Accreditation
This organization accredits plans or programs such as as a Diabetes Recognition Program, Certified Community Behavioral Health Clinics Accreditation, Patient-Centered Medical Home, Patient-Centered Specialty Practice and Virtual Care
What is National Committee for Quality Assurance (NCQA)?
This type of care is a specialty of relationship-based nursing that provides extended medical and non-medical support to individuals who cannot independently perform everyday activities due to chronic illness, disability, or aging
What is Long Term Care?
This payment system is used only in long-term care settings and reimburses facilities based on client diagnosis and expected daily resource use
What are Resource Utilization Groups (RUGs)?
This has complex rules for reimbursement, including rules about prior authorization, where care can be received, and how much will be covered
What is private insurance?
It's goal was to improve health care quality while lowering costs and increasing access to care
What is the Affordable Care Act?
This hospital accreditation program utilizes annual onsite surveys, fostering a year-round, continuous operational readiness mindset rather than unannounced surveys each year
What is Det Norske Veritas (DNV)?
This level of care focuses on population-level prevention and health education, promoting healthy behaviors and preventive care across communities
Community Care Setting
This has been instituted by CMS which links Medicare payments to health care quality
What is the Hospital-Acquired Condition Reduction Program (HACRP)?
Acute Care facilities use this to measure client satisfaction by polling a random sample of clients
What are Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)?
This strengthened the ACA by lowering health insurance premiums and closing gaps in Medicaid coverage
What is the American Rescue Plan (ARP) Act?
Accountability, Commitment, Integrity, Collaboration, Inclusion, and Innovation are the values of this accrediting organization
What is ACEN?
These providers deliver routine care, promote wellness, coordinate referrals and treatments, and manage preventive services to ensure efficient, continuous care and avoid duplication
What are Primary Care Providers (PCP)?
These must be tracked through the National Healthcare Safety Network (NHSN)
What are central line-associated bloodstream infections (CLABSIs)?
This survey is generally administered by a private third-party vendor, includes more data regarding internal quality improvement, and is sent to every client
What is Press Ganey survey?
This expanded eligibility for Medicaid and banned lifetime caps on insurance benefits
What is the ACA?
This nonprofit organization accredits health care organizations in multiple types of health care settings, ranging from inpatient facilities to pharmacies and evaluates facilities via unannounced surveys every 3 years
What is The Joint Commission (TJC)?
This type of facility provides extended hospitalization and higher-level medical care of stable clients with complex, long-term conditions that exceed the capabilities of skilled nursing or home care settings
What are Long-Term Care Facilities (LTC)?
Clients are assigned this based on demographic data, diagnoses, and procedures at admission
What are DRGs?
This status is based on an evidence-based study that identified elements of nursing practice that attract nurses to facilities, lead to their retention, and encourage and promote quality of care
What is Magnet Recognition?
States have flexbility in how they interpret and implement this federal funding, including how funds are distributed and how pharmaceutical costs are regulated
What is Medicaid Funding?
CCC Associate Degree Nursing program received this nursing accreditation in 2010 following the start of its program in 2005
What is Accreditation Commission for Education in Nursing (ACEN)?
This level of care provides short-term rehabilitation and limited therapies for clients who are not ready to return home or who require ongoing monitoring and support
What is Skilled Nursing Facility?
Reimbursement is predetermine through this _________ and is the same regardless of actual length of stay
inpatient prospective payment system (IPPS)
These standards focus on factors that can affect nurses in the workplace such as workplace engagement, productivity, teamwork, and job satisfaction
What is Pathway to Excellence Program?
This organization is a nonprofit that offers guidance to each stat's board of nursing by providing position statements and standards
What is The National Council of State Boards of Nursing (NCSBN)?