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NURSING 342 TEST 1 STUDY GUIDE.
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Key Health Care System Goals Correct Answer-Helath promotion and illness prevention Diagnosis and treatment Rehabilitation and health restoration Healthcare Delivery Systems Correct Answer-Acute care hospitals, specialty hospitals, physicians offices, APNS, Nurse Midwives, clinics, dental offi...

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  • October 18, 2024
  • 30
  • 2024/2025
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NURSING 342 TEST 1 STUDY GUIDE
Key Health Care System Goals Correct Answer-Helath promotion and
illness prevention
Diagnosis and treatment
Rehabilitation and health restoration


Healthcare Delivery Systems Correct Answer-Acute care hospitals,
specialty hospitals, physicians offices, APNS, Nurse Midwives, clinics,
dental offices, urgent care centers etc.


Characteristics of Acute Care Hospitals Correct Answer-Continues to be
the focus of care in US
Delivers Pt. care diagnostic and therapeutic
Complex organizations - CNOs CEOs etc
Medical and Nursing Providers - hospitalists
Use of Standards - The Joint Commission
Importance of consumer.


Classification of Acute Care Hospitals Correct Answer-Public Access -
LGMC, community (nonfederal, short term, specialty, public may use )
or non-community (federal, long-term, units of institutions like prisons
for chronic diseases or psych health) Hospitals determined by amount of
access public has to hosp.
Ownership
* Not for profit

,* Investor-owned
*Faith based
*Government
Number of beds
Length of Stay - short term (<30 days) long term (>30 days)
Accreditation
Licensure
Teaching
Vertical Integration
Multihospital system


Accreditation Correct Answer-Voluntary. "Above and beyond"; insurers
want their plan members to receive care in these hospitals; for a school
of nursing or medicine to use a hospital as a clinical site, this is required,
gained by TJC needed for CMS reimbursement


Licensure Correct Answer-Must meet certain standards and
requirements; hospital must be licensed through state to provide services


Vertical Integration Correct Answer-considers whether hospital focuses
on primary, secondary, or tertiary care services.
Primary - provide services on as need basis to public
Secondary - acute care hospitals and specialized outpatient services such
as ambulatory surgical centers.

, Tertiary - university medical centers and specialty hospitals like
pediatric hospitals and burn centers.


Multihospital Systems Correct Answer-A corporation may include acute
care hospital, home health agencies, long-term care facilities, hospice
care, and various ambulatory care provider organizations.


Change in Acute Care Hospitals Environment Correct Answer-Medical
knowledge and technology
Increased use of information technology
Managed care and reimbursement
Care across continuum
Uninsured and underinsured
Patient and workforce diversity
Evidenced-based practice
New types of practitioners- Clinical nurse leaders
Increase need for collaboration and inter-professional education (IPE -
getting all services to work together) and practice


Assumptions of Health Care System and Nurses Correct Answer-System
level practice - keeps services level, nurses taught to care for patient in
the same way no matter what department you are in.
Population level care - rural areas have less resources
EBP

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