Ch 2 Healthcare delivery system

Question 1

nursing infomatics

Answer 1

uses information and technology to communicate, manage knowledge, mitigate error, and support decision-making

Question 2

implications of technical advancements

Answer 2

telemedicine, communication, automated technologies do not replace the need for judgement

Question 3

primary health care

Answer 3

focus on improved health outcomes for an entire population

-well-baby care, nutrition, family planning

Question 4

secondary acute care

Answer 4

emergency care, acute med-surgical, radiological proceedures for acute problems

Question 5

tertiary care

Answer 5

intensive care, subacute care

Question 6

restorative care

Answer 6

home care. rehab, extended care

Question 7

continuing care

Answer 7

nursing homes, assisted living, respite, adult day care, hospice

Question 8

discharge planning

Answer 8

begins moment pt is admitted
-centralized, coordinated, interdisciplinary process that ensures a pt has a plan for continuing care after leaving health care agency

Question 9

prospective payment system (PPS)

Answer 9

eliminated cost-based reimbursement

Question 10

diagnosis related groups (DRG)

Answer 10

each group has a fixed reimbursement amount w adjustments based on case severity, rural/urban/regional costs, and teaching costs

Question 11

capitation

Answer 11

providers receive a fixed amount per patient or enrollee of a health care plan

Question 12

resource utilization groups (RUG)

Answer 12

used in long term care

Question 13

managed care

Answer 13

health care systems in which provider receives a predetermined capitated payment for each patient enrolled in system, mamged care organization assumes risk

Question 14

quality improvement committee considerations-3

Answer 14

1. high volume
2. high risk
3. problem areas

Question 15

PSDA cycle

Answer 15

Plan Do Study Act

Question 16

six sigma or lean

Answer 16

evaluate processes to reduce costs, enhance quality and revenue, and improve teamwork while using talents of existing employees and fewest resources

Question 17

rapid cycle/ improvement events (RIE)

Answer 17

intense, week long events, where a group evaluates a problem with the intent of making radical changes to a current process; changes made and evaluated in within a very short time