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Nur 425 Exam 1 Study Guide Questions And All Actual Answers.
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medicare - Answer the most expensive healthcare. Recipients are reimbursed by predetermined amount such as a fix cost per case. hospitals are paid by the quality of service that is provided medicaid - Answer a joint federal and state program that helps with costs for people with limited in...

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  • October 2, 2024
  • 24
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • medicare

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  • NUR 425
  • NUR 425

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Nur 425 Exam 1 Study Guide Questions
And All Actual Answers.
medicare - Answer the most expensive healthcare. Recipients are reimbursed by predetermined
amount such as a fix cost per case. hospitals are paid by the quality of service that is provided



medicaid - Answer a joint federal and state program that helps with costs for people with limited
income and resources



Diagnosis related groups - Answer they are a prospective payment system for hospitals and other
healthcare providers



cultural diversity within nursing - Answer Currently there are over 2.1 million nurses in the US....

-<4.9% are black

-3.7% Asians

-2.0% Hispanic

-0.5% NA/Alaskan

-5.4% men



benchmarking - Answer a comparison of what your hospital is doing against another hospital or
specific standards or care

-strategy used by organizations to compare performance outcomes

-we need it to improve care

-one manager may want to compare their time it takes for a patient to be admitted and seen by a
physician to the time for the same process at another hospital.



quality management - Answer really about reducing errors and preventing legal issues

-preventative approach designed to address problems before they become a crisis

-program to prevent problems in the hospital

,-without quality and risk management programs healthcare organizations would never know how many
errors occur, how to prevent errors and reduce litigation (law suits).



risk management - Answer program designed to reduce the organizations risks and lawsuits

-Must involve everyone in the organization; identifies the risk

-Establishes programs to prevent and reduce risk

-Educates, monitors, evaluates



quality programs - Answer focus on the improvement of organizational process to prevent potential
problems

-total quality management

-continuous quality improvement

-benchmarking

-six sigma



quality improvement - Answer older method to find erros and is viewed by nurses

-The QI nurse seeks to find the nurse responsible for making the errors, and this usually resulted in a
disciplinary action.

-There is a peer on a QI team who makes a specific audit tool to find mistakes made by the staff → the
report is given to the manager

-Nurses do not like the QI system for that reason.



where did total quality management come from? - Answer Edward Dwinning

-came up with looking at japan;s car industry which then has flowed out everywhere and health care
adopted it



total quality management - Answer -everyone in the organization must be part of this process and has
a role in it for positive results

-goal is for the organization to be efficient as possible and provide quality care in safe and timely manner

-units focus on what their needs are using the method rood cause analysis

, *customer/client focused, uses numbers to measure success (quantitative) such as Press Gainey Scores
and seeks ways to improve process within the organization.



total quality management example - Answer In mother baby, babies falling off of beds due to mom/dad
falling asleep or needing to encourage breastfeeding. Critical care problems: respiratory infections



total quality management characteristics - Answer -customer focus

-total organizational support

-tools for measurement

-identification of key processes for change



total quality insurance - Answer a team of nurses come into audit the charts for example using weights

-they will make a report and then call the nurse manager to call out other nurses who are making the
mistakes to stop them



continuous quality improvement - Answer process implemented to improve the organizations quality
and performance

-Review of systems to improve patient care, it never ends, the CQI team members evaluate, act and try
to improve process or how things get done.

-4 members in the process



members in continuous quality improvement - Answer -Resource group: senior management

-Coordinator: provides day-day management of the CQI process

-team Member: evaluate and improve the processes

-Team Leader: organizes the meetings and guides process, and evaluation



six sigma - Answer program used to analyze quality improvement based off numbers. -numbers
(Quantitative) measure specific goals of the organization



elements of six sigma - Answer patient focused, uses specific data, reviews processes, proactive
(preventing something from happening), collaborative involvement, seeks perfection

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