Exam (elaborations)
C429 Healthcare Operations Management Study Guide| |Verified
- Course
- Institution
C429 Healthcare Operations Management Study Guide| |Verified
[Show more]
Content preview
C429 Healthcare Operations ManagementStudy Guide| |Verified
Flattened Organization Structure - ✔✔few or no levels of management over entry level
employees. elevates responsibility of lower level employees. enhances creativity among
workers and managers.
e.g. large organization wants to be more innovative
Hierarchical (aka Functional) Organization Structure - ✔✔Pyramid structure leadership.
Everyone is subordinate to others. defined levels of authority and responsibility. good for
companies with specialists.
Divisional Organizational Structure - ✔✔An organizational structure in which divisions are
separated by product, customer, market or region
Empowering employees - ✔✔giving employees the authority and resources needed to solve
issues
reduces turnover and wait times
Conduct HIPAA training and testing for competency - ✔✔ensures employees and
department policies are compliant with HIPAA
e.g. CFO receives an audit that identifies deficiencies
Stark Law - ✔✔Prohibits physicians from making referrals to Medicare. prohibits anyone
from receiving a finder's fee for Medicare referrals.
, e.g. physicians office has low enrollment for new patients and needs more revenue. wants to
increase enrollments without breaking laws.
Internal validity of data - ✔✔monitoring data to measure improvement initiatives
e.g. hospital wants to decrease length of stay for patients. plan monitors length of stay in
comparison to expected length of stay.
Financial performance - ✔✔must be considered when making decisions that involve
expenditures
e.g. hospital board wants to improve areas with under-performing outcomes
Alignment with mission, vision, and values - ✔✔essential principle in creating strategic plan
e.g. hospital board wants to improve under-performing outcome areas with focus on the value -
patient care
Criteria for selecting leaders - ✔✔individual character, competence, training, experience,
and judgment
e.g. board is responsible for filling member vacancies in a timely manner.
Medicaid Corporate Integrity Agreement - ✔✔agreement with Dept. of HHS that outlines the
obligations of healthcare companies in order to be included in any federal healthcare program.
used to prevent fraud.
MCIA requirements - ✔✔- regular auditing of medical charts
- hire a compliance officer/appoint a compliance committee;
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Examsplug. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79064 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now