exam 1: healthcare trends

Question 1

accountable care organization (ACO)

Answer 1

encouraged by ACA, consisting of hospitals and healthcare providers who agree to provide care to a designated population

Question 2

electronic health records (EHRs)

Answer 2

reduce redundancies, improve efficiency, decrease medical errors, and lower costs

Question 3

affordable care act (ACA)

Answer 3

fixed a system that rewarded more care and discouraged preventative care; designed to provide quality, affordable healthcare for all Americans

Question 4

evidence based practice (EBP)

Answer 4

strategy to improve quality by using the best available knowledge integrated with clinical experience

Question 5

benchmarking

Answer 5

comparison of an organization’s data with similar organizations

Question 6

health home

Answer 6

intermittent, temporary delivery of healthcare in the home by skilled nurses or home health aides

Question 7

centers for medicare and medicaid services (CMS)

Answer 7

agency that oversees gov payments for care, changed reimbursement policy to no longer cover costs incurred by medical mistakes (hosp covers never events)

Question 8

leapfrog group

Answer 8

consortium of public and private purchases that uses it mammoth purchasing power by rewarding healthcare organizations that demo quality outcomes measures

Question 9

magnet recognition program

Answer 9

designed to recognize excellence in nursing

Question 10

shared governance

Answer 10

structure defined by the staff (nurses) rather than hierarchy; equity, accountability, ownership, and partnership empower the staff
- required for Magnet facilities
- nursing staff takes responsibility and upholds high standards during bedside practice

Question 11

what are the different types of healthcare settings? (5)

Answer 11

primary care: preventative/basic care (clinics)

gov hospital: state/university affiliated hospitals

acute care hospital: inc acuity pts

home health: nurse or aid cares for pt at home

long term care: nursing home/assisted living

Question 12

redesign

Answer 12

distribution of activities, role overlap, excess specialization and waste are examined

Question 13

medical home

Answer 13

patient centered care model where primary provider links all patient services.
- continuous, accessible, comprehensive care
- good for high acuity/elderly patients
- EHR required

Question 14

how are all RNs managers, leaders, and team members?

Answer 14

advocate for pt, training new nurses, collab, priority care (cost), preventative measures (healthy lifestyle, prevent falls)

Question 15

how does today’s health care system differ from health care systems of the past

Answer 15

more tech, safety protocols, price transparency

Question 16

what are the benefits and disadvantages of various emerging healthcare technologies?

Answer 16

elderly population may not know how to work
not all have access to tech
drs cannot physically see patient

Question 17

what are some changes in the nursing role and function?

Answer 17

adaptability, leadership role, management role

Question 18

why is there a generational difference in nursing?

Answer 18

4 generations working together

Question 19

what are complications that could be faced with the aging population of nursing?

Answer 19

retiring nurses (staffing, shortages, teaching)