CCBC Nursing 129 Exam 1 Questions And Answers!!

types of care - Answer-primary, secondary, tertiary describe primary care - Answer-first contact with the Health Care Delivery System focuses on person/population, education, and prevention describe secondary care - Answer-Dx & Tx of illness: Focus on acute health problems & diseases describe tertiary care - Answer-Patient care in a specialized medical facility cost shifting - Answer-Providers basically raise prices on insured people and public and private insurers in order to compensate for people who can't pay 5 parts of PPACA - Answer-1: provide coverage for the underserved 2: includes "guaranteed issue" for everyone, regardless of any preexisting condition or health status 3: includes "individual mandate", which requires any American under the age of 65 to purchase insurance, however making sure that Medicaid was still available to those Americans who needed it. 4: financing the added expense of the act 5: How to obtain health insurance - Answer-through government programs as Medicare or Medicaid, through employer, or through private insurance company Pay for Performance (P4P) - Answer-performance-oriented incentives for hospitals and physicians to improve the quality of patient healthcare never events - Answer-Serious but preventable errors that should never occur, and insurance will not pay for Value-based purchasing (VBP) - Answer-*CMS (Centers for Medicare & Medicaid Services) reimbursement rewards hospitals for providing quality care to include patient satisfaction.Patient Centered Care - Answer-providing care that is respectful of and responsive to individual pt. preferences, needs and values and ensuring that pt. values guide all clinical decisions Factors in lack of access to healthcare - Answer--geographic area-financial/insurance -lack of PCP -Transportation -out of pocket expense -lack of education primary objectives of a healthcare delivery system - Answer--to enable all citizens to receive healthcare services whenever needed - universal access -to deliver services that are cost-effective and meet certain pre-established standards of quality The Joint Commission - Answer-a not-for-profit organization that evaluates and accredits different types of healthcare facilities. · Predominant standards-setting · Accrediting body in health care. · Support performance improvement · Team of Surveyors · Voluntary Accreditation... · Required for some third-party reimbursements The Joint Commission National Patient Safety Goals - Answer-· Improve the accuracy of patient ID · Improve effectiveness of communication among caregivers · Improve safety of medication use · Reduce risk of healthcare-associated infections · Accurately and completely reconcile medications across the continuum of care Insitute of Medicine (IOM) - Answer-Ensure that nurses engage in lifelong learning. Quality and Safety Education for Nurses (QSEN) - Answer-Prepare nurses to have the knowledge, skills and attitudes necessary to continuously improve the quality and safety of the HC systemAmerican Nurse Association (ANA) - Answer-Professional organization that represents all registered nurses Teamwork and Collaboration - Answer-Function effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision-making to achieve quality patient care.