FAHM flashcards
FAHM · Build recall with a focused review session.
32 cards. Read the term and the definition here. The deck at the top of this page is optional.
- Duty of Care
- A board member's fiduciary obligation to act in good faith, with the care an ordinarily prudent person would exercise in similar circumstances, including staying informed about organizational affairs.
- Transformational Leadership
- A leadership style that inspires and motivates followers to achieve beyond expectations by providing a shared vision, intellectual stimulation, and individualized consideration.
- Current Ratio
- A liquidity measure calculated as current assets divided by current liabilities; it indicates an organization's ability to pay short-term obligations.
- Break-Even Volume
- The volume of services at which total revenue equals total costs, calculated as fixed costs divided by the difference between price and variable cost per unit.
- MS-DRG
- Medicare Severity Diagnosis-Related Group, a patient classification system used for inpatient prospective payment that groups patients by diagnosis, procedures, and complications.
- Days in Accounts Receivable
- A revenue cycle metric calculated as (accounts receivable / average daily charges) or (AR / revenue) × 365, measuring how long it takes to collect payments.
- HIPAA Privacy Rule
- Federal regulation that protects individually identifiable health information and sets standards for its use and disclosure by covered entities.
- Anti-Kickback Statute
- A federal law that prohibits offering, paying, soliciting, or receiving remuneration to induce referrals for items or services reimbursed by federal healthcare programs.
- PDSA Cycle
- A four-step quality improvement model: Plan (identify and plan change), Do (implement on small scale), Study (analyze results), Act (adopt or adjust).
- Root Cause Analysis
- A structured method to identify underlying system causes of adverse events, focusing on processes rather than individual blame.
- Health Information Exchange
- The electronic movement of health-related information among organizations according to nationally recognized standards to improve care coordination.
- ICD-10-CM
- The International Classification of Diseases, Tenth Revision, Clinical Modification, used to code diagnoses for all healthcare settings in the United States.
- Social Determinants of Health
- Conditions in the environments where people are born, live, learn, work, play, and age that affect health outcomes and risks.
- Accountable Care Organization
- A group of healthcare providers that voluntarily coordinate care for a defined population and are accountable for quality and cost outcomes.
- SWOT Analysis
- A strategic planning tool that assesses internal Strengths and Weaknesses and external Opportunities and Threats to inform organizational strategy.
- Balanced Scorecard
- A performance measurement framework that views an organization from four perspectives: financial, customer, internal processes, and learning and growth.
- FTE
- Full-Time Equivalent, a unit that indicates the workload of an employed person in a way that makes workloads comparable; 1.0 FTE typically equals 40 hours per week.
- Kirkpatrick Model
- A training evaluation framework with four levels: reaction, learning, behavior, and results.
- Autonomy
- The ethical principle that respects a patient's right to make decisions about their own healthcare, including the right to refuse treatment.
- Health Equity
- The attainment of the highest level of health for all people, requiring efforts to address avoidable inequalities and historical injustices.
- Duty of Loyalty
- A board member's fiduciary obligation to act in the best interest of the organization, avoiding conflicts of interest and self-dealing.
- Operating Margin
- A profitability ratio calculated as operating income divided by operating revenue, showing the percentage of revenue remaining after operating expenses.
- APC
- Ambulatory Payment Classification, a prospective payment system used by Medicare for outpatient services, grouping services with similar clinical and cost characteristics.
- Stark Law
- A federal law that prohibits physician referrals of designated health services to entities with which the physician or immediate family has a financial relationship, unless an exception applies.
- FMEA
- Failure Mode and Effects Analysis, a proactive risk assessment tool used to identify potential failures in a process and prioritize actions to reduce risk.
- EHR
- Electronic Health Record, a longitudinal electronic record of patient health information generated by one or more encounters in any care delivery setting.
- Care Management
- A set of activities designed to assist patients and their support systems in managing medical conditions and related psychosocial problems effectively.
- SMART Goals
- A goal-setting criterion requiring objectives to be Specific, Measurable, Achievable, Relevant, and Time-bound.
- Job Analysis
- The systematic process of gathering and analyzing information about the content and requirements of a job to produce a job description and specification.
- Informed Consent
- The process by which a patient voluntarily agrees to a medical procedure after being fully informed of its risks, benefits, and alternatives, and having the capacity to decide.
- Six Sigma DMAIC
- A quality improvement methodology with five phases: Define, Measure, Analyze, Improve, and Control, used to reduce defects and variation.
- Net Collection Rate
- A revenue cycle metric calculated as payments divided by charges minus contractual adjustments, measuring the percentage of allowed charges collected.