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Quiz____?Sarbanes Oxley - Answer✓✓ US federal law that set new or expanded requirements for all US public company boards, management and public accounting firms. Cover responsibilities of a public corporation's board of directors, adds criminal penalties and required SEC to create regulations
Quiz____?
FMLA -
Answer✓✓ 1993: law requiring covered employers to provide employees with job-protected and unpaid leave for qualified medical family reasons
Quiz____?Purpose of any HCO - Answer✓✓ to provide care to individual patients and is usually stated in organization's "mission"
Quiz____?Population Health - Answer✓✓ defining the population (by geography, sociodemographic factors, disease state, risk, insurance coverage or in some other way), measuring the current state of health in the 1 / 3
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Quiz____?Caregiving/Clinical/Logistic/Strategic Teams - Answer✓✓ Caregiving Teams: Provide care to patients with similar needs (PCP, ACUTE, rehab) Clinical Support Teams: provide specific clinical services to Caregiving Teams (clinical laboratory, pharmacy, imaging, cardiopulmonary) Logistic Support Teams - provide trained personnel, information, facilities, accounting, cash, management and supplies Strategic Support Teams: provide marketing, governance, internal consulting, finance, stakeholder relations management and strategic positioning
Quiz____?Service Lines - Answer✓✓ Patient care teams coordinated around a set of similar diseases or patient needs
Quiz____?Premise of a Healthy Community - Answer✓✓ Costs tend to rise and benefits to decline as care moves away from the healthy state.Therefore, optimum care maximizes use of prevention, health maintenance, and health improvement PCP, Acute inpatient or specialty outpatient care, rehab, continuing care in home or nursing home setting, continuing care in home or nursing home setting, palliative care and death 2 / 3
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Quiz____?Stakeholders - Answer✓✓ Individuals or groups who have a direct interest in the organization's success and shape its mission and strategies. Include buyers, workers, suppliers, regulators and owners. Patients are the MOST important HCO stakeholders. They expect and deserve care that meets the
goals summarized in IOM's report: Crossing the Quality Chasm
Quiz____?Patient-centered care - Answer✓✓ care that is respectful of and responsive to individual patient preferences, needs and values and involving patients and families in care planning and decision making
Quiz____?Fiscal intermediaries - Answer✓✓ Outside contractor that processes claims for US government programs such as medicare and medicaid and provide most of the revenue to HCOs, making them essential stakeholders
Quiz____?Patient Protection and Affordable Care Act (ACA) - Answer✓✓ A federal law providing for a fundamental reform of the US healthcare and health insurance system, signed by President Obama in 2010. It includes: increase insurance coverage for
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