AHS 403 Final Flashcards

1
Q

What are the future trends of healthcare that would affect healthcare from an operational perspective?

A

Risk shifting from payers to providers
Payers marketing directly to consumers
Expansion of retail insurance market
Virtual care/telehealth

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2
Q

Understand the input, transformation and output process.

A

Input(labor, material, machines, capital)
Transformation(action taken)
Output(goods and services)

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3
Q

What impact would organizational culture have to the quality of service in a healthcare organization?

A

Ensures that providers have the needed tools and skills to serve the customer

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4
Q

What impact does operational efficiency have on patient satisfaction? How would that impact operations?

A

Patient enjoy reduced wait times and are more involved in all aspects of their healthcare.
Reduce cost and treat more patients

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5
Q

Benchmarking

A

focused on how to improve any given process by finding, studying, and implementing best practices

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6
Q

Deming’s Philosophy

A

Improving quality will reduce expenses while increasing productivity and market share.

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7
Q

Operations Management

A

Operations management is the design, operation, and improvement of the processes and systems that create and deliver the organization’s products and services.

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8
Q

Goals of Operations Management

A

produce and deliver the organizations products and services more effectively and efficiently

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9
Q

Effective Operations Management

A

design systems, services, products and processes that meet the needs of their organizations stakeholders. Provide the continuous improvement of these systems and services to meet the need of a quickly changing environment

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10
Q

Supply chain management

A

management of all supplier, vendor, and distribuition activities related to production of value to end consumers

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11
Q

Input

A

Labor Material
Machines
Management
Capital

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12
Q

output

A

Goods or Services

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13
Q

knowledge hierarchy

A

5 categories of learning: data, information, knowledge, understanding, and wisdom

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14
Q

evidence based medicine

A

the conscientious and judicious use of the best current evidence in making decisions about the care of individual patients

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15
Q

Balance Scorecard

A

mission, vision, and values
perspectives-financial, customer, internal business process, learning and growing
strategy maps
strategic alignment
processes-id targets, resources, initiatives and budgets
feedback

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16
Q

line of visibility

A

seperates all service activities that are visible to the customers from those that are not visible

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17
Q

Mind Mappping

A

nonlinear technique used to develop thoughts and ideas by placing pictures or prhases on a map to show logical connnections

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18
Q

Process Mapping

A

graph showing inputs, outputs and the steps in the process

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19
Q

Service Blueprinting

A

map that separates actions into visible to th4e customer and not visible to the customer

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20
Q

front office operations

A

visible to public

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21
Q

back office operations

A

not visible to public

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22
Q

mean

A

arirthemic average of the population

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23
Q

median

A

middle value of a population

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24
Q

mode

A

the most frequently occcuring value

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25
Q

critical path method

A

arrows indica the direction of work flow, nodes contain the identifiier and duration

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26
Q

total slack

A

how much time can pass before without delaying the project, a project with 0 slack is considered a critical task

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27
Q

lastest start

A

latest a task can begin w/o delaying the completion

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28
Q

latest finish

A

latest date time an activity can be completed if it is to started at its latest start time

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29
Q

earliest finish

A

earilest time an activity can be completed if it is completed at its early start time

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30
Q

Fishbone

A

identifies many possible causes for an effect or problem

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31
Q

Run

A

also known as a run-sequence plot graph that displays observed data in a time sequence

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32
Q

check sheet

A

simple document that is used for collecting data in real-time and at the location where data is generated

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33
Q

histogram

A

graph summarizing discrete or continuous data. Histograms display how much variationn exist in the data

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34
Q

pareto chart

A

a rank-ordered frequecncy chart that indicates the number of times a particular item occurs in a situation

35
Q

external failure cost

A

incurred when services are identified as defective after they reach the client(adverse reaction to drugs or administration of wrong drugs

36
Q

internal failure cost

A

incurred when services are identified as defective before they are given to clients(use of non-essential list of drugs or expired drugs)

37
Q

Appraisal Cost

A

the cost incurred to detect defective units of services before they are given to clients( inspection of drug stocks)

38
Q

Prevention Cost

A

cost incurred to prevent defective units of service from being produced (strerilzation protocol)

39
Q

Six Sigma

A

a philosophy, methodology, a set of tools and a goal. eliminating defects through removal of variance in businness systems

40
Q

Six Sigma goals

A

provide management with facts to allow performance improvement
goal of no more than 3.4 defects per million opportunities

41
Q

Lean

A

both management philosophy and strategy, goal to eliminate all waste in the system

42
Q

Seven Categories of waste (lean)

A
  1. overproduction
  2. waiting
  3. transportation
  4. inventory
  5. motion
  6. overprocession
  7. defects
43
Q

DMAIC

A
Define
Measure 
Analyze
Improve
Control
44
Q

Kaizen

A

continuous improvement based on the belief that everything can be improved and theat incremental changes result in a better system

45
Q

Kaizin (5) Steps

A
  1. Specify
  2. Map and improve the value stream
  3. Flow
  4. Pull
  5. Perfection
46
Q

Value added time

A

time a unit spends in the process where value is actually being added to the unit

47
Q

Takt Time

A

speed wiht which customers must be served to satisfy demand for the service

Available work time/customer demand
= takt time

48
Q

cycle time

A

time it takes to accomplish a task in a system

49
Q

thruoughput time

A

time for an item to complete the entire process, including waiting time and transport time

50
Q

Five S’s

A
  1. Sort
  2. Set in order
  3. Shine
  4. Standardize
  5. Sustain
51
Q

Capacity Utilization

A

the percentage of time that a resource or process is actually busy producing or transformng output.

52
Q

Queuing systems

A

mathematical study of waiting lines

53
Q

process map (flow Chart)

A

graphic depiction of a process showing the sequence of events including tasks, decisions, and other activities from inputs to outputs

54
Q

Load balancing

A

dividing the work among multiple systems

55
Q

Matching Capacity to Demand

A

if demand is greater than capacity, backlogs occur

56
Q

Scheduling and Sequencing Rules

A

rules that indicate the order in which jobs are processed from a queue.

57
Q

Shortest Process Time (SPT)

A

job that takes least amount of time to complete is first, followed by the next least

58
Q

First Come First Serve (FCFS)

A

jobs are sequenced in the same order in which they arrive

59
Q

Earliest Due Date (EDD)

A

job with the earliest due date is first, followed by the job wiht the next earliest due date, and so on.

60
Q

Slack time remaining (STR)

A

job with the least amount of slack is first, followed by the job with the next least amount of slack time

61
Q

Critical Ration (CR)

A

job with the smallest critical ration is first, followed by the job with the next smallest CR

62
Q

Appointment Scheduling Scheme

A

attempt to minimize patient wating time while maximizing use of resource the patient is waiting to access.

63
Q

Bailey-Welch rule

A

schedules two patients at the begining of a clinic session, followed by equally spaced appointment times for the reminder of the session.

64
Q

Block Appointments

A

all patients are sheduled to arrive at the start of the clinic session,

65
Q

individual appointments

A

assigns different, equally spaced appointment times to each individual patient

66
Q

mixed-block appointments

A

group of patients to arrive at the start of the clinic session, followed by equally spaced individual appointments throughout the remainder of the session

67
Q

Supply chain management

A

the management of all supplier, vendor, and distribution activities related to the production of value to end consumers

68
Q

inventory

A

the stock of items held by an organization either for sale or to support the delivery of a service

69
Q

Economic Order Quanity (EOQ)

A

indicates optimal purchase quanity that will minimize total annual inventory costs

70
Q

stockouts

A

desired goods not available

71
Q

two-bin system

A

used for B and C type items, inventory is separated into two-bins, inventory is taken from one bin, when empty an order is placed

72
Q

measures or financial performance

A

Cash on hand, percent of debt financed, age of plant

73
Q

cost reduction approaches

A

growing service lines and optimizing the revenue cycle

74
Q

bundle payments

A

various fees are bundled together and paid as one amount. Gives the provider incentive ot minimize costs inside the bundle

75
Q

Little’s Law

A

the relationship between arrival rate and to a system, the time a patient spends in the system, and the number of items in a system

76
Q

Lead time

A

the time between placing a order and recieving it

77
Q

holding cost

A

the cost of keeping good in storage for a period of time

78
Q

ordering/set-up cost

A

cost of ordering or recieving goods

79
Q

shortage cost

A

cost of not having inventory when it is needed

80
Q

backorders

A

can not be filled when recieved but customers are willing to wait for the order to be filled

81
Q

independent demand

A

generated by the customer and not the result of another good or service

82
Q

dependent demand

A

results from another demand

83
Q

Acitivity based costing

A

provides cost of each individual unit and then totals costs for the unit based on the actual consumption of each