ULTIMATE GUIDE TO EXECUTIVE
HEALTHCARE LEADERSHIP”
Service Lines - CORRECT ANSWER -Patient care teams
coordinated around a set of similar diseases or patient needs
Premise of a Healthy Community - CORRECT ANSWER -
Costs 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 ANSWER -Individuals 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 ANSWER -care 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 ANSWER -Outside
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
Strategic Support Teams: provide marketing, governance,
internal consulting, finance, stakeholder relations management
and strategic positioning
Patient Protection and Affordable Care Act (ACA) - CORRECT
ANSWER -A 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
Value-based purchasing - CORRECT ANSWER -Linking
financial incentives to the quality of care provided - reward
HCOs for quality and sustained patient health
Certificate-of-need laws - CORRECT ANSWER -Certificate or
approval of new services and construction and renovation of
hospitals or related facilities; issued in many states. Require
that HCOs seek permission for construction or expansion.