Leadership & Management Review | Questions and
Verified Answers | 100% Correct | Graded A+ – Fortis
QUESTION
what is the patient classification system- staffing by acuity formula?
Answer:
nursing hours (all staff) in 24 hours divided by patient census
QUESTION
what kind of patient classification system?
-broad indicators such as bathing, diet, IV fluids, meds, and positioning to categorize PATIENT
CARE ACTIVITIES
Answer:
critical indicator PCS
QUESTION
process used by insurance companies to assess the need for medical care to assure that payment
will be provided for the care
Answer:
utilization review
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QUESTION
what is important about float staff
Answer:
they must be able to perform the core competencies of the unit they are floating to
,QUESTION
providers receive a fixed monthly payment regardless of services used by that patient during the
month
Answer:
capitation
QUESTION
what type of managed care organization?
-pre-approval of care is required
-choice of physician is restricted
Answer:
HMO- health maintenance organization
QUESTION
what type of managed care organization? -customers
pay less to use a preferred physician
Answer:
preferred provider organization
QUESTION
federal health insurance for:
-65 or older
-under 65 with certain disabilities
-ESRD
Answer: medicare
, QUESTION
what kind of patient classification system?
-requires the nurse to note the FREQUENCY OF OCCURRENCE of specific activities,
treatments, and procedures of each patient
Answer:
summative task PCS
QUESTION
system that attempts to integrate efficiency of care, access, and cost of care
Answer:
managed care
QUESTION
federal and state insurance for low income people
Answer: medicaid
QUESTION
predetermined payment schedules that reflect historical costs for the treatment of specific
patient conditions
Answer:
diagnosis related group