Ch. 3 Health Care Delivery System

Question 1

Created by the ANCC to Recognize health care organization that achieve excellent nursing practice.

Answer 1

Magnet Recognition

Must demonstrate quality patient care, nursing excellence, and innovations in professional practice.

Question 2

Health/medical care that takes place in the patients home

Answer 2

Patient Centered Medical Home

Question 3

Service that provides short-term relief or time off for people providing home care to an ill, disabled, or frail older adult

Answer 3

Respite Care

Question 4

Assessment of patient outcomes based on nursing care; Changes in the pts’ symptoms, function, safety, psychological state, and cost as a result of nursing intervention

Answer 4

Nursing-sensitive outcomes

Question 5

Care in which patients who have sx/s of a disease are diagnosed and treated

Answer 5

Acute Care

Question 6

Provide a variety of health and social services to a specific patient population who live alone or with family in the community

Answer 6

Adult day care center

Question 7

Long-term care setting with a homier environment and greater resident autonomy

Answer 7

Assisted Living

Question 8

Payment mechanism in which providers receive a fixed amount per month per patient or enrollee of a health care plan

Answer 8

Capitation

Question 9

Fixed reimbursement amount for a group adjustable for case severity, rural/urban/regional costs, and teaching costs

Answer 9

Diagnosis-related groups(DRGs)

Question 10

Centralized, coordinated, multidisciplinary process that ensures that a patient has a plan for continuing care after leaving a health care agency Begins the moment patient enters facility

Answer 10

Discharge planning

Question 11

Problem solving approach to clinical practice that integrates the use of best evidence in making decisions about pt care

Answer 11

Evidence based practice

Question 12

Provides intermediate medical, nursing, or custodial care for patients recovering from acute illness or pts with chronic illnesses or disabilities

Answer 12

Extended care facility

Question 13

Care that allows pts to live and remain at home with comfort, independence, and dignity while alleviating the strains caused by terminal illness

Answer 13

Hospice

Question 14

System where payer has control over primary healthcare services delivery for a defined patient population

Answer 14

Managed Care

Question 15

Gov’t funded medical reimbursement

Answer 15

Medicaid/Medicare

Question 16

8 identified aspects that help determine patient satisfaction

Answer 16

Patient-centered care

Question 17

Care delivered by schools, health care offices, health clinics, and nursing centers

Answer 17

Primary Care

Question 18

Review the quality , quantity, and cost of health care services provided though Medicare and Medicaid

Answer 18

Professional standards review organizations (PSROs)

Question 19

Eliminates cost-based reimbursement, established in 1983 by Congress

Answer 19

Prospective payment system(PPS)

Question 20

Use of multiple therapies to help restore a person to their fullest physical, mental, social, vocational and economic usefulness as possible

Answer 20

Rehabilitation

Question 21

Rehabilitation and supportive care for patients recovering from illness or a disability in hopes of restoring function

Answer 21

Restorative care

Question 22

Offers skilled care from a licensed nursing staff

Answer 22

Skilled nursing facility(Intermediate care)

Question 23

Review admissions, diagnostic testing, and treatments provided by health care providers to their patients

Answer 23

Utilization review committees

Question 24

Populations with limited access to vaccines, clean water, and standard medical care

Answer 24

Vulnerable populations

Question 25

5 components of the Magnet recognition model

Answer 25

• Transformational Leadership
• Structural Empowerment
• Exemplary Professional Practice
• New Knowledge, innovations and improvements
• Empirical quality outcomes

Question 26

Providers of a population in a specific market or geographical area

Answer 26

Integrated delivery networks