Practice Issues Flashcards
HIPPA Title 1
protects health insurance coverage for workers and families when change or lose job
HiPAA Title 2
Administrative Simplification: establishment of national standards for electronic health care transactions and national identifiers for providers, health insurance plans, and employers
-enforced by Office for Civil Rights
When can Health Information be shared?
Treatment and Coordination of care Pay for services With family that is involved in care or payment Reportable illnesses Police Reports (GSW)
Not Required to follow HIPAA
Life insurance, employers, workers comp, schools, child protective services, law enforcement, municipal offices
Patient Safety and Quality Improvement Act
voluntary reporting system to enhance data available to assess and resolve patient safety and health care quality issues
Agency for Healthcare Research and Quality
Lists patient safety organizations which are external experts established by patient Safety act to collect and analyze patient safety information
Does confidentiality rules override “Duty to Warn”
NO- if patients condition may endanger others, “duty to warn” supersedes
Healthy People 2020 goals
Increase years of quality life
Eliminate health care disparities
Healthy People 2020 Objective
Understand health of nation and plan prevention programs
Reportable Illnesses
TB, HIV, Syphilis, Chlamydia, Gonorrhea
Are NPs legally responsible for reporting domestic violence
No
Structures of care:
Inputs into care such as resources, equipment, or numbers and qualifications of staff
Processes of care:
assessments, planning, treatments, managing complications
Outcomes of care:
Complications, adverse events, results of treatments
Critical Path
key patient care activities and time frames for those activities which are needed for specific case type or diagnosis related group
Care Map
New version of critical path, blueprint for planning and managing care delivered
Scope of practice
Developed by State Board of Nursing and defined by Nurse Practice Act
Guidelines for Nursing Practice
Standards of Advanced Practice
delineated by American Nurses Association
State Practice Act
Authorize Board of Nsg in each state and establishes what we can and cannot do as NPs
Credentials
encompasses required education, licensure, and certification to practice as NP
-ensures safe care provided by qualified individual
Licensure
Establishes one is qualified and comes from government body (ex. state board of nursing)
Certification
Mastery of subject, nothing to do with the government (ex. PNCB for pediatrics)
Informed Consent
ensure that one has decisional capability
Nonmaleficence
duty to do no harm
