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Chapter 10. Administrative Considerations. Administrative Structure. Vision Statement Mission Statement JCAHO – Joint Commission of Accreditation of Healthcare Org. Infection Control & Hazardous Wastes Human Resource Management Nursing Practice. Performance Improvement Safety

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Chapter 10 l.jpg

Chapter 10

Administrative Considerations


Administrative structure l.jpg
Administrative Structure

  • Vision Statement

  • Mission Statement

  • JCAHO – Joint Commission of Accreditation of Healthcare Org.


Policy procedures l.jpg

Infection Control & Hazardous Wastes

Human Resource Management

Nursing Practice

Performance Improvement

Safety

Emergency Response

Policy & Procedures


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Medical Director

Program Director

Program Assistant

RN’s

Exercise Physiologists

Others (Dieticians, Pharmacists, etc.)

Organizational Chart


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65 –72 degrees F

10 feet min. ceiling height

Emergency telephone

Water Source

40-45 square ft per pt

Pt confidetiality

General Facility ConsiderationsGuideline 10.3


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Treadmills

Cycles

Recumbents

Rowers

Weights

EKG

Sphygmomanometer

O2

Exam Table

Emergency Equipment

General EquipmentGuideline 10.4


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Nonslip Flooring

Restrooms

Dressing areas

Glucometer

Weight Scale

Audio Visual Equip.

General Equipment (cont.)


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Outcomes

  • Health

  • Clinical

  • Behavioral


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Health

  • Mortality

  • Morbidity

  • Quality of Life


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Weight

Functional Capacity

Medication Usage

Blood Pressure

Lipids

Symptoms

Hospitalizations

Physician/ER Visits

Clinical


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Behavioral

  • Diet

  • Exercise

  • Smoking Cessation

  • Weight Management

  • Relaxation Skills


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Outcomes Assessment

  • Figure 10.3

  • Figure 10.4

  • Figure 10.5

  • Figure 10.6


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Program Evaluation

Quality Improvement

Program Efficacy

Program Needs

Deficits

Reimbursement

Bench Marking

Why Measure Outcomes


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Pt Confidentiality

Storage

Insurance

Scheduling

Legal Record

Guideline 10.7

Figure 10.7

Information Management


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Medicare

Private Insurance

HMO’s – Health Management Org.

PPO’s – Preferred Provider Org.

POS – Point of Service

HCFA – Health Care Finance Adm.

Insurance Reimbursement


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Appointment Scheduling

Parking

Informed Consent

Insurance Pre-authorization

Progress Evaluation

Follow-up

Cont. of Care Services


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Program Diversification

  • Secondary Programs

  • Risk Stratification

  • Alternative Methods


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