Healthcare Systems and Operations Flashcards
7 cards from real TRIVIUM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Healthcare Systems and Operations flashcards as text
What does 'value-based care' emphasize compared to traditional fee-for-service models?
Answer: Tying reimbursement to patient outcomes and quality metrics
Value-based care links provider reimbursement to the quality and outcomes of care delivered rather than the quantity of services performed.
Which type of healthcare facility is designed to provide short-term acute care and is typically equipped with emergency, surgical, and intensive care units?
Answer: General acute care hospital
A general acute care hospital provides short-term, intensive medical and surgical care for patients with serious illnesses or injuries.
What is the function of a hospital's charge description master (CDM)?
Answer: A comprehensive listing of all services, supplies, and procedures with assigned charges
The charge description master (CDM) is a database containing all billable items a hospital provides, including their associated charges and billing codes.
In healthcare administration, what does 'prior authorization' require?
Answer: Approval from an insurer before certain services or medications are provided
Prior authorization is the process by which a provider must obtain approval from the patient's insurer before delivering certain services to ensure coverage.
Which federal agency enforces workplace safety regulations in healthcare settings?
Answer: OSHA
The Occupational Safety and Health Administration (OSHA) establishes and enforces standards to protect workers, including healthcare employees, from workplace hazards.
What is the primary goal of discharge planning in a hospital?
Answer: Ensuring a safe transition of care to the next appropriate setting
Discharge planning focuses on coordinating a safe and appropriate transition from the hospital to home, rehabilitation, or another care setting to prevent readmission.
What does the abbreviation 'EHR' stand for in healthcare?
Answer: Electronic Health Record
EHR stands for Electronic Health Record, a digital version of a patient's medical history maintained by providers over time.