Term
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Definition
| help us keep our patients safe and protected |
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Term
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Definition
| the number of deaths each year from medical errors |
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Term
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Definition
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Term
overuse of expensive invasive technology
underuse of inexpensive care services (ex. handwashing)
error-prone implementation of care |
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Definition
| 3 contributing factors to medical errors |
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Term
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Definition
| quality care is determined by the... |
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Term
- quality defined by the patient
-organizational support- scientific approach
- belief in the people serving the patient (not trying to blame anyone) |
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Definition
| 3 quality management principles |
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Term
- ensure patient safety
- require organizational accountability
- develop ways to improve quality and patient safety |
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Definition
| 3 things that regulatory and accrediting agencies do... |
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Term
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Definition
| help to identify the goals of quality improvement |
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Term
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Definition
| tools that can help identify possible problems and/or opportunities for improvement within a service or treatment |
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Term
| # of people who have a positive outcome when they have a cardiac or respiratory arrest in the hospital (if they live, they don't live well) |
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Definition
| an example of a clinical indicator |
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Term
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Definition
| "Best Practices" based on scientific evidence and research |
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Definition
| responsible for expanding confidentiality |
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Term
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Definition
| what medicaire says should never happen. they won't pay for it if they do happen |
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Term
| The National Quality Forum (NQF) |
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Definition
categorize never events
(ex. surgical events, product or device events, criminal events, etc.)
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Term
| the national quality forum |
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Definition
a not-for-profit organization that researches methods for improving the nation's healthcare system.
it also analyzes errors in medical care |
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Term
| Agency for Healthcare Research & Quality (AHRQ) |
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Definition
| supports research initiatives that seek to improve the quality of health care in America |
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Term
| The Joint Commission (TJC) |
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Definition
| accredits health care organizations and requires actual evidence of performance and continued improvement |
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Term
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Definition
| requires organizations to manage a balance between excellent care, service, and cost |
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Term
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Definition
| a risk of death or serious injury that is unplanned |
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Term
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Definition
established sentinel event standard in 2000
-"root cause analysis" |
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Term
| National Council State Boards of Nursing |
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Definition
| holds nurses accountable for conduct based on legal, ethical, and professional standards, and assesses competence at initial/entry and during the life of all nurses |
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Term
| the national council state boards of nursing |
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Definition
| protection of the health, safety, and welfare of the public in their receipt of nursing services |
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Term
| American Nurses Association (ANA) |
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Definition
- established National Database of Nursing Quality Indicators
-directly affect patient care
-how satisfied are nurses? if the nurses aren't satisfied, patient care is decreased
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Term
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Definition
| the initial focus of the alabama board of nursing was the regulation of... |
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Term
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Definition
| the first nurse practice act in 1915 was a regulation to protect the public against... |
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Term
| Institute for Safe Medication Practices (ISMP) |
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Definition
-educational resource for prevention of medication errors
-independent review of medical errors and hazardous conditions |
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Term
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Definition
| she said nurses should be women with good character |
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Term
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Definition
| she established a hospital to care for sick soldiers in Crimea. she made contributions in documentation and good nutrition. |
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Term
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Definition
| started public health nursing |
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Term
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Definition
| advocated for clean and sanitary conditions during the civil war |
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Term
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Definition
| education in twentieth century nursing- am i learning in the classroom what will help me when i get out of school and start working? |
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Term
1- ANA code of ethics
2- standards of practice
3- professional values that guide and evaluate behavior
4- caring, professionalism, individualism |
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Definition
| 4 critical values of professional nursing |
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Term
| clinical information systems |
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Definition
| collection of software programs and associated hardware that support the entry, retrieval, update, and analysis of patient care information and associated clinical information related to patient care (primarily a computer system used to provide clinical information for the care of a patient) |
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Term
| electronic health record (EHR) |
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Definition
| ideally includes in an electronic format all information about an individual's lifetime health status and health care. the focus is on overall health (not just on illness) |
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Term
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Definition
| these systems support patient care processes |
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Term
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Definition
| these systems meet the operational needs of a particular department and may be stand-alone systems |
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Term
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Definition
| a major challenge facing developers involves the integration of systems to work with each other and with new patient-focused systems |
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Term
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Definition
| these are maintained in a system that captures, processes, communicates, secures, and presents patient data |
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Term
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Definition
| the collection and entry of the info into the system |
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Term
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Definition
| the physical location of the data in the system |
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Term
information processing
(EHR)
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Definition
| an effective way to retrieve the info and make it useful |
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Term
information communication
(EHR) |
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Definition
| able to echange the information through different systems |
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Term
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Definition
| security for EHR: only with legitimate uses have access to health information |
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Term
1. security- method of controlling access
2. privacy- ability of the individual
3. confidentiality- limiting disclosure (more our responsibility) |
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Definition
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Term
clinical decision support- automatic reminders
CPOE- direct order entry by the provider |
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Definition
| two specific functionalities that the Institute of Medicine recommends the EHR systems offer as essential for improving the quality and safety of health care |
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Term
| Point-of-care Technology (POCT) |
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Definition
| devices used to perform tests (blood gas, clotting time, cardiac markers, rapid strep, bilirubin, breathalyzer, etc.) |
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Term
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Definition
| 2 examples of POCT devices |
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Term
| bar-coded patient id bracelet or identity cards can be scanned to confirm correct administration of medications |
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Definition
| an example of how POCT is improving patient safety |
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Term
| improve patient safety, save time and money, and enable evidence-based practive |
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Definition
| 3 benefits of point-of-care technology |
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Term
| HIPAA (Health Insurance Portability and Accountability Act) |
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Definition
*** very important to hospitals
- the regulations focus on the privacy and security of patient data |
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Term
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Definition
| in the early 1990s, the u.s. president called together health care industry leaders to determine how the adminstrative costs of health care could be decreased. |
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Term
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Definition
| access to protected health information (PHI) must be to only employees with a need to know... |
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Term
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Definition
| handheld computers (HHCs) that have HIPAA information on them must be... |
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Term
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Definition
| telecommunications technology to assess, diagnose, and, in some cases, treat persons who are located some distance from the health care provider |
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Term
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Definition
| this has the potential to transcend state boundaries which might create issues give the fact that nurses and most health care providers are licensed in specific states |
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Term
phase I- shared computers
phase II- personal PCs/macs
phase III- manycomputers will provide access to each person (ubiquitous computing) |
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Definition
| the three phases of computing |
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Term
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Definition
| enables clinicians to interview and examine patients, even when the health care providers are located in their offices or at home. can connect to language translators for patients who need translation services |
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Term
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Definition
| use human characteristics (e.g. fingerprints, retina, irises, voices, facial patterns) to authenticate or grant access to data or information |
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Term
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Definition
| promises to make significant changes in the way people use the Web, most notably in enhancing people's abilities to share, collaborate, and connect with eachother and with ideas and information |
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Term
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Definition
| web logs (blogs), social bookmarking sites, wikis, podcasts, shared databases, etc. are examples of... |
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Term
| information competencies in clinical practice |
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Definition
- information technology and the ability to access reliable electronic resources are crucial to ensure that health care delivery is based on current knowledge and best practices.
- ability to access up-to-date evidence-based practice information |
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Term
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Definition
| integrates nursing science, computer science, and information science in identifying, collecting, processing, and managing data, as well as information to support nursing practice, administration, education, research, and the expansion of nursing knowledge |
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Term
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Definition
| a relatively new specialty within the profession of nursing that involves using new tools and building on capabilities providedby computers and related information techniques. |
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Term
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Definition
| students born after 1980 are members of what generation? |
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Term
purpose- focus- approach
(p. 309 in book- terms) |
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Definition
- determine your purpose
-focus
-purpose combined with focus determines approach
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Term
| specific criteria useful in evaluating a website |
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Definition
.edu- educational institutions
.org- nonprofit organization
.com- commercial enterprise
.net- internet service provider
.gov- governmental body
.mil- military |
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Term
1. objectivity- is the website clear, infor factual or opinion, who is sponsoring the site?
2. accuracy- look for documentation and referencing, compare the info with other sources
3. currency- look for dates (3 years of less)- no older than 5 years
4. usability- is the site stable, content is error free, easy to navigate? |
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Definition
| 4 things to look at when evaluating info found on the internet |
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Term
| Johnson's Great Society in 1965 |
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Definition
| who came up with Medicaire and Medicaid and in what year? |
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Term
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Definition
| blue cross blue shield covers 1 in __ Americans |
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Term
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Definition
| what increased 131% in 12 years? |
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Term
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Definition
| ___ of uninsured people live at or below the poverty line and ___are below the age of 30 |
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Term
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Definition
| in 2008, what percentage of all american were uninsured? |
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Term
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Definition
primarily a problem of the uninsured and underinsured.
-urban vs. rural healthcare |
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Term
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Definition
| the two main types of health insurance |
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Term
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Definition
| healthcare plan contracts with a specific provider or group of providers and a specific medical facility or healthcare system to provide healthcare for it's members at a reduced costs |
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Term
-more restrictive
-less restrictive |
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Definition
- cheaper managed care plans are...
- more costly plans are often... |
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Term
HMO- Health Maintenance Organization
PPO- Preferred Provider Organization
POS- Point of Service |
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Definition
| 3 types of managed care plans |
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Term
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Definition
| federal health insurance program created in 1965 to address the needs of the elderly and disabled. |
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Term
| products and services for screening, lifestyle changes, and most outpatient pharmaceuticals |
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Definition
| medicare excludes what 3 things? |
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Term
| "reasonable and necessary" |
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Definition
| decisions about medicare on what is " _________" are made on the national, local and case by case basis |
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Term
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Definition
| what is not currently a consideration for determining what is "reasonable and necessary" for Medicare beneficiaries |
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Term
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Definition
| Federal program that is available to certain low-income individuals that meet certain requirements |
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Term
1- coverage
2- coding
3- payment |
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Definition
| reimbursement for medicaid depends on what three things? |
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Term
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Definition
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Term
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Definition
ICD-9 diagnosis code tells why
ICD-9 procedure code tells what
codes are specific to a given product or procedure |
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Term
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Definition
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Term
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Definition
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Term
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Definition
| the amount a provider is reimbursed for a service |
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Term
| care coordination, case management, disease management, and outcomes management |
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Definition
| 4 ways nurses can affect healthcare costs |
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Term
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Definition
| STUDY THE TOP TEN WAYS TO MAKE YOUR HEALTH BENEFITS WORK FOR YOU |
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Term
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Definition
| DRG (Diagnostic Related Groups) are found in what setting |
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Term
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Definition
| OPPS (Outpatient Prospective Payment System) found in what setting? |
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Term
Ambulatory Payment Classification
Durable Medical Equipment |
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Definition
APC means...
DME means... |
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Term
Blue cross
Etna
United Healthcare |
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Definition
| 3 examples of private health insurance |
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Term
Medicare
Medicaid
TriCare (for military) |
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Definition
| 3 examples of public health insurance |
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Term
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Definition
| 3 examples of managed care plans |
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Term
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Definition
| three tiers of managed care |
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Term
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Definition
| these two types of managed care both review and provide oversight- they judge on necessity |
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Term
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Definition
| fixed co-pay, designated primary care doctor. member must be REFERRED to a specialist |
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Term
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Definition
| member can select a provider, but may pay for only a portion if the provider is not on the approved "list" |
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Term
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Definition
| allows use of providers outside the plan, but it requires higher premiums and higher deductibles |
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Term
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Definition
| how are 60% of Americans insured? |
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Term
care coordination- ex. discharge plan
case management- most effective treatment
disease management- health and wellness teaching
outcomes management- containing costs and measuring outcomes |
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Definition
| how nurses can affect healthcare (explained) |
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Term
| doctors office visit- annual physical |
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Definition
| an example of an APC payment |
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Term
| wheelchairs, walkers, hospital beds |
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Definition
| examples of a DME payment |
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Term
| clinical trials, published in a peer-reviewed journal, inclusion and exclusion criteria, statistical significance, defined criteria (FDA trials for ex.), and appropriate population must be studied |
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Definition
| coverage has to be scientifically sound (evidence-based practice) |
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Term
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Definition
| tells the pair what items and services were provided and why. what was done and why was it done? |
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Term
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Definition
| in terms of payment, _____ and _____ can be two different things |
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Term
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Definition
| doctors can only have a certain number of ____ patients |
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