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Questions and Answers
What methodology rewards quality of care through payment incentives?
What methodology rewards quality of care through payment incentives?
What is the term for the tendency of insured patients to use more medical services than necessary?
What is the term for the tendency of insured patients to use more medical services than necessary?
How is NCH/PPD calculated?
How is NCH/PPD calculated?
Which of the following is the largest budget expenditure in healthcare?
Which of the following is the largest budget expenditure in healthcare?
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What payment model involves a fixed monthly payment regardless of services used?
What payment model involves a fixed monthly payment regardless of services used?
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What does a predetermined level of excellence serve as in practice?
What does a predetermined level of excellence serve as in practice?
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Which theory suggests that employees are generally unmotivated and need direction?
Which theory suggests that employees are generally unmotivated and need direction?
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According to Saul Gellerman, what is the concept of 'stretching' in motivation?
According to Saul Gellerman, what is the concept of 'stretching' in motivation?
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What is the primary driver behind intrinsic motivation?
What is the primary driver behind intrinsic motivation?
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What is the primary purpose of a performance appraisal?
What is the primary purpose of a performance appraisal?
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What effect occurs when a few positive traits of an employee influence their overall evaluation?
What effect occurs when a few positive traits of an employee influence their overall evaluation?
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What is a 360 evaluation?
What is a 360 evaluation?
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What is the first action a manager should take if an employee is suspected to be under chemical influence?
What is the first action a manager should take if an employee is suspected to be under chemical influence?
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Which of the following is NOT a step in progressive discipline?
Which of the following is NOT a step in progressive discipline?
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Which effect describes the situation where negative traits of an employee distort their overall performance evaluation?
Which effect describes the situation where negative traits of an employee distort their overall performance evaluation?
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In order to prevent burnout, what is a critical priority?
In order to prevent burnout, what is a critical priority?
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What is the primary risk of not disciplining an employee who should be disciplined?
What is the primary risk of not disciplining an employee who should be disciplined?
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Which of the following represents an authoritarian leader's decision-making style?
Which of the following represents an authoritarian leader's decision-making style?
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What are the five rights of delegation?
What are the five rights of delegation?
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What is the Hawthorne Effect?
What is the Hawthorne Effect?
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What is essential for the RN to ensure when delegating tasks?
What is essential for the RN to ensure when delegating tasks?
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What happens when nursing care hours per patient per day are decreased?
What happens when nursing care hours per patient per day are decreased?
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Which component is NOT part of the right delegation process?
Which component is NOT part of the right delegation process?
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Which scenario represents a moral hazard?
Which scenario represents a moral hazard?
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What is the last step in progressive discipline?
What is the last step in progressive discipline?
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What should a nurse implement to prevent burnout?
What should a nurse implement to prevent burnout?
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Which communication method is most effective for important messages?
Which communication method is most effective for important messages?
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Which of the following statements about assigning nursing tasks is true?
Which of the following statements about assigning nursing tasks is true?
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Which management theory emphasizes that staff are self-motivated?
Which management theory emphasizes that staff are self-motivated?
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What is a key approach for a manager when facing understaffing?
What is a key approach for a manager when facing understaffing?
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How can ethical dilemmas be defined in nursing?
How can ethical dilemmas be defined in nursing?
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What does the term 'human capital' refer to in a healthcare context?
What does the term 'human capital' refer to in a healthcare context?
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What is a significant drawback associated with certain healthcare systems?
What is a significant drawback associated with certain healthcare systems?
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What was the primary reason for the establishment of the prospective payment system in hospitals?
What was the primary reason for the establishment of the prospective payment system in hospitals?
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Which theory focuses on two contrasting approaches to managing and motivating employees?
Which theory focuses on two contrasting approaches to managing and motivating employees?
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Which strategy can managers implement to effectively motivate employees?
Which strategy can managers implement to effectively motivate employees?
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What is professional negligence also referred to as?
What is professional negligence also referred to as?
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When is the best time for a nurse to establish priorities for the day?
When is the best time for a nurse to establish priorities for the day?
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How is intrinsic motivation best described?
How is intrinsic motivation best described?
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Why should a nurse manager use multiple communication methods?
Why should a nurse manager use multiple communication methods?
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What is one way to create a motivational climate within a team?
What is one way to create a motivational climate within a team?
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What is one purpose of critical pathways in healthcare?
What is one purpose of critical pathways in healthcare?
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Which aspect is essential during performance appraisal for fair assessment?
Which aspect is essential during performance appraisal for fair assessment?
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Which budget covers day-to-day expenses like salaries and supplies in a hospital unit?
Which budget covers day-to-day expenses like salaries and supplies in a hospital unit?
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What is the most effective form of reinforcement to encourage positive behavior in employees?
What is the most effective form of reinforcement to encourage positive behavior in employees?
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What is a consequence of HIPAA being violated?
What is a consequence of HIPAA being violated?
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How do patients generally feel when nurses effectively manage their time?
How do patients generally feel when nurses effectively manage their time?
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What is one function of critical pathways in patient care?
What is one function of critical pathways in patient care?
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Study Notes
Payment Methodology
- Value-based purchasing (VBP) is a payment method that holds hospitals accountable for quality and cost of care.
- VBP uses performance measures and incentives to encourage quality care.
Propensity of Insured Patients
- Moral hazard is the tendency of insured patients to utilize more medical services than necessary because insurance covers most of the cost.
Nursing Care Hours/Patient Census (NCH/PPD)
- NCH/PPD is calculated by dividing the total nursing hours worked in 24 hours by the patient census.
- Example: 160 RN hours + 80 CNA hours = 240 total hours; 240 hours / 28 patients = 8.57 NCH/PPD.
Largest Budget Expenditure
- Healthcare has a labor-intensive workforce, and the personnel budget is the largest expenditure.
Capitation
- Capitation is a fixed monthly payment to providers regardless of the services utilized by the patient.
Standard of Excellence
- A standard is a predetermined level of excellence a guide for practice.
McGregor's Theory X
- Theory X managers believe employees avoid work, dislike work, need direction, and are indifferent to organizational needs.
- They require constant direction, supervision, and threats to be motivated.
McGregor's Theory Y
- Theory Y managers believe employees enjoy work, are self-motivated, and willing to work hard to meet personal and organizational goals.
Motivating Staff
- Immediate praise is the best way to motivate staff.
Stretching
- Stretching is energizing people to do things beyond their perceived capability.
Gellerman's Theory Of Stretching
- People should be periodically "stretched" to do tasks more complex than their usual work.
Intrinsic Motivation
- Intrinsic motivation is an internal drive that motivates individuals without external influence.
Performance Appraisal
- Performance appraisals evaluate actual employee performance.
- Appraisals measure an employee's behavior and assess the relevance of the description of the job.
Anecdotal Notes
- Managers should keep ongoing anecdotal notes during the evaluation period.
Halo Effect
- The appraiser may let 1 or 2 positives influence the entire evaluation of an employee's performance.
Horn Effect
- The appraiser may allow some negative aspects of an employee's performance to influence the entire evaluation, affecting the final assessment.
360-Degree Evaluation
- A 360-degree evaluation includes an assessment by all individuals within the employee's sphere of influence.
Chemical Influence of Employee
- If a manager suspects an employee is chemically influenced and poses a patient safety hazard, the first action should be to immediately remove the employee from patient care.
Progressive Discipline
- The second step of progressive discipline involves an informal reprimand.
Enforcing Rules
- Failure to discipline employees who should be disciplined can tarnish the organization's morale.
Delegation Rights
- Five rights of delegation include the right circumstance, right task, right direction, right supervision, and right person.
Decision Making
- Decision making is a cognitive process that involves selecting a specific course of action.
Hawthorne Effect
- People behave differently when they know they are being observed. Behaviors usually improve during observation.
Authoritarian Leadership
- Authoritarian leaders control decisions and don't involve others, and communication flows downward.
Multiple Communication Modes
- Managers should use several methods for important messages to ensure they are understood.
Nurse Advocates
- Nurses act as advocates for their patients.
Nursing Care Hours per Patient per Day
- Decreasing nursing care hours per patient per day may increase patient injuries or errors.
Delegation
- Delegation of a tube feeding to a NAP for a comatose patient is, generally, incorrect.
Moral hazard
- If a patient wants a PET scan because their insurance covers it, this is an example of moral hazard.
Wrong Person Delegation
- Giving a new graduate the responsibilities for tasks that are beyond their skill levels for a specific patient is not appropriate.
Self-care
- A new graduate should practice self-care to avoid burnout.
Management Styles
- Theory Y managers believe employees are self-motivated and creative. This approach is different to Theory X.
Time Management
- Time management courses can help maintain unit productivity standards.
Ethical Dilemmas
- A nurse being forced to provide care that conflicts with their religious beliefs is an example of an ethical dilemma.
Human Capital
- Human capital consists of the individual’s skills and capabilities.
Professional Negligence
- Professional Negligence is the failure of a trained professional to meet expected standards of care.
HIPAA
- Violating HIPAA happens when a nurse shares patient information with a family before discussing it with the patient.
Patient Satisfaction
- Patients are more satisfied when nurses manage their time effectively.
Prioritize Tasks
- Planning priorities for the day can increase productivity.
Communication Methods
- Multiple communication methods are required to assure messages are received.
Critical Pathways
- Critical pathways are evidence-based interventions that help shorten hospital stays.
Financial Management - Budgeting
- Operating budget expenses include salaries, supplies, and other daily expenses.
- The Capital budget is used for purchasing large equipment like renovating facilities, and other investments.
- The personnel budget covers employee salaries and benefits.
Fixed and Variable Expenses
- Fixed expenses, like salaries, do not change with volume. Variable expenses (supplies) may vary.
Cost-Effectiveness
- Cost-effectiveness means ensuring good results for an amount of money spent. This analysis takes factors like duration, need, and availability of other options into account.
Managed Care Pros and Cons
- Managed care is a system integrating care, access, and cost. It utilizes utilization review processes. This will assure payment.
- Capitation is a fixed payment to providers regardless of the services utilized by the patient.
- Disadvantages include loss of physician-patient relationships, limited choice of physicians, and consumer confusion. Lower level continuity of care and reduced physician autonomy are noted in cons.
Prospective Payment System
- Healthcare costs increased leading to a prospective payment system.
McGregor's Theory X & Y
- The attitudes and energy of managers have a direct effect on staff attitudes and productivity.
Employee Motivation
- Motivation is increased when employees trust and respect their managers.
- Clear expectations, fairness, and consistent treatment are essential.
- Encouraging teamwork, recognizing individual employee strengths, and rewarding appropriate behaviors, are ways to motivate employees.
Types of Motivation
- Intrinsic motivation is an internal drive.
- Extrinsic motivation comes from sources outside the individual.
Preventing Burnout
- Organizational climates and staff motivation are important factors.
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Description
This quiz covers various aspects of healthcare payment methodologies, including quality of care incentives and service utilization. It also explores employee motivation theories and performance appraisal concepts, providing a comprehensive understanding of both topics.
