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472-Exam 4 (Health Care Quality) Questions and Answers
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472-Exam 4 (Health Care Quality)Questions and Answers
Affordable iicare iiact ii- iiAnswers ii-primary iigoal iiwas iito iiexpand iihealthcare iicoverage iito
iiincrease iiaccess ii
-ensures iiquality iiof iicare
-ratios iiof iiquality iiand iioutcomes iiover iicost iito iiimprove iiquality
Meaningful iiuse ii- iiAnswers ii--derived iifrom iiACA
-CMS's iiEHR iiincentive iiprogram= iigoal iiis iito iiutilize iiEHR iidata iifor iiquality
iiimprovement
-implement iiclinical iiquality iimeasures iito iireceive iifinancial iiincentives
Meaningful iiuse iistages ii- iiAnswers ii-1) iidata iicapture iiand iistorage
2) iiadvanced iiclinical iiprocesses
3) iiimproved iioutcomes
The iiexperienced iiRN iihas iiwitnessed iihow iithe iiimplementation iiof iithe iiAffordable iiCare
iiAct iihas iichanged iihealth iicare. iiShe iiknows iiwhich iiof iithe iifollowing iito iibe iiTRUE?
ii(Select iiall iithat iiapply)
a.Increased iiopportunities iifor iithose iiwith iipre-existing iiconditions iito iibe iiinsured
b.Implementation iiof iimany iipatient-centered iisafety iiinitiatives
c.Increased iievaluation iiand iimeasurement iiof iievidence-based iimedicine iithrough iidata-
collection
d.Implementation iiof iipopulation-based iihealth iicare iipractices iito iidecrease iihealth iicare
iidisparities
e.There iihas iibeen iia iishift iiin iithe iipayment iistructure iifrom iipay-for-performance iiand
iioutcomes iito iifee-for-service ii- iiAnswers ii-ABCD
Pay iifor iiperformance ii- iiAnswers ii--umbrella iiterm iifor iiinitiative iiaimed iiat iiachieving
iiefficiency iiand iioverall iipt iisatisfaction
-financial iiincentives iiare iiassociated iiwith iihealthcare iiperformance ii
-makes iiQUALITY iia iipriority- iipushes iihealthcare iitoward iivalue-based iicare
-redistribution iiof iifunds iito iiencourage iibest iioutcomes
-focuses iion iihealthcare iitransparency iiby iiusing iipublicly iireported iimeasurements
Performance iimeasures ii- iiAnswers ii--quantitative iitool iithat iiprovides iian iiindication iiof
iian iiorganizations iiperformance
, -quantifying iiparticular iihealthcare iirelated iiactivity iior iidata
-quality iiand iiefficiency, iicost, iiand iicare iioutcomes
-ex. iimortality
Performance iimeasures-purpose ii- iiAnswers ii--identify iiways iiof iireducing iicosts,
iiimproving iiquality, iiand iiincreasing iiefficiency iiof iicare iidelivery
-used iito iimonitor iiother iiinitiatives iifor iitracking
Nursing iisensitive iiindicators ii- iiAnswers ii--elements iiof iipt iicare iithat iiis iidirectly
iiaffected iiby iinursing iipractice
-structure, iiprocess, iiand iioutcomes
Nursing iisensitive iiindicators-ex ii- iiAnswers ii--structure: iisupply iiof iinursing iistaff, iiskill
iilevel, iieducation iilevel
-process: iimethods iiof iipt iiassessment iiand iinursing iiinterventions
-outcome: iioutcomes iiof iipts iiwho iiare iidependent iion iinursing iicare-ex. iipressure
iiulcers, iifalls
Indicators iiin iiHospital iibased iinursing ii- iiAnswers ii--ANA iiidentified iinursing iisensitive
iiindicators
-continually iiupdated
-important iiin iiestablishing iiEBP iiguidelines-next iistep iiis iiliterature iisearch iito iiidentify
iiother iiindicators
-NDNQI iiis iifirst iidatabase iito iigather iithis iiinformation
National iidatabase iiof iinursing iiquality iiindicators ii(NDNQI) ii- iiAnswers ii--supplies
iihospitals iiwith iiperformance iireports iithat iiallow iiadministrators iito iicompare iitheir iidata
iiwith iinational iiaverages
Benchmarking ii- iiAnswers ii--allows iihospitals iiand iiother iiorganizations iito iicompare iikey
iipractice iiperformance iito iiother iiidentified iipeers
-organizations iiare iimotivated iito iiassess iicurrent iipractices, iiidentify iiothers iiresources,
iiand iidevelop iia iiplan iifor iithe iifuture
HCAHPS ii- iiAnswers ii--first iistandardized iinational iisurvey iifor iimeasuring iipt
iiexperiences/ iiperceptions
-pt iiexperience iiis iia iirequired iipart iiof iinursing iisensitive iiindicators iifor iimagnet
iidesignation ii(gold iistandard iiof iinursing iipractice-must iioutperform iiin ii4 iiout iiof iithe ii9
iicategories iito iibe iiconsidered)
Core iiperformance iimeasures ii- iiAnswers ii--national iistandard iiof iicares iiand iitx
iiprocesses iifor iicommon iiconditions iito iiimprove iicare
-proven iito iireduce iicomplications iiand iiinc iioutcomes
Core iiperformance iimeasures-ex. iicardiac iicare/acute iiMI ii- iiAnswers ii--ECG iiwithin ii10
iimins
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