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Flashcards in Gardners tasks Deck (30)
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1

What is fee-for-services

occurs when physicians in a private office are paid on a fee-for-service basis by a prepaid plan to deliver care to enrolled members.

2

What is horizintal integration

a group of acute care facilities come together to provide coverage for an expanded region

3

What are independent practice associations

physicians in private offices are paid on a fee-for-service basis by a prepaid plan to deliver care to enrolled members.

4

What is managed care

a system of healthcare where patients only visit certain doctors and hospitals and the cost of treatment is monitored by a company

5

What is a PPO

higher cost
can pick from docs in network without seeing PCP
can see specialists without PCP referral
always copay

6

What is an HMO

have to see a PCP that manages all your care
PCP before specialist
always pay a copay

7

What are accountable care orgs

a group of providers and healthcare organizations who are organized to improve outcomes and lower cost

8

What is a flat org structure

decentralized decision making
staff have authority to make decisions on site

9

What are line functions

responsible for accomplishing the goals of a place

10

What is matrix structure

managers of function and services work together

11

What is redesiging a compnay

a technique to analyze tasks to improve efficiency

12

What is reengineering a compnay

total reorganization of structure and work processes

13

What is restructuring a compnay

a technique to enhance organizational productivity

14

What are service line structures

all functions needed to deliver a service are provided in a unit and controled by one manager

15

● What are the 14 principles of management

Division of labor or specialization
clear lines of authority
appropriate levels of discipline
unity of direction
equitable treatment of staff
fostering of individual initiative
promotion of a sense of teamwork and group pride.

16

What is the case method or total patient care

one nurse provides total care for one patient during the entire work period

17

What is the functional nursing model

each staff member performs specific tasks for a large group of patients; similar to the assembly line system

18

What is practice partnership model

RN is with an assistant
provides semiprimary care
usu in rehab facilities

19

What is primary nursing

one RN is primary nurse for pats entire stay 24/7
creates care plan
assoc. nurse follows plan when gone
prime nurse still resp when gone

20

What is the synergy model

synergy happens when the characteristics and needs of the pat match the competencies of the nurese

21

What is team nursing

like funcitonal nursing
except a team leader coordinates the care for the pats

22

What is TeamSTEPPS

tools to improve communicaiton and teamwork between professions

23

What is autocratic decision making

paternalistic

24

When is autocratic appropriate

crisis

25

What is informed decision making

staff make decision from presented information wihtout managers

26

What is shared decision making

staff and managers collaborate

27

Cost =

price x utilization

28

What is a diagnosis related group DRG's

grouping pats into categories based on number of days in hospital for different diseases

29

What is a full time equivilant

another name for part time

30

What is observation status

pats you stay less than two midnights