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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

Chapter 10

Administrative Considerations

administrative structure
Administrative Structure
  • Vision Statement
  • Mission Statement
  • JCAHO – Joint Commission of Accreditation of Healthcare Org.
policy procedures
Infection Control & Hazardous Wastes

Human Resource Management

Nursing Practice

Performance Improvement

Safety

Emergency Response

Policy & Procedures
organizational chart
Medical Director

Program Director

Program Assistant

RN’s

Exercise Physiologists

Others (Dieticians, Pharmacists, etc.)

Organizational Chart
general facility considerations guideline 10 3
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
general equipment guideline 10 4
Treadmills

Cycles

Recumbents

Rowers

Weights

EKG

Sphygmomanometer

O2

Exam Table

Emergency Equipment

General EquipmentGuideline 10.4
general equipment cont
Nonslip Flooring

Restrooms

Dressing areas

Glucometer

Weight Scale

Audio Visual Equip.

General Equipment (cont.)
outcomes
Outcomes
  • Health
  • Clinical
  • Behavioral
health
Health
  • Mortality
  • Morbidity
  • Quality of Life
clinical
Weight

Functional Capacity

Medication Usage

Blood Pressure

Lipids

Symptoms

Hospitalizations

Physician/ER Visits

Clinical
behavioral
Behavioral
  • Diet
  • Exercise
  • Smoking Cessation
  • Weight Management
  • Relaxation Skills
outcomes assessment
Outcomes Assessment
  • Figure 10.3
  • Figure 10.4
  • Figure 10.5
  • Figure 10.6
why measure outcomes
Program Evaluation

Quality Improvement

Program Efficacy

Program Needs

Deficits

Reimbursement

Bench Marking

Why Measure Outcomes
information management
Pt Confidentiality

Storage

Insurance

Scheduling

Legal Record

Guideline 10.7

Figure 10.7

Information Management
insurance reimbursement
Medicare

Private Insurance

HMO’s – Health Management Org.

PPO’s – Preferred Provider Org.

POS – Point of Service

HCFA – Health Care Finance Adm.

Insurance Reimbursement
cont of care services
Appointment Scheduling

Parking

Informed Consent

Insurance Pre-authorization

Progress Evaluation

Follow-up

Cont. of Care Services
program diversification
Program Diversification
  • Secondary Programs
  • Risk Stratification
  • Alternative Methods
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