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Flashcards in Healthcare Admin Deck (161):
1

A concise statement that describes the ideal state to which an organization aspires

-provider of the service
-actual services provides
-target clients
-quality declaration that identifies aspirations for how audiences will perceive the program

vision statement

2

a written expression of an organizations philosophy, purposes and characteristics
-help AT direct resources
-inspire Ats to do a good job
-action oriented

Mission Statement

3

Formal recognition indicating that a program meets certain prescribed quality standards

Accreditation

4

a data collection and appraisal technique designed to determine an organizations "weaknesses, opportunities, threats and strengths underlying planning"

WOTS UP analysis

5

defines organization activites in the short term, usually no longer than 2 years

operational planning

6

expresses an organization intended behavior relative to a specific program subjunctive
-not intended to answer detailed questions; road map (basic rules and principles)

Policies

7

a collection of steps designed to direct the most important tasks of an organization
-injury prevention
-injury rehab
-injury recognition
-organization & administration

processes

8

provided specific direction for members of an organization to follow
-procedure for discharge

procedure

9

the action that takes place in response to administrative problems.
-calibration
-which vendor? time of year?

practices

10

a method of graphically depicting the time line for interrelationships of different stages of a program

PERT (Program evaluation and review technique)

11

a graphic planning and control technique that maps discrete tasks on a calendar

Gannt charts

12

4 parts of the scope of the AT program

Athlete
Institution
Community
Clinical and corporate/industrial setting consideration

13

Rules from OSHA for AT Facility

-NO cleats/game equipment
-keep shoes off tables
-shower before treatment
-roughhousing and profanity not allowed
-no food or tobacco

14

requies justification only for those expenses that exceed those of previous budget cycle
-results in falling behind due to prices of supplies rising faster than inflation

spending-ceiling model (incremental model)

15

financial crisis model; requires reallocation of institutional funds, resulting in reduced spending levels for some programs ( should identify areas that could be cut w/o serious impact)

spending-reduction model

16

requires justicication for every budget line item without reference to previous spending patterns; requires documentation of actual program needs and development of priorities

Zero based budgeting

17

expenditures and revenues are projected on a monthly basis, thereby providing an estimate of cash flow; most appropriate for large, well-established sports med clinics during economic certainty

fixed budgeting

18

requires adjustment of monthly expenditures so that they do not exceed revenues; rarely used by school-based programs (difficult to estimate costs in advance)

variable budgeting

19

allocates a fixed amount of money for an entire program without specifying how the money will be spent; gives freedom to spend where it is needed

lump sum budgeting

20

allocates a fixed amount of money for each sub-function of a program
-expendables, equipment repairs, etc

line item budgeting

21

allocates funds for discrete activities; not commonly used due to expense and difficultly of analyzing specific activity costs

performance budgeting

22

procedure to set organization or programmatic priorities based on identifies needs
1. exploration
2. gather info
3. decision making

needs assessment

23

-consider pooled buying for a quantity discount
-tap into booster clubs
-sponsorship

capital improvements

24

cannot be reused (tape, bandages, etc.)

expendable

25

can be reused (compression wraps, scissors, etc)

Nonexpendable

26

usually not removed from AT room (ice machine)

non-consumable capital

27

crutches, coolers, kits

consumable capital

28

document that provides vendors with the specifications for the bidding on the sale of goods and services

request for quotation

29

the process of bargaining (capital equipment)
-price
-supply
-quality
-shipping
-support

Negotiations

30

formal or informal communication used for requesting authorization to purchase goods/services

requisition

31

a document that formalizes the terms of purchase and transmits the intentions of the buyer to purchase goods or services from a vendor
-only do for over 200
-individual item

purchase order

32

process of accepting delivery goods; should be immediately checks to make sure packing slip match contents; check for damage

receiving

33

what should be included in risk management plan:

-security issues
-fire safety
-electrical and equipment safety
-strategies for managing risks
-risk identification
-EAP

34

avoid risky activity (esp when neg consequences have high cost)

Avoidance

35

activities associated with high financial risk but low frequency (catastrophic sports injury) or lower financial risk but high frequency (fractures, joints needing surgery)
-get insurance
-waivers signed by athletes

transference

36

activities with an acceptable level of risk that are viewed as part of the cost of doing business
-program must account for risks in the program budget and establish reserve funds

retention

37

careful development, implementation, monitoring and eval of policies and procedures can reduces risks

reduction

38

making inferences regarding the risk of certain activities based on clinical practice and experience

real world observation

39

method is difficult to implement (time intensive, costly and frequently impractical)

inference from controlled experiments

40

plans should cover practices, games, and conditioning sessions, should be reviewed ANNUALLY

EAP

41

1. List of personnel involved:

(roles, responsibilities, chain of command for decision making)

42

2. procedures to be followed in event of an emergency

communication and transportation procedures

43

3. phone numbers

911, ATs, physicians

44

What to say during emergency call info:

1. type of emergency situation
2. type of suspected injury
3. present condition of athlete
4. current assistance being given (CPR)
5. location of telephone being used
6. exact location of emergency

45

4. make sure keys to gate are accessible, inform members of team, assign roles, carry contact info for athletes, eap should include procedures for spectators injury/illness

eap

46

the process of planning for human resource needs and identifying potential candidates to meet those needs

recruitment

47

criteria that predict how well a candidate will perform in a role

validity

48

consistency of staff selection procedures

reliability

49

a formal document that describes the qualifications, work content, accountability and scope of job

position description

50

a written description of the specific responsibilities a position holder will be accountable for within the organization

job description

51

a written description of the requirements or qualification a should have to fill a particular role in an organization

job specification

52

the process of direct observation of an employee's work, with emphasis on measurement of specific behaviors, and the subsequent development of plans to re mediate deficiencies in performance

clinical supervision

53

identifies the type of work that ATs do and the amount of time they spend doing it
-logging activities of ATs at randomly selected times and analyzing the nature and quality of work they are doing

work sampling

54

emphasizes collaboration between supervisors and supervisees to help them solve problems and develop professionally

developmental supervision

55

emphasizes the use of formal authority and managerial prerogatives to improve employee efficiency and efficacy (focus on achieving goals and attainment of program missions); industrial setting

inspection production supervision

56

Joint committee on standards for education evaluation of 21 standards in 4 categories:

1. Propriety
2. Utility
3. Feasibility
4. Accuracy

57

standards intended to help ensure that process is legal and fair;
-service orientation
-formal evaluation guidelines
-conflict of interest
-access to personnel evaluation reports
-interactions with evaluatees

propriety

58

standards intended to ensure usefulness of appraisal to workers, employers and others;
-constructive orientation
-defined uses
-evaluator credibility
-functional reporting
-follow up

utility

59

standards intended to help foster practicality in the evaluation process;
-practical procedures
-political viability
-fiscal viability

feasibility

60

standards intended to improve the validity and reliability of the process;

-defined role
-work environment
-documentation of procedures
-valid measurement
-reliable measurement
-systematic data control
-bias control
-monitoring evaluation systems

accuracy

61

temperature and humidity control:

max 0.75 ft/sec draft factor, 8-10 changes of air/hour, 40-50% humidity

62

lighting: foot candles?

illuminated at 30-50 foot candles at 4 ft above floor

63

taping table height

minimum of 36 inches

64

general treatment area requirments

30 inches between tables, electrical outlet, fluorescent light, and sliding drapes for every table

65

storage space?

80-100 square feet
-cool and dry at all times

66

1996; helps employees transfer their health insurance when they switch employers, ensures that their health information will remain private and gives people access to their own healthcare admin

HIPAA; Health Insurance portability and accountability act

67

1974; federal law requiring student authorization release education records to a third party and ensuring access for students to their records

FERPA; family education rights and privacy act; buckley amendment

68

Common elements of the PPE; 9

-health history
-physicians
-cardio
-maturity assessment
-ortho
-wellness
-special tests
-sport disqualification
-physical fitness testing

69

evaluated pubic hair/genitalia development in boys and pubic hair/breast development in girls; facial hair and axillary hair
-stage 1: puberty not evident
-stage 5: full development
stage 3: crucial growth plates are 2-5x weaker than joint capsule and tendon attachments

Tanner staging

70

organizes info around patients specific complaint

problem oriented medical record; POMR

71

patients past history, any personal habits, list of pt probs with brief description of the plans implemented to ameliorate those probs

cover sheet

72

organized by subjective and objective evaluation, assessment of pt problem, and development of a plan of treatment

SOAP notes

73

medical record that registers a patients complaint date, the health care practitioners action and the patients response

focus charting

74

type of medical record that notes only those patient responses that vary from predefined norms

charting by exception

75

difficult to maintain confidentiality

computerized documentation

76

method of recording the details of a patients assessments and treatments using a detailed prose-based format

narrative charting

77

act of orally recording the details of a healthcare assessment or treatment for later transcription and filing

dictation

78

how often should you regularly do inventory?

at least once a month -expendable supplies

79

makes supply management easier; stockpile in other locations only enough for 1 week

centralize storage

80

develop a continuous monitoring system; computerized inventory based on standard spreadsheet software

automate the inventory process

81

policies and procedures specifying who has access, responsibilities of those with keys

restrict access

82

an unplanned event capable of resulting in the loss of time, property damage, injury, disablement

accident

83

damage to the body that restricts activity or causes disability to such an extent that the athletes to practice or compete the next day

injury

84

athletes in all sports in the pan of 1 year face a ___ chance of sustaining some injury

50%

85

% of muscle contusions. lig sprains and muscle strains?

90%

86

% of microtrauma complications that lead to chronic conditions

10%

87

most common sports injuries? male and female?

sprains/strains, fractures, dislocations and contusions; knee is highest then ankle and upper limb; males have shoulder/upper arm injuries

88

4 most common cause of deaths in AT

-chest impact
-struck in the head
-direct blow to the head
-playing structure falling on athlete

89

indirect sports death?

heatstroke; the cardiovascular, respiratory or congenital conditions

90

nongovernmental, nonprofits public service organization that draws sports from a variety of sources, including educational institutions

National Safety Council

91

conducted at UNC- CH since 1965; data collected about school, college, pro, and sandlot football through personal contact interviews and questionnaires

Annual Survey of Football Injury Research

92

complies research on catastrophic injuries at all levels of sport

National Center for Catastrophic Sports Injury Research

93

established in 1982; studying incidence of football injuries so that rule change recommendations could be made; 2004 full web based for lower cost

NCAA Injury Surveillance System

94

established as a part of the consumer product act of 1972; data on injuries related to consumer projects are monitored from a selection of hospital ERs; sport injuries are 25%

National Electronic Injury Surveillance System; NEISS

95

the state of being legally responsible for the harm one causes another person

liability

96

liability generating conduct associated with the adverse outcome of patient treatment

malpractice

97

reasons for liability

-negligent patient care
-failure to obtain informed consent
-intentional conduct
-breach of contract
-use/transfer of a defective product
-abnormally dangerous treatment

98

failure to obtain informed consent

negligence

99

assumes that an individual is neither exceptionally skillful nor extraordinarily cautious, but is a person of reasonable and ordinary prudence

standard of reasonable care

100

a legal worng, other than breach of contract, for which a remedy will be provided, usually in the form of monetary damages; 3 types

tort; intentional tort, negligent tort, and strict liability tort

101

Types of negligence

-nonfeasance/act of omission
-malfeasance/act of commission
-misfeasance

102

when an individual fails to perform a legal duty

nonfeasance/act of omission

103

when an individual commits an act that is not legally his to perform

malfeasance/act of commission

104

when an individual improperly does something they have the legal right to do

misfeasance

105

states that neither the government nor any individual who is employed by the government can be held liable for negligence

Sovereign immunity

106

provides limited protection against legal liability to any person who voluntarily chooses to provide first aid; cant be used in by AT in work setting

Good Samaritan Law

107

to prove negligence, plaintiff must prove 5 components?

1. conduct
2, existence of duty
3. breach of duty
4. causation
5. damage

108

must prove AT did something that links him to case by omission or commission

conduct

109

duty to provide services to athletes actively engaged in the institutions athletic programs

existence of duty

110

desertion of patient-practitioner relationship by the healthcare provider without the consent of the patient

abandonment

111

the degree to which a healthcare practitioner's action are associated with the adverse outcomes of a patient's care

actual cause

112

the degree to which the harm caused by health care practitioner was foreseeable

proximate (legal) cause

113

sets a specific length of time that an individual may sue for damages for negligence

statute of limitations; 1-3 years or 3 years after 18 yr old

114

injured plaintiff understood the risk of an activity and freely chose to undertake the activity regardless of the hazards associated with it

assumption of risk

115

the degree to which a plaintiff contributed to the harm by the defendant

comparative negligence

116

-Administer PPEs
-Monitor fitness levels
-Assess activity areas
-Monitor environmental conditions

Preparation for activity

117

-Maintain equipment
-use proper instructional techniques
-provide adequate work-rest intervals

conduct of the activity

118

-have a physician supervise all medial aspects of the program
-evaluate and treat injuries correctly and promptly
-supervise student athletic trainers

injury management

119

-document physician orders
-document the treatment plan
-document the treatment record
-document the patients progress

records management

120

liability of any or all partied along the chain of manufacture of any product for damage cause by that product

product liability

121

risk of injury from use of product was foreseeable and company did not exercise due care in reducing or eliminating risk

negligence

122

patient using its product is injured, regardless of the foreseeability of risk or the care the manufacture took to prevent the injury

strict liability

123

product is found to be unfit for the purpose for which it was intended manufacturers of athletic equipment are strictly liable for defects in the design and production of equipment that reduces injury

breach of warranty of fitness

124

manufacturers written statement that a product is safe

express warranty

125

contract between policyholder and insurance company to reimburse a percentage of the cost of the policyholders bills

medical insurance

126

more comprehensive; reimburses cost of preventative as well as corrective medical care

health insurance

127

contract between an insurance company and an individual or organization

policy

128

situations or circumstances specifically not covered by an insurance policy

exclusions

129

additions to standard insurance policy that provide coverage for conditions that are not normally covered

riders

130

invoiced cost of insurance policy

premium

131

portions of any claim that is not covered by the insurance provider; the amount of expenses that must be paid our of pocket before an insurer will cover any expenses

deductible

132

capped contribution defined in the policy and paid by an insured person each time a medical service is accessed. it must be paid before any policy benefit is payable by an insurance company

copayment

133

insurance designed to protect an athlete against future loss of earnings because of a disabling injury or sickness

disability insurance

134

cover AT in civil cases not criminal:

-claims made
-tail coverage
-occurrence policy

135

only covers claims made during the calendar year

claims made -cheapest

136

covers things outside of the policy year

tail coverage

137

covers any incident during the policy year

occurrence policy

138

insurance designed to provide lifelong medical, rehab, and disability benefits for the victims of a devastating injury

catastrophic insurance

139

designed to cover school employees, officers, and the district against suits claiming malpractice, wrongful actions, error and omissions, and acts of negligence

error and omissions liability insurance

140

institutions with this type are speculating that the amount they pay out for the medical expenses will be less than the amount they would pay for insurance premiums

self insurance

141

a type of health/medical/accident insurance that beings to pay for covered expenses immediately after a deductible has been paid

primary coverage

142

insurance that begins to pay for covered expenses only after all other sources of insurance coverage have been exhausted

secondary insurance or excess insurances

143

form of state credentialing, established by statue and intended to protect the public, that regulates practice of at rade or profession by specifying who may practice and what duties may be performed

Licensure

144

unlicensed individuals are not allowed to call themselves ATs

name protection

145

unlicensed individuals are not allowed to perform tasks reserved for ATs under law

service protection

146

a form of title protection, established by state law or sponsored by professional associations, designed to ensure that practitioners have essential knowledge and skills sufficient to protect the public

certification

147

is pa a certification or license?

certification

148

type of state credentialing that required qualified members of a profession to register with the state in order to practice

registration

149

a legislative mechanism used to release members of one profession from the liability of violating another professions practice act

exemption

150

the process by which medical vendors receive reimbursement from insurance companies for services provided to policyholders

third party reimbursement

151

type of traditional medical whereby patients are free to seek medical serviced from any provider; plan covers a portion of cost of covered procedures and patient is responsible for the balance

fee-for-service/indemnity plan

152

type of insurance plan that requires policyholders to use only those medical vendors approved by the company. all medical services are coordinated by a primary care physician, who acts as a gate keeper to specialty services

health maintenance organizations (HMOs)

153

type of insurance plan that provides financial incentives to encourage policy holders to use medical vendors approved by the company

preferred provider organizations (PPOs)

154

managed-care model whereby an HMO provides health care serviced through a network of individual medical practitioners

Individual practice association (IPA)

155

medical services are reimbursed only if patients used contracted providers

Exclusive provider organization (EPO)

156

similar to PPOs, except that primary care physicians are assigned to patient to coordinate their care

Point of service plan (POS)

157

government sponsored program for elderly

medicare

158

government sponsored program for the needy

medicaid

159

government sponsored program for members of armed forces and their dependents

CHAMPUS

160

coding system applied to illnesses, injury, and other medical conditions to standardize the language associated with third part reimbursement

ICD-9-CM

161

coding system applied to specific medical procedures to standardize the language associated with third part reimbursement

CPT; Current Procedural Terminology