Which program offers an incentive to hospitals to discharge ...

[D2AR0N]

Which program offers an incentive to hospitals to discharge patients as quickly as possible?
 
  a. Retrospective payment system
  b. Prospective payment system
  c. Seamless system
  d. Private insurance plans in effect for under 1 year

Question 2

A mother and her three children often seek medical services at the emergency room. The nurse realizes that they have no insurance and are unable to pay for services.
 
  The action the nurse should take that would provide the greatest assistance to the family would be to
  a. advise them to use urgent care centers where fees are lower.
  b. leave the newspaper classified ads in a visible place.
  c. advise the mother to seek work at the hospital personnel office.
  d. contact a social worker to discuss Medicaid with the mother.

[kjohnson]

Answer to Question 1

ANS: B
The prospective payment system tells the hospital what it will pay for specific health care in advance. This fixed payment does not change regardless of the number of days the patient is hospitalized. Thus, early discharge can result in a profit for the hospital, creating an incentive.

Answer to Question 2

ANS: D
The social worker would be able to help the family explore whether they might qualify for Medicaid or the Children's Health Insurance Program. Advising the family to use urgent care centers might be considered a form of refusal of services. Leaving the newspaper classified ads in a visible place and advising the mother to seek work at the hospital personnel office assume that the uninsured mother is not working, when in fact she may have a job that does not provide the benefit of health care.

[D2AR0N]

Excellent

[ricroger]

Gracias!