FACHE Board of Governor’s Exam Questions With Correct Answers Latest Update Graded 100%

FACHE Board of Governor’s Exam Questions With Correct Answers Latest Update Graded 100%. 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 Patient care teams coordinated around a set of similar diseases or patient needs Premise of a Healthy Community Costs tend to rise and benefits to decline as care moves away from the healthy state. Therefore, optimum care maximizes use of prevention, health maintenance, and health improvement PCP, Acute inpatient or specialty outpatient care, rehab, continuing care in FACHE Exam Questions With 100% Correct Answers Latest Update Rated A+ home or nursing home setting, continuing care in home or nursing home setting, palliative care and death Stakeholders 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 expect and deserve care that meets the goals summarized in IOM's report: Crossing the Quality Chasm Patient-centered care 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 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) 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 experience with healthcare, improving the health of the population, and reducing per capita cost of care Value-based purchasing Linking financial incentives to the quality of care provided - reward HCOs for quality and sustained patient health 00:0201:38 Certificate-of-need laws 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 expansion. EMTALA - Emergency Medical Treatment and Active Labor Act Requires all HCOs providing emergency care to accept all patients, regardless of ability to pay, until they are stabilized and can be safely moved The Joint Commission A voluntary consortium of professional provider organizations that evaluates and accredits a wide range of different HCOs. HCOs MUST have an accreditation by a CMS deemed-status organization in order to receive funds from Medicare. Some insurance plans are accredited by the National Committee for Quality Assurance (NCQA) Associates People who give their time and energy to the organization. They can be employees, trustees and other volunteers and medical staff members. Licensed Independent Practitioners (LIPs) Caregivers granted legal status to provide specific kinds of healthcare, categorized as primary care or specialist providers who are usually physicians or advanced practice nurses (NPs, nurse midwives) Primary Care Practitioners (PCPs) physicians and advanced practice nurses specializing in family medicine, general internal medicine, pediatrics, obstetrics, and psychiatry and are the most common initial contacts for patients and specialize in family medicine, general internal medicine, peds, OB/GYN, and psychiatry Specialist Practitioners LIPs who care for patients referred by PCPs on a more limited and transiet basis. More likely to manage episodes of inpatient care Hospitalists Accept relatively broad categories of patients and manage inpatient care only Community Benefit Requires hospitals to satisfy the community benefit standard in order to qualify as tax-exempt charities under 501c3 of the IRS code. The standard addresses charitable care, educational services, and other benefits HCOs provide to their communities Healthcare Systems A corporate or governmental structure including one or more hospitals and often other HCO services Privileges Define quality and service obligations but allow a wide variety of financial agreements Federally Qualified Health Center (FQHC) Services for underserved areas or populations that offer a sliding fee scale, provide comprehensive services, have ongoing quality program, and seat a board of directors, funded with grants under section 330 of the Public Health Service Act, also referred to as community health centers. not-for-profit clinics addressing the needs of the poor and uninsured. Independent local governing boards, but affiliate with local hospitals Accountable care organizations (ACOs) created by ACA. Set of healthcare providers, PCP, specialists, and hospitals - work collaboratively and accept collective accountability for the cost and quality of care delivered to a population of patients. The patient-centered medical home is an accepted model for achieving ACO goals Patient-Centered medical home A mechanism for organizing primary care to provide high-quality care across the full range of individuals' healthcare needs Vertical Integration Affiliation of organizations that provide different kinds of service, such as hospital care, ambulatory care, long-term care, and social services. They integrate and support a large group of care teams, most commonly in acute care and rehabilitation but also primary care and long-term care Horizontal Integration Integration of organizations that provide the same kind of service, such as two hospitals or two clinicals Transformational management This culture provides team members with important but intangible rewards - a sense of contribution to critical values, empowerment to shape the work, and partnership with like-minded individuals Mission Statement of purpose - the good or benefit the HCO intends to contribute - couched in terms of an identified community, a set of services and a specific level of cost or finance. Missions were frequently vague, such as "Excellence in Care." Now many leading HCOs are moving to population health missions, explicitly accepting responsibility for the broader goal Vision idealistic goal such as universal healthcare. It's an expansion of the mission that expresses intentions, philosophy and organizational self-image Values An expansion of the mission that expresses basic rules of acceptable conduct, such as respect for human dignity or acceptance of equality Protocols, procedures/processes