objectives 4&5
A state and federal government funded entitlement program which also is used as public health insurance.
A: Medicare
Pg. 212 - In 1965, Medicare was added to the Social Security Act. This federally sponsored entitlement program and public health care for all persons older than age 65 (and their spouses) who have at least a 10-year record in Medicare-covered employment and are a citizen or permanent resident of the U.S.
Pg. 214 - An entitlement program jointly financed by the federal and state governments (your tax money). Medicaid is a major expenditure in the federal and state budgets.
What are the benefits of an LPN/RN working in a timely manner?
Pg. 215
Working in a timely manner has benefits such as reducing wait times and reduces risk of harmful delays.
what is one major changes that continues to take place in health care services?
Restructuring
Pg.217
this is a response to escalating health care costs.
When changes are in the wind, are you a _____, a ______, or a ______?
A: Victim, a Survivor, or a Navigator.
Pg. 217
These are changes that usually occur in healthcare as well as life in general, these are the 3 POV's of how you look at change.
To adapt and ready for change in the health care system, which will be almost all the time. You have to be ______, _______, _____, and a _____ ____ in your daily work.
A: Self-directed, motivated, positive, and a problem solver in your daily work.
Pg. 218
This will help you adapt to change in a positive way whether it's something big or a very small tweak in the system, this will get you ready for anything that may be thrown at you in the healthcare system.
According to the CMS, the U.S spend _____ dollars in 2017 for health care.
A: $3.5 trillion
Pg. 215 - Some reasons for the high cost of health care are the cost of prescription medications, medical malpractice lawsuits, and continual development and use of medical technology.
The avoidance of wasting equipment supplies, ideas and energy. (is called?)
Efficient Care
Pg 215
Changes in the delivery of health care in the community involve what?
New organizations
pg.217
new organizations and structure of health care organizations.
What do LPN/LVN's need to be viewed as?
A: Thinkers.
Pg. 218
Because LPN/LVN's need to present themselves in clinical situations as invaluable to the health care agency.
Practical/Vocational nurses need to ensure quality and safety of client care by keeping _____ and _____ in their areas of employment.
A: Updated and current.
Pg. 218
Keeping up to date on changes of the health care system is important if new safety measures has risen, effective ways to give client care, different communication techniques, etc. This is something that all professional health care workers must learn and keep up to date with so harm, negligence, and accidents as well as mistakes do not occur even if the problem was unintentional.
In 2016 the Institute of Medicine was renamed to ___ _____ ____ __ ___ ______
A: The Health Unit Of the Nation
Pg. 215 - Is a program unit of National Academies. It is a independent, nonprofit organization that serves as an advisor to improve the nation's health, providing objective rigorous research aimed at answering health questions critical to the nation.
The LPN/LVNs roles in containing health care costs in the work settings.
Pg 217
*Follow Facility policy for charging clients for all supplies used in their care
*Follow Facility policy for documenting client care for reimbursement
*Organize client care for effective and efficient use of your time
*Be efficient and effective in delivering client care. If some aspects of care needs to be "redone" it means you could have done it right the first time.
*Ensure reimbursement and decrease the client's length of stay by implementing nursing care to help prevent complications.
*Meet the client's needs, not yours.
*Provide client-centered (relationship centered) care.
*Remember that quality outcomes (pay-for-performance) and never events impact the institution's bottom line. Ask questions and seek guidance to fully understand factors impacting revenue.
What are formed among hospitals, clinics, laboratories, health care systems, and the providers?
Alliances (partnerships)
pg.217
joining together, these alliances can coordinate the delivery of care.
What POV will look at change in Negative way?
A: Victim.
Pg. 217
They fear the worst will happen because of the proposed change and feel helpless in the situation. They do not willingly participate in the change process, allowing change to control them.
Skills to help you devise innovative suggestions in.
Critical thinking skills.
pg. 218
Use the critical thinking skills that were encouraged in your nursing program to devise innovative suggestions to make these areas more efficient, effective, and safe.
____ is the first report that has influenced the direction of health care
A: "To Err Is Human: Building A Safer Health Care System"
Pg. 215
This report found that up to 98,000 people die each year from preventable medical errors and presents a comprehensive strategy to prevent such errors.
How healthcare agencies reduce their "bottom line"
Pg. 217
By reducing waste and inefficiency
LPN/LVN are effective in?
Note new client problems and collaborating with RN in setting goals.
pg.218
performing nursing interventions and evaluting the results of planning.
What POV will resist change but go along for the ride?
Pg. 217
They claim the change will never work, and if their prediction comes true, they say, "I told you so!".
You can do these 3 things to ensuring your colleges and community understand your role as LPN.
Providing high quality, safe, and cost-effective care.
pg. 218
Ensure that your colleges and community understand the role of the LPN and their unique contribution to advancing the health of the nation by providing high-quality, safe, cost-effective care.
Six aims or the IOM to increase quality of care.
A: Safe, Timely, Effective, Efficient, Equitable, and Client-Centered. Also known as (STEEEP)
Pg. 215
Safe: Avoid injuries to clients from the care that is intended to help them.
Timely: Reduce waits and sometimes-harmful delays for both those who receive and those who give care.
Effective: Provide services based on scientific knowledge to all who could benefit and refrain from providing services to those not likely to benefit.
Efficient: Avoid waste of equipment, supplies, ideas, and energy.
Equitable: Provide care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographic location, and socioeconomic status.
Client-Centered: Provide care that is respectful of and responsive to individual client preferences, needs, and values, and ensures that client values guide all clinical decisions.
Between ___ and ___ Americans are estimated to die each year as a result of medical errors.
Pg 216.
Blank 1: 44,000
Blank 2: 98,000
What is a seamless system?
Alliances making the job easier.
pg.217
the staff can share a computer, client records can be more readily on referral to another health care provider in the network.
What POV feels in control of the situation?
A: Navigators.
Pg. 217
They feel confident and excited about the possibility of being part of the solution to a problem. Navigators believe they have some control over change rather than being controlled by the change.
LPN's/LVN's must present themselves in clinical situations as ________ to the health care agency.
Invaluable
pg. 218
LPN's/LVN's must present themselves in clinical situations as invaluable to the health care agency.