of implants and collects manufacturer's contact info; product model, serial number, and lot number.
>Must report deaths and severe complications. |
|
|
Term
| Transplant registry and uses of data |
|
Definition
Tracks who needs an organ:
Used for research, policy analysis, and quality control. |
|
|
Term
| Purpose on Immunization registries |
|
Definition
| To increase the number of infants and children to receive required immunizations at the proper intervals. |
|
|
Term
| National Practitioner Data Bank and reporting requirements |
|
Definition
Database of medical malpractice payments, adverse licensing actions and certain professional review actions.
>Required to report info on practitioners and the reporting entity. |
|
|
Term
| Process that utilizes the National Practitioner Data Bank |
|
Definition
| Credentialing, re-licensing, and physician privileges. |
|
|
Term
| Healthcare Integrity and Protection Data Bank |
|
Definition
| Tracks reports of healthcare fraud and abuse with info on provider, supplier, or practitioner; nature of the act; and the description of actions on which the decision is based. |
|
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Term
|
Definition
| Activities of Daily Living |
|
|
Term
|
Definition
| Collected by state and is data on births, deaths, fetal deaths, marriages, and divorces. |
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|
Term
|
Definition
| Research project in which new treatments and tests are investigated |
|
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Term
|
Definition
| Procedure that must be followed during the clinical trail : Plan of Action |
|
|
Term
| Phases of clinical trials |
|
Definition
>Phase I: safety
>Phase II: effectiveness and safety
>Phase III: effectiveness, side effects, and comparison to other available treatment
>Phase IV: treatment after entered market |
|
|
Term
|
Definition
| Biographical listings for publication |
|
|
Term
|
Definition
| Unified Medical Language System: links between different information systems |
|
|
Term
| HIE meaning, purpose, and use |
|
Definition
Health Information Exchange
>Purpose: make sure complete information is provided at time of care.
>Used for research on population, treatments, and patient care. |
|
|
Term
| Data for Performance Measurement content and agencies who require its use |
|
Definition
| Serves as a database for core performance measures and is required by Joint Commission and CMS |
|
|
Term
|
Definition
| Rights of stakeholders to access, use, and control data maintained about their care. |
|
|
Term
|
Definition
| Accuracy, Consistency, Comprehensiveness, and Timeliness. |
|
|
Term
| Data Security and methods |
|
Definition
Effort to control access to health information.
>passwords, biometrics, ID badges, audit trails, and encryption. |
|
|
Term
|
Definition
| Someone who is affected by issues; patients and providers |
|
|
Term
| What rights do patients have regarding their health information? |
|
Definition
| They don't have exclusive ownership of information, but have the right to know what is collected and uses of the data |
|
|
Term
| What rights do patients have over their data in the HIE? |
|
Definition
| Patients should know their data is in the HIE and they have the ability to opt in or out. |
|
|
Term
|
Definition
| List of recommended data elements with uniform definitions that are relevant for a particular use. |
|
|
Term
|
Definition
1. Identify data elements to be collected on each patient
2. Uniform definitions for common terms |
|
|
Term
|
Definition
Uniform Hospital Discharge Data Set:
>Required by the federal gov.
>Collected from every hospital inpatient
>Used for determining DRGs |
|
|
Term
|
Definition
>Principal Dx
>Principal procedure
>C&Cs |
|
|
Term
|
Definition
Uniform Ambulatory Care Data Set
>Used for outpatient visits and procedures
>Used in determining APCs |
|
|
Term
| MDS meaning, use, and when it is used |
|
Definition
Minimum Data Set (for Long-term Care)
>Used to identify and assess patient safety and quality
>Used to create resident assessment protocols
>Completed at admission and periodically thereafter |
|
|
Term
|
Definition
Resident Assessment Protocol:
>Used by nursing homes
>Assesses:
>>Nature of complaint
>>Complications and risk factors that affect care planning
>>Factors to be considered in developing individualized care plan
>>Need for referrals/further evaluation |
|
|
Term
|
Definition
Outcomes Assessment Set - Home Health Care:
>Collects core data on home health patients
>Used as basis for home health reimbursement. |
|
|
Term
|
Definition
Health Plan Employer Data and Information Set:
>Used to compare performance of managed healthcare plans
>Collects administrative, claims, and health record review data |
|
|
Term
|
Definition
| NCQA (National Committee for Quality Assurance) |
|
|
Term
| What Data Set is used to compare performance of managed healthcare plans? |
|
Definition
|
|
Term
|
Definition
Data Elements for Emergency Departments:
>Supports the uniform collection of data in hospital-based Emergency Depts. and to reduce incompatibilities in ED records. |
|
|
Term
|
Definition
>Comparative database used for benchmarking, health services research, and internal activities
>Fosters standardization of performance measures
>Encourages use of evidence-based treatment protocols. |
|
|
Term
|
Definition
>Personal Health: controlled by individuals
>Healthcare Provider: info captured during patient care
>Population Health: Data and resources needed to improve public health |
|
|
Term
|
Definition
| provides acceptable values for data fields |
|
|
Term
|
Definition
| Protocols that ensure data transmitted from one system to another remain comparable |
|
|
Term
|
Definition
| Supports format and sequence of data during transmission. |
|
|
Term
| What do Data Exchange Standards allow for? |
|
Definition
>Disease surveillance
>Health and Healthcare population monitoring
>Outcomes research
>Decision making and policy development |
|
|
Term
| ARRA meaning and function |
|
Definition
American Recovery and Reinvestment Act:
>Provided funds for standards, health info exchange and implementation assistance. |
|
|
Term
|
Definition
>Process of replacing standards and policies adopted by nations with uniform global standards
>Done by Standards Development Organizations and private/governmental agencies involved |
|
|
Term
| Structure and Content Standards |
|
Definition
| Data dictionaries: uniform definitions of data elements |
|
|
Term
|
Definition
| Family of standards that aid exchange of data |
|
|
Term
| Functional / EHR Standards |
|
Definition
| Define components an EHR needs to support functions for which it was designated |
|
|
Term
| Technical / Interoperability Standards |
|
Definition
| Provide rules of how data is transmitted from one computer to another |
|
|
Term
|
Definition
Digital Imaging and Communications in Medicine:
>Transmits radiology and other imaging |
|
|
Term
| Vocabulary / Terminology / Classification Systems |
|
Definition
| Facilitate standardization of health data representation |
|
|
Term
|
Definition
Extensible Markup Language
>Universal language to facilitate storage and transmission of data published on the internet |
|
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Term
|
Definition
| Continuity of Care Record |
|
|
Term
|
Definition
Electronic Medical Record
>Used within one healthcare organization |
|
|
Term
|
Definition
Electronic Health Record
>Used across more than one healthcare organization |
|
|
Term
|
Definition
>Provide seamless exchange of information
>Access to evidence-based medicine
>Embedded clinical terminology |
|
|
Term
|
Definition
Computerized Provider Order Entry
>includes standard order sets and clinical decision support |
|
|
Term
|
Definition
| Aid professionals in lab, radiology, and pharmacy. |
|
|
Term
|
Definition
| Electronic Medication Administration Record |
|
|
Term
|
Definition
Clinical Decision Support
>Assists physicians, nurses, and other clinicians make decisions about patient care like:
>>Provides documentation of findings and procedures
>>Active reminders for med. admin.
>>Makes suggestions for prescribing
>>Cross-references protocols
>>Alerts if duplicate lab test is ordered. |
|
|
Term
| How must data be captured for CDS |
|
Definition
| Discrete / Structured data |
|
|
Term
|
Definition
Computer Output to Laser Disk
>Transfers scanned documents to laser disks |
|
|
Term
|
Definition
Electronic Document Management System
>Scans documents to a computerized form
>Allows for electronic signature authentication
>Includes digital dictation and speech recognition |
|
|
Term
|
Definition
>Manages data from different sources
>Allows for easier processing |
|
|
Term
|
Definition
>Integrated: associated with existing EHR at healthcare facility
>Stand-alone: obtained from a vendor |
|
|
Term
|
Definition
| A special program where specific data are identified as needing to be exchanged and then rules about how those data are structured are applied. |
|
|
Term
|
Definition
| The set of all terms that may be used in a language |
|
|
Term
|
Definition
| A grouping of the terms into various categories |
|
|
Term
| Electronic Document/Content Management |
|
Definition
| Enables data to be processed separately from the document |
|
|
Term
| Enterprise Report Management |
|
Definition
| Captures data from print files and other digital documents like email and stores them for viewing |
|
|
Term
| Results Retrieval and Management Technology |
|
Definition
>Accesses test results individually or many at a time
>Screen layout can be customized |
|
|
Term
|
Definition
| Configuration, structure, and relationships of all components of a computer system |
|
|
Term
| 2 main types of architecture |
|
Definition
1. Client/server
2. Web services |
|
|
Term
| 4 types of storage technology |
|
Definition
1. RAID=Redundant Arrays of Independents Disk
2. SAN=Storage Area Networks
3. Storage management software
4. Server redundancy |
|
|
Term
| What type of storage is also called "Mirrored Processing" |
|
Definition
|
|
Term
| 4 techniques of EHR selection |
|
Definition
1. Best of Fit
2. Dual core
3. Best of breed
4. Rip-and-Replace |
|
|
Term
|
Definition
| A vendor strategy used when purchasing an EHR that refers to system applications that are considered the best in class. |
|
|
Term
|
Definition
| A vendor strategy used when purchasing an EHR in which all the systems required by the healthcare facility are available from one vendor. |
|
|
Term
|
Definition
| A vendor strategy in which one vendor primarily supplies the financial and administrative applications and another vendor primarily supplies the clinical applications. |
|
|
Term
|
Definition
| When the vendor applications are completely thrown out and replaced with a different vendor. |
|
|
Term
|
Definition
| Policies and procedures for employees to follow |
|
|
Term
| 5 stages of information system activities |
|
Definition
1. Input
2. Processing
3. Output
4. Storage
5. Controlling |
|
|
Term
|
Definition
| Reports of process measures to help leaders know what is currently going on so that they can plan strategically where they want to go next. |
|
|
Term
| Knowledge Management System |
|
Definition
| A type of system that supports the creation, organization, and dissemination of business or clinical knowledge and expertise to providers, employees, and managers throughout a healthcare enterprise. |
|
|
Term
| 5 steps of information system development |
|
Definition
1. Planning
2. Analysis
3. Design
4. Implementation
5. Analysis |
|
|
Term
| Planning of IS development |
|
Definition
>Identify and assign priorities
>Look at needs not wants
>Steering Committee is overseen by the CIO |
|
|
Term
|
Definition
Chief Information Officer
>The senior manager responsible for the overall management of information resources in an organization |
|
|
Term
| Analysis Plan of IS development |
|
Definition
>Requests are made for systems
>Ask questions about the system, review documentation, prototypes |
|
|
Term
| System Analysis of IS development |
|
Definition
| Identifies what system needs to accomplish |
|
|
Term
| Design Phase of IS development |
|
Definition
>Specifies specific functions and design of the system
>Models: Objects, physical, and screen prototypes |
|
|
Term
| Maintenance Phase of IS development |
|
Definition
>Identifies potential problems and take steps to correct them
>Evaluates effectiveness of the system
>Evaluates return on investment |
|
|
Term
|
Definition
| The largest, fastest, and most expensive type of computer that exists today-used in large-scale activities like weather forecasting |
|
|
Term
| What type of computer is an employee workstation? |
|
Definition
|
|
Term
| Parallel Approach for conversion to new systems |
|
Definition
| When both the old and new systems are ran until the managers and staff are confident that the new system works. |
|
|
Term
| Phased Approach for conversion to new systems |
|
Definition
| When portions of the new system are implemented over time instead of installing the entire system all at once. |
|
|
Term
|
Definition
| Low memory size and fewer functions, very fast in processing but the output return is not very accurate. |
|
|
Term
|
Definition
>Means "discrete"
>give accurate results
>possess high-speed data processing and can store large amounts of data
>easy to program and consumes low energy |
|
|
Term
| What type of computer can process both continuous and discrete data accurately? |
|
Definition
|
|
Term
| 5 basic computer functions |
|
Definition
1. Input
2. Processing
3. Memory
4. Output storage
5. Communications |
|
|
Term
|
Definition
|
|
Term
|
Definition
>keyboards
>mice
>scanners
>sensors
>barcodes |
|
|
Term
|
Definition
>Visual display units
>Printers
>Fax machines
>Speakers |
|
|
Term
| Secondary data storage devices |
|
Definition
>Flash drives
>Magnetic tape
>Optical disks |
|
|
Term
|
Definition
| A microchip implanted in a CPU's hard drive that processes instructions sent to it by the computer and software programs. |
|
|
Term
|
Definition
Used to assist communications among different computers.
>Modems
>Satellite dishes
>ADSL |
|
|
Term
|
Definition
| Translate digital data into analog data so that the data can be transmitted over telephone lines and received by a remote computer. |
|
|
Term
| Programming languages purpose |
|
Definition
| Used to develop software that provides instructions to the computer to execute specific tasks. |
|
|
Term
| 3 categories of computer software |
|
Definition
1. System software
2. Computer programming software
3. Application software |
|
|
Term
|
Definition
| An organized collection of data saved as a binary-type file on a computer |
|
|
Term
|
Definition
| Stores data in predefined tables that contain rows and columns similar to a spreadsheet |
|
|
Term
| Object-oriented databases |
|
Definition
| Stores objects of data, where an object is a discrete or abstract thing. |
|
|
Term
| Object-relational database |
|
Definition
| A type of database that stores both objects and traditional tables |
|
|
Term
| Primary key of relational database |
|
Definition
Ensure that each row in a table is unique.
Doesn't change in value |
|
|
Term
| Column/field of relational database |
|
Definition
|
|
Term
| Row/record of relational database |
|
Definition
| A set of columns or a collection of related data items. |
|
|
Term
| Foreign key of relational database |
|
Definition
| A column of one table that corresponds to a primary key. |
|
|
Term
| What does a good database design implement? |
|
Definition
| The exact data requirements of the end users |
|
|
Term
|
Definition
| Provide contextual framework and graphical representation that aid in the definition of data elements |
|
|
Term
| What do data dictionaries do? |
|
Definition
>Improve data validity and reliability
>Improves communication
>Define terms |
|
|
Term
|
Definition
Ensures data does not result in loss of data quality thru:
>Specifications of uniqueness for values
>Validation for values of columns
>Referential integrity constraints which ensure data quality in relational databases |
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Term
| 2 categories of database management systems |
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Definition
1. Personal
2. Server-based |
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Term
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Definition
>Consolidates and stores data from various databases throughout the enterprise
>Improves customer support
>Lowers production costs
>Increased profitability
>Quicker turnaround for making decisions |
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Term
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Definition
| Process that Identifies patterns and relationships by searching thru large amounts of data. |
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Term
| How does healthcare use data mining? |
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Definition
| Used to identify methods for cutting costs, suggest better treatments, and predict medical outcomes. |
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Term
| 4 network fundamentals of a communication system |
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Definition
1. Transmitter (send the info)
2. Receiver
3. Medium (the mechanism that connects the transmitter to the receiver)
4. Data |
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Term
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Definition
| Computers that access shared resources |
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Term
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Definition
| Computers that share resources across the network |
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Term
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Definition
| Tasks that a network server performs |
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Term
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Definition
Local-area network
>connects computers in a relatively small area |
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Term
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Definition
Wide-area network
>connects devices across a large geographical area |
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Term
| 4 types of network topologies |
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Definition
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Term
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Definition
| Enable computers on the network to communicate with each other |
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Term
| Types of physical data security |
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Definition
>Protection from environmental hazards
>Physical separation of stored data records
>Backup and recovery
>Protection of workstations when exposed to the public. |
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Term
| Purpose of risk assessments |
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Definition
| To minimize impact of threats |
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Term
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Definition
| Planning process that ensures information systems will operate critical units during disruption in the system |
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Term
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Definition
| Facilitates exchange of info and realtime collaboration |
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