ambulatory care - ANSWER the broad array of health care services provided in outpatient
settings that involve routine non-emergency health care services
Drivers of Ambulatory Care - ANSWER Medical Technology, Cost-containment Measures,
Adaptions of Hospitals
Group Practice - ANSWER a physician practice in which three of more physicians join
together to practice as one, sharing assets, and distributing income under some agreed
upon compensation formula
Dispensary - ANSWER group of physicians employed by dispensaries to provide care to
poor / disenfranchised. originated in france(1600s)
industrial medical programs - ANSWER owners provided workers medical care via
employed company physicians
Hospitals - ANSWER workshops for physician practice. focus of specialized treatment and
medical technology
government policy - ANSWER regulatory and financing policies toward group practice
medical paradigm shifts - ANSWER shift from medicine focused on health of "whole"
accountable care organizations(ACOs)(impact of PPACA) - ANSWER Coordination of care
by multiple health care providers
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, Patient centered medical home (impact of PPACA) - ANSWER each patient had personal
physician, medical practice is physician directed, whole person orientation, care is
coordinated / integrated, quality and safety are ensured, enhanced access, value focused
payment models
Management roles in amb care - ANSWER monitor internal operation of practice, track
external environment for new opportunities or threats
duties of group admin - ANSWER bring management skills and expertise to practice,
oversee daily operations, prepare and monitor operational budget, develop and implement
staffing plans, recruit and retain staff
duties of group admin 2 - ANSWER manage equipment needs, develop new programs,
plan operational space (facility)needs, operational policy and procedures, maintain sound
billing/ finance/ data retrieval systems
considerations relevant to forming a new group practice - ANSWER liability of owners,
control of physicians, continuity of the practice, transfer-ability of assets and ownership,
capital formation, taxation, benefit plans
Centralized groups - ANSWER Organizational form model, group linked with facility or
larger managed care grouping
Confederation Model - ANSWER Organizational form model, every doctors office is on
their own
positives for group practice - ANSWER physicians are owners, physicians normally control
assets / operations, profits accrue to owners, new providers are brought in as employees /
later as partners
negatives for group practice - ANSWER operations overseen by physicians, reliance on
other physicians in practice
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