Change Management in HIM

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what is the Age Discrimination in Employment Act
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Legislation that prohibits discrimination on the basis of age against individuals age 40 or older
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what is the American with disabilities act (ADA)
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passed in 1990 and amended in 2008 with passage of the Americans with disabilities act amendment act (ADAAA) this legislation prohibits job discrimination against people with disabilities
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what is arbitration
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a proceeding in which disputes are submitted to a third party or a panel of experts and the arbitrator makes the final decision
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what is civil rights act of 1964
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an anti-discrimination law that prohibits employment discrimination because of race, color, religion, sex or national origin
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what is the civil rights act of 1991
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upholds and strengthens the civil rights act of 1964 under which an employee has the right to make a claim for discrimination against their employer; the EEOC then investigates the claim, and makes a decision and if discrimination is found to have occurred, depending on the charge, the employee could receive back pay, be reinstated, or awarded a promotion; the civil rights act of 1991 takes possible actions by the employee farther, by allowing for jury trials and increased monetary awards for employees
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what is compensatory damages
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financial reward that cover the actual financial loss of the employee; compensatory damages could cover repayment for lost time off work, or payment for medical bills
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what is COBRA
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Consolidated Omnibus Budget Reconciliation Act – legislation that offers continuing health insurance coverage for qualifying employees that have lost healthcare coverage
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what is EEOC
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Equal Employment Opportunity Commission – a federal agency with the authority to investigate discrimination claims, render decisions, and file lawsuits if necessary; the EEOC works to prevent discrimination through training and education on employment laws
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what is FMLA
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Family medical leave act- legislation that allows employees to take unpaid time off work for specific family and medical reasons
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what is job sharing
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a work schedule in which two or more individuals share the tasks of one full time or one full time equivalent position
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what is mediation
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both sides of the claim sit down with a neutral third party and reach an agreement; the mediator does not decide the issue, but rather helps both sides come to a solution together
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what is OCR
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Office of civil rights- an agency of the department of health and human services that is responsible for enforcing civil rights laws that prohibit discrimination on the basis of race, color, national origin, disability,, age, sex, and religion by healthcare and human services entities over which OCR has jurisdiction, such as state and local social and health services agencies, and hospitals, clinics, nursing homes, or other entities receiving federal financial assistance from HHS
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what is sexual harassment
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unwelcome sexual advances, request for sexual favors, and other verbal or physical conduct of a sexual nature
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what is ADKAR model
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a change management model that is utilized to assess individual change management issues; five building blocks- awareness, desire, knowledge, ability and reinforcement in regards to the change imitative- are necessary components for individuals to understand in order to participate in change
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what is bridge transition model
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developed by William bridges and published in his 1991 book managing transitions this model provides a guide for how individuals experience change by transitioning through different phases
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what are the different phases in the bridge transition model
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stage 1 – ending, losing, and letting go stage 2- the neutral zone stage 3 the new beginning
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what is a change agent
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the individual or group that undertakes the task of initiating and managing change in an organization
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what is change management
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the formal process of introducing change (becoming different) getting in adopted and diffusing it throughout the organization
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what is the john kotter’s change management model
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an eight step process that management needs to perform in order to transform an organization through change
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what is the 8 steps in the john kotter’s change management model
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1. establish a sense of urgency for change 2. form a coalition 3. develop a vision and strategy 4. communicate the change vision 5. eliminate the resistance to change 6. generate short term wins 7. consolidate wins to create more change 8. adopt the change
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what is the kurt lewins 3 stage change management model
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model that provides practical guidance for change initiatives
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what are the 3 stages in the kurt lewins change management model
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unfreezing, changing or transitioning, freezing
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what is laggards
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individuals who resist change; they are bound by tradition and are very skeptical of change
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what is negotiation
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a formal discussion between people who are trying to reach an agreement
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who founded the 5 stages of grief
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elisabeth kubler-ross
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what are the 5 phases of grief
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denial anger bargaining depression acceptance
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what is refreezing
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lewins last stage of change in which the new behaviors are reinforced to become as stable and institutionalized as the previous status quo behaviors
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what is senges theory of change
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theory that outlines disciplines that contribute toward a learning organization: personal mastery, mental models, building shared vision, and team learning
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what is unfreezing
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the first stage of lewins change process in which people are presented with disconcerting information to motivate them to change
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what is PAQ
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position analysis questionnaire – a structured job analysis instrument used to measure job characteristics and relate them to human characteristics within 5 categories
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what are the 5 categories within PAQ
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information input mental processing work output relationships with others job context
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what is a job description
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a detailed list of a jobs duties reporting relationships working conditions and responsibilities
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what is a job analysis
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a structured approach utilized to identify the uniqure job tasks performed within each job
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what is strategic planning
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the process in which the leadership of a healthcare organization develops the organizations overall mission vision and goals to help guide the direction of the organization as a business entity
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what are the fair standards labor act (FLSA)
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more commonly known as the wage and hour law, this federal law is the basis for many stage wage and hour laws, the intent of the FLSA is to determine minimum wage and overtime pay rules as well as definition of work week
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what is HIPAA
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the federal legislation enacted to provide continuity of health coverage control fraud and abuse in healthcare reduce healthcare cost and guarantee the security and privacy of health information ; limits exclusions for pre-existing medical conditions, prohibits discrimination against employees and dependents based on health status, guarantees availability of health insurance to small employers and guarantees renew ability of insurance to all employees regardless of size, requires covered entities to transmit healthcare claims in a specific format and to develop, implement, and comply with the standards of the privacy rule
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what is bloom taxonomy
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created in 1956 under the leadership of educational psychologist Dr Benjamin Bloom in order to promote higher forms of thinking in education, such as analyzing and evaluating concepts, processes, procedures, and principles, rather than just remembering facts
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what is performance improvement plan (PIP)
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initiated whenever an individuals job performance is substandard or the employee violates a departmental or healthcare organizational policy, the PIP is a strategic road map for the employee to utilize to achieve more positive results within his or her job
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what is recruitment
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the process of finding, soliciting, and attracting employees
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what is O*net
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The Occupational Information Network (O*NET) is a free online database that contains hundreds of occupational definitions to help students, job seekers, businesses and workforce development professionals to understand today’s world of work in the United States.
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following a strategic planning retreat, the university hospital board of trustees wrote this ” university hospital exists to bring quality healthcare to the surrounding community and region and to educate future healthcare providers” this is an example of what kind of statement
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mission
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the HIM department at memorial hospital will install CAC next month. meetings were held with all coders so they had input into the process and could address any concerns. HIM managers are working together to ensure the process is as smooth as possible. this is an example of what kind of change
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planned
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Emily, one of the coders at memorial hospital has refused to attend any meetings on the CAC project and when the other coders bring up the topic she quickly changes the subject saying she is sure it will never happen. Emily demonstrates what step in the grief process
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denial
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university hospital made the decision to allow coders to code remotely form home. as preparations are made some of the coders who were originally in favor of the idea are now reluctant to leave their workstations this change phase is called
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unfreezing
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during remote coding implementation at university hospital the problem of how to keep a sense of community among the coders surfaced. The coders decided to create a group for themselves on a popular social media website to keep in touch. this change phase is called
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transition
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what behavior is an early indicator of resistance to change that an employee might exhibit when presented with a new project
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missing planning meetings to determine the implementation schedule for the new project
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dr jones is the first physician in the practice to adopt the e prescribing application. he says he likes to try out new technologies and to be a role model for other physicians. dr jones is at what step i the innovation adoption life cycle.
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early adopter
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caroline is an evening shift manager in the HIM department. when employees are arguing among themselves she often delays intervening in the hopes that they will work out their problems and she will not have to get involved. caroline exhibits which conflicts style
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avoiding
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jacob is the assistant department head in the HIM department. when the director offers her opinion on how to handle a disciplinary problem, jacob usually acts on her advice even if he disagrees with it. jacob exhibits which conflict style
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accommodating
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what would require a critical conversation
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placing daniel on probation due to continuing problems with decreasing coding productivity and coding accuracy

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