Nur 425 Exam 1 Study Guide Questions And All Actual Answers.
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Module
NUR 425
Institution
NUR 425
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...
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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