Introduction to Nursing Management

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