HCAD 5301 - CHAPTER 1-3 VOCAB QUESTIONS WITH VERIFIED SOLUTIONS GRADED A+
Healthcare organization (HCO) - Answers A corporation providing the services of multiple
patient care teams, such as a hospital or clinic, supporting care providers with clinical, logistic,
and strategic services.
Mission - Answers The central purpose of an organization; its reason for existence.
Population health - Answers The health of a defined group of individuals, such as a state or civil
division, or insured group, measured by the incidence and prevalence of disease or infirmity.
Benchmark - Answers The best performance on a specific measure of which the organization is
aware. A realistic comparison—a value that a similar
organization has achieved
Incidence - Answers Incidence is the number of newly diagnosed cases of a disease. An
incidence rate is the number of new cases of a disease divided by the number of persons at risk
for the disease. If, over the course of one year, five women are diagnosed with breast cancer out
of a total female study population of 200 who do not have breast cancer at the beginning of the
study period, then we would say the incidence of breast cancer in this population was 0.025 (or
2,500 per 100,000 women-years of study)
Prevalence - Answers Prevalence is "the total number of cases of disease existing in a
population. A prevalence rate is the total number of cases of a disease existing in a population
divided by the total population. So, if a measurement of cancer is taken in a population of
40,000 people and the result is that 1,200 were recently diagnosed with cancer and 3,500 are
living with cancer, then the prevalence of cancer" is
(1,200 + 3,500) ÷ 40,000 = 0.118 (or 11,750 per 100,000 persons).
Best practices - Answers Work processes that have been proven to achieve benchmark.
Licensed independent practitioner (LIP) - Answers "Any practitioner permitted by law and by the
[HCO] to provide care and services, without direction or supervision."
Credentials - Answers Documented evidence of licensure, education, training, experience, or
other qualifications; used to assign specific care privileges to an LIP, consistent with the scope
of their license and assigned clinical responsibilities
Stakeholders - Answers Individuals or groups who have a direct interest in the organization's
success.
Opportunities for improvement (OFIs) - Answers Any situation where current performance is
inferior to benchmark. Excellent HCOs seek and resolve OFIs, creating an environment where
improvement is a central part of the culture.
, Patient-centered care - Answers Care that is respectful and responsive to individual patient
preferences, needs, and values
Associates - Answers People (employees, trustees and other volunteers, medical staff
members, and agents of contract suppliers) who give their time and energy to the HCO and its
activities.
Value-based insurance design - Answers Linking financial incentives to the quality and
efficiency of care provided.
Certificate of need - Answers Approval for new services and construction, expansion, or
renovation of hospitals or related facilities; issued in many states
Health Insurance Portability and Accountability Act - Answers Federal law that addresses issues
of health insurance but also requires HCOs and their workers to protect patient information and
confidentiality diligently.
Emergency Treatment and Labor Act - Answers Federal act requiring all HCOs that provide
emergency care to accept all patients, regardless of ability to pay, until the patients are
stabilized and can be safely moved.
Community benefit - Answers Services provided gratis by HCOs to their surrounding
communities. Current law requires hospitals to satisfy a community benefit standard to qualify
as tax-exempt charities under section 501(c)(3) of the Internal Revenue Service code. The
standard addresses charitable care, educational services, and other benefits.
The Joint Commission (TJC) - Answers A voluntary consortium of professional provider
organizations that evaluates and accredits a wide range of HCOs.
External auditor - Answers A firm certified to review corporate financial statements and attest to
their accuracy.
Critical access hospitals - Answers HCOs with 25 beds or fewer, and without nearby
competition, established to provide support for rural communities.
Safety net hospitals - Answers hospitals with a disproportionate share of low income, uninsured
patients, (as define by medicare and medicaid)
Health system - Answers A set of HCOs in several geographic sitescentral strategic leadership.
Service line - Answers Patient care teams organized and coordinated around a set of similar
diseases or patient needs.
Federally qualified health center - Answers Services for underserved areas or populations that
offer a sliding fee scale, provide comprehensive services, and have an ongoing quality program
and have a board of directors; funded with grants under Section 330 of the Public Health Service
Healthcare organization (HCO) - Answers A corporation providing the services of multiple
patient care teams, such as a hospital or clinic, supporting care providers with clinical, logistic,
and strategic services.
Mission - Answers The central purpose of an organization; its reason for existence.
Population health - Answers The health of a defined group of individuals, such as a state or civil
division, or insured group, measured by the incidence and prevalence of disease or infirmity.
Benchmark - Answers The best performance on a specific measure of which the organization is
aware. A realistic comparison—a value that a similar
organization has achieved
Incidence - Answers Incidence is the number of newly diagnosed cases of a disease. An
incidence rate is the number of new cases of a disease divided by the number of persons at risk
for the disease. If, over the course of one year, five women are diagnosed with breast cancer out
of a total female study population of 200 who do not have breast cancer at the beginning of the
study period, then we would say the incidence of breast cancer in this population was 0.025 (or
2,500 per 100,000 women-years of study)
Prevalence - Answers Prevalence is "the total number of cases of disease existing in a
population. A prevalence rate is the total number of cases of a disease existing in a population
divided by the total population. So, if a measurement of cancer is taken in a population of
40,000 people and the result is that 1,200 were recently diagnosed with cancer and 3,500 are
living with cancer, then the prevalence of cancer" is
(1,200 + 3,500) ÷ 40,000 = 0.118 (or 11,750 per 100,000 persons).
Best practices - Answers Work processes that have been proven to achieve benchmark.
Licensed independent practitioner (LIP) - Answers "Any practitioner permitted by law and by the
[HCO] to provide care and services, without direction or supervision."
Credentials - Answers Documented evidence of licensure, education, training, experience, or
other qualifications; used to assign specific care privileges to an LIP, consistent with the scope
of their license and assigned clinical responsibilities
Stakeholders - Answers Individuals or groups who have a direct interest in the organization's
success.
Opportunities for improvement (OFIs) - Answers Any situation where current performance is
inferior to benchmark. Excellent HCOs seek and resolve OFIs, creating an environment where
improvement is a central part of the culture.
, Patient-centered care - Answers Care that is respectful and responsive to individual patient
preferences, needs, and values
Associates - Answers People (employees, trustees and other volunteers, medical staff
members, and agents of contract suppliers) who give their time and energy to the HCO and its
activities.
Value-based insurance design - Answers Linking financial incentives to the quality and
efficiency of care provided.
Certificate of need - Answers Approval for new services and construction, expansion, or
renovation of hospitals or related facilities; issued in many states
Health Insurance Portability and Accountability Act - Answers Federal law that addresses issues
of health insurance but also requires HCOs and their workers to protect patient information and
confidentiality diligently.
Emergency Treatment and Labor Act - Answers Federal act requiring all HCOs that provide
emergency care to accept all patients, regardless of ability to pay, until the patients are
stabilized and can be safely moved.
Community benefit - Answers Services provided gratis by HCOs to their surrounding
communities. Current law requires hospitals to satisfy a community benefit standard to qualify
as tax-exempt charities under section 501(c)(3) of the Internal Revenue Service code. The
standard addresses charitable care, educational services, and other benefits.
The Joint Commission (TJC) - Answers A voluntary consortium of professional provider
organizations that evaluates and accredits a wide range of HCOs.
External auditor - Answers A firm certified to review corporate financial statements and attest to
their accuracy.
Critical access hospitals - Answers HCOs with 25 beds or fewer, and without nearby
competition, established to provide support for rural communities.
Safety net hospitals - Answers hospitals with a disproportionate share of low income, uninsured
patients, (as define by medicare and medicaid)
Health system - Answers A set of HCOs in several geographic sitescentral strategic leadership.
Service line - Answers Patient care teams organized and coordinated around a set of similar
diseases or patient needs.
Federally qualified health center - Answers Services for underserved areas or populations that
offer a sliding fee scale, provide comprehensive services, and have an ongoing quality program
and have a board of directors; funded with grants under Section 330 of the Public Health Service
