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1. Patient Centered Medical Home A model of primary care that provides comprehensive and
(PCMH) timely care to patients, while emphasizing teamwork and
patient involvement.
2. Benefits of Patient Centered - Higher quality of care
Medical Home - Lower cost
- Higher patient satisfaction
- Streamlined approach
3. Ambulatory health care also known as outpatient care; patient care provided in less
than 24 hours.
4. Examples of Ambulatory Care - surgery centers
- community health centers
- group practices
- imaging centers
- urgent care clinics
- rehabilitation center
5. Critical Access Hospitals Hospitals that are classified as having no more than 25
acute care beds, and are at least 35 miles away from an-
other hospital, providing emergency care, and are eligible
for grants to increase access to consumers.
6. Critical Access Hospitals can 25 acute care beds, 10 psychiatric or rehabilitation unit
have up to how many beds? beds. 96 hour stay per patient
7. Ambulatory Surgery Center a facility where minor surgery is performed and the patient
does not stay overnight.
8. Ambulatory Care Outpatient care that allows patients to receive care in one
day without the need for inpatient hospitalization
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9. Clinical laboratory where tests are done on clinical specimens in order to get
information about the health of a patient as pertaining to
the diagnosis, treatment, and prevention of disease.
10. Primary Care Center Organizations that focus on community integration, health
promotion and disease prevention, first-contact medical
services, and linkage to other parts of the health care
delivery system.
11. elements of performance (EPs) Scoring devices for determining compliance with stan-
dards:
0 = insufficient compliance*
1 = partial compliance*
2 = satisfactory compliance
All 0's and 1's must be addressed in ESC. (Based on criti-
cality, must be corrected within 45 or 60 days.)
12. measurable elements (MEs) specific requirements of a standard
13. Hazard vulnerability analysis Identify and prioritize potential hazards, threats, and ad-
(HVA) verse events and then asses impact on care. Threats natur-
al, technological, human, and hazardous material events.
14. sentinel event an unexpected occurrence involving death or serious
physical or psychological injury
15. examples of sentinel events - abduction
- suicide attempts
- falls with harm
- healthcare associate infection
- elopement
- medication errors
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16. Types of planning 1. Strategic Planning
2. Master Facility Planning
3. Project Predesign Planning
17. Strategic Planning A systematic process of envisioning a desired future, and
translating this vision into broadly defined goals or objec-
tives and a sequence of steps to achieve them, including
the allocation of resources
18. Master Facility Planning The process through which a healthcare organization de-
velops a long-term plan for facility development that re-
flects the organizations strategic plan.
19. Project Predesign Planning The initial planning that occurs prior to the creation of ac-
tual design drawings and construction of a specific project.
(planning and programming phase)
20. Workload Analysis An assessment of an organization's current and future
human resources needs
21. Six steps pf Strategic Planning 1. Develop or refine the vision and mission
2. Complete an Environmental Assessment and Analysis
3. Develop Goals
4. Define strategic initiatives
5. Prepare the action plan
6. Monitor the plan progress
22. Documenting Current State: Ar- 1. Major infrastructure problems - evaluate the condition,
chitect and Engineering 3 major performance, life expectancy and future capacity of sys-
areas to Review tems.
2. Code, regulation and compliance issues - perform code
analysis
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3. Building Expansion Potential - confirm site conditions,
regulations, and infrastructure capabilities.
23. What site analysis should be con- 1. Access to site
sidered during master planning? 2. Parking and traffic flow
3. Zoning and potential site expansion
24. Functional Program A record of the key environmental of care considerations
and facility functional and operational parameters that dri-
ve the space program for a project.
25. Space Program A list organized by functional unit that shows each room in
the proposed project, indicating its size (typically in NSF)
26. Variables to consider if renovat- 1. Functionality
ing 2. Adaptability
3. State of facility
4. Ability to meet current requirements
5. Physical age
6. Future-proofing ability
7. Cost of down time
8. Possibility of hybrid approach
27. Certificate of Need (CON) Certificate approved by a local (state) review board per-
mitting hospitals to construct new or additional facilities,
open new services, or make large purchases- a condition
required for reimbursement by Medicare. Submission in-
volves justifying why a project is necessary and ensures a
balance of services across healthcare organization.
28. environment of care is described 1. care model concepts
in FGI including what six compo- 2. accommodation for people (patients, staff, visitors)
nents 3. layout