Third birthday celebration payer - ANS-Agent of the affected person (the 1st birthday
celebration) who contracts with carriers (the 2nd birthday celebration) to pay all or a part of
the invoice to the patient
Accountable care businesses (ACOs) - ANS-created by ACA. Set of healthcare providers,
PCP, professionals, and hospitals - paintings collaboratively and accept collective duty for
the value and high-quality of care delivered to a populace of patients. The patient-centered
clinical home is an customary model for attaining ACO goals
Associates - ANS-People who give their time and power to the business enterprise. They
may be employees, trustees and other volunteers and medical team of workers participants.
Boundary Spanning - ANS-Establishing and preserving effective relationships with all
stakeholders, and adapting the HCO to the wishes of its network
Capital evaluation - ANS-A process to determine how much a capital expenditure will price
and what go back it will generate
Capitated price - ANS-A fee in keeping with head or subscriber. And, a healthcare charge
gadget that an enterprise accepts a monthly payment from a third birthday party payer for
every individual protected through that payer's plan, whether or not a given man or woman is
treated in a given month. Provides a monetary incentive to an HCO to preserve its populace
from using extra healthcare services than vital due to the fact the organization most effective
profits if the full price of treating the specified population falls below the overall capitation
supplied with the aid of the third birthday celebration payer
Caregiving/Clinical/Logistic/Strategic Teams - ANS-Caregiving Teams: Provide care to
patients with comparable needs (PCP, ACUTE, rehab)
Clinical Support Teams: provide unique scientific offerings to Caregiving Teams (medical
laboratory, pharmacy, imaging, cardiopulmonary)
Logistic Support Teams - provide educated personnel, statistics, centers, accounting, coins,
management and components
Strategic Support Teams: offer marketing, governance, internal consulting, finance,
stakeholder family members control and strategic positioning
Certificate-of-need legal guidelines - ANS-Certificate or approval of latest offerings and
production and protection of hospitals or associated facilities; issued in lots of states.
Require that HCOs are seeking permission for creation or enlargement.
Community Benefit - ANS-Requires hospitals to fulfill the network benefit wellknown on the
way to qualify as tax-exempt charities underneath 501c3 of the IRS code. The preferred
addresses charitable care, academic services, and other advantages HCOs provide to their
groups
, Conflicts of hobby - ANS-An individual owes duties to 2 or more folks or companies and
while meeting a duty to at least one one way or the other harms the alternative
Construct validity - ANS-Degree to which a choice device truely measures the construct it
intends to measure; this concept in the end determines the conclusions that can be
legitimately drawn from the device's use.
Content Validity - ANS-Extent to which a selection device representatively samples the
content of the process for which the degree will be used.
Criterion-related validity - ANS-Extent to which a choice device is related to or predicts real
job performance
Data warehouse - ANS-Library of work processes, protocols, and overall performance
measures available to all friends. Keeps all friends current on measured overall performance
and intention achievement; verbal exchange device to relay records applicable to on the spot
programs.
EMTALA - Emergency Medical Treatment and Active Labor Act - ANS-Requires all HCOs
imparting emergency care to simply accept all sufferers, regardless of capability to pay, till
they're stabilized and can be correctly moved
Evidence-based management - ANS-Relies closely on performance measurement,
identification of excellent practices and formal manner specification. It parallels
evidence-based medicinal drug, a shift in clinical thinking closer to the systematic use of
technological know-how to perceive scientific exceptional practices. Scientific method to
handling groups
External Recruitment - ANS-using applicant sources outdoor the agency, often via the net
and social media, but additionally task fairs and educational institutions
Federally Qualified Health Center (FQHC) - ANS-Services for underserved regions or
populations that provide a sliding rate scale, offer comprehensive services, have ongoing
nice software, and seat a board of directors, funded with offers underneath segment 330 of
the Public Health Service Act, additionally known as network health facilities. No
longer-for-earnings clinics addressing the desires of the bad and uninsured. Independent
neighborhood governing forums, however affiliate with neighborhood hospitals
Financial Management Functions - ANS-Planning: responsible for completing the operating
and capital budgets
Organizing: Provides a chart of debts primarily based at the organizational chart that
identifies sales and value centers
Staffing: staffs loads of departments and tactics essential to the HCO
Directing: Financial management presents rewards and consequences to inspire others to
perform the employer's functions
Controlling: manage of the price range, financial reports, economic regulations and
techniques and economic audits