Diagnostic-related groups (DRGs)
A system of prospective payment used by Medicare that pays a provider a set amount for a specific condition.
Integrated health care networks
Organizational health care structures that deliver a continuum of care, provide coverage for a group of individuals and accept fixed payments for that group.
Three common characteristics of network systems
(1) Deliver a whole continuum of care (2) Provide geographic coverage for the buyers of health care services (3) Accept the risk inherent in taking a fixedpayment inreturn for providing health care for all persons in the selected group, such as all employ
Quality management
A preventive approach designed to address problems efficiently and quickly
Benchmarking
A method of comparing performance using identified quality indicators across institutions or disciplines.
Leapfrog Group
It is a consortium of public and private purchasers that uses its mammoth purchasing power to leverage quality care for its consumers by rewarding health care organizations that demonstrate quality outcome measures.
Three quality indicators the Leapfrog Group focus
(1) Increasing computer physician order entry system (2) Using evidence-based hospital referrals (3) Using ICU physician intensivists staff
Three barriers that hinders health care delivery to people of foreign-born culture
(1) Language (2) Socioeconomic status (3) prejudice
Three characteristics that are required to provide care within the cultural belief system of the patient
(1) Commitment (2) Respect (3) persistence
Culturally congruent care is provided by ___
(1) Accepting and complying with an individual's beliefs (2) Planning, negotiating, and accommodating culturally specific practices (3) Restructuring care based on knowledge about the culture.
Telehealth
Using telecommunications technology to provide medical and nursing services from afar.
Evidence-based practice (EBP)
A nursing applies the best scientific evidence to a paiten't unique diagnosis, condition, and situation to make clinical decisions
Electronic health record
integrates health information from all medical sources and can be accessed from multiple locations by authorized providers