Chapter 8
Describe the butterfly effect
What is:
changes in outcomes are not proportional to the degree of change in the initial condition
Describe zero-based budgeting
What is:
•Managers must re-justify their program or needs every budgeting cycle
•It does not automatically assume that because a program has been funded in the past, it should continue to be funded
•The budgeting process is labor-intensive
Name the state with minimum staffing ratios
What is California
True or False
Confidentiality can be violated if there is a legitimate professional need
What is True
What is the largest budget expenditure in a healthcare organization
What is
The personnel budget
Describe the difference between young and aged organizations
What are:
The young organization is characterized by high energy, movement, and virtually constant change and adaptation.
Aged organizations have established “turf boundaries,” function in an orderly/predictable fashion, and focus on rules and regulations.
Describe the role a leader plays in budgeting or fiscal planning
What is
being visionary in identifying short- and long-term unit fiscal needs
Describe the differences between centralized and decentralized staffing
What is
In centralized staffing, staffing decisions are made by personnel in a central office or staffing center. In decentralized staffing, each department is responsible for its own staffing.
Describe two characteristics of nonverbal communication
What are
it supersedes verbal communication if the two aren't congruent
Describe an Accountable Care Organization
What are
ACOs are groups of providers and suppliers of service who work together to better coordinate care for Medicare patients (does not include Medicare Advantage) across care settings with the expectation that efficiency as well as quality of care will result in shared savings.
Name the three stages of Lewin's change theory
What are
unfreezing
changerefreezing
Describe a flexible budget
What is a budget that
•Flex up and down over the year depending on volume
•Calculate when expenses should be given patient volume
•
Describe one benefit of increased total nursing care hours per patient-day (NCH/PPD)
What is
Increased client satisfaction
Increased quality improvement measures
Increased unit safety
Describe three methods of communicating with others
What are by
memo
telephone
face-to-facetown hall meeting
video call
Describe two characteristics of an HMO
What are:
A network of providers funded by insurance premiums
The professional practices medicine with certain financial limits
Practice is done within geographic limits
Practice is done within professional limits
Name four good reasons for change
What are
•Change to solve some problem
•Change to make work procedures more efficient
•Change to reduce unnecessary workload
•Change to improve staff productivity
Describe a critical pathway aka clinical pathway aka care pathway
What is
•Predetermined courses of progress that patients should make after admission for a specific diagnosis or after a specific surgery
•Strategy for assessing, implementing, and evaluating the cost-effectiveness of patient care
•Standardizes the client’s care
•
What are
While mandatory overtime is neither efficient nor effective in the long term, it has an even more devastating short-term impact in terms of staff perceptions of a lack of control and its subsequent impact on mood, motivation, and productivity.
Describe four elements of nonverbal communication
What are
silence
space
environment
appearance
eye contact
posture
gestures
facial expression and timing
vocal expression
Describe the qualifying criteria for Medicaid
What is
Medicaid, which is based on Modified Adjusted Gross Income (MAGI)
Name the five stages of change according to the stages of change model
What are:
Stage 1: precontemplationStage 2: Contemplation
Stage 3: Preparation
Stage 4: Action
Stage 5: Maintenance
Describe five implications of the Patient Protection and Affordable Care Act (PPACA)
What are
•New Patient’s Bill of
Rights
•Bundled payments
•Accountable care
organizations
•Hospital value-based
purchasing
•The medical home
•Health insurance marketplaces
Describe three benefits of float pool nurses
What are:
Having internal employees that can work in different departments
Having nurses cross trained in multiple departments
What are increased pay
What are hospital benefits package
Describe two tactics to use when speaking with an angry subordinate
What are:
Allow the employee to express his or her feelings
State that you understand the client's concern
Describe the criteria for qualifying for Medicare
Who are
People age 65 or older, younger people with disabilities and people with End Stage Renal Disease