Chapter 10

1. Chapter 10 Administrative Considerations

2. Administrative Structure • Vision Statement • Mission Statement • JCAHO – Joint Commission of Accreditation of Healthcare Org.

3. Infection Control & Hazardous Wastes Human Resource Management Nursing Practice Performance Improvement Safety Emergency Response Policy & Procedures

4. Medical Director Program Director Program Assistant RN’s Exercise Physiologists Others (Dieticians, Pharmacists, etc.) Organizational Chart

5. 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

6. Treadmills Cycles Recumbents Rowers Weights EKG Sphygmomanometer O2 Exam Table Emergency Equipment General EquipmentGuideline 10.4

7. Nonslip Flooring Restrooms Dressing areas Glucometer Weight Scale Audio Visual Equip. General Equipment (cont.)

8. Outcomes • Health • Clinical • Behavioral

9. Health • Mortality • Morbidity • Quality of Life

10. Weight Functional Capacity Medication Usage Blood Pressure Lipids Symptoms Hospitalizations Physician/ER Visits Clinical

11. Behavioral • Diet • Exercise • Smoking Cessation • Weight Management • Relaxation Skills

12. Outcomes Assessment • Figure 10.3 • Figure 10.4 • Figure 10.5 • Figure 10.6

13. Program Evaluation Quality Improvement Program Efficacy Program Needs Deficits Reimbursement Bench Marking Why Measure Outcomes

14. Pt Confidentiality Storage Insurance Scheduling Legal Record Guideline 10.7 Figure 10.7 Information Management

15. Medicare Private Insurance HMO’s – Health Management Org. PPO’s – Preferred Provider Org. POS – Point of Service HCFA – Health Care Finance Adm. Insurance Reimbursement

16. Appointment Scheduling Parking Informed Consent Insurance Pre-authorization Progress Evaluation Follow-up Cont. of Care Services

17. Program Diversification • Secondary Programs • Risk Stratification • Alternative Methods