NUR 205 Final Exam Questions With Verified Solutions

NUR 205 Final Exam Questions With Verified Solutions Identify elements of a well-functioning health care delivery system Safe Effective Patient Centered Timely Equitable Describe strategies to increase access to affordable, high-quality care. Establish a national focus Identifying and learning from errors Raising performance standards and expectations Implementing safety systems in health care organizations pay for performance penalties for excess readmissions Compare and contrast these health care delivery systems: physicians and hospitals Until recently, physicians were private/solo and had fee-for-service practice Most hospitals were not-for-profit, and physicians held a lot of power over hospitals because they were not employees Physicians had a lot of power because hospitals depended on physicians to admit patients or refer them for treatment The fee-for-service arrangement caused financial incentive for physicians doing more care, not necessarily better care Compare and contrast these health care delivery systems: multispecialty practice groups - Late 1800s, Mayo Clinic founded in Rochester, MN. -Physicians of different specialties came together and shared income, expenses, facilities, ect. To provide better, more comprehensive care -Serve specific communities Compare and contrast these health care delivery systems: community health centers - Regionalized services for vulnerable communities, emphasis on primary care and education. -Goal is for everyone to have access to care regardless of ability to pay. -Mary Breckenridge's clinic in rural KY was the first of its kind. -Nurses provide primary care. Compare and contrast these health care delivery systems: prepaid group practices -Either no fee or co-payment required. -Goal of primary care is reducing costs by preventing illness. Popular with managed care of large employers. -HMOs (health maintenance organizations) allow subscribers to receive medical services required through a group of affiliated providers.