Professional Role SM Flashcards
Hierarchy of evidence: list in order of highest level of evidence
Gold Standard: Meta-analysis or Systematic Reviews
#2 all the C’s: randomized Control, Cohort studies, Case Control, Cross sectional studies
Bottom: editorials, opinions, no real research
What is the difference between quasi-experimental design and randomized control trial?
QED: no randomization
RCT: completely random
What is the health belief model? What are the six components?
to explain and predict health behaviors. Want to avoid negative health consequences. Taking a positive action to prevent a negative. (pt wants to change lifestyle to stop preDM to becoming DM)
Perceived risks susceptibility, Belief of consequence, Risk severity, Benefits to action, Self-efficacy, and Cues to action
Liability insurance: Will you lose coverage as soon as you change jobs or retire
Claims based
Liability insurance: You are covered as long as you had an active policy when you saw the patient
Occurrence based
The stages of change model. What is it? What are the components?
A model to assess a patient’s readiness to make a change.
Pre-contemplation, Contemplation, Preparation, Action, Maintenance
Family Systems Theory. What is the main thing to remember with this?
the family functions as a system/cohesive unit
Each family member place a specific role
Lewin’s Change Model
Unfreeze - before change, become motivated
Change - action
Refreeze - becomes a habit or a policy
Transitional Care Model. What is the goal?
transitioning care
prevent readmission and exacerbation
Difference between ICD-10 codes and CTP
ICD-10: identifies diagnosis, what we are billing for
CPT: any procedures during the visit, labs, xrays, surgical, etc
What are the three components of a chart/note?
history
physical exam
plan
Swiss Cheese Model
when an error happens and we go back to find how this reached the patient. Root Cause Analysis
Incident to billing
a physician sees a patient and then NP sees the patient for the SAME issue = bill 100%
What determines your legal right to practice as a NP? Enforced by?
state nursing practice act
enforced by board of nursing
Collaborative agreements
Physicians, Dentists and DOs
What is a resource to improve access to care for patients?
Telehealth
What components do NPs need to ensure to ask about in regards to social history?
sexual, relationships, smoking/drugs, stressors, supporters, access to water/AC, workout, etc
Who funds Medicare?
Federal
What patients use Medicare?
permanent disability
elderly
Part A Medicare
Inpatient
Part B Medicare
Outpatient:
medical equipment
diagnostic tests
second opinions
Part C Medicare
Advantage plans
supplemental insurance: dental, vision, eyes
Part D Medicare
Drug coverage
Medicare reimbursements includes what 2 acts? What came first and what are they?
BRA budge reconciliation act: first, 85% reimbursement
Balanced budget act: NPs must have NPI number
HITECH Act
electronic medical record - mandated to get paid
meaningful use: asking about how a pt’s visit went, hx, tx, education about condition
labs/VS in red if abnormal, enact PHI
Medicaid. Who funds it? What is it? What is poverty level? What is a program specific to this?
Federal and State
those that CANNOT afford health insurance because they live below poverty (2k/month is max)
WIC, CHIPD
varies state to state
Veracity
truth
Fidelity
loyalty
Automony
ability to make decisions
Paternalism
trying to decide what is best because you disagree
Beneficence
to do good
Non maleficence
do no harm
Justice
everybody gets the same treatment
Native Americans
Shamans as healers
illness is a punishment
live in harmony, avoid eye contact, herbal remedies, no loud volumes
Vietnamese
blood loss is worse than illness
fear labs being drawn
will stop prescriptions altogether when they start to feel better
Hispanics
imbalance between the individual and the environment
Chinese
disruption between yin and yang
avoid everything cold for a month after birth
What is the purpose of COBRA
continuing on same insurance plan when they were employed, responsible for paying both COBRA premium and the employer’s portion
Expensive
up to 18 months
Genetic information non-discrimination act
prohibits the use of genetic information and employment in healthcare insurance decisions
Consensus model for APRN’s
NPs to practice at the fullest extent of their training and certification
Infant mortality. Describe. Leading cause of death?
infant deaths per 1000 live births
congenital malformations
Validity VS Reliability
V: actual accuracy of the results
R: results are repeatable
Collaborative VS Consultative
collab: working with another provider to manage care
consult: asking for advice
Erikson’s stages. Mnemonic:
Trust the auto in industry and identify with intimate geniuses with integrity
