FACHE Exam
3rd party payer - ANS-Agent of the affected person (the first celebration) who contracts with
carriers (the 2nd party) to pay all or a part of the bill to the patient
Accountable care businesses (ACOs) - ANS-created by means of ACA. Set of healthcare
companies, PCP, experts, and hospitals - paintings collaboratively and accept collective duty for
the price and first-rate of care introduced to a population of patients. The affected
person-targeted scientific home is an commonplace version for accomplishing ACO dreams
Associates - ANS-People who deliver their time and electricity to the business enterprise. They
can be personnel, trustees and other volunteers and medical body of workers participants.
Boundary Spanning - ANS-Establishing and maintaining powerful relationships with all
stakeholders, and adapting the HCO to the desires of its community
Capital analysis - ANS-A technique to decide how a lot a capital expenditure will fee and what
go back it's going to generate
Capitated fee - ANS-A price consistent with head or subscriber. And, a healthcare charge
system that an corporation accepts a month-to-month fee from a 3rd celebration payer for every
person included with the aid of that payer's plan, whether or not a given man or woman is
handled in a given month. Provides a financial incentive to an HCO to keep its populace from
using greater healthcare services than vital because the corporation handiest profits if the
overall fee of treating the specified population falls underneath the full capitation furnished with
the aid of the 3rd party payer
Caregiving/Clinical/Logistic/Strategic Teams - ANS-Caregiving Teams: Provide care to patients
with similar needs (PCP, ACUTE, rehab)
Clinical Support Teams: provide unique medical offerings to Caregiving Teams (scientific
laboratory, pharmacy, imaging, cardiopulmonary)
Logistic Support Teams - offer educated personnel, facts, facilities, accounting, coins,
management and supplies
Strategic Support Teams: offer marketing, governance, inner consulting, finance, stakeholder
family members control and strategic positioning
Certificate-of-need legal guidelines - ANS-Certificate or approval of latest offerings and creation
and preservation of hospitals or associated centers; issued in lots of states. Require that HCOs
seek permission for creation or enlargement.
Community Benefit - ANS-Requires hospitals to satisfy the network benefit preferred in an effort
to qualify as tax-exempt charities below 501c3 of the IRS code. The general addresses
charitable care, educational offerings, and different benefits HCOs provide to their groups
Conflicts of hobby - ANS-An man or woman owes responsibilities to two or extra folks or
companies and when assembly a duty to one one way or the other harms the alternative
Construct validity - ANS-Degree to which a spread device honestly measures the assemble it
intends to measure; this idea in the long run determines the conclusions that can be legitimately
drawn from the device's use.
, Content Validity - ANS-Extent to which a selection tool representatively samples the content of
the task for which the degree will be used.
Criterion-associated validity - ANS-Extent to which a diffusion tool is related to or predicts actual
process overall performance
Data warehouse - ANS-Library of labor approaches, protocols, and performance measures to
be had to all buddies. Keeps all associates present day on measured performance and purpose
success; communique system to relay statistics relevant to immediately packages.
EMTALA - Emergency Medical Treatment and Active Labor Act - ANS-Requires all HCOs
offering emergency care to simply accept all patients, regardless of capacity to pay, until they're
stabilized and can be properly moved
Evidence-based control - ANS-Relies closely on performance dimension, identification of fine
practices and formal technique specification. It parallels evidence-primarily based medicine, a
shift in medical wondering closer to the systematic use of technology to discover scientific
quality practices. Scientific approach to coping with groups
External Recruitment - ANS-the usage of applicant resources out of doors the corporation, often
thru the net and social media, but additionally task gala's and educational institutions
Federally Qualified Health Center (FQHC) - ANS-Services for underserved regions or
populations that offer a sliding charge scale, provide comprehensive services, have ongoing
great program, and seat a board of administrators, funded with grants underneath phase 330 of
the Public Health Service Act, additionally referred to as community fitness centers. Now
not-for-profit clinics addressing the wishes of the poor and uninsured. Independent nearby
governing forums, but associate with local hospitals
Financial Management Functions - ANS-Planning: chargeable for completing the running and
capital budgets
Organizing: Provides a chart of accounts based totally on the organizational chart that identifies
revenue and fee facilities
Staffing: staffs a ramification of departments and approaches important to the HCO
Directing: Financial management affords rewards and consequences to motivate others to
perform the corporation's functions
Controlling: control of the finances, economic reviews, economic regulations and procedures
and monetary audits
Fiscal intermediaries - ANS-Outside contractor that tactics claims for US authorities programs
together with medicare and medicaid and provide most of the revenue to HCOs, making them
important stakeholders
FMLA - ANS-1993: law requiring protected employers to provide personnel with job-protected
and unpaid go away for qualified scientific own family reasons
Fund accounting - ANS-allows NFP and governmental HCOs to set up separate entities for
distinct sports
Healthcare Systems - ANS-A corporate or governmental shape such as one or more hospitals
and frequently different HCO offerings
Horizontal Integration - ANS-Integration of groups that provide the equal type of provider, which
include two hospitals or clinicals
Hospitalists - ANS-Accept surprisingly broad classes of patients and control inpatient care best
3rd party payer - ANS-Agent of the affected person (the first celebration) who contracts with
carriers (the 2nd party) to pay all or a part of the bill to the patient
Accountable care businesses (ACOs) - ANS-created by means of ACA. Set of healthcare
companies, PCP, experts, and hospitals - paintings collaboratively and accept collective duty for
the price and first-rate of care introduced to a population of patients. The affected
person-targeted scientific home is an commonplace version for accomplishing ACO dreams
Associates - ANS-People who deliver their time and electricity to the business enterprise. They
can be personnel, trustees and other volunteers and medical body of workers participants.
Boundary Spanning - ANS-Establishing and maintaining powerful relationships with all
stakeholders, and adapting the HCO to the desires of its community
Capital analysis - ANS-A technique to decide how a lot a capital expenditure will fee and what
go back it's going to generate
Capitated fee - ANS-A price consistent with head or subscriber. And, a healthcare charge
system that an corporation accepts a month-to-month fee from a 3rd celebration payer for every
person included with the aid of that payer's plan, whether or not a given man or woman is
handled in a given month. Provides a financial incentive to an HCO to keep its populace from
using greater healthcare services than vital because the corporation handiest profits if the
overall fee of treating the specified population falls underneath the full capitation furnished with
the aid of the 3rd party payer
Caregiving/Clinical/Logistic/Strategic Teams - ANS-Caregiving Teams: Provide care to patients
with similar needs (PCP, ACUTE, rehab)
Clinical Support Teams: provide unique medical offerings to Caregiving Teams (scientific
laboratory, pharmacy, imaging, cardiopulmonary)
Logistic Support Teams - offer educated personnel, facts, facilities, accounting, coins,
management and supplies
Strategic Support Teams: offer marketing, governance, inner consulting, finance, stakeholder
family members control and strategic positioning
Certificate-of-need legal guidelines - ANS-Certificate or approval of latest offerings and creation
and preservation of hospitals or associated centers; issued in lots of states. Require that HCOs
seek permission for creation or enlargement.
Community Benefit - ANS-Requires hospitals to satisfy the network benefit preferred in an effort
to qualify as tax-exempt charities below 501c3 of the IRS code. The general addresses
charitable care, educational offerings, and different benefits HCOs provide to their groups
Conflicts of hobby - ANS-An man or woman owes responsibilities to two or extra folks or
companies and when assembly a duty to one one way or the other harms the alternative
Construct validity - ANS-Degree to which a spread device honestly measures the assemble it
intends to measure; this idea in the long run determines the conclusions that can be legitimately
drawn from the device's use.
, Content Validity - ANS-Extent to which a selection tool representatively samples the content of
the task for which the degree will be used.
Criterion-associated validity - ANS-Extent to which a diffusion tool is related to or predicts actual
process overall performance
Data warehouse - ANS-Library of labor approaches, protocols, and performance measures to
be had to all buddies. Keeps all associates present day on measured performance and purpose
success; communique system to relay statistics relevant to immediately packages.
EMTALA - Emergency Medical Treatment and Active Labor Act - ANS-Requires all HCOs
offering emergency care to simply accept all patients, regardless of capacity to pay, until they're
stabilized and can be properly moved
Evidence-based control - ANS-Relies closely on performance dimension, identification of fine
practices and formal technique specification. It parallels evidence-primarily based medicine, a
shift in medical wondering closer to the systematic use of technology to discover scientific
quality practices. Scientific approach to coping with groups
External Recruitment - ANS-the usage of applicant resources out of doors the corporation, often
thru the net and social media, but additionally task gala's and educational institutions
Federally Qualified Health Center (FQHC) - ANS-Services for underserved regions or
populations that offer a sliding charge scale, provide comprehensive services, have ongoing
great program, and seat a board of administrators, funded with grants underneath phase 330 of
the Public Health Service Act, additionally referred to as community fitness centers. Now
not-for-profit clinics addressing the wishes of the poor and uninsured. Independent nearby
governing forums, but associate with local hospitals
Financial Management Functions - ANS-Planning: chargeable for completing the running and
capital budgets
Organizing: Provides a chart of accounts based totally on the organizational chart that identifies
revenue and fee facilities
Staffing: staffs a ramification of departments and approaches important to the HCO
Directing: Financial management affords rewards and consequences to motivate others to
perform the corporation's functions
Controlling: control of the finances, economic reviews, economic regulations and procedures
and monetary audits
Fiscal intermediaries - ANS-Outside contractor that tactics claims for US authorities programs
together with medicare and medicaid and provide most of the revenue to HCOs, making them
important stakeholders
FMLA - ANS-1993: law requiring protected employers to provide personnel with job-protected
and unpaid go away for qualified scientific own family reasons
Fund accounting - ANS-allows NFP and governmental HCOs to set up separate entities for
distinct sports
Healthcare Systems - ANS-A corporate or governmental shape such as one or more hospitals
and frequently different HCO offerings
Horizontal Integration - ANS-Integration of groups that provide the equal type of provider, which
include two hospitals or clinicals
Hospitalists - ANS-Accept surprisingly broad classes of patients and control inpatient care best
