Lecture 3: Strategic Planning/Accreditation Outcomes Management

Question 1

With accreditation, you are doing a ________. Outside looks at what’s going on

Yes/no meeting vision/mission

Answer 1

REFLECTION

Question 2

With outcomes management, we are looking at what is ________ to the program

Example: graduation rate, employment, boards passing rate

Answer 2

Important

Question 3

What is strategic planning?

It used to be done by organizations every ___ years. Changed to every __ years
Now needs to be done no longer than every __ years

Answer 3

10

5

3

Question 4

Strategic planning:

What are the _______ to an organization?
What are the _______ of a strategic plan?
What are the ________ of a strategic plan?

Answer 4

Benefits

Characteristics

Elements

Question 5

What is benchmarking?

Answer 5

Compare what you’re doing to a SIMILAR group

Ex: Does not help to compare a hospital organization to a small private practice

Question 6

What is complexity?

Answer 6

Does it have one sole thing that it does?

Question 7

What is environmental scanning?

Answer 7

Who else is doing what you are doing?

What are the needs?

Question 8

What are external factors?

Answer 8

Input from outside that you do not have a lot of control over

Ex: change in law

Question 9

What are external stakeholders?

Answer 9

Patients (may be internal or external)

Lawmakers (congress) - PT therapy cap

Question 10

What are External Environmental Scan (PEST/STEP Analysis)?

Answer 10

Looking beyond your type of organization to what other types of organization may do similar things

Question 11

Who are internal stakeholders?

Answer 11

Stakeholders inside the business

Question 12

What is a sector environment?

Answer 12

Your segment of the world

Patient population, socioeconomic factors, demographics in terms of demographic shifts, people moving in and out of the area

Question 13

What are strategic goals?

Answer 13

Stretch

Ex: would really like to open a women’s health clinic, but need someone who knows the strategy of doing so

Question 14

TAP stands for what?

And what is it?

Answer 14

Tactical action plan

Generated out of strategic plan when recognize there something you want to do

Something you want to move quickly- may not have been part of the initial strategic plan

Question 15

You must answer 3 question with strategic planning… what are they?

Answer 15

Where are we now?

Where are we going?

How

Question 16

Benefits to the organization of the strategic plan?

Focuses ________
Prioritizes ________
Aligns those efforts with the organizational ______
Scans the ______ ________

Answer 16

Thinking

Efforts

Goals

External environment

Question 17

What are the 3 characteristics of the strategic plan?

Answer 17

Scope dept… to full organization

Geographical

Special time line

Question 18

What are the elements of a strategic plan? (7)

Answer 18

Mission statement
Vision statement
Strategic goals
Strategic objectives

Tactical action plans or operational plans
Implementation planning schedule
Outcome measures

Question 19

What are 5 examples of strategic planning models?

Answer 19

Commander model

Change model

Collaborative model

Cultural model

Crescive Model (Latin: to grow)

Question 20

Strategic VS. Business planning???

Answer 20

The BUSINESS plan is built on the STRATEGIC plan

Question 21

What does SWOT stand for in SWOT analysis?

Answer 21

Strengths

Weakness

Opportunities

Threats

Question 22

Accreditation (Licensure/Certification/Regulation):

Reimbursement requires either ______ or ______ certification

Answer 22

Individual or group

Question 23

Accreditation (Licensure/Certification/Regulation):

Regulation: ______ and _______ is not voluntary!

Answer 23

Certification and licensure

Question 24

Accreditation (Licensure/Certification/Regulation):

What is voluntary?

Answer 24

Accreditation

(Quasi-voluntary)

[Do not have to have joint accredited as hospital, but cannot accept any gov money. Do not have to be a CAPTE accredited program, but if not accredited, cannot access licensing exam]

Question 25

Key controllers: What is the requirement of the federal government?

Answer 25

Medicare Medicaid payment

Question 26

Key controllers: What is the requirement of the state government?

Answer 26

Institutional license Professional licensure

Question 27

Key controllers: What is the requirement of the local government?

Answer 27

Zoning laws Fire and safety regulations

Question 28

Key controllers: What is the requirement of the accreditation bodies (JCAHO, CARF)?

Answer 28

Accreditation STANDARDS

Question 29

Key controllers: What is the requirement of the professional associations?

Answer 29

Code of conduct

Question 30

Key controllers: What is the requirement of the collective bargaining units?

Answer 30

Contract provisions

Question 31

Key controllers: What is the requirement of the organizational policy?

Answer 31

Provision of each educational unit

Question 32

Key controllers: What is the requirement of the various regulatory agencies?

Answer 32

Personnel laws Occupational safety and health administration

Question 33

Key controllers: What is the requirement of the Third party payers?

Answer 33

Details contract provisions regarding | PAYMENT and ELIGIBILITY

Question 34

What is accreditation, if not required? What does accreditation bring to an organization? Is it really not required?

Answer 34

Level of seal of approval RECOGNIZED... know that there is a certain standard that has been met

Question 35

Outcome management involves the process of _____ ________

Answer 35

Data collection

Question 36

Outcomes management: Data collection includes: ________ Interpretation of the _______ and _______ of patient treatment Determining results of intervention though a _________ methodology

Answer 36

ANALYSIS Effectiveness and efficiency Reliable

Question 37

Early quality assurance is _________ oriented

Answer 37

PUNISHMENT

Question 38

Early quality assurance: Ancient Mesopotamia physicians lost a ____ _____ each time their practice caused a patient hard Quality cannot be assured but rather at best only _______

Answer 38

Body part IMPROVED

Question 39

Defining the scope of practice: Scope of practice of the ______ clinician Scope of practice of the ____________ clinician Scope of practice of the _____/_________ clinician

Answer 39

Novice Experienced Master/Experienced

Question 40

What are the 3 parts of OUTCOME information?

Answer 40

Clinical outcomes Financial outcomes Satisfaction outcomes

Question 41

Clinical outcomes are ________ outcomes. | What is the goal?

Answer 41

FUNCTIONAL Improve clinical care

Question 42

Financial outcomes include _______ | What is the goal?

Answer 42

FINANCE Profitability and cost effectiveness

Question 43

Satisfaction outcomes: You are understanding the _______ perception What is the goal?

Answer 43

Customer ID what will improve customer satisfaction

Question 44

Clinical performance: Defines clinical scope and _______ of the profession

Answer 44

Limitations

Question 45

Clinical performance: We need to have adequate ______, ________, and ________ ______, _______, and _______ intervention

Answer 45

Measurement, description, documentation Before, during, after

Question 46

Financial performance: Looks at financial performance on a _______ scale

Answer 46

Smaller

Question 47

Financial performance: Average cost Revenue or margin for what 4 things?

Answer 47

Per case Per visit Per unit of service Collected per case, visit, or unit of service

Question 48

Customer satisfaction: Patient satisfaction is the relationship between the _______ _______ and their ________ of the organizations success in fulfilling those _________

Answer 48

patient’s expectations Perception Expectations

Question 49

Result of patient satisfaction studies: Provide better understanding of the patients ______ of ________

Answer 49

Frame of reference

Question 50

Result of patient satisfaction studies: Predict health related ______ and ________

Answer 50

Behaviors and utilization

Question 51

Result of patient satisfaction studies: Determine compliance to ______ ________

Answer 51

Treatment program

Question 52

Result of patient satisfaction studies: Provide data for ________ process improvement

Answer 52

CONTINUOUS

Question 53

Steps to outcome management? ``` Identity the _______ to be studied Choose an ______ _______ Collect ________ data Clinical _________ Collect _______ data Collect _____ ___ data ______ the collected data Develop the ______ based on data analysis Evaluate the _______ ______ ```

Answer 53

Population Outcome tool Admission Intervention D/C Follow up Analyze Actions Outcomes program