Leadership Midterm Questions –
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Answers with A+ Grade
Assurance
Affordable Care Act (ACA) ANSW ✔✔ ´Designed to provide quality, affordable
healthcare for all Americans
´Encourages healthcare organizations to establish accountable care
organizations (ACO)
´Changed how primary care providers offer care via a health home
MOST IMPORTANTLY, it reduces disparities in health care
How? By enabling clients with pre-existing conditions to obtain health
insurance, and by increasing the ability of EVERYONE in the community to
obtain health insurance
AND there are NO lifetime benefit limits
Children are covered until age 26 under their parents' plan
*How is modern healthcare paid for? ANSW ✔✔ ´In the past, healthcare
providers were paid for the amount of care they gave patients and not the
outcome
´Time
´Length of stay
,´Supplies
´Nosocomial incidences
´System is being replaced by reimbursement for the quality of the care
provided
´Managed care is paid by a prearranged rate
Cost of Medical Errors ANSW ✔✔ ´Continues to climb
´In addition to loss of life or diminished quality of life, actual dollar estimates
put such costs at $17.1 billion annually
Centers for Medicare & Medicaid Services (CMS) ANSW ✔✔ ´Oversees
government payments for care
´No longer cover costs incurred by medical mistakes
Quality management ANSW ✔✔ ´A preventive approach designed to address
problems before they become crises
´Healthcare industry has adopted various strategies from the airline industry
and other fields.
´Plan, implement, measure, make adjustments,and continuously strive to
improve
Leapfrog Group ANSW ✔✔ ´Consortium of public and private purchasers
,´Leverages purchasing power
´Rewards organizations for quality measures
*According to Leapfrog Group, how should you choose which hospital for care
during the procedure? ANSW ✔✔ Go to the hospital with the highest
performance ratings for this procedure
*Benchmarking ANSW ✔✔ ´Promotes quality improvement
´Compares an organization's data with similar organizations
´Uses outcome indicators to compare performance across organizations
Uses results to address weaknesses and enhance strengths
For example, what is the average length of stay for knee replacement between
hospital A versus hospital B or which of these hospitals has the lower infection
rate?
*Barriers to quality improvement ANSW ✔✔ ´Cost
´Nurses loyal to old practices and refuse to follow research proven practices
´Failure to realize that change is needed to improve quality
, ´Being stubborn and unwilling to change
*Evidence-Based practice decision-making steps ANSW ✔✔ 1. Identify the
clinical question: YOUR first step in the process of EBP is asking a question. So,
it is acceptable to watch how other nurses perform a procedure and then ask
them why they are performing it differently.
2. Acquire the evidence to answer the question.
3. Evaluate the evidence. Use peer-reviewed articles because they have been
scrutinized by other professionals with licensure and expertise.
4. Apply the evidence. Utilize recent research in current nursing practice.
5.Assess the outcome.
Magnet Recognition Program ANSW ✔✔ ´Certifies health care organizations
for nursing excellence
14 Forces of Magnetism (NOT interested in addressing cost reduction or sound
budgets!):
´Reconfigured into five components:
´Transformational leadership
´Structural components
´Exemplary professional practice
´New knowledge, innovations, and improvement