Epidemiologic planning model - ✔A statistical analysis and forecast of the health needs of
the community served in order to hire providers
Decision model - ✔In order to achieve clinical quality, each patient's symptoms must
be considered and the most efficient treatments must be determined.
Functional protocols - ✔step-by-step process by which a treatment is carried out
National Guidance Clearinghouse (NGC) - ✔compiled many of the various clinical
practice guidelines that can be weighed for selection by an HCO
Decision theory model - ✔By using a decision theory model, the HCO weighs the price of
care for an illness against the expenses used to help the person avoid the illness
Privileging - ✔The privileging committee bases their review on 4 set standards.
1. The doctor must have up-to-date training, proper certification, and ongoing experience in his
or her field.
2. The doctor must demonstrate that he or she is doing his or her job correctly and according
to set protocols established for his or her area of expertise.
3. The physician must have the general public's interest in mind and serve the people
seeking medical attention as effectively as possible.
4. The doctor must not do harm to or abuse other physicians or the people he or she serves.
, conceptual planning model - ✔determine the number of physicians required. (number of
people in the community who will potentially have a medical problem) x (number of illnesses or
treatments)/ (number by number of treatments completed in the previous year)
Physician-hospital organizations (PHOs) - ✔a partnership between physicians and hospitals
and, in order to get physicians to participate, healthcare organizations provide monetary
and other benefits that entice doctors to join.
Behavioral Risk Factor Surveillance Survey - ✔state-wide healthcare information which
the HCO can use to compare itself against to provide better services to the community
Transaction Accounting - ✔locating and tracking any financial dealing that has bearing
upon the HCO
Ombudsman - ✔an intermediary to represent the employee in front of the necessary
parties to diffuse the situation
transformational management - ✔to help employees get better through training
and encouragement, rather than through discipline and reprimand
plant system - ✔The facility maintenance of an HCO to provide safety, convenience
and aesthetic appeal
Clinical support services (CSSs) - ✔helping patients with after care and doctors will
establish the use of clinical support services when needed by the patient
Which aspect of a healthcare organization detects areas within the organization that are not
in compliance with expected results? - ✔Cybernetic system
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