exam 3: ATI CHPT.9 Flashcards
referrals
-acute care settings typically are based on the medical diagnosis or other relevant clinical information. Resources assist in restoring, maintaining, or promoting health.
-referrals to community resources
-educate about self-care measures
steps in referral process
-Engaging in a working relationship with the client
-Establishing criteria for the referral
-Exploring resources
-Accepting the client’s decision to use a given resource
-Making the referral
-Facilitating the referral
-Evaluating the outcome
follow-up from referrals
-Monitor for completion of the referral.
-Assess whether referral outcomes were met.
-Determine if the client was satisfied with the referral.
discharge planning
ongoing assessment and ongoing communication with an interprofessional team to anticipate the future needs of the client that BEGINS @ ADMISSION
the goal of discharge planning
enhance the well-being of the client by establishing appropriate options for meeting the health care needs of the client
case management
-promotes interprofessional services and increased client/family involvement
-decreases cost by improving client outcomes
-provides education to optimize health participation
-reduces gaps/errors in care
-applies evidence-based protocols and pathways
-advocates for quality services and client rights
case management liability
care management, referrals, experimental treatments, confidentiality, fraud/abuse
care management mismanagment
incomplete record-keeping, acting in the role of a provider, an inappropriate delegation of care, and failing to offer alternative treatments
referrals mismanagment
referring clients to incompetent providers, selecting cheaper or substandard treatment options and facilities, and failure to communicate with other professionals
experimental treatment mismanagement
failing to notify a client that a treatment is experimental and failing to make recommendations in a timely manner
confidentiality mismanagement
sharing protected information and HIPAA violations
fraud and abuse mismanagment
making false claims or inaccurate information on claims, billing for substandard or unnecessary treatment, and receiving personal compensation for referrals or treatment
informatics
combination of nursing science with information and communication technologies in the delivery of nursing care; EHR, EMR
telehealth
delivery of quality health care through the use of technology.; useful in rural areas
change agents
advocate for needed change at the local, state, or federal level