Term
| Managers have ______ responsibility for all pt care provided by their subordinates |
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Definition
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Term
| Pt care responsibilities of business owners (4) |
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Definition
managing professionals
utilization management
case management
quality care |
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Term
| pt-therapist interactions are responsibility of... |
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Definition
each PT/rehab professional
(extends to other staff they supervise as well) |
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Term
| PT Guide stresses importance of ______ relationship between PT & PTAs |
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Definition
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Term
| Health care manager role is shifting from ____ to ____ |
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Definition
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Term
| Health care manager role shift is due to... |
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Definition
| advancing level of professionalism of rehab specialists |
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Term
| Professionals' need for managers: (5) |
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Definition
empower their actions
assist c non-clinical probs
provide performance feedback
reaffirm vision, mission, goals of organization
reduce work-related stressors |
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Term
Sources of work stress: (managers play role in reducing)
(8) |
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Definition
heavy workoads
interprofessional role conflicts & ambiguity
scarce resources
understanding
physical strain
emotional labor
work/home conflicts
limited input into organizational decision-making |
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Term
| Means manager can use to help employees deal with work stresses (3) |
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Definition
encourage co-worker support
flexible work schedules
reward positive efforts |
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Term
| Work stressors are costly to the organization through... (3) |
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Definition
absenteeism
staff turn-over
poor work performance >> clinical errors |
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Term
| Manager responsibilities (7) |
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Definition
delegation of staff responsibilities
ensure quality of pt care:
risk management
staffing
legal concerns
ethical responsibilities
fiscal management |
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Term
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Definition
| helping third-party payers manage costs and quality of care they pay for (pre-determined reimbursement based on dx) |
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Term
| Purpose of utilization review (4) |
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Definition
assess efficiency of Pt care
Determine effectiveness of Pt care
Medically necessary
Appopriate |
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Term
| Utilization review = "territory that lies between ____ ____ and ____ ____ of managers" |
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Definition
pt care
fiscal responsibilities |
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Term
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Definition
certifies medical necessity of care BERFORE a pt can be admitted
(to control costs before admission) |
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Term
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Definition
conducted AFTER pt has been admitted for care, within 1 working day
conducted onsite in large hospital systems |
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Term
| Continued stay (concurrent) review |
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Definition
conducted periodically until pt D/C
applicable to all admissions
approve continuation of care for only as long as necessary |
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Term
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Definition
| facilitating pt transfer to more appropriate setting when goals have been reached |
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Term
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Definition
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Term
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Definition
collaborative process among healthcare workers;
includes assessment, planning, facilitation, advocacy;
aims to achieve cost-effective outcomes |
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Term
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Definition
safe
effective
efficient
timely
pt-centered
equitable |
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