Ambulatory Care Certification Exam Answers 2024: Key Concepts in Healthcare - Prof. Waitha, Exams of Nursing

Download Ambulatory Care Certification Exam Answers 2024: Key Concepts in Healthcare - Prof. Waitha and more Exams Nursing in PDF only on Docsity! Ambulatory Care Cert Exam With 100% Correct Answers 2024 Accreditation Association for Ambulatory Health Care (AAAHC) - Correct Answer-private, non-profit agency that offers voluntary peer-based review of the quality of health care services of ambulatory health organizations Ambulatory Patient Classifications (APCs) - Correct Answer- used by CMS for prospective payment in hospital outpatient depts and ambulatory surgery centers; based on procedures and adjusted for severity Ambulatory Patient Groups (APGs) - Correct Answer-patient classification system designed to explain amount and type of resource used in ambulatory care visit Balanced Scorecard - Correct Answer-Graphic or pictoral display of the orgs indicators chosen to support the strategic plan and vision of the org; allows for examination of the relationships among the separate indicators (care, quality, financial, operational) CMS - Correct Answer-Formerly Health Care Financing Administration (HCFA); dividsion within the US Dept of Health and Human Services that determines the standard rules and reporting mechanisms for health care services Clinical Care Classification (CCC) - Correct Answer-Formerly home health care classification (HHCC); Saba's Georgetown System for Patient Problems, Interventions and Outcomes. Commercial Indemnity Plans - Correct Answer-a type of insurance contract in which the insurer pays for care received up to a fixed amount per encounter or episode of illness Cultural awareness - Correct Answer-conscious learning process through which one becomes appreciative and sensitive to the cultures of other people Cultural knowledge - Correct Answer-process of understanding the key aspects of a groups culture Cultural Skills - Correct Answer-ability to collect relevant data regarding health histories and perform culturally specific assessments Emergency Medical Treatment and Active Labor Act (EMTALA) - Correct Answer-federal law passed in 1986 to ensure patient access to emergency services regardless of ability to pay Equal Employment Opportunity Commission (EEOC) - Correct Answer-a federal agency that enforces regulations concerning equal opportunity Ethnopharmacology - Correct Answer-emerging field of research that is increasingly focusing on the effect of genetic and cultural factors on absorption, metabolism, distribution and elimination and the mechanism of action/effect of drugs Health Care Financing Administration Common Procedure Coding System (HCPCS) - Correct Answer-a uniform method for health care providers and medical suppliers to report professional services, procedures and supplies to health care plans HEDIS - Correct Answer-A set of standardized performance measures designed to assure that purchasers and consumers have the information they need to reliably compare the performance of health plans; sponsored and maintained by NCQA Independent Practice Association (IPA) - Correct Answer-a legal entity whose members are independent physicians who contract with the IPA for the purpose of having the IPA contract with one or more HMOs The Joint Commission (formerly JCAHO) - Correct Answer- indepenedent, no profit org that evaluates and accredits more than 15,000 healthcare programs in the US Institute of Medicine (IOM) - Correct Answer-independent, non-profit org that works to provide unbiased and authoritative advice to decision makers and the public to improve health National Committee for Quality Assurance (NCQA) - Correct Answer-independent, non-profit org that assessed, evaluates and publicly reports on the quality of health plans health care provider groups and individual physicians National Patient Safety Goals (NPSGs) - Correct Answer-the joint commissions series of specific actions that accredited orgs are required to meet with the purpose of preventing medical errors and improving processes for patient safety North American Nursing Diagnosis Association (NANDA) Nomenclature - Correct Answer-terminology used by nurses to document diagnoses in all settings where nursing care is delivered Omaha VNA System - Correct Answer-a system for problems, interventions and outcomes. used by nurses to describe and document care in community settings Ozbolt's Patient Care Data Set - Correct Answer-Taxonomy used by nurses to document care in all settings, but primarily developed for the acute care setting; compromises nursing diagnoses, patient care actions and nursing outcomes Patient Protection and Affordable Care Act (PPACA) - Correct Answer-US laws passed in 2010 to reform health care, focused on health promotion, disease prevention and increased access through insurance reform Perioperative Nursing Data Set (PNDS) - Correct Answer- Developed by the association of periOperative RNS (AORN)