Nursing Services in Acute Care Facilities
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THE MOST EFFICIENT CONCEPTUAL FRAMEWORK FOR EVALUATING NURSING SERVICES IN ACUTE Both the quality and efficiency of care delivered in acute care facilities are linked directly to nursing services. Thus, nursing services, along with all other services provided through acute care facilities, must be evaluated to assure that nursing makes an optimal contribution to the attainment of institutional objectives. The quality assurance has been suggested as the preferred vehicle for both making such an evaluation and attaining the dual goal of quality of care and efficiency in nursing services in acute care facilities. As a resolution to the problem of providing quality assurance for nursing services in acute care facilities, the creation of cross functional care teams was proposed. To foster strong leadership in selfmanaged work teams, acute care facility administrators must relinquish control over details, concrete problems, and daytoday activities. Administration will then devote its energies to broader responsibilities, such as planning, and providing direction and support for selfmanaging work teams. Within such an organizational environment, administration retains authority over policy, while the selfmanaging work teams assume operational authority within a framework of goals established by administration. Teambuilding is especially appropriate for acute care facilities in the pursuit of quality. Through the impleme
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of the individuals for whom the federal government funds health care, and (3) overall increases in the government's health care expenditures.
DRG is a procedure used in the classification of patient treatment groups (Harper, 1985, pp. 1421). While DRG classifications are used in PPS (prospective payment system) reimbursement determinations, they are also used in decisionmaking related to (1) service access, and (2) the designation of preferred provider organizationsPPOs. The use of mortality rates at different PPOs for various DRGs is one of the tools used in the DRG procedure in the designation of PPOs. As one criterion for the accreditation of hospitals and other health care provider organizations, the use of mortality rates in DRG decisions means that hospitals and other health care delivery organizations will be evaluated against local, regional, and national standards, which will, in most instances, represent mean performance levels.
While the proponents of the DRG procedure claim that the primary goal of its use is to improve the quality of health care services, while, at the same time, controlling costs, many health care analysts contend that cost containment is the sole aim of the implementation of the DRG proc
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Some common words found in the essay are:
CAI Corvello, Critics DRG, Nevertheless CAI, Mahler Nicholson, Richards O'Donnell, ASSURANCE Abstract, Description Issue, Care Facilities, Ruppel Kaufmann, Implications Responsibility, health care, acute care, quality assurance, care facilities, acute care facilities, nursing services, care services, health care services, quality health, quality health care, instructional technology, organizational structure, nursing services acute, services acute care, nursing staff,
Approximate Word count = 4339
Approximate Pages = 17 (250 words per page)
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