Health Care Delivery Flashcards
What is the Baylor plan for scheduling pattern?
Two, 12 hour days weekend shifts for 36 hours of pay
Disease management?
Optimize quality of care provided
What are the two integrated models of care for nursing care delivery?
Case management and critical pathways
Originated around World War II, a pro is staff efficient at their assigned task, a con is impersonal.
Functional or task nursing
What are two evolving models of care for nursing care delivery?
Patient centered care, chronic care model
Works with community in mental health, diagnosis related groups (DRGs) for inpatient stays, team player, achieve patient outcomes in a specific period of time?
Case management
Who deals with high volume, high risk, or high cost diagnosis?
Case managers
What shift is the most common and why?
12 hour is the most common, less handoffs for 12 hour shift
What are these contributing factors to, healthcare reform, advances in technology, nursing school enrollment, insufficient staffing?
Shortage of nurses
How many models are out there?
45
Chronic care model is?
Proactive versus reactive care. Don’t wait until they come to the hospital be more proactive
Scheduling pattern that is eight hour five days a week?
Doctors office
The nursing industry has a good sick care system but does not have?
A good healthcare system.
What types of healthcare do case managers work in?
Acute care, subacute care, rehabilitation, psychiatric, substance-abuse, and various community service organizations
What type of nursing model of care originated in middle to late 1940s where “communication is key” and “our patients”?
Team nursing
Some pros and cons of this nursing care is increased satisfaction, RN knows the patient, improved continuous care. Down for communication between multiple people and change of locations.
Primary nursing
Why would you have a strategy to address the nursing shortage?
To keep the new nurses in the field
What has evidence-based practice and guides care, reduce costs and length of stay for a patient?
Critical pathways
Regular nursing assessments, pick up on subtle changes, prevents the need for extensive medical intervention, benefit for the patient, and uses evidence-based practice?
Disease management
These people are very skilled communicators, critical thinkers, collaborators, and try to find the most value for the patient?
Case managers
What is more friendly any more homelike setting, and has originated within the last 15 years?
Patient centered or patient focused care
Practice in 1920, 1930, and 1980s. One on one care, continuous and holistic nursing care. One con is that it’s costly?
Total patient care nursing
What are patient safety indicators?
In-hospital complications such as patient falls in a nursing home or medication errors
Healthy work areas, you will need what to establish and sustain healthy work environments?
Skilled communication, true collaboration, effective decision-making, team oriented and leadership
Originated in the 1960 and 1970s. One are in has direct care over 24 hours.
Primary nursing
What are the four patterns of nursing care delivery traditional models?
Functional, team, total client, primary
10 hour shift or four hour shift?
Emergency room
What is another word for functional nursing?
Task nursing
Addresses the needs of patients with multiple health issues?
Case management
A pro is service time and wait time decreased, holistic, recommended for chronic conditions, and more human interactions. Downfall is cost with fewer RNs with more responsibilities.
Patient centered or patient focused care
A pro is easier to prioritize and organized. Akon is a lack of resources and more complex problems create complex pathways?
Critical pathways
Who is the nurse called that isn’t the primary nurse?
Associate nurse
Some pros and cons of this traditional model of care includes trust and cooperation, promotes continuous care, self-motivated, downfall is time-consuming, when the team falls apart, and role confusion?
Team nursing
What is another word for patient focused or patient centered care?
Relationship based care
Shortage of nurses, what is the number that we can reach by 2025?
260,000, but the projected need for 525,000 replacement nurses.
What is a plan in place to decide how many nurses you need?
Matrix
What are all of the common elements of the nursing care models?
Elevate are in roll, sharpened focus on client, nurse managed to book client directed so nurse and client decide together, electronic medical record’s, computerized nursing stations, bar code scanning
