*Health Care Sys: HEALTH CARE DELIVERY

Question 1

Sentinel events

Answer 1

An event that results in client death or permanent severe harm

Question 2

The joint commission

Answer 2

Non profit organization that ACCREDITS Health Care organization. For examples Hospitals

Question 3

Examples of sentinel events

Answer 3

blood transfer is incorrect
infant death
wrong body part amputated

Question 4

National Committee of quality Assurance (NSQA)

Answer 4

Accredits HEALTH CARE PLANS, PROVIDERS, FACILITIES, CASE MANAGEMENT COMPANIES. Focus on improving health care through development and administration of evidenced base standards.

Question 5

American Nurses Credentialing Center (ANCC)

Answer 5

2 programs. It recognizes quality nursing practice and receive award

Question 6

Magnet Recognition Program

Answer 6

awards health care organization that provides excellence in nursing care

Question 7

Pathway to excellence Program

Answer 7

award facilities that demonstrate a commitment to providing a healthy workplace for their staff.

Question 8

Magnet Recognition Program Identification

Answer 8

Focus on facility
ID organizations with quality outcomes.
ID clients care excellence
ID innovation in professional practice

Question 9

Pathways to Excellence Identification

Answer 9

Focus on staff
ID contribution that affects nurses well being
ID a supportive practice environment
ID a shared governance structure

Question 10

Press Ganey

Answer 10

Survey tool designed to evaluate care delivery. client satisfaction

Question 11

HCAHPS

Answer 11

evaluate client satisfaction

Question 12

Medicare

Answer 12

65 y/o +.

Question 13

What are the parts of medicare

Answer 13

three parts
A. hospitalization
B. Doctors services
C. Prescription drugs

Question 14

Medicaid

Answer 14

government healthcare coverage for a client who meets qualifications

Question 15

Palliative Care

Answer 15

provides service that help clients feels as comfortable as possible while still receiving treatment

Question 16

Respite care

Answer 16

gives the caregiver a break

Question 17

Dx Relaxed Group (DRG)

Answer 17

a payment system to reimburse for the health services based on the clients dx and procedure performed

Question 18

Goal of ACA

Answer 18

improve health care quality and increase access to service

Question 19

Five social determinants of health

Answer 19

1. Economic stability
2. Education
3. Social and community context
4. Health and health care
5. Neighborhood and built environment

Question 20

Occupational therapist

Answer 20

recover or develop new skill to maintain ADL

Question 21

Physical therapy

Answer 21

recover from injury or illness. help with client to improve movement

Question 22

case manager

Answer 22

facilitates treatment plan, finds cost effective care

Question 23

health care disparities

Answer 23

social economic and environmental differences that affect health status

Question 24

Nurse calling pts insurance before exam is called?

Answer 24

Precertification

Question 25

A nurse is reviewing a report by the IOM. which competencies should the use ID to reduce error

Answer 25

cooperation
communication
coordination

Question 26

Post Ganey survey is delivered by which method?

Answer 26

EMAIL

Question 27

Minimum Data Set assessment includes ?

Answer 27

input from interdisciplinary team
clients cognitive status
each physical therapy visit
clients need for ADLS

Question 28

The nurse is teaching another nurse about TJC. which of the following info should the nurse include?

Answer 28

TJC ensures organization remain up to date with state guidelines

Question 29

Physical determinant

Answer 29

poor air quality. physical environment. ex. leaky pipes

Question 30

HACRP Hospital Acquired Condition Reduction Program

Answer 30

link Medicare payments to health care quality

Question 31

Affordable Care Act

Answer 31

A focus of the ACA is disease prevention.