The nurse is involved in establishing a patient-centered medical home to care for a growing population of older adults. The nurse would support which components of this plan?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
1. The workflow of the organization is focused on the patient as an informed partner in creating plans for care.
2. An interdisciplinary team of care providers will provide prevention and wellness care for these patients.
3. The medical home will serve as a long term care facility for the patients as they age.
4. The medical home will establish a system of email communication with members for rapid access to providers.
5. The medical home will rely heavily on evidence-based decision making.
A patient presents at a small rural medical clinic after falling from a ladder. The physician suspects that the patient may have intracranial injuries but no diagnostic equipment to determine the severity of injury is available.
What is necessary for the physician to legally transfer this unstable patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
1. Documentation that the receiving hospital has available space
2. Physician certification that the medical benefits of transferring the patient outweigh the risks of transfer
3. Documentation that the transferring hospital is a qualified Medicare provider
4. An agreement with the receiving hospital stating willingness to provide care
5. Confirmation that the incident causing the injuries was accidental
State legislatures are gradually changing the care that patients potentially receive from health maintenance organizations (HMOs). What is one means by which this improvement has occurred?
1. States have allowed patients who receive substandard care to successfully bring suit against HMOs.
2. States have mandated that all citizens be covered by HMOs if that is the desire of the citizen.
3. States have set the premiums that enrollees pay for HMO coverage.
4. States have mandated how many HMOs will operate within the state.
The advanced nurse practitioner is an employee of a health maintenance organization, along with several other ANPs and physicians.
All the providers receive a set salary from the organization regardless of how many or few patient contacts are made monthly. Which type of HMO does this describe? 1. Network model
2. Group model
3. Staff model
4. Independent practice association model
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