NUR 101 Quiz
- What is a DRG?
Answer Diagnostic related groups, classification system use to reim- burse hospitals
2. PPO
Answer Sponsored primarily by physicians, hospitals and insurance companies
3. HMO
Answer employees have a fixed set amount if one uses their services
- Nurse
Answer searching for a group(?)
- Managed care
Answer Rn comparing health care promotions at the lowest cost. (Em- phasis on cost, customer, satisfaction, health promotion, preventative services)
- Fee for service
Answer pt pays the practitioner for each service they recEIve
- US is an example of
Answer voluntary health insurance 1 / 2
- 3 types of healthcare billing methods?
Answer fee for service, capitation, fee for diagnosis
- Many of the changes in health care affecting nurses have been shaped by which of the
following?
Answer Third-party payers
- Resource management for nurses refers to which of the following?
Answer -
Cost-Effective approaches to quality care
- Barriers to the access of health care bye Americanls include which of the following?
Answer cost of care and lack of insurance
- To address cost containment, hospitals hav had a paradigm shift from centralized
biomedical centers to which of the following?
Answer Community nursing centers
- Critical pathways are a cost-containment responce comprised of inter- disciplinary plans
for managing the care of clients. What are some of the criticisms of the critical pathways approach?
Answer The plans are not individualized and are dictated by a standardized timeline. Progress is dictated by a standardized timeline
- Which document called for a restructured healthcare system ensuring universal access to a
- / 2
standard package of essential healthcare services for all U.S. citizes and residents? It also specified that this access should be affordable, available, and acceptable.