Author Question: Which government-instituted programs should the nurse include in a teaching session about ... (Read 23 times)

Mr.Thesaxman · **on:** Jul 22, 2018

Which government-instituted programs should the nurse include in a teaching session about controlling health care costs? (Select all that apply.)

a. Professional standards review organizations
b. Prospective payment systems
c. Diagnosis-related groups
d. Third-party payers
e. Never events

Question 2

A nurse hears a co-worker state that anybody could be a nurse since it is so automated with infusion devices and electronic monitoring; technology is doing the work. What is the nurse's best response?

a. Technology use has to be combined with nursing judgment.
b. The focus of effective nursing care is technology.
c. If it's so easy, why don't you do it?
d. That is true in the 20th century.

strudel15 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: A, B, C
The federal government, the biggest consumer of health care, which pays for Medicare and Medicaid, has created professional standards review organizations (PSROs) to review the quality, quantity, and costs of hospital care. One of the most significant factors that influenced payment for health care was the prospective payment system (PPS). Established by Congress in 1983, the PPS eliminated cost-based reimbursement. Hospitals serving patients who received Medicare benefits were no longer able to charge whatever a patient's care cost. Instead, the PPS grouped inpatient hospital services for Medicare patients into diagnosis-related groups (DRGs). In 2011, the National Quality Forum (not a government facility) defined a list of 29 never events that are devastating and preventable. Through most of the twentieth century, few incentives existed for controlling health care costs. Insurers or third-party payers paid for whatever health care providers ordered for a patient's care and treatment.

Answer to Question 2

ANS: A
In many ways, technology makes work easier, but it does not replace nursing judgment. Technology does not replace your critical eye and clinical judgment. Most importantly, it is essential to remember that the focus of nursing care is not the machine or the technology; it is the patient. Using why is not beneficial when communicating with others. Agreeing with the statement furthers misconceptions.