C429 Healthcare Operations Management
Study Guide| |Verified
Flattened Organization Structure - ✔✔few or no levels of management over entry level
employees. elevates responsibility of lower level employees. enhances creativity among
workers and managers.
e.g. large organization wants to be more innovative
Hierarchical (aka Functional) Organization Structure - ✔✔Pyramid structure leadership.
Everyone is subordinate to others. defined levels of authority and responsibility. good for
companies with specialists.
Divisional Organizational Structure - ✔✔An organizational structure in which divisions are
separated by product, customer, market or region
Empowering employees - ✔✔giving employees the authority and resources needed to solve
issues
reduces turnover and wait times
Conduct HIPAA training and testing for competency - ✔✔ensures employees and
department policies are compliant with HIPAA
e.g. CFO receives an audit that identifies deficiencies
Stark Law - ✔✔Prohibits physicians from making referrals to Medicare. prohibits anyone
from receiving a finder's fee for Medicare referrals.
, e.g. physicians office has low enrollment for new patients and needs more revenue. wants to
increase enrollments without breaking laws.
Internal validity of data - ✔✔monitoring data to measure improvement initiatives
e.g. hospital wants to decrease length of stay for patients. plan monitors length of stay in
comparison to expected length of stay.
Financial performance - ✔✔must be considered when making decisions that involve
expenditures
e.g. hospital board wants to improve areas with under-performing outcomes
Alignment with mission, vision, and values - ✔✔essential principle in creating strategic plan
e.g. hospital board wants to improve under-performing outcome areas with focus on the value -
patient care
Criteria for selecting leaders - ✔✔individual character, competence, training, experience,
and judgment
e.g. board is responsible for filling member vacancies in a timely manner.
Medicaid Corporate Integrity Agreement - ✔✔agreement with Dept. of HHS that outlines the
obligations of healthcare companies in order to be included in any federal healthcare program.
used to prevent fraud.
MCIA requirements - ✔✔- regular auditing of medical charts
- hire a compliance officer/appoint a compliance committee;
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