healthcare organizations power and empowerment
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| organizational culture: institute for safe medical practices- what is it | study safety in healthcare-what is important, what is are value and the way things work
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| organizational culture: ways to establish safety | survey staff, pt surveys, new hire interviews, exit intervies, performance evals
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| culture of nursing: def of caring nurse; what is a culture of caring | promoting health, healing, and hope in response to the human condition; our concern and consideration for the whole person our commitment to the common good and our outreach to those who are vulnerable.
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| trends affecting the rising cost of healthcare: what are intrinsic factors; what are extrinsic factors | population characteristics, health care demand, employer-paid health insurance; availability of technology, prescription drug costs, workforce costs
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| trends affecting the rising cost of healthcare: what is the healthcare demand | we expect the best;
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| organization for economic co-operation and development: examines what; who does this | the challenges of globalization by examining economics, social and environmental; forum that consists of governments from 30 democracies
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| economics of healthcare: def; do we ration healthcare; what does ANA say whom we provide care too | the allocation of scarce resources; no; all
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| medicare: they pay for what; who do they pay for in outpatient care; what is the prospective payment system; | inpatient health care; for pt over age 65; the DRG- so much money is delegated to pay for this pt;
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| business and industry groups: what is the leapfrog group; | they monitor the hospitals and they want their client to go to the best
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| major players of the healthcare | medicare, business and industry, physicians, hospitals, public, nursing
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| managed care organizations: HMO- members pay what; they have to select what type of physician; out of network service requires what; this encourages what; is preventative care payed for | premium and fixed copay; PCP; approval; preventative care; yes
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| managed care organizations: PPO- aka; what do members pay; select what type of physician; do they pay for preventative care | preferred provider organization; members pay premium,deductible and co-pay; one from the list preferred physician; may or may not
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| managed care organizations: POS- aka; who offers it;these pts can see whom; what is downside | point of service; HMO, FFS: anyone in network or out of network; higher premium and co-pay
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| managed care organizations: common to all- what is the goal; promotes what c | minimize payment of excessive, inappropriate services;competition
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| Accreditation of health care agencies: the joint commission- what is a sentinel event; what is root cause analysis | unexpected occurance involving deaths or serious physical or psych injury; matrix to investigate a sentinel event;
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| Accreditation of health care agencies: the joint commission- what is ORYX; | core measure sets;
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| Accreditation of health care agencies: where is the patient bill of rights found; | American hospital association
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| POWER: def; what can it be; | gives ability to influence another person despite that person's resistance; actual or potential intended or unintended
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| sources of power: ex reward; ex coercive; ex of legitimate; ex referent; ex of expert | this is our employer; bad power- if you do not do this I will punish; power that comes with the title (RN, CEO); power comes in knowing- I know something; education and write legislator ect
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| empowering nurses: what are some feelings of empowerment; | self determination, meaning, competence, impact, manageable workload, reward and recognition, fairness,
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| how to increase your expert power, | participate in interdisciplinary conference, attend continuing education, attend professional meetings, participate in research topics, read evidenced based practice, return to school
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