Policy, surveillance, practice issues Flashcards
Proportion of those with the abnormality who are correctly identified through screening
Sensitivity
Proportion of those without the abnormality who are quickly identified as negative through the screening
Specificity
Reporting statues must notify
Gonorrhea, chlamydia, syphilis, TB, HIV
Animal bites
Abuse (child/elder)
Crimean acts/injury from dangerous weapon —police
Enhance quality of care and improve pt outcomes
Collaborative practice
Medicare A
Covers inpatient /hospital , skilled nursing facilities , home health, hospice
Qualify at 65 years
Medicare serves what population
Medicare CARE- for elders
Medicaid serves what population
Children ; low income
Medicare B
MD services, outpatient /labs/diagnostics/medical equipment some home health
85% reimbursement received by NPs in collab with MD
Medicare C
A+B = C
Medicare Atvantage/choice
HMOS, PPOs receive both services
Medicare D
Limited prescription drug coverage
Monthly premium
Co pay each prescription
Incident to billing
MD must be in office where service provided
Reflects active participation
NOT ALLOWED In hospital setting
Comprehensive and systematic approach to provide quality care , mobilize, monitor and control resources patient uses during course of illness
Case mangement
Management process of monitoring, evaluation and continuous review and improving quality in providing health care
quality improvement
Process for evaluating the care of patients using established standard of care to ensure quality
Quality assurance
Based on legal allowances in each states delineated by individual state nurse practice acts
Scope of practice
authorization of boards of nursing in each state establish authority ( prescription authroity , disciplinary grounds ) for licensure
State practice acts
Credentials
Encompassing required education, licensure and certification to practice as NP