Management, Governance, Leadership Flashcards Preview

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Flashcards in Management, Governance, Leadership Deck (99):
1

output

the results of the work (caring for residents) that nursing facilities do … the product of the work accomplished by the organization

2

RUG -IV or current version of the Resource Utilization Group

A resident classification system that identifies the relative resource use of providing care for different types of residents in nursing facilities based on their resource use.

3

a line position

such employees are line managers. They are empowered to make decisions on behalf of the administrator.

4

Organizing

the first step in implementation of a plan

5

Total Quality Management (TQM)

is difficult to define precisely because it is a philosophy of total organizational involvement in improving all aspects of quality of service

6

SOM State Operation Manual

The title given to the current set of requirements and guidelines to surveyors. Current edition with changes in red can be downloaded from the CMS website www.cms.gov

7

strategic planning

conceiving and implementing the pattern or plan that integrates the facilities’ major goals, policies and action sequences into a cohesive whole

8

the basic benefits of leading by walking around are

listening (finding out what's happening on the firing line), teaching (communicating the facility's values), and facilitating

9

Forecasts

projects trends and needs which the facility management must meet in the future

10

Marketing

identifying and attracting the persons served

11

PPS Prospective Payment System

A payment system developed for Medicare for skilled nursing facilities which pays facilities an all-inclusive rate for all Medicare Part A beneficiary services. Payment is determined by a case mix classification system (RUG-IV or current version).

12

Definition of Marketing

the process of planning and executing the conception, pricing, promotion, and distribution of ideas, goods and services to create exchanges that satisfy both individual and organizational objectives

13

the environment

is both a set of constraints within which the facility must operate and a set of opportunities that the facility administration may seize

14

The Upper-level Manager

the nursing facility's upper level administrator is primarily responsible for creating and changing the organization's structure

15

MDS Minimum Data Set

a core set of screening, clinical, and functional status elements, including common definitions and coding categories that form the foundation for the comprehensive assessment for all residents of long term care facilities certified to participate in Medicare and/or Medicaid

16

Code of Federal Regulations (CFR)

The federal Congress passes laws for which implementing rules are written and enforced….these are the Federal Requirements and Guidelines to Surveyors.

17

market segmentation

using the audit information to divide the potential persons served into identifiable subgroups

18

RAI Resident Assessment Instrument

The designation for the complete resident assessment process mandated by CMS (Centers for Medicare and Medicaid Services), including the comprehensive MDS, Resident Assessment Protocols (RAPS) , and care planning decisions.

19

Referent Power

power to influence is often based on liking or identifying with another person

20

the basic functions of administrators/managers

forecasting, planning, organizing, staffing, directing, evaluating, controlling, innovating, and marketing

21

market specialization

i.e. serve only one market segment such as persons who need rehabilitative care and are expected to return home within a specified brief period of time

22

a staff position

is an advisory role. None of the administrator's authority to make decisions on behalf of the facility is delegated to persons in a staff position.

23

the steps in marketing are

1) the audit; 2) market segmentation; 3) choosing a market mix; 4) implementing the plan; 5) evaluation of results; 6) control

24

Reward Power

given to induce or persuade employees or residents to do what the administrator asks

25

MDCN Medicare Data Communication Network

A secure connection that is used to transmit MDS data to each state’s repository. A user ID and password is issued and for each person who requires access to the CMS (Centers for Medicare and Medicaid Services) MDS intranet.

26

Auditing

the process of identifying, collecting and analyzing information about the external environment

27

a marketing strategy includes

selecting a target market or markets, choosing a competitive position and developing an effective marketing mix to reach and serve the identified customers

28

QIS Quality Initiative Survey

CMS intends to move surveys in the facility to a process of doing surveys on laptops using wireless technology. This will enable the surveyors to communicate with each other via laptop throughout the survey process itself.

29

Charismatic Leadership

a magical aura with which people sometimes endow their leaders

30

Evaluating

comparing actual to expected results

31

Efficiency

the ability to produce the desired effect with a minimum of effort, expense, or waste

32

the concept of unity of command

emphasizes the importance of each person being accountable to only one supervisor

33

delegation

is permitting decisions to be made at the lowest possible level

34

Innovating

the effective administrator is always an innovator. The administrator develops new ideas, combines old ideas to form new ones.

35

Comparing

judging the extent to which actual results of the facility's efforts achieve the outcomes proposed in the plans

36

Planning

deciding what is to be done

37

procedures

a highly detailed plan of specific actions that each employee would be expected to follow

38

Organizing

a method of ensuring that the work necessary to achieve a goal is broken down into segments, each of which can be handled by one person

39

Sub Group Allegiance

each one of the sub groups in the organization (nurses, housekeepers, residents on a hall) demands allegiance from its members

40

a long-range objective

a new wing of 60 additional beds within 10 years

41

Innovating

the process of bringing new ideas into the way an organization accomplishes its purposes

42

The Great Leadership Theory of history

that history is 'made' or measurably influenced by individuals who become leaders

43

The Middle-level Manager

the head of dietary, head of housekeeping, or other department head is responsible for development of more specific policies that interpret administration policy implications for their departments

44

Evaluates

judges the extent to which the organization is accomplishing its goals (usually set by corporate)

45

Who defines the system?

anybody can define any set of interrelationships as the system for purposes of description or analysis

46

a service is

an activity or benefit that one person can offer to another which is intangible and does not result in ownership of anything

47

MDS Completion Date

the date at which the RN assessment coordinator attests that all portions of the MDS have been completed

48

An approach to leadership of particular value in the nursing facility setting is

leading by walking around (LBWA)

49

Controls Quality

takes steps to assure that the goals are accomplished and that each job is done as planned

50

middle-level management

middle-level managers report to upper level managers and at the same time interact significantly with lower-level managers

51

short chain of command

this principle asserts that there should be as few levels of management as possible between the chief administrator and the rank and file

52

Organizations

systems of interactions among the three available inputs

53

lower-level management

lower-level managers have direct supervisory responsibilities for the staff who do the actual work

54

CASE MIX INDEX

Each RUG-IV (or current RUG version) group is assigned a weight, or numeric score, which reflects the relative resources predicted to provide care to a resident. The higher the case mix index (weight) the greater the resource requirements are for the resident. Payment for each resident is made monthly to the facility based on the case mix index for the facility.

55

job list for each position usually includes the following

the objectives (result to be accomplished); the duties and authorities of the position; its relationship to other positions in the organization

56

quality of the source

to achieve this, responsibility for quality is ultimately placed with the workers who actually produce the service or product

57

Expert Power

power can derive from recognition by the employees and residents that the administrator is very skillful, has had considerable training, and is quite knowledgeable in the field of nursing home administration

58

The outputs of one system

normally become the inputs for the next system

59

Directs

provides direction (preliminary training and ongoing supervision) through communication to each employee who thereby learns what is expected.

60

CMS Centers for Medicare and Medicaid Services (formerly the Health Care Financing Administration)

The federal agency that administers the Medicare, Medicaid, and Child Health Insurance Programs.

61

subliminal perceptions

factors of which the decision maker is not consciously aware, such as general appearance of the facility, absence of odors, friendliness of the staff, appearance of the patients

62

policies and plans of action

the guidelines the administrator uses to compare the output (e.g. actual patient care or financial results achieved) with the expected

63

the entropic process

a universal law of nature that all organisms move toward death

64

feedback

refer to the external responses to the output (“good” or “bad” resident care provided, etc.) by the nursing facility

65

Effectiveness

the power or ability to bring about the desired results

66

span of control

how many immediate subordinates with interrelated work should a manager supervise

67

directing

the process of communicating to employees what is to be done by each of them and helping them to accomplish it

68

RAPS Resident Assessment Protocol

A problem oriented framework for organizing MDS information and additional clinically relevant information about an individual’s health problems or needs

69

OBRA Omnibus Reconciliation Act of 1987

A law that enacted reforms in nursing facility care and provided the statutory authority for the MDS.

70

Control

the corrective action taken after evaluation of outputs by the organizational decision makers

71

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Punishment Power

when employee believes that unacceptable behaviors will be punished; the ultimate punishment power is firing the employee or requiring the resident to leave the facility, but there are many intermediate, less drastic means

72

staffing

the human resources function

73

upper level management

is responsible for the overall functioning of the facility

74

Punishment Power

when employee believes that unacceptable behaviors will be punished; the ultimate punishment power is firing the employee or requiring the resident to leave the facility, but there are many intermediate, less drastic means

75

benchmarking

a management tool by which an organization seeks to improve its business practices by comparing them with the best practices of other organizations

76

a system has been described as

an organized or complex whole, an assembling or combining of things or parts forming a complex or single whole

77

Controlling

successfully taking the steps necessary to adjust the policies and plans of action to more satisfactorily achieve stated goals

78

processor

the work the organization accomplishes

79

Innovates

leads the staff to develop new ideas that enable the facility to enhance its attractiveness to the community served.

80

CASE MIX

A measure of the intensity of care and services used by a group of residents in a nursing facility. “Case” refers to the overall data collected and used regarding an individual person under study. “Used "describes the combination of variables (observations) used for classifying an observation according to distinctive characteristics on the basis of a dependent variable, such as time or costs.

81

inputs

money, people, material

82

Markets

assures that the facility successfully attracts and admits to the extent feasible the persons it seeks to serve

83

Budgeting

deciding acceptable costs

84

Communication

the transmission of information

85

Staffs

attempts to find the right person for each defined job.

86

the Lower-level Manager

(e.g. the charge nurse who supervises a specific group of nurses/nursing assistants) has the responsibility of applying the policies provided by the director of nursing to the hour-by-hour care given

87

Budgets

projects costs and establishes categories with dollar amounts for each

88

the Filter Effect

the manager may be told what the employees believe he/she wants to hear

89

a short range objective

might be set to have a 100 bed facility in operation within 18 months

90

Forecasting

projecting trends into the future
involves trend identification and analysis

91

a means with coping with uncertainty

plans

92

hierarchy

a RUG methodology of assessment classification where an assessment is placed in the first classification category (there are over 40 reimbursement categories) where a match is found by evaluating resident conditions and services

93

Directing

providing daily supervision employing good communication, people skills

94

the market mix

deciding what types of residents to approach and in what proportions

95

Plans

decides what needs to be done and makes a set of plans to accomplish it

96

Controlling Quality

taking necessary corrective actions

97

Organizing

deciding the scheme of the organization and the staffing it will require

98

Organizing

a method of ensuring that the work necessary to achieve a goal is broken down into segments, each of which can be handled by one person

99

Legitimate Power

authority given to a particular position and is associated with the person's position in the organization