A nurse is teaching the staff about health care reimbursement. ...

[cartlidgeashley]

A nurse is teaching the staff about health care reimbursement. Which information should the nurse include in the teaching session?
 
  a. Home health, long-term care, and hospital nurses' documentation can affect reimbursement for health care.
  b. A clinical information system must be installed by 2014 to obtain health care reimbursement.
  c. A near miss helps determine reimbursement issues for health care.
  d. HIPAA is the basis for establishing reimbursement for health care.

Question 2

A nurse wants to reduce data entry errors on the computer system. Which action should the nurse take?
 
  a. Use the same password all the time.
  b. Share password with only one other staff member.
  c. Print out and review computer nursing notes at home.
  d. Chart on the computer immediately after care is provided.

[SVictor]

Answer to Question 1

ANS: A
Nurses' documentation practices in home health, long-term care, and hospitals can determine reimbursement for health care. A near miss is an incident where no property was damaged and no patient or personnel were injured, but given a slight shift in time or position, damage or injury could have easily occurred. A clinical information system (CIS) does not have to be installed by 2014 to obtain reimbursement. CIS programs include monitoring systems; order entry systems; and laboratory, radiology, and pharmacy systems. Diagnosis-related groups (DRGs) are the basis for establishing reimbursement for patient care, not HIPAA. Legislation to protect patient privacy regarding health information is the Health Insurance Portability and Accountability Act (HIPAA).

Answer to Question 2

ANS: D
To increase accuracy and decrease unnecessary duplication, many health care agencies keep records or computers near a patient's bedside to facilitate immediate documentation of information as it is collected. A good system requires frequent, random changes in personal passwords to prevent unauthorized persons from tampering with records. When using a health care agency computer system, it is essential that you do not share your computer password with anyone under any circumstances. You destroy all papers containing personal information immediately after you use them. Taking nursing notes home is a violation of the Health Insurance Portability and Accountability Act (HIPAA) and confidentiality.