Which statement best describes the impact ...

[SO00]

Which statement best describes the impact diagnosis-related-groups (DRGs) have on the healthcare system?
 
  1. Coordination of all aspects of care has become less critical with this system.
  2. The focus has changed from how much it costs to provide the care required to how much a provider will be paid.
  3. This system requires nurses to document care accurately.
  4. Hospitals face a strong financial incentive to reduce the length of stay and minimize procedures performed.

Question 2

The NCSBN recommends which of the following factors for the nurse to consider when monitoring patient and outcomes? Select all that apply.
 
  1. Setting where care occurs
  2. Complexity of task being performed
  3. Length of stay recommended by insurer
  4. UAP agreement to do the task
  5. Predictability of responses and risks

[jaykayy05]

Answer to Question 1

4
Explanation: 1. Coordination of all aspects of care is critical with this system of reimbursement in order to meet length of stay requirements for a specific DRG.
2. The focus has changed from how much a provider will be paid to how much it costs to provide the care required.
3. It is important that this documentation provide the information required to assign the DRG to a specific patient. However, this is not the best description of the impact that DRGs have had on healthcare.
4. DRGs are a per-stay reimbursement structure, and when patients stay longer, they incur more costs; therefore, this system has provided a financial incentive to reduce the length of stay and minimize procedures performed.

Answer to Question 2

1, 2, 5
Explanation: 1. Setting is a factor.
2. Complexity of task is a factor.
3. Insurer recommendations are not included.
4. Typically, UAPs do not have choice about delegation, and this is not listed as one of the factors by the NCSBN.
5. Predictability of responses and risks is a factor.