Author Question: The nurse has taken a position in the utilization review (UR) department of a hospital. This nurse ... (Read 92 times)

bobypop

  • Hero Member
  • *****
  • Posts: 539
The nurse has taken a position in the utilization review (UR) department of a hospital. This nurse can expect to be involved in evaluating which care components? Select all that apply.
 
  1. Was the care provided necessary?
  2. How much medication did the patient receive?
  3. How appropriate was the care provided?
  4. How much did each procedure cost to provide?
  5. How efficiently was care provided?

Question 2

What has not been considered a common reason for lack of preventive services?
 
  1. Presence of a fragmented healthcare system
  2. Lack of provider time with patients to explain preventive interventions
  3. Limited types of preventive interventions
  4. Lack of reimbursement for preventive services



joshbk44

  • Sr. Member
  • ****
  • Posts: 340
Answer to Question 1

1, 3, 5
Explanation: 1. Utilization review and management is the process that evaluates the necessity of the healthcare services provided for specific patients or patient populations.
2. Medication reconciliation is done jointly by nursing and the pharmacy and is not a UR focus.
3. UR evaluates the appropriateness of care provided.
4. Cost should be a secondary factor in UR. The focus is quality of care.
5. Efficiency of provision of care is evaluated by UR.

Answer to Question 2

3
Explanation: 1. The fragmented system lacks coordination.
2. Providers do not have enough time with patients.
3. This is not a common reason. We have many prevention interventions.
4. Reimbursement for these interventions has been a problemthough ACA is offering more reimbursement for the interventions, and this is still new.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question


 

Did you know?

All patients with hyperparathyroidism will develop osteoporosis. The parathyroid glands maintain blood calcium within the normal range. All patients with this disease will continue to lose calcium from their bones every day, and there is no way to prevent the development of osteoporosis as a result.

Did you know?

Anesthesia awareness is a potentially disturbing adverse effect wherein patients who have been paralyzed with muscle relaxants may awaken. They may be aware of their surroundings but unable to communicate or move. Neurologic monitoring equipment that helps to more closely check the patient's anesthesia stages is now available to avoid the occurrence of anesthesia awareness.

Did you know?

Certain chemicals, after ingestion, can be converted by the body into cyanide. Most of these chemicals have been removed from the market, but some old nail polish remover, solvents, and plastics manufacturing solutions can contain these substances.

Did you know?

Most strokes are caused when blood clots move to a blood vessel in the brain and block blood flow to that area. Thrombolytic therapy can be used to dissolve the clot quickly. If given within 3 hours of the first stroke symptoms, this therapy can help limit stroke damage and disability.

Did you know?

The first oral chemotherapy drug for colon cancer was approved by FDA in 2001.

For a complete list of videos, visit our video library