Chapter 15 Flashcards Preview

HIM 371 Exam 3 > Chapter 15 > Flashcards

Flashcards in Chapter 15 Deck (19)
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1
Q

what elements does strategic planning take into account?

A

Assessment of the community it serves, its scope of services, the available technologies, and staff expertise

2
Q

It validates the mission, vision, goals, and values for the organization.

It is the process of determining the major goals of the organization and the policies and strategies for obtaining and using resources to achieve those goals

A

Strategic Planning

3
Q

What does the S in the acronym SWOT stand for?

A

Strengths of organization

4
Q

What does the W in the acronym SWOT stand for?

A

Weaknesses of organization

5
Q

What does the O in the acronym SWOT stand for?

A

Opportunities that organization may have

6
Q

What does the T in the acronym SWOT stand for?

A

Threats to the organization

7
Q

High risk, high volume, or problem prone processes

the degree of adverse impact on patient care that can be expected if an improvement opportunity remains unsolved

the degree to which patient safety is improved

A

Criteria for setting performance improvement priorities

8
Q

Formal document stating any recurring performances issues along with goals that an employee needs to achieve in order to regain good standing

A

PI plan

9
Q

What group ultimately has the responsibility for delegating the PI plan implementation?

A

Board of directors

10
Q

What elements of the Performance Improvement (PI) Plan are evaluated annually?

A

The executive summary section of the PI review summarizes the main points of the annual report.

11
Q

Provides minute-to-minute data on the myriad functions its various systems perform.

provides valuable information that is in an easily readable format and can be used as a guide for making management decisions.

often times the method used to communicate findings of the benchmarking process and ongoing performance

A

Dashboards roles in upper committees

12
Q

Findings from peer reviews are aggregated and reported to the executive committee of the medical staff as well as to clinician’s professional files for consideration o=in the re-credentialing process

A

Peer Review Assessing physician performance

13
Q

Committee made up of individuals who are involved in a patient’s care, including health care practitioners, family members, clergy, and others, with the purpose of reviewing ethical issues in difficult cases

A

Ethics Committee

14
Q

Makes the final decision regarding credentialing in a managed care organization

A

Credentialing committee

15
Q

Medical staff composed of physicians and pharmacists who provide necessary information and advice on whether a drug should be added to a formulary

A

Pharmacy and Therapeutics committee

16
Q

Evaluate and assess existing conditions, operations, and practices to determine the impact of and general compliance with the Joint Commission EOC Standards. Identify and generate improvement opportunities and process change to facilitate the safety, security, and comfort of patients and their social

A

Environmental safety committee

17
Q

The committee makes recommendations on matters that affect quality of care, including staffing, equipment, space planning, credentialing, medical staff appointment and reappointment, and clinical privileges.

A

Departmental committee

18
Q

When would peer review take place?

A

At Departmental Committees (Medicine & Surgery)

19
Q

Review by like professionals, or peers, established according to an organizations medical staff by laws, organizational policy and procedures, or the requirements of the state.

A

Peer review