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Nur 170 Exam 1 > Health Policy, Informatics & Quality Improvements > Flashcards

Health Policy, Informatics & Quality Improvements Flashcards

1
Q

Methods designed to focus on HEALTH PROMOTION & ILLNESS PREVENTION

A

Primary prevention

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2
Q

The ability to read, understand, and act on health information, including such tasks as comprehending prescription labels, interpreting appointment slips, completing health insurance forms, and following instructions for diagnostic tests.

A

Health Literacy

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3
Q

The process of coordinating, facilitating, and following a clients use of an array of health and social services over time.

A

Case Management (CM)

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4
Q

Members of a nursing team who assume delegated aspects of basic client care such as bathing, assisting with feeding, and collecting specimens. CNA’s, hospital attendants, nurse techs, and orderlies.

A

UAP

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5
Q

Individuals who are with out any type of healthcare coverage.

A

Uninsured

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6
Q

Methods that focus on the diagnosis and treatment of the disease.

A

Secondary Prevention

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7
Q

A healthcare delivery system designed to provide cost-effective, high quality care for groups of clients from the time of their initial contact with the health system through the conclusion of their health problem

A

Managed Care

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8
Q

A delivery model that organizes health care around the expressed physical and emotional needs of the client

A

Client focused care

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9
Q

The delivery of individualized nursing care to a group of clients by a team led by a professional nurse

A

Team nursing

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10
Q

Individuals who healthcare coverage is insufficient to meet their needs

A

Undeinsured

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11
Q

Methods that focus on the restoration of health following an illness or accident and include rehabilitation and palliative services

A

Tertiary Prevention

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12
Q

A system of price control regulation that classifies client illnesses based on diagnosis and pays hospitals a predetermined sum for each specific diagnosis regardless of the actual cost of services, the length of stay, or the activity or complexity of the clients illness

A

DRG’s Diagnosis-related groups

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13
Q

A task oriented approach to care delivery used in situations of inadequate staffing or nursing shortages.

A

Functional Nursing

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14
Q

A model in which one nurse has 24/7 authority and responsibility for the care of an assigned group of clients.

A

Primary nursing

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15
Q

Primary prevention
Secondary prevention
Tertiary prevention

A

Types of Health Care Services

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16
Q 
Focus on Health Promotion and Illness Prevention
Healthy People 2020 updated q 10yrs
-Childhood obesity/nutrition
-physical activity across lifespan
-dental/oral health
-tobacco use/smoking cessation
-health screening recommendations
annually
A

Primary prevention

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17
Q

Focus on EARLY DISEASE DETECTION, TREATMENT
Prevent progression of disease
Early detection provided through screening
bi or tri annually

A

Secondary Prevention

18
Q

Focus on RESTORING FUNCTION, DECREASING DISEASE-RELATED complications of already established disease
Includes rehabilitation and palliative care

A

Tertiary Prevention

19
Q

Type of care delivered in?

  • physicians offices
  • hospital-based clinics
  • community health centers
  • public health services and organizations
  • often the entry or gatekeeper for managed care
A

Primary Care delivered in~

20
Q

Type of care delivered in ?
Hospitals
Outpatient surgical center
Specialists office

A

Secondary Care delivered in~

21
Q

Types of care delivered in?

  • Hospital
  • Acute care facility
  • Rehabilitation center
  • Extended care facility

*Home health nurse, skilled nursing care, rehab

A

Tertiary care delivered in~

22
Q 
Changing demographics
Advances in technology
Health Literacy
-lower health literacy
-elder adults
-lower socioeconomic status
-lower education attainment
A

Factors affecting delivery of health care

23
Q

Americans Disability Act

discrimination of anyone with a disability qualify

A

ADA of 1990

24
Q

Promote awareness and discussion of healthcare issues in preparation for medical decisions @ the end of life

A

PSDA of 1991

patient self-determination act

25
Q

documentation and reporting correctly and appropriately document data pertinent to the care of clients

A

Reporting

26
Q

An unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof.

A

Sentinel event

27
Q

Healthcare organization that accredits more than 20, 000 health care organizations and programs.

To Continuously improve healthcare for the public

A

The Joint Commission (TJC)

28
Q

a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge and wisdom in nursing practice
supports consumers, patients, and other providers in their decision-making in all roles and settings.
This support is accomplished through the use of information structures, information process and information technology

A

Nursing Informatics (NI)

29
Q

Study of care related and organization processes with the goal of developing and implementing a plan to improve health care services and better meet the needs of clients

A

Quality Improvement

30
Q

Supports clinical decision making and scientifically based nursing practice

A

Informatics

31
Q

Allergies, medical and surgical hx, prior diagnostic studies, consultations

A

Electronic Health Record

32
Q

Identifies factors that led to sentinel events
Focus on systems, processes
Goal determine which organizational improvements are needed to decrease likelihood of such events reoccuring

A

Root Cause Analysis for Sentinel Event

33
Q

Something happened that could of lead to harm

A

Sentinel Events

34
Q 
Electronic health records
Clinical decisions support systems
Bedside medication administration 
Computerized provider order entry (CPOE)
Client surveillance
Clinical data warehouse
A

Clinical information systems

35
Q 
Better access to information
Enhanced quality of documentation
Improved quality of care
Increased productivity
Improved communications
Reduced errors
Reduced hospital costs
Use of common database
A

Some Advantages of Nursing Information Systems

36
Q

Traditional nursing process

  • based on traditional paper forms
  • menu driven to capture essential information
  • generates various reports, information
  • documentation of discrete data
  • standardized care plans that can be individualized
  • documentation of routine aspects of care
  • documentation of medication administration

Critical pathway approach

  • Interdisciplinary protocols
  • Nurse (provider) can select pathways
  • should merge into one “master plan”
  • Interaction with physician orders
  • tracking of protocol variances
A

Two Approaches of Nursing Information Systems

37
Q 
Improved data integrity
Increased productivity
Improved quality of care
Increased satisfaction for providers
Universal data access
Improves documentation
A

General Benefits of EHR (electronic health records)

38
Q

An unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof. Serious injury specifically includes loss of limb or function. The phrase “or the risk thereof” includes any process variation for which a recurrence would carry a significant chance of a serious adverse outcome.
-Such events are called “sentinel” because they signal the need for immediate investigation and response.

The term “sentinel event” and “error” are not synonymous; not all sentinel events occur because of an error, and not all errors result in a sentinel event.

A

Sentinel Events

39
Q

Safe Patient Handling and Back Safety
The single most important factor for reducing the risk of back injury among healthcare workers is to eliminate manual lifting of patients

A

PEEPS-Patient Environment Equipment Posture Safety

40
Q

Total Assist-requires a lift to move
Partial Assist-Can sit on side of bed unassisted. Might need partial, total or ceiling lift
Gait Belt Assist- needs gait to transfer and ambulate
Independent-No fall precautions

A

4 levels of assistance

Nur 170 Exam 1 (3 decks)

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