Clinical Laboratory Improvement Amendments (CLIA), is regulated by The Centres for Medicare and Medicaid Services. The objective for CLIA program is to ensure quality non-research laboratory testing. CLIA standard is a federal requirement for any entity providing a non-research clinical laboratory test. The passage of CLIA 1998 and the implementation of the regulation in 1993 constituted a vast change in the regulations of clinical laboratories in the United States. There was mixed reaction initially as any regulations guarantees. The different profession had differences of opinion to these changes. From a patient's point of view, it is welcome regulation as they are assured quality standardized laboratory test results. Patients are assured that a laboratory follows proper procedure in regards to the patient's test results. Standard procedure is necessary to get the accurate and reliable and timeliness results.…
Clinical tests provide more accurate measurements utilizing controlled environment. It could be used to measure some physiological variables includes the VO2 max, blood lactates, and ventilatory threshold. However, it may not be practical and costs a lot of money and time.…
The need to correctly document medical records, apply appropriate billing codes, and accurately charge payers for medical procedures and services is essential for today’s medical facilities. Physicians rely on medical insurance specialists to process claims so that they can be reimbursed for their services. This essay will emphasize the importance of correctly submitting claims for reimbursement, as well as, how compliance plans are put in place to benefit everyone involved in the billing and coding process.…
Timely and effective care also called Process of Care is a tool that measures a percentage of patients who received treatments and received the best results for serious and surgical procedures. This tool also measures how fast a patient is seen once they reach the hospital for a medical emergency. The data being collected are Heart Attack Care, Heart Failure Care, Pneumonia Care, Surgical Care, and Children Asthma Care, This data is collected for patients who attend a hospital that participates in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) Programs. This program applies to Medicare and non Medicare patients only for treatments that are suitable for the program.…
When you are at a patient bedside you need to make sure you follow the order of draw or your results will not be accurate. When you finish your collection you the label will be printed for you so all you have to put is time date and initials unless the printer is down and then you have to fill out the tube completely with The person name, Hospital number, time, date, initial and then you send it to the lab if it does not have all five labels the lab will reject it along with some other reasons like the sample begin to go through the hemolysis process, its clotted, the tube is not full, the results on the patient are strange, drug levels are to low or too high or just a simple delta check. The lab has a reputation to uphold so it’s a lot of things you have to follow such as an introduction when you walk into a patient room you should introduce yourself in a professional manner. The first thirty seconds of your visit tells the patient if they want you to stick them or…
On measurement program for clinical processes are "hospital IQR" which scores, "clinical process of care and "patient experience of care." The following are the processes of care: Fibrinolytic therapy received within 30 minutes of hospital arrival (AMI);…
Assessed for presence of edema, I & Os, lab values of sodium and potassium, vital signs performed q hour, breath sounds assessed, cardiac monitoring.…
Hospitalised patients are preferable participants as it allows greater access to subjects who meet research criteria and being in a hospital allows for 24 hour monitoring by nursing and medical staff. Intravenous infusion therapy nurses will be asked to assist with research and data collection to ensure consistent standards are maintained. Members of the research team will be briefed on standards of cannula insertion, dressings, documentation and securing infusion lines to cannulae. Hospital patients will be assessed by members of the research team to determine eligibility for participation. Subjects that have consented to participate in the trial will then be randomly assigned to either the control or experimental group. Participants will then have a peripheral intravenous cannula inserted by a registered nurse from the intravenous infusion therapy team to ensure a standard of insertion procedure is maintained throughout the…
Conduct full head to toe assessment and documentations while providing safe care to the patient…
University and Clinical Agency IRB approvals will be attained. No patient names or identification numbers will be collected to ensure patient confidentiality and anonymity. Catheter days and confirmed number of CAUTIs will only be collected and recorded by a hospital trained infection control manager.…
May, Normand and Morrison ( 2014) considered the effect of PCC on the hospital costs in a large systematic review of ten studies that assessed cost and PC teams. This systematic meta review revealed that when inpatients are under the care of PC, hospital costs are reduced by 9-25%. When PCC originate in a timely manner cost for levels of care (ICU vs floor) , procedures, and diagnostics are reduced. This study also implies that as a larger issue we need to include the last six months of a person’s life health care costs with PC and…
As stated in the policy "Site Identification and Verification (Universal Protocol)," the Preoperative / Preprocedure verification is a five step process. This process needs to be expanded to meet the minimum standard of care. The following corrective actions must be immediately implemented.…
There has been a tremendous growth in technology in the healthcare sector. (Henneman, 2010) states that technology in the acute and critical care setting is typically equated with devices such as bedside monitors, computerized provider order entry (CPOE), bar-coding devices, mechanical ventilators, dialysis machines, point-of-care testing, ventricular assist devices, and computerized information systems. The type of technology therefore required for the care of each individual patient is very crucial to the recovery and the health of a…
QuickMedx’s business model is to provide fast and convenient testing centers in high-traffic, retail environments that are close to pharmacies (McDonald’s of simple health-care services). For a payment of $35 per visit, patients are provided rapid testing, diagnosis, and prescriptions for 11 common illnesses by a certified nurse practitioner. This service provides an alternative (although not a replacement) to visiting the primary care physician's office or emergency room for simple cases.…
As they have the responsibility to establish and maintain a safe practice during IV therapy, nurses should execute universal infection control measures according to the vascular access devices before and throughout the therapy. As indicated by Ogston-Tuck (2012), “regular inspection of device and site [is required]; devices should be inspected twice a day and any signs of infection should be reported. They should be removed when no longer required when appropriate” (Ogston-Tuck, 2012). Monitoring the insertion site routinely, proper documentation of assessment, ongoing care, and discontinuation of IV therapy are vital to the nursing practice. Nurses must be aware of potential complications that are associated with IV therapy. Higginson stated, “all clinicians involved in the administration of IV therapy must be familiar with these risks and employ strategies to prevent them,” (Higginson, 2015). Nurses should be competent to perform interventions depending on the complications. It is quintessential for nurses to effectively administer IV therapy and appropriately communicate with patients, so safe and quality care can be…