1. The demographic patterns of the overall population has a direct impact on
    Healthcare Organization
  2. These are major considerations in the delivery of health care
    Laws and regulations
  3. Name the 3 current acts that have impacted healthcare
    • Healthcare Reform 2010
    • American Recovery and Reinvestment Act
    • EHR Mandates 2014
  4. Gov't organizations that directly oversee strict regulatory requirements on a organization
    Regulatory agenices or independent commissions

    • EX. Nat transportation safety board
    •      Nuclear Regulatory Commission
  5. What are features of a federal regulatory agent
    • Official unit of state or federal gov't
    • Established by lawmakers
    • Goverened by board appointed by the President
  6. The latest trend in healthcare insurance is
    Managed Care
  7. Causes of the rising cost of health care
    • Started with the implementation of Medicare/Medicaid
    • Changes in medical practices and technology
    • Overexpansion of hospital system
  8. Everything that happens in technology is driven by
    Concerns of Cost
  9. Describe the concept of managed care
    • Primary care physician acts as a gatekeeper for expanded services.
    • Must have permission from PCP in order to use the specialty services
  10. Describe the cons of managed care
    • When controlling costs, limits are placed on the choice of physicians you can see and paying certain co pays and deductibles
    • Hospitals must provide more outpatient services
  11. The blending of 2 or more entities to create 1 organization, 1 licensure, 1 provider
  12. Generation that did not argue, did work as told and had good work ethic
    Silent generation
  13. Generation that worked hard, but started to challenge authority because they thought another way was better
    Baby Boomers
  14. Generation that was materialistic, expected things to come to them.
    Generation X
  15. Generation that has poor work ethic, lazy, and asked "why" to authority
    Generation Y
  16. Generation born into technology, easily accepts change
    Generation Z
  17. Quinlan,
    discuss cases
    • Right to die issues
    • Q-Parents wanted to take off life support, but hospital refused claiming legal issues
    • CR-

  18. What changes did the Self Determination Act inspire
    • Living wills and Advance Directives
    • DNR orders reviewed and updated
    • Balance of Life Protocols
    • Emphasis on spiritual and psy considerations
    • Ethic committee involvement
  19. These systems served as building blocks for the expansion of computerized systems to include EHRs
    Internal Administrative Systems
  20. Describe 5 yr marker in a job
    • 1-new person, excitement
    • 2&3-change for promotion
    • 4-old news
    • 5 dead career
  21. Name the primary cause for resistance
    • Organizational
    • Management
    • Policy
  22. How are co-opted groups controlled

    Assignment of so much activity, success cannot happen
  23. Formal way of keeping organized
    Roberts Rule of Order
  24. In order to maintain and survive, the organizaiton must downsize or cut losses
  25. In order to survive, the organization must change certain things or restructure depts
  26. Where one goal is reached and then succeeded by another one.
    Goal Succession

  27. Where a goal is retained and enlarged with variations
    Goal Expansion

    Colleges include continuing edu classes
  28. The original goal is kept and new ones added. But the new goals take over where the organization wants to expand to
    Goal Multiplication

  29. Name the formative stages
    • gestation
    • youth
    • middle age
    • old age
  30. The stage where leadership tends to be strong and committed.
    Members work hard
    No precedents to act as barriers
    Individuals leave if they disagree
    Gestation Stage

    EX baby boomers
  31. The stage where idealism and high hopes dominate
    Strong ties among original members
    Formal communication is necessary bc informal patterns are not well developed
    Youth stage

    EX Generation X
  32. Stage where there is a increase in tradition, activities are routine and predicatable
    Roles are clear
    Communication is reliable
    Stable and productive
    Middle Age

    EX Silent generation
  33. Stage where there is a long history of how things are done
    Resistant to change
    Little or no innovation
    Main focus is survival
    Old Age
  34. Formal agreement among member facilities to offically share one or more activities
    Ownership remains seperate, but has binding agreement

    EX. Rooms to Go/Brandsmart
  35. Temporary partnership of independent companies that join together in a mega-enterprise to take advantage of the rapidly changing technology
    Virtual Enterprise

    EX. 1 hour eyeglasses
  36. Key features of virtual enterprise
    • Heavy reliance on outsourcing
    • Small facility and faculty
  37. Central deposit area of data collected from all aspects of the organization gathered into on computer format
    Data Warehousing
  38. To extract and analyze data to find important facts for decision making
    Data Mining
  39. Describe Iron Law of Survival
    Survival is a absolute prerequisite for its serving any interest
  40. Name ways a organization ensures survival
    • Bureaucratic Imperlism
    • Co-optation
    • Patterns of adaptation
    • Goal multiplication
  41. Where an organzation stakes out its territory. Exerts a kind of pressure to develop a particular clientele and then expands on it
    Bureaucratic Imperlism
  42. JCAHO
    Joint Commission Accreditation of Healthcare Organizations
  43. Method of Survival--how to adapt or respond to change
  44. Burdens are shared but no power is transferred. No interference with unity of command
    Formal Co-optation

    Living w/someone.They help pay bills but you still own house
  45. No power is changed, still deal with groups regularly, but no visible change is noticed
    Informal Co-optation

    In a relationship, but each still live in their own home
  46. 3 processes of change
    • TELL
  47. Describe the effective management of change process
    • Plan
    • Communicate
    • Convince
    • Involve
    • Monitor
Card Set
Management Final