Author Question: Diagnosis-related groups (DRGs) and prospective payment systems are most clearly the reason for ... (Read 107 times)

lb_gilbert · **on:** Jul 17, 2018

Diagnosis-related groups (DRGs) and prospective payment systems are most clearly the reason for

a. Medicare and Medicaid.
b. critical pathways and managed care.
c. group health insurance and centralization.
d. a shortage of nurses and unlicensed assistive personnel.

Question 2

When involved with discharge planning for a patient recovering from a mild cerebrovascular accident, the nurse should understand that Medicare provides

a. longer stays for Medicare patients in acute inpatient settings.
b. increased use of extended care units for rehabilitation needs.
c. inappropriate early discharge of large numbers of patients.
d. universal coverage for U.S. citizens and permanent residents.

meganmoser117 · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

ANS: B
Both DRGs and prospective payment systems have resulted in cost-containment efforts by health care agencies. Managed care and critical pathways are responses to the need to contain costs. DRGs originated with Medicare. Group health insurance existed prior to DRGs and prospective payment systems. The reason for personnel shortages in health care is not as simplistic as a shortage of nurses and unlicensed assistive personnel.

Answer to Question 2

ANS: B
Medicare provides for 20 days post-hospitalization care in a skilled nursing facility for rehabilitation services. Medicare patients in acute inpatient settings do not have longer stays. Medicare does not provide universal coverage for U.S. citizens and permanent residents. Inappropriate early discharge of large numbers of patients is not an advantage to a patient.