Solutions
A Sampling of Research Sources Correct Answers • Dartmouth
Atlas of Healthcare
• Center for Studying Health Systems Change
• Sg2 Healthcare Intelligence
• American Hospital Association
• Henry J. Kaiser Foundation
• Society for Healthcare Strategy and Market Development, to
name but a few.
AACN Hallmarks of the Professional Nursing Practice
Environment Correct Answers • Philosophy of Clinical Care
• Quality
• Safety
• Interdisciplinary collaboration
• Continuity of Care
• Professional accountability
• Recognition of the nurses' contribution to common knowledge
and expertise to clinical care quality and patient outcomes
• Promotion of executive level nursing- leadership
• Empower nurses' participation in clinical decision making and
organization of clinical care systems
• Maintain Clinical Advancement Programs based on:
• Education
• Certification
• Advanced Preparation
• Demonstrate professional development support for nurses
,• Create collaborative relationships among the HC provider team
with open lines of communication
• Shared use technological advances in clinical care and
information systems (EMRs) Certificati
ACA Medicare Reimbursement Correct Answers Ongoing
improvements in care
Patient readmission rates
Hospital-acquired conditions
ACOs Correct Answers • In addition to financial costs of
physician turnover,
• there is an impact on Accountable Care Organizations (ACOs)
responsible for the health of a given population. • Turnover
interrupts continuity of patient care and incurs costs with repeat
testing, especially in organizations without EMRs highlighting
the importance of technology.
Alternative non-direct care settings Correct Answers include
companies focused on population health and consumer products;
very rarely paid through insurance billing
Baccalaureate Nurses (BSNs) Correct Answers • The
undergraduate nursing school curriculum (BSN) is rigorous,
requiring a good understanding of the biological sciences.
• At some universities, nursing students are eligible to continue
to the third year after completing a specific sequence of courses
and maintaining a 3.0, or B, average overall and in all science
courses.
,Barriers and Challenges Correct Answers Health care is a
dynamic industry:
• Laws and regulations
• Physicians
• New technology
• Culture of safety
• Value-based purchasing
• Women in top positions
Board Certification Correct Answers • Physicians may
voluntarily submit documentation of education, training, and
practice to an American Board of Medical Specialists (ABMS)
Member Board for review.
• Upon approval of the medical specialty board and successful
completion of examinations, the physician is designated as
board certified in that specialty
CBCs and CNAs Correct Answers • In the past, certified nurse's
assistants (CNAs) were not required to have CBCs, and elder
abusers, sexual predators, and thieves preyed upon the elderly.
• Now, the majority of states and employers require CBCs. • A
clean CBC doesn't guarantee that the person hasn't or won't
abuse a patient.
• The health care organization must have policies about neglect
and abuse prevention in place, and the health care manager must
be vigilant and enforce them.
, Certification for Nurses Correct Answers • Nurses can
specialize in practice areas and take examinations that credential
their competency.
• Some examples of certification areas:
• Ambulatory Care,
• Cardiac Rehabilitation,
• Cardiac Vascular,
• Case Management,
• Critical Care, and
• Gerontological
• Must demonstrate continuing competency and renew
certification on a periodic basis
Changes in Residency Work Hours Correct Answers • Based on
findings from the FIRST* and the iCOMPARE** , ^ studies, as
well as in response to various stakeholders, ACGME^^ changed
the work hour requirements.
• Hospitals and residency training program directors now
required to limit resident work hours to no more than 80 hours
per week, averaged over 4 weeks.
CHARISMATIC LEADER Correct Answers • Strong
communicator, especially verbal
• Influences others through the power of personality
• Makes others feel important
• Passionate, works by developing a sense of devotion to the
cause