Test 2 Flashcards
(39 cards)
What are 5 function an HCO’s clinical organization must perform?
Ensure an accurate diagnosis, ensure excellent care (safe, effective, patient-centered, timely, effective, equitable), individualize patient care, improve community health, improve clinical performance.
What are patient management protocols?
Formally established expectations that define the normal steps or processes in the care of a clinically related group of patients at a specific institution. (e.g., diagnosing and treating chest pain at a specific facility)
What are functional protocols?
Procedures and sets of activities to carry out elements of care. (e.g., the process of prescribing medication)
Patient management protocols should be flexible and adaptable. What are some ways to do that?
Protocols should be reviewed regularly, they should emphasize conditional expectations, and they should include provisions for exceptions.
Patient management protocols improve:
Individual caregiver performance in four ways. 1. provides evidence-based guidelines. 2. Several professions can usee it to anticipate and coordinate care events. 3. Caregivers can use it as an outline to guide decisions 4. Measures performance and information collection.
Functional protocols improve:
Processes by: eliminating unnecessary tasks, looking for overlooked tasks, standardizing supplies, reducing errors, finding ways to lower costs, and re-engineering the care process
IOM Six dimensions of quality
Safety Timeliness Effectiveness Efficiency Equity Patient-centeredness
3 methods for process improvement
CQI, Lean, Six sigma
Donabedian’s definition of quality
Healthcare delivered using:
the right structure
the right processes
that produces good outcomes
What are clinical support services
Non-nursing, non-clinical services. Radiology clinical laboratory ED OR Pharmacy PT/OT cardio-respiratory therapy GI lab cardio diagnostics
Who manages the clinical services departments?
Each department has a manger that reports to the chief of patient care office, the COO, the CMO, or the VP of professional services.
Toughest job of the hospital:
Nursing manager of the OR
Who works in the OR
Anesthesia (MDA or CRNA) Surgical staff (Surgeon, PA/NP/SA, circulating nurse, surgical tech)
Pereoperative:
Pre, during, post
HCAHPS
Hospital Consumer Assessment of Healthcare Providers and Systems
Stoplight
Green - completed it
Yellow - working on it
Red - unable to be completed. Post it somewhere visible.
AIDET
Acknowledge, introduce yourself, Duration, Explanation, Thank
Studer execution framework
Align goals, behavior, and processes
Goals for high performers:
Re-recruit, recognize, retrain
Goals for middle performers
Reassure, re-recruit, develop
Goals for low performers
Improve or de-select
Barriers to change:
Denial, rationalization, blame, uniqueness, unwillingness, not skilled
Getting over the wall
You have to deselect low performers to get over the wall
Examples of social Determinants of Health
Health Care Education Housing Employment Income Food Access Transportation Physical and Built Environment Culture Literacy
