Author Question: A client has been discharged from the hospital after being treated for a myocardial infarction. ... (Read 22 times)

viki · **on:** Jul 22, 2018

A client has been discharged from the hospital after being treated for a myocardial infarction.

The client has been asked to evaluate the care received by completing the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). The results of this survey may affect:
A) the client's future qualification for Medicare and/or Medicaid.
B) the amount of money the hospital receives from the Centers for Medicare & Medicaid Services.
C) the hospital's evaluation by the Occupational Safety and Health Administration (OSHA).
D) the hospital's standing in the Magnet Recognition Program.

Question 2

A client who is enrolled in Medicare and who has been recovering in the hospital from a stroke has developed a pressure ulcer on his coccyx, an event that the Centers for Medicare & Medicaid Services (CMS) has identified as a never event.

The nurse should recognize what implication of this CMS designation?
A) The hospital must bear any costs incurred for treating the client's ulcer.
B) The hospital will be fined by CMS because the client developed a pressure ulcer.
C) CMS will bear the hospital's costs if the client chooses to sue the hospital.
D) CMS may choose to divert clients to other health care facilities in the future.

carlsona147 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

Ans: B
Feedback:
A portion of the value-based purchasing program is based on clients' responses to satisfaction surveys such as HCAHPS. This survey is irrelevant to the client's enrollment in Medicare or Medicaid. OSHA is not privy to HCAHPS results. HCAHPS results are not used in the determination of Magnet designation.

Answer to Question 2

Ans: A
Feedback:
If 'never events' occur while a client is hospitalized, the cost of the care associated with that event will not be paid by CMS, but will be borne by the hospital. Fines are not levied against the hospital, however, and CMS does not actively divert clients to other facilities. CMS does not pay damages on behalf of hospitals.