NSG 6001 Week 2 Quiz study guide

Value based purchasing- an initiative that affects all providers who practice in or admit patients to hospital setting. Part of the ACA-2009. The goal is to improve care quality by linking payment by Medicare for inpatient services to successful outcomes. Uses hospital quality metrics in5 domains. Core measure compliance, experience of care, outcomes of care, efficiency of care and safety ratings. Aneurysm- Recommend having a 1 x screening if 65-75 and ever smoked. S/S- PULSING BULGE IN adb, Diagnostics- Chest a ray, CT scan of abdomen, Abd ultrasound, MRI. Treatment—monitoring if smaller than 1.9 cm. Surgery if 1.9-2.2 cm—Types open abdominal or endovascular. CAD- caused by impaired blood flow through arteries. Can lead to MI. S/S—chest pain, heaviness, burning tightness in chest, squeezing; Women: nausea, vomiting, back or jaw pain. DX. ECG, stress test, cardiac Cath, heart ct. Treatment-meds to treat high cholesterol, high bg, and teaching lifestyle change. If no improvement, balloon angioplasty, bypass, stent. LDL—Bad cholesterol—Levels 130-159 borderline---160-189 high. Treatment cholesterol lowering medication, diet change, exercise.