NR 361 Week 3 Graded Discussion: Standardized Terminology and Language in Informatics

NR 361 Week 3 Graded Discussion: Standardized Terminology and Language

in Informatics.


This week's graded discussion topic relates to the following Course Outcomes (COs).
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• CO3 Define standardized terminology that reflects nursing's unique contribution to patient outc
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omes. (PO 3) QW QW




• CO8 Discuss the value of best evidence as a driving force to institute change in delivery of nur
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sing care. (PO 8)
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1. What is the impact of Centers for Medicare and Medicaid Services (CMS) payment deni
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al on the healthcare system?
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2. What are the implications for our nursing practice related to use of standardized terminol
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ogy for documentation?
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3. How do evidence- QW QW




based practice guidelines impact patient outcomes and necessitate improved practice car
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e?

, ANSWER


Hello Instructor and Class,
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Centers for Medicare and Medicaid Services (CMS) impact and reflect our Healthcare
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system every day. Payments from Medicaid to hospitals and other providers play an important r
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ole in hospitals’ financial condition and effect patient care as well. Denials of payment by Medi
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care usually occur because of hospital errors, such as hospital-accrued infections or patient re-
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admission to the hospital because of mistakes made. Previously, hospitals where reimbursed for
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hospital-accrued infection or patient readmission due to hospital’s fault.QW QW QW QW QW QW QW QW




Medicare reimbursements for hospitals have changed in 2012. Medicare started to pay n
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ot only for services hospitals provide, but they require for those services to be high quality. CM
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S created several programs to improve quality of care. First, Hospital Re-
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admission Reduction Program was designed to reduce hospital re-
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admissions. Secondly, Hospital Value- QW QW QW




Based Purchasing (VBP) program was created to expect better clinical results for hospitalized p
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atients and improve their experience of care while they are in the hospital. Hospital quality of ca
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re effects the payment it gets from Medicare. A third program Hospital-
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Acquired condition (HAS) reduction program was created to encourage the health care provider
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s to improve patients’ safety and reduce hospital-
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acquired conditions. These denials have a negative effect on the Hospital because they then hav
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e less money for the necessary resources.
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