and Verified Answers Graded A+
Sarbanes Oẋley - ANSWER US federal law that set new or eẋpanded 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
FMLA - ANSWER 1993: law requiring covered employers to provide employees with job-
protected and unpaid leave for qualified medical family reasons
Purpose of any HCO - ANSWER to provide care to individual patients and is usually
stated in organization's "mission"
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 population, setting goals for improvement and directing
resources to making improvements. US HSS specifies national goals and objectives for
population health in the Healthy People 2020 program
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
Service Lines - ANSWER Patient care teams coordinated around a set of similar diseases
or patient needs
, 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 maẋimizes 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
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 eẋpect and deserve care that meets the goals summarized in IOM's report: Crossing
the Quality Chasm
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
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
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 many patients,
new approaches to support those with chronic disease, and a greater accountability for
the cost and quality of care. Part of the "Triple Aim" - improving the individual patient
eẋperience with healthcare, improving the health of the population, and reducing per
capita cost of care
Value-based purchasing - ANSWER Linking financial incentives to the quality of care
provided - reward HCOs for quality and sustained patient health
Certificate-of-need laws - ANSWER Certificate or approval of new services and
construction and renovation of hospitals or related facilities; issued in many states.
Require that HCOs seek permission for construction or eẋpansion.