Use bullying to make themselves feel more powerful•Seek the approval of others •Were the target of bullying themselves as children or early in their careers
Technology and Communication•Competitive health care•The Affordable Care Act (ACA) stresses the need to reduce costs.•Competition is the driving force in the pricing and marketing of health care.•Payment methods promote competition.•Medicare and Medicaid•Prospective payment systems (PPSs)•Health maintenance organizations (HMOs)•Preferred provider organizations (PPOs)
Technology and Communication•Two definitions •Medical informatics:all the informational technologies that deal with the medical care of the client, medical resources, and the decision-making process. •Health-care informatics:the use of information technology with information management concepts and methods to support the delivery of health care (includes medical informatics).
Technology and Communication•Nursing informatics•The content and application of nursing information is substantively different from that of other disciplines. •Early model for nursing informatics viewed nursing informatics primarily as combining •Computer science •Information science•Nursing science: in a manner that would help the nurse in the planning and delivery of care to clients
Technology and Communication•Traditionally, nurses have not been very good at documenting their worth and effectiveness.•To measure effectiveness with accurate information about client care and outcomes, nurses must use standardized language in both practice and documentation. •This process forms the basis for evidence-based practice.
Technology and Communication•The ACA places focus on positive outcomes for quality client care.•Credibility of the nursing profession rests on its ability to document how nursing care improves clients’ health and saves money for health-care institutions.•Nurses must be able to measure their effectiveness with accurate information about both the care given and the client outcomes achieved.
Technology and Communication: EHRAdvantages•Accessible from remote sites •Accessible to multiple users at the same time•Provides reminders about completing information or carrying out protocols •Reduces redundancy •Improves communication
Technology and Communication: EHRDisadvantages•High start-up cost •Steep learning curve •Subject to glitches •Unresolved issues about privacy and access
U.S. Health-Care Systems •The United States spends more per person on health care than does any other country, yet in overall quality, its care ranks 37th in the world. •Many different systems of care are available in the United States
U.S. Health-Care Systems (cont’d)•Prospective payment systems(PPS)•Required facilities providing services to Medicare clients to be reimbursed using a fixed-rate system and included monetary incentives to reduce the length of hospital stays.
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- Winter '17
- cheryl montag
- Nursing, Technology and Communication