NMNC 4520 FINAL exAM Newest 2025/2026 wIth CoMpLete
QuestIoNs ANd CorreCt soLutIoNs |ALreAdy GrAded A+||BrANd
New VersIoN!
Vertical Integration model - soLutIoN-Consolidates all levels of care, staff and facilities
under one organizational ownership consolidates health services under one roof
virtual integration model - soLutIoN-contacting services with HMOs, physicians maintain
ownership but can still practice in HMO
involves contractual links between HMOs and physician groups, hospitals, and other provider
units.
Dawson's model - soLutIoN-high value placed on primary care,
Regionalized/Coordinated Care/Regulated, british NHS
free flowing model - soLutIoN-What model of healthcare organization allows for a more fluid role
for caregivers, and more free-flowing movement of pts, across all levels of care, that tends to
pace higher value on services at the tertiary care apex than the primary care base?
First Generation HMOs - soLutIoN-full time salary model, vertical integration (Kaiser Permanente)
-> health plan, hospitals and medical group -> consolidated model, salaried physicians, global
budget hospitals -> helps control costs, ensure continuity of care -> less choice for patient, less
physician autonomy
, Second Generation HMOs - soLutIoN-virtual integration -> doesn't own but has contracts with
hospitals, physicians, pharmacies, IPAs and home health agencies.
result of provider resistance of moving into group practice or being limited to one
HMO
Four habits of high value HCOs - soLutIoN-uSpecification and planning: This includes both
operational decisions and clinical decisions. These decisions are based on specific criteria.
u2. Infrastructure design: This element includes microsystems such as technology, physical
design, and policies and procedures.
u3. Measurement and oversight: High-performing organizations seem to collect more data—and
use it—than other organizations.
u4. Self study: This habit involves introspection about any deviations from expected results, both
positive and negative. The goal is to increase the positive deviations and intervene when the
deviations are negative. Outcomes are viewed as critical to the organization, not just to an
individual or unit.
Primary Care Nursing Exs - soLutIoN-uIndependent Nursing Visit
uinjections and procedures, newborn weight and color assessments, lactation support, first
prenatal visits, complex medication reconciliations, wound care, and follow-up with patients after
a visit to the emergency department.
umedication titration protocols to collaborate with PCPs in the management of patients with
common chronic illnesses, patient-specific "order sets" to be implemented by the RN care
manager over a series of visits for chronic illness management prior to a return visit with
the PCP uTransition of Care uCoumadin Panel Management uCollaborative PCP and RN visit
for complex patients uHome Visiting
Levels of Care - soLutIoN-Primary - common health probs, preventive care
secondary- specialized clinical expertise, hospital/acute care, urgent care
QuestIoNs ANd CorreCt soLutIoNs |ALreAdy GrAded A+||BrANd
New VersIoN!
Vertical Integration model - soLutIoN-Consolidates all levels of care, staff and facilities
under one organizational ownership consolidates health services under one roof
virtual integration model - soLutIoN-contacting services with HMOs, physicians maintain
ownership but can still practice in HMO
involves contractual links between HMOs and physician groups, hospitals, and other provider
units.
Dawson's model - soLutIoN-high value placed on primary care,
Regionalized/Coordinated Care/Regulated, british NHS
free flowing model - soLutIoN-What model of healthcare organization allows for a more fluid role
for caregivers, and more free-flowing movement of pts, across all levels of care, that tends to
pace higher value on services at the tertiary care apex than the primary care base?
First Generation HMOs - soLutIoN-full time salary model, vertical integration (Kaiser Permanente)
-> health plan, hospitals and medical group -> consolidated model, salaried physicians, global
budget hospitals -> helps control costs, ensure continuity of care -> less choice for patient, less
physician autonomy
, Second Generation HMOs - soLutIoN-virtual integration -> doesn't own but has contracts with
hospitals, physicians, pharmacies, IPAs and home health agencies.
result of provider resistance of moving into group practice or being limited to one
HMO
Four habits of high value HCOs - soLutIoN-uSpecification and planning: This includes both
operational decisions and clinical decisions. These decisions are based on specific criteria.
u2. Infrastructure design: This element includes microsystems such as technology, physical
design, and policies and procedures.
u3. Measurement and oversight: High-performing organizations seem to collect more data—and
use it—than other organizations.
u4. Self study: This habit involves introspection about any deviations from expected results, both
positive and negative. The goal is to increase the positive deviations and intervene when the
deviations are negative. Outcomes are viewed as critical to the organization, not just to an
individual or unit.
Primary Care Nursing Exs - soLutIoN-uIndependent Nursing Visit
uinjections and procedures, newborn weight and color assessments, lactation support, first
prenatal visits, complex medication reconciliations, wound care, and follow-up with patients after
a visit to the emergency department.
umedication titration protocols to collaborate with PCPs in the management of patients with
common chronic illnesses, patient-specific "order sets" to be implemented by the RN care
manager over a series of visits for chronic illness management prior to a return visit with
the PCP uTransition of Care uCoumadin Panel Management uCollaborative PCP and RN visit
for complex patients uHome Visiting
Levels of Care - soLutIoN-Primary - common health probs, preventive care
secondary- specialized clinical expertise, hospital/acute care, urgent care
