Ever since the introduction of the Centers for Medicare and Medicaid Services (CMS) refusal of payment for hospital-acquired poor outcomes, nursing has gained
visibility because these outcomes are nurse sensitive. Locate an article or website that refers to these nurse-sensitive outcomes and describe its findings. So we are
back at nursing services for payment and how technology and standardized languages will assist us in obtaining this.
Your textbook and the other resources will not give you enough to answer this question this week. You are going to have to go above and beyond! The question, itself,
requires it!
Now I know this is a really hot topic right now and you probably all have a lot of opinions about it and that’s good. That being said, even if you disagree with your
classmates, please keep it civil! Its totally acceptable and even encouraged to disagree but don’t be rude. Debate and disagreement are healthy and can actually help
us go forward; rudeness and mean spirited comments only hurt our ability to solve problems. Just remember, it’s much easier to misinterpret something in a written
online forum like this than it is in a face to face conversation. Please keep that in mind when you choose how to phrase your responses.
What do you think of socialized medicine? Do you think its worked pretty well in Europe? Whether the answer in socialized medicine or something else, most people agree
that health care in the US needs reform. What do you think we should do about it? Since many of you are going into nursing, what is your perspective as current or
future health care providers? HINT: If you use a website €“ it MUST be scholarly! If it is not, it will not count for all your points. You are all very adept at how to
evaluate this!
So, I would like to breakdown the question to help you truly get a great grade this week! The green is the original question; the blue is my interpretation. This MUST
be answered in full by Wednesday to receive full credit on your initial post.
1. Since the introduction of the Centers for Medicare and Medicaid Services (CMS) refusal of aIDitional payment for hospital acquired (HA) poor outcomes (October
2008), nursing has gained visibility because these outcomes are nurse sensitive.
This is background information that you have to understand in order to put together a detailed answer.
Third Party Payors, not just CMS, are refusing to pay for extended hospital stays if the hospital has caused the patient to have to stay longer than was’ expected for
the admitting diagnosis.
o The Hospital must eat’ this cost.
o The Insurances have determined a standard’ of care and a standard’ length of stay based on diagnoses and treatments
Give an example of Extended Stays that insurances will not pay for, and their rationales.
Give an example of how a hospital could refute your above example, and get paid for services.
2. Nursing has gained visibility because these outcomes are nurse sensitive. Locate an article or website that refers to these nurse sensitive outcomes.
What are Nurse Sensitive Outcomes?
Based on your example, what does this statement mean?
So, why have nurses gained visibility? After all, we don’t bill for services.
