SOLUTIONS
Sarbanes Oxley - correct answer US federal law that set new or
expanded requirements for all US public company boards,
management and public accounting firms. Cover responsibilities of a
public corporation's board of directors, adds criminal penalties and
required SEC to create regulations
FMLA - correct answer1993: law requiring covered employers to
provide employees with job-protected and unpaid leave for qualified
medical family reasons
Purpose of any HCO - correct answer to provide care to individual
patients and is usually stated in organization's "mission"
Population Health - correct answer defining the population (by
geography, sociodemographic factors, disease state, risk, insurance
coverage or in some other way), measuring the current state of health
in the population, setting goals for improvement and directing
resources to making improvements. US HSS specifies national goals
and objectives for population health in the Healthy People 2020
program
Caregiving/Clinical/Logistic/Strategic Teams - correct
answerCaregiving Teams: Provide care to patients with similar needs
(PCP, ACUTE, rehab)
Clinical Support Teams: provide specific clinical services to Caregiving
Teams (clinical laboratory, pharmacy, imaging, cardiopulmonary)
Logistic Support Teams - provide trained personnel, information,
facilities, accounting, cash, management and supplies
Strategic Support Teams: provide marketing, governance, internal
consulting, finance, stakeholder relations management and strategic
positioning
, Service Lines - correct answerPatient care teams coordinated around
a set of similar diseases or patient needs
Premise of a Healthy Community - correct answerCosts tend to rise
and benefits to decline as care moves away from the healthy state.
Therefore, optimum care maximizes use of prevention, health
maintenance, and health improvement
PCP, Acute inpatient or specialty outpatient care, rehab, continuing
care in home or nursing home setting, continuing care in home or
nursing home setting, palliative care and death
Stakeholders - correct answerIndividuals or groups who have a direct
interest in the organization's success and shape its mission and
strategies. Include buyers, workers, suppliers, regulators and owners.
Patients are the MOST important HCO stakeholders. They expect and
deserve care that meets the goals summarized in IOM's report:
Crossing the Quality Chasm
Patient-centered care - correct answercare that is respectful of and
responsive to individual patient preferences, needs and values and
involving patients and families in care planning and decision making
Fiscal intermediaries - correct answerOutside contractor that
processes claims for US government programs such as medicare and
medicaid and provide most of the revenue to HCOs, making them
essential stakeholders
Patient Protection and Affordable Care Act (ACA) - correct answerA
federal law providing for a fundamental reform of the US healthcare
and health insurance system, signed by President Obama in 2010. It
includes: increase insurance coverage for many patients, new
approaches to support those with chronic disease, and a greater
accountability for the cost and quality of care. Part of the "Triple Aim" -
improving the individual patient experience with healthcare, improving
the health of the population, and reducing per capita cost of care