Policy, surveillance, practice issues Flashcards

1
Q

Proportion of those with the abnormality who are correctly identified through screening

A

Sensitivity

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2
Q

Proportion of those without the abnormality who are quickly identified as negative through the screening

A

Specificity

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3
Q

Reporting statues must notify

A

Gonorrhea, chlamydia, syphilis, TB, HIV
Animal bites
Abuse (child/elder)
Crimean acts/injury from dangerous weapon —police

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4
Q

Enhance quality of care and improve pt outcomes

A

Collaborative practice

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5
Q

Medicare A

A

Covers inpatient /hospital , skilled nursing facilities , home health, hospice

Qualify at 65 years

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6
Q

Medicare serves what population

A

Medicare CARE- for elders

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7
Q

Medicaid serves what population

A

Children ; low income

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8
Q

Medicare B

A

MD services, outpatient /labs/diagnostics/medical equipment some home health

85% reimbursement received by NPs in collab with MD

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9
Q

Medicare C

A

A+B = C

Medicare Atvantage/choice

HMOS, PPOs receive both services

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10
Q

Medicare D

A

Limited prescription drug coverage
Monthly premium
Co pay each prescription

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11
Q

Incident to billing

A

MD must be in office where service provided
Reflects active participation
NOT ALLOWED In hospital setting

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12
Q

Comprehensive and systematic approach to provide quality care , mobilize, monitor and control resources patient uses during course of illness

A

Case mangement

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13
Q

Management process of monitoring, evaluation and continuous review and improving quality in providing health care

A

quality improvement

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14
Q

Process for evaluating the care of patients using established standard of care to ensure quality

A

Quality assurance

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15
Q

Based on legal allowances in each states delineated by individual state nurse practice acts

A

Scope of practice

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16
Q

authorization of boards of nursing in each state establish authority ( prescription authroity , disciplinary grounds ) for licensure

A

State practice acts

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17
Q

Credentials

A

Encompassing required education, licensure and certification to practice as NP

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18
Q

Establishes that a person is QUALIFIED to perform a professional/particular role , granted by rules and regulations by a governmental regulatory body (state Board)

A

Licensure

All aprns are licensed as RNs and authorized by STATE to practice

19
Q

Established that a person has met standards for a profession which signifying mastery of specialized knowledge and skills granted by non governmental agencies

A

E.g. ANCC, ANCP,PNCB

Certification

Non-governmental —-validates met certain standards (quality assurance to public)

20
Q

Credentialing

A

By private hospital or BON (governmental agency) validates competence
Validation of credentials, licensure, certification

21
Q

Privileging

A

Granted by committee to allow NP to practice in inpatient setting; granted in partial or full To perform specific task (suture, LO, orders, prescribe)

Can be more restrictive than state requirement

23
Q

Patient has received adequate instruction and info. Regarding aspects of care to make a personal choice regarding treatment

A

Informed consent

24
Q

Duty to do no harm

A

Non maleficense

25
Q

Duty to be fair

A

Justice

26
Q

Duty to be faithful

A

Fidelity

27
Q

Duty to be truthful

A

Veracity

28
Q

Duty to respects an individuals thoughts and actions

A

Autonomy

29
Q

Duty to prevent harm and promote good

A

Beneficence

30
Q

Right act that one produces the greatest good for greatest number

A

Utilitarianism

31
Q

First Np pro gram

A

PEDIatrics by Henry silver /Loretta ford 1964

33
Q

Experimental manipulation of variables using randomization and a control group to tests effects of an experiment

A

Experimental research

34
Q

Quasi experimental research

A

Manipulating variables but no randomization or comparison group to test effects on intervention/experiment

35
Q

P< 0.05

A

Means what your seeing is 95% not due to chance

Level of significance

36
Q

Indicates average amount of deviation from mean

A

Standard deviation

37
Q

Confidence interval

A

Interval precise / range of values

2.8-3.3 terminal ill patients have between 2.8-3.3 episodes of emesis every 24 hours

38
Q

LACE

A

LICENSURE / ACCREDITATION/ CERTIFICATION/ EDUCATION

39
Q

LACE: APRN Consensus Model

A

Call board of nursing to be the regulatory body that issues and provides oversight of APRNS

Must be licensed, certified and educated in 1/4 roles of APRN population Foci

40
Q

Healthy people 2030

A

High quality
Longer life free of preventable disease/disability/injury
Health equity
Eliminate disparities

41
Q

Legal wrongs committed by one person to another

A

Tort law

42
Q

Failure of individual to do what is reasonably person would do and results in injury

A

Negligence

43
Q

Failing to meet standard of care that results in harm

A

Liability

44
Q

CPA

A

Required by law in some states

Document mutually agreed professional language and practice guidelines b/w APRN and MD

53
Q

2 board categories of research ex post facto/ correlational and descriptive

A

NON EXPERIMENTAL