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NURS 601 TEST 1 STUDY GUIDE LATEST UPDATED ACCURATE AND VERIFIED.
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NURS 601 TEST 1 STUDY GUIDE LATEST UPDATED ACCURATE AND VERIFIED.
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NURS 601 TEST 1 STUDY GUIDE LATESTUPDATED ACCURATE AND VERIFIED.
Maintenance of APRN license (Initial and maintenance)
✔✔Initial - 2 hour course on med errors
and a 1 hour course on HIV/AIDS ed
- one contact hour each month
- Every 3rd renewal 2 hour course on domestic violence
- 2 hour course on laws that govern nursing practice in FL
population foci for APRNs
✔✔Family
Adult
Neonatal
Pediatrics
Women's Health/Gender Related
Psychiatric Mental Health
Identify the role of the International Council of Nurses
✔✔The transnational authority for advanced practice. They define the
RN who has the knowledge, shaped by the context and/or country where
they practice. Recommend a Master's.
List factors that have contributed to the increased interest in ANP
globally
✔✔1. Escalating disease burden - Ebola
,2. Increased inpatient acuity and complexity of treatment
3. Impact of technological innovations and use of new therapeutic
approaches
4. Increased emphasis on primary health care and community-based
services
5. Growing request for and complexity of home care
6. General global shortage of health-care workers, including physicians,
which is stimulating new consideration of skill-mix and task-shifting
options
7. More demand for specialized services
8. Better-informed health-care consumers
9. Intensified call for options to increase access to health care and to
address out-of-control health-care costs
10. The quest for quality
11. Nurses moving into the mainstream of higher education and
demanding career choices
12. Call for professional advancement in nursing as a reason to remain in
practice
Describe what a cost benefit analysis is
✔✔performance
List strategies of APNs that are successful in reimbursement payment
(legislation and organizations)
✔✔Rural Health Clinic Act of 1977
Omnibus Reconciliation Act of 1989, payment in rural areas
Many studies on cost-effectiveness and quality
,Nurse-managed health centers staffed by APNs have been established in
medically underserved areas
APRNs in the U.S. Department of Veterans Affairs
Professional organizations becoming more sophisticated in grassroots
activities
Reduction in cost of professional liability/ malpractice
Discuss future reimbursement opportunities and challenges
✔✔ACA - health care to 31 million
2 Legislative Failures
1 Home Health Care Planning Improvement Act
2 Medicaid Advanced Practice Nurses and Physician Assistants Access
Act
-The Physician Quality Reporting System (PQRS)
-Prepare for the finances of care
-The demographics of the population
-Continuing data on APN practice
What are transitional ambiguities regarding APRNs world wide?
✔✔Inability to define scope of practice nationally: poor role clarification
Proliferation of titles
Dominance of medicine in health care
Conflict of scope of practice with work of other health professionals
Mistrust between APNs and other nurses
Variations in autonomy linked to differences in recognition, acceptance,
and regulation
, Disparate educational credentials
APN role surfaces from what
✔✔the needs and geography of the country
Legislatoin and regulations are _______ and ______ to legitmize the role,
but they often lag behind ______
✔✔necessary, critical, practice
APRNs will be asked to provide evidence that they are>>>
✔✔cost-effective, valued, and sustainable
History of reimbersement 1997 on...
✔✔1997 - Medicare - NPs and CNSs get 85% of physician rate
2010, Patient Protection and Affordable Care Act
Anticipated increase in PHC providers
NPs and CNMs recognized as providers in federal shortage areas and
access to associated benefits
2010, nurse appointed to the Medicare Payment Advisory Commission
(MedPAC); advises Congress on payments to health plans participating
in Medicare programs
Medicare payment system - what influences how much they pay. What is
APN payment. What has recently increased payment for some APRNs.
What are CPT codes and are they good or bad for multidisciplinary
reimbursement
✔✔-Cost of each CPT (current procedural terminology) code includes
work, practice expense, and malpractice insurance (RBRVS)
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