FACHE flashcards
FACHE · 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.
- Active listening
- A structured communication technique using attending, reflecting, clarifying, and summarizing so the receiver confirms understanding before responding, reducing misinterpretation in conflict and performance conversations.
- Channel richness
- The capacity of a communication medium to convey cues and enable immediate feedback; face-to-face ranks highest and impersonal written media lowest, guiding medium choice by message complexity.
- BATNA
- Best alternative to a negotiated agreement; the fallback outcome available if talks fail. It sets the reservation point and therefore determines whether a proposed settlement is acceptable.
- Thomas-Kilmann conflict modes
- Five conflict-handling styles arrayed by assertiveness and cooperativeness: competing, collaborating, compromising, avoiding, and accommodating. Collaborating is high on both dimensions and seeks mutual gain.
- SBAR handoff
- A standardized communication format for clinical handoffs: Situation, Background, Assessment, and Recommendation. It reduces omissions and ambiguity during transitions of care.
- Stakeholder interest-influence grid
- A mapping tool plotting stakeholders by interest in an issue against their power to affect it, so engagement effort concentrates on high-influence, high-interest parties.
- Transformational leadership
- A leadership model comprising idealized influence, inspirational motivation, intellectual stimulation, and individualized consideration; it raises follower commitment beyond transactional exchange.
- Situational leadership
- A contingency model in which leaders vary directive and supportive behavior according to follower readiness, moving through telling, selling, participating, and delegating styles.
- Lewin change model
- A three-stage change framework: unfreeze existing norms, implement the change, then refreeze new behaviors into standard practice and culture.
- French and Raven power bases
- Five sources of influence: legitimate, reward, coercive, expert, and referent. Expert and referent power typically produce commitment rather than mere compliance.
- Emotional intelligence domains
- Goleman's four domains: self-awareness, self-management, social awareness, and relationship management. Self-awareness is the foundation for regulating one's own reactions.
- Servant leadership
- A leadership philosophy prioritizing follower growth and removal of barriers so frontline staff can serve patients; the leader's role is support rather than command.
- Span of control
- The number of direct reports assigned to one manager. Narrower spans suit complex, variable work; wider spans require standardized processes and mature staff.
- Kotter's eight steps
- A change sequence beginning with creating urgency and building a guiding coalition, and ending with consolidating gains and anchoring changes in culture.
- Transactional leadership
- A leadership style based on contingent reward and management-by-exception, exchanging performance for recognition or correction; effective in stable, routine operations.
- ACHE Code of Ethics
- A professional code obligating healthcare executives to integrity, respect, responsibility, and advancing the profession, with duties to patients, community, and colleagues.
- Conflict of interest management
- A three-step response to competing personal and organizational interests: disclose the interest, recuse from the decision, and divest or remove the interest where feasible.
- Four principles of biomedical ethics
- Autonomy (self-determination), beneficence (promote good), nonmaleficence (avoid harm), and justice (fair distribution). These frame clinical and organizational ethical analysis.
- Informed consent elements
- Valid consent requires patient capacity, voluntariness, disclosure of risks, benefits, and alternatives, and demonstrated comprehension of the information provided.
- Utilitarian decision framework
- An ethical approach selecting the action producing the greatest net good for the greatest number, often applied to resource allocation decisions with competing demands.
- Whistleblower protection
- Legal and policy safeguards barring retaliation against individuals who report suspected wrongdoing in good faith, typically after or alongside internal reporting channels.
- Impaired colleague reporting
- The obligation to report a colleague whose impairment threatens patient safety through defined organizational channels rather than informal confrontation alone.
- Deemed status
- A determination that Joint Commission accreditation satisfies Medicare Conditions of Participation, allowing accredited organizations to avoid duplicate federal certification surveys.
- DRG prospective payment
- A fixed payment per discharge set by diagnosis-related group, shifting financial risk for length of stay and resource use to the provider, with outlier exceptions.
- Payer mix
- The proportional distribution of revenue across Medicare, Medicaid, commercial, and self-pay sources; it determines margin exposure to government rate changes.
- Hospital Readmissions Reduction Program
- A value-based program reducing Medicare payments to hospitals with excess 30-day readmissions for specified conditions relative to risk-adjusted national benchmarks.
- Incidence versus prevalence
- Incidence counts new cases in a period; prevalence counts all existing cases at a point or over a period. Prevalence rises with longer disease duration.
- HMO versus PPO
- HMOs use gatekeeping and closed networks with lower cost sharing; PPOs allow out-of-network care with higher cost sharing and no gatekeeper requirement.
- Certificate of need
- A state regulatory approval required before building or expanding certain healthcare facilities or services, intended to control costs and avoid duplicative capacity.
- Break-even volume
- Fixed costs divided by contribution margin per unit (price minus variable cost per unit). The result is the volume at which total revenue equals total cost.
- Days in accounts receivable
- Accounts receivable divided by net credit revenue, multiplied by 365. It estimates average collection time; lower values indicate faster cash conversion.
- Net present value
- The sum of future cash flows discounted at the cost of capital minus the initial investment. Projects with positive NPV add value and are acceptable.