Which of the following best describes why health care institutions are unhappy beyond the fact that they are not receiving the previous high reimbursement for procedures from Medicaid or Medicare?
a. Because clients are well informed and know they do not really have to pay their hospital bills
b. Because insurance companies and other third-party payers copy Medicaid's approach to holding down costs
c. Because it is harder to continue giving charity care when less reimbursement is received from the federal government
d. Because recent legislation has required that all reimbursement be based on quality performance measures
ANS: B
Although publication of quality measures is occurring, this is gradually being implemented. The Centers for Medicare and Medicaid (CMS) has established a value-based purchasing program for hospitals that was launched in 2013. The program links Medicare payments to quality performance on common, high-cost conditions such as cardiac, surgical, and pneumonia care. Thus, all reimbursement is not being linked to these quality measures. However, whatever the federal government does to hold down costs is usually quickly copied by insurance and other third-party payers.
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A nurse is conducting an intake interview for a patient newly admitted to the hospital. The patient reports that the only medication she is currently taking is an SSRI. The nurse suspects the patient is most likely to have which condition?
1. Depression 2. Bipolar disorder 3. Schizophrenia 4. Sexual dysfunction
The nurse explains that a document called the Patient's Bill of Rights was created by the:
1. Joint Commission for Accreditation of Hospitals. 2. Medicare/Medicaid Act. 3. Social Security Act. 4. American Hospital Association.
The nurse assisting with the oculovestibular response (OVR) test on a client recognizes that the brain stem is intact when the client's eyes
a. demonstrate sustained nystagmus. b. do not deviate with the instillation of ice water. c. rapidly move toward the ear irrigated with warm water. d. slowly move toward the ear irrigated with ice water.
Essential components of interprofessional professionalism are clear communication, caring, professional ethics, and
a. aesthetics. b. altruism. c. justice. d. truth.