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Question | Answer |
---|---|
importance a person attaches to something | value |
dividing lines of behavior appropriate to different roles | boundaries |
contributes to individual and business success, helps show that you can be taken seriously | etiquette |
used when completing written documentation for a medical chart | SOAP |
stands for subjective, objective, assessment, and plan | SOAP |
structured communication framework that can help teams share information about a patient or issue | SBAR |
stands for situation, background, assessment, and recommendation | SBAR |
type of communication, telling someone something | verbal communication |
type of communication, transmits the feeling behind the message, example is body language | nonverbal communication |
conflict management style, win at expense of other part or dominate | competitive |
conflict management style, satisfying other's concern rather than one's own | accommodative |
conflict management style, moderate incomplete satisfaction of both sides | sharing |
conflict management style, fully satisfy desire of both sides | collaborative |
conflict management style, indifference to both sides | avoidant |
type of harassment, job loss or threatened job loss because of refusal to grant sexual favor | quid pro quo |
type of harassment; someone creates an intimidating, hostile, or offensive work environment | hostile |
amount the insured person must first pay before any benefits by the plan are payable | deductibles |
prohibits physicians from referring patients to receive designated health services payable by Medicare and Medicaid from entities with which the physician has a connection to, unless an exception applies | Stark Law |
federally-funded; primarily for those above the age of 65; accrediting bodies review conditions of participation; 4 parts: part A - hospital, part B - medical, part C - Medicare advantage, part D - drugs | Medicare |
federally- and state-funded; primarily for those at or below poverty line and end-stage renal failure, based on how much someone makes, each state establishes eligibility criteria, means-tested | Medicaid |
federally-funded, veterans are eligible | Tricare |
federally-funded, made for people who belong to a Native American tribe, not insurance, under-funded, lack resources | IHS |
secondary prevention, detection at early stages allows for treatment that will improve outcomes and reduce disability and/or death due to these issues | screening |
unhealthy eating, excess alcohol consumption, physical activity, tobacco use, environment, age, gender, family history, diet, body composition | health risk factors |
population interventions, education, prevention, screenings, multiple risk factor interventions, genetics counseling, research | public health approach |
can't control; makes us healthy or unhealthy; examples: income, status, employment, education, social environment, healthy child development, personal health practices, health services, social supports/networks, biology and genetics, gender, culture | social determinants of health |
number one predictor of health | education |
branch of philosophy that seeks to understand moral rules and systems | ethics |
ethical theory, establishes that morality is relative to the norms of the culture, right and wrong determined by norms of society | ethical relativism |
ethical theory, form of consequential ethics, moral worth of an action is determined solely by its contribution to overall usefulness, greatest good for greatest number | utilitarian |
ethical theory, duty-based, involves ethical analysis according to a moral code or rules, doing the right thing may not always lead to an increase in what is good, when an individual feels they must engage in a task that is secondary to their job | deontological |
ethical theory, emphasizes that the morally right action is whatever action leads to good over evil, rightness or wrongness of an action is based on the consequences, greatest good for most people | consequential |
ethical theory, attempts to determine what moral standards should be followed so that human behavior and conduct may be morally right, should human actions be judged right or wrong solely on their consequences | normative |
ethical theory, study of origin and meaning of ethical concepts; involves exploring connection between values, reasons for action, and human motivation; how can we know what is right and wrong | meta-ethics |
ethical theory, a.k.a. comparative ethics, study of what people believe to be right and wrong and why | descriptive |
ethical theory, philosophical search for right and wrong within controversial scenarios | applied |
ethical principle, acting on behalf of yourself, right to make one's own decisions | autonomy |
ethical principle; requires one to do good; demonstrating kindness, compassion, and helping others | beneficence |
ethical principle, making decisions for others | paternalism |
ethical principle, avoid causing harm, not concerned with improving well-being, ethical principle that is being upheld with the Hippocratic Oath | nonmaleficence |
ethical principle, obligation to be fair in distribution to benefits and risks | justice |
focuses on the inherent character of a person rather than on the specific actions he or she performs | virtue ethics |
top-down (good, ethical leader guides everyone else); commitment to workplace ethics; ensuring the vision, mission, and value statements are adopted throughout the organization; communication of behavioral expectations | code of ethics in workplace |
right to refuse medical care was legislated within this | Self Determination Act |
accredits healthcare facilities; accredits hospitals, home care agencies, nursing facilities, behavioral health, surgical centers, medical groups, lab services | The Joint Commission |
accredits healthcare facilities, accredits medical laboratories | College of American Pathologists |
accredits healthcare facilities; organizations offering behavioral health, physical and occupational rehab services, assisted living, continuing care, community services, employment services | Commission on Accreditation of Rehabilitative Facilities |
defined as the process by which competent authority grants permission to a qualified individual to perform specified activities that would be illegal without a license | licensing |
recognition by a governmental or professional associate that an individual's expertise meets the standards of the group | certification |
ensures public access to emergency services regardless of ability to pay | Emergency Medical Treatment and Labor Act (EMTALA) |
type of consent; legal concept; provides diagnosis, risks, benefits, and alternatives for an indicated procedure and is shared by a healthcare provider; must be written and verbally discussed | informed |
type of consent, verbal or written agreement authorizing medical care | express |
type of consent, just as binding as written consent | verbal |
type of consent, presumption by act of service, often used with unconscious people | implied |
should consist of a multidisciplinary group of individuals and not just people within the facility | ethics committee |
first legalized in 1994 in Oregon | physician-assisted suicide |
in America it has been identified to be at a 5th grade level | health literacy |
type of racism, policies and practices within and across institutions that, intentionally or not, produce outcomes that chronically favor, or put a racial group at a disadvantage | institutional |
type of racism; system in which public policies, institutional practices, cultural representatives, and other norms work in various, often reinforcing, ways to perpetuate racial group inequity | systemic |
type of racism, an individual has racist assumptions | individual |
type of racism; where you grow up; rules, regulations, policies, or government and/or corporate decisions that target certain communities for undesirable land uses and lax enforcement of zoning and environmental laws | environmental |
type of bias, person has an idea in their head of what they want | unconscious |
different treatment to achieve success; give people what they need by considering that people have different needs based on their different lived experiences and identities | equity |
everyone is treated the exact same way regardless of differences and needs | equality |
providing equal access to opportunities and resources for people who otherwise may be marginalized | inclusivity |
reporting adverse events from vaccines, cooperation between FDA and CDC | Vaccine Adverse Event Reporting System (VAERS) |
necessary components: preoccupation with avoiding errors or unsafe practice, seeking out experts to assist, learning from medical errors with willingness to adapt, prioritizing safety first | culture of safety and progression |
type of error, occurs immediately, typically from a front line worker | active |
type of error, unexpected or abnormal events that occur during the execution of a program | system |
type of error; may lie dormant in system; errors in design, training, or maintenance | latent |
ex) a medicine has changed packaging and is given to a patient because a nurse thought it was a different medicine | latent error |
discussion of clinically significant facts between providers and patients about the occurrence of an adverse event that could reasonably be anticipated to result in harm in the future, brings imperfection to light, barriers are perfection and fear | disclosing errors |
model for improvement identified by Deming and applied frequently in healthcare; plan, do, study, act | PDSA |
room should be small so people can be close, have a legitimate purpose, advanced planning, build camaraderie, brainstorm, invite only those needed, 60 minutes is recommended but no more than 90 | effective meetings |
key principles are team structure, communication, leadership, situation monitoring, and mutual support; includes SBAR, check back, call-out, brief, huddle, debrief, hand-off, CUS (concerned, uncomfortable, and safety issue), and two-challenge | TeamSTEPPS |
leadership theory, id appropriate leadership style based on demands of situation and maturity of worker, 3 factors, 4 categories | situational |
developmental level of team member, performance readiness levels, directive and supportive behaviors | factors of situational leadership |
S1: telling - low readiness, high dependency; S2: selling - moderate readiness, unsure; S4: participating - high readiness, still needs some support; S4: delegating - high readiness and commitment | categories of situational leadership |
leadership theory, feedback given in real time by leader, active management, individual- and task-focused, reward or consequence, interaction between leaders and followers, accomplish goal through compliance, contingent rewards | transactional |
leadership theory; 4 components: idealized influence, inspirational motivation, intellectual stimulation, and individualized consideration | transformational |
leadership theory, leadership style that best meets motivational goals by increasing payoff for achieving goals, reduces roadblocks to achieve organizational goals, assists with development of appropriate behaviors for situations, functional approach | path-goal |
leadership theory; collaborative approach; mutual respect; shared power; put others' growth above own; emphasizes teamwork, fairness, trust, and integrity; focus on the greater good; service to community; serving others rather than leading | servant |
creates vision; guides change; tends to use style, skills, and shared goals to yield results; focus on relationships; inspire and empower | leader |
focuses on operational procedure, directs/controls, maintains stability, sets goals | manager |
change model; consists of three steps: unfreeze, change, refreeze | Lewin's |
change model; often used in conjunction with others; clearly define change, consider change from employee pov, use evidence to show best option, present change as a choice, listen to feedback, limit obstacles, keep momentum up with short-term wins | nudge |
change model; 8 steps: create urgency, form a powerful coalition, create a vision for change, communicate the vision, empower action, create quick wins, build on the change, make it stick | Kotter's |
change model; 7 S's: strategy, structure, systems, style, staff, skills, shared values | McKinsey |
change model; dissatisfaction/data X vision X first steps X resistance | Beckhard's formula for change |
healthcare workers should do more of this | listening |
quality of being self-assured and confident without being aggressive to defend a right point of view or a relevant statement | assertiveness |
require interdependence, members work collaboratively, hold each other accountable, committed to a common purpose, participative activity | teams in healthcare |
work together to benefit the organization, make a change, or come up with new ideas | roles on teams |
should reflect the purpose of the business | mission statement |
should reflect the future of the business | vision statement |
use "I" statements to communicate how you feel to the other person, avoid extreme language, use clear verbs to communicate your message, listen to feedback and be respectful; 3 C's: confidence, clear, controlled | assertive communication |
type of conflict management, assertive and stand up for what you believe in, defend your position | competing |
type of conflict management, give a little to get a little, look to find best solution for all | compromising |
type of conflict management, balance between cooperative and assertive modes, attempt to create win-win, benefit to all parties | collaborating |
type of conflict management, may postpone dealing with an issue, withdraw from any conversation, avoid issue altogether | avoiding |
type of conflict management, sacrifice what you want to resolve the situation, put the other person's needs ahead of your own | accommodating |
recognized individual either native or naturalized to a country | citizen |
active engagement with the values of the group, fulfilling responsibilities to the group and members, meeting the ethical and moral obligations in the values of the community, dependent on expectations | citizenship |
typically used in assertive communication; describe, express, specify, consequences | DESC |
consists of voting, paying taxes, and signing a petition | civic responsibility |
a healthcare team in which cross training is prevalent and is often seen in community programming | transdiciplinary |
forming, storming, norming, performing | team building |
to be faithful or true to your commitments and obligations | fidelity |
allows terminally ill patients to try experimental drugs | Right to Try bill |
primary piece of legislation that protects healthcare information | Health Insurance Portability and Accountability Act (HIPAA) |
first requirement needed to recover damages under negligence | duty to care |
a federal law in which healthcare providers can be banned from participating in federally-funded healthcare | exclusion statute |
duty to care, causation, injury | negligence |
organization that has been given deeming authority by Medicare to assure conditions of participation are being followed | The Joint Commission |
in the present time we are engaging in this type of approach in healthcare | just system approach |
items that change with business patterns | variable costs |
specific, measurable, achievable, realistic, time-framed | SMART goals |
how medical treatments are billed to insurance | CPT codes |