governing body - Answers Responsible for setting overall direction of the hospital - selects CEO;
grants privileges to the medical staff
CEO/Management - Answers Responsible for implementing the policies and strategic direction
set by Board of Directors
medical staff - Answers Responsible for providing and ensuring quality of care to patients in the
hospital
chief executive officer - Answers Responsible for implementing the policies and strategic
direction set by the Board, building an effective executive management team, coordinating the
hospital's services, responsible for all functions necessary to assure quality patient care
Chief Operating Officer (COO) - Answers Also known as Associate Administrator, Assistant
Administrator, Assists the CEO in coordinating the hospital's activities, Oversees the hospital in
the absence of the CEO,
Chief Financial Officer (CFO) - Answers Responsible for the financial operations of the
organization such as Budget, Revenue Cycle, Financial Reporting, Trained in Finance, May be a
Certified Public Accountant
Chief Information Officer (CIO) - Answers Responsible for managing the healthcare
organization's information technology, including Acquisition, Implementation, Security,
1982/83 TEFRA - Answers Conversion to DRGs for payment for Medicare and Medicaid (puts
HIM right in the middle of the revenue cycle, as hospitals cannot bill unless the diagnoses and
procedures are coded into ICD-10)
1986 EMTALA - Answers ER screening and stabilization
1996 HIPAA - Answers Portability of health insurance and addressed privacy and security of
health information
2009 American Recovery and Reinvestment Act (ARRA) - Answers $30 Billion Health IT
investment
2016 - 21st Century Cures Act - $6.3 Billion - Answers $4.8 - NIH for Medical Innovation•Also
funding for ONC -to support interoperability, health IT certification, and patient access to their
electronic health information
Prospective Payment System - Answers the payment amount or reimbursement with a set rate
for certain procedures is known in advance
medical record number - Answers the number assigned to the patient on or before admission, it
is used for records identification and is used for all subsequent admissions to that hospital