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Review Questions Potter Perry Chapter 26 - Documentation and Informatics Questions and Correct Answers the Latest Update and Recommended Version $11.49   Add to cart

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Review Questions Potter Perry Chapter 26 - Documentation and Informatics Questions and Correct Answers the Latest Update and Recommended Version

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Documentation anything written or printed that you rely on as record or proof Accreditation Joint Commission specifies guidelines for documentation Define Diagnosis-realted group (DRG) series of decision trees designed to cluster groups of clients together by diagnosis,surgical procedures...

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  • October 24, 2024
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Review Questions Potter Perry Chapter
26 - Documentation and Informatics
Questions and Correct Answers the
Latest Update and Recommended
Version
Documentation

✓ anything written or printed that you rely on as record or proof


Accreditation

✓ Joint Commission specifies guidelines for documentation


Define Diagnosis-realted group (DRG)

✓ series of decision trees designed to cluster groups of clients together by diagnosis,surgical
procedures, complications, co-morbidities, and age


Explain the new rights for clients related to HIPPA

✓ client education on privacy protections
✓ ensuring client's access to his or her medical records
✓ receiving client consent before information is released
✓ providing recourse if privacy protections are violated


The standards of documentation by the Joint Commission require

✓ requires documentation within the context of the nursing process, as well as evidenceof
client and family teaching and discharge planning


Client record

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✓ is a confidential, permanent legal documentation of information relevant to a
client'shealth care


Reports

✓ oral, written, or audiotaped exchanges between caregivers


Consultations

✓ form of discussion whereby one professional caregiver gives formal advice about the
level of care of a client to another caregiver


Referrals

✓ an arrangement for services by another care provider


Communication

✓ means by which client needs and progress, individual therapies, client education, and
discharge planning are conveyed to others in the health care team


Legal Documentation

✓ Once of the best defenses for legal claims


Financial Billing

✓ To determine the accurate and timely reimbursement


Education

✓ Learning the nature of an illness and the individual client's responses




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