Nursing Role
Core Measures
Value Based Purchasing
Patients
CMS and JHACO
100
Assuring we are compliant with core measures, advocating for the patient by communicating with the physician for clarifications or reminders.
What is the nurses role?
100
These two core measures are performed for each patient who is admitted.
What are VTE and Immunizations?
100
Payment is based upon outcomes and innovations, accountability of the quality of care, and it improves quality of care through utilization of evidenced based care processes.
What are some goals of Value Base Purchasing?
100
www.hospitalcompare.hhs.gov
Where do patients go to find out where to go to make informed decisions about their care?
100
Centers for Medicare and Medicaid
Who is the largest payer for healthcare in the United States?
200
Documentation, documentation, documentation
How can we tell if the nurse provided the best care?
200
911 education, follow up information, Medication education, risk factors, and warning signs and symptoms..
What education should be done for every Stroke Patient?
200
Elements of Value based purchasing that determine hospital reimbursement.
What is safety, efficiency and cost reduction, patient and caregiver centered experience of care/care coordination and clinical care?
200
The main reason we incorporate Best Practices in the care of our patients.
Who benefits from our care?
200
The Joint Commission and Centers for Medicare and Medicaid
What are the two organizations that came together to create Core Measures?
300
Advocating for the patient to assure they received the best care.
What is clarifying or reminding physicians of the needs of patients in regards to core measures?
300
Documentation that an antibiotic was administered within one hour of incision, blood glucose levels for CABG patients, removing hair with clippers, and removing a urinary catheter by post op day 2.
What are component of the SCIP (Surgical Care Improvement Project) Core measure?
300
The Affordable Care Act of 2010
What is the pay for performance also known as?
300
Reduces readmissions, decreases mortalities, and decreases length of stay
What are the effects of core measures?
300
Reduces Readmissions, Decreases Mortalities, and Decreases Length of Stay
What are the effects of Core Measures?
400
Morning Huddle, Handoff and any time it is needed.
When are the checks for compliance with core measures performed?
400
"Last Known Well" is should be documented to determine if TPA should be given.
What is an element of the Stroke Core Measure?
400
Improve access to care for uninsured Americans and Improve Quality of Care
What are the two objectives of the Pay for Performance Act of 2010?
400
Improved access to healthcare and improved quality of care
How did patients benefit from the Pay for Performance or 2010 Affordable Care Act?
400
Quality performance measures based on evidenced based practices designed to provide improved clinical outcomes and standardize care.
What is Core Measures?
500
How can you show that you are providing and promoting quality patient care
What is being compliant with core measures?
500
Documentation of Left ventricular systolic function assessment, ACE or ARB at discharge, educating the patient about diet, activity, weight monitoring, symptoms worsening instructions, follow up and smoking cessation documentation.
What is Heart Failure documentation?
500
Aging Population and increasing healthcare costs.
What are two reasons Value Based Purchasing was created?
500
Improve quality of care through utilization of Evidence based care practices and payment is based upon outcomes and innovations instead of volume of services provided.
What are some goals for Value Based Purchasing?
500
Our patients deserve the best care.
What is the importance of Core Measures?
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