Practice Issues Part 3&4 Flashcards
What are the two goals of Healthy People 2030?
Increase the quality and years of healthy life and eliminate health disparities among Americans
What are the five reportable diseases?
HIV, TB, gonorrhea, chlamydia and syphilis
What does physical therapy do?
Works on strength training and rehab
What does occupational therapy do?
Works on fine motor skills
What happens in home health?
An RN comes 3x a week or so for quick check in
What are the two requirements for hospice?
Have a diagnosis that will be terminal within 6 months and only be receiving comfort measures
What is the indication for sending someone to a SNF?
Inability to perform ADLs
Which third-party payer sets the standard for reimbursement and cutting costs?
Medicare
Which part of Medicare covers NP services?
Medicare B
What does Medicare A cover?
Inpatient services and related, such as SNF or home health related to a hospitalization
What does Medicare B cover?
Outpatient services, labs and diagnostics, medical equipment
NPs and CNSs receive what % of physician reimbursement for services provided in collaboration with an MD?
85%
What % does Medicare pay of a pt’s bill and what % does the pt pay?
Medicare pays 80%; patient pays 20%
What does Medicare D cover?
Drugs
Which two forms of Medicare require the pt to pay?
D and B
What is Incident-to Billing?
Billing under the provider # in order to get full physician fee
Is Incident-to Billing allowed in the inpatient setting?
No
What form of reimbursement varies from state to state?
Medicaid
What does QSEN stand for?
Quality and Safety Education for Nurses
What are the six key competencies of QSEN?
Patient-centered care, teamwork and collaboration, evidence based practice, safety, quality improvement and informatics
What three components does credentials encompass?
Education, licensure and certification
What does licensure establish?
That a person is qualified to perform in a particular professional role
Is certification granted by governmental or nongovernmental agencies?
Nongovernmental
What is quantitative futility?
The likelihood that an intervention will benefit the pt is extremely poor
What is qualitative futility?
The quality of benefit an intervention will produce is extremely poor
What is nonmaleficence?
The duty to do no harm
What is utilitarianism?
The right act is the one that produces the greatest good for the greatest number
What is beneficence?
The duty to prevent harm and promote good
What is justice?
The duty to be fair
What is fidelity?
The duty to be faithful
What is veracity?
The duty to be truthful
What is autonomy?
The duty to respect and individual’s thoughts and actions
What are the four distinct roles for an NP?
Clinician, consultant/collaborator, educator, researcher
What are three types of nonexperimental studies?
Cross sectional, cohort, longitudinal
What is a Type I error?
Incorrectly rejecting the true null hypothesis
What is a Type II error?
Failing to reject a null hypothesis which is false
What is the difference between a meta-analysis and a meta-synthesis?
Meta-analysis analyzes quantitative studies; meta-synthesis analyzes qualitative studies
What is the level of significance defined as?
Probability of false rejection of the null hypothesis in a statistical test
What is a t-test?
Statistical test to evaluate the differences in means between groups
What is reliability?
The consistency of a measurement (the ability of an instrument to measure the same way over time with the same subjects)
What does Cronbach’s alpha measure?
Reliability
What is validity?
The degree to which a variable measures what it is intended to measure
What is assault vs battery?
Assault is threatening to harm someone; battery is harming someone physically
What is the difference between libel and slander?
Libel is written and slander is spoken
What does incidence refer to?
The frequency of a disease in a population
What does prevalence refer to?
The proportion of a population that is affected by a disease
What is the key word in primary prevention?
“Prior”
What is the key word in secondary prevention?
“Screening”
What is the key word in tertiary prevention?
“Rehab”
What is Standard 5 of Culturally and Linguistically Appropriate Services (CLAS)?
Healthcare orgs must provide language assistance to pts with limited English proficiency
What is Standard 6 of CLAS?
Healthcare orgs must provide written and verbal notice to pts informing them of their right to an interpreter
What is Standard 7 of CLAS?
Healthcare orgs must assure the competency of language assistance provided to pts with limited English proficiency
What is quality assurance defined as?
A process for evaluating the care of pts using established standards of care to ensure quality
What does CQI state?
That quality can continually be improved by monitoring structure, process and outcome standards
What does CQI stand for?
Continuous Quality Improvement
Which is considered stronger, a cohort study or a case control study?
A cohort study
