terms for unit one im confused with

NAACLS (national accrediting agency for clinical laboratory science)

Program that approves phlebotomy programs that meet certain established qualifications and educational standards. Approval helps ensure that graduates possess specific entry-level competencies

ACA (American certification agency)

Certified phlebotomy technician (CPT)

AMT (American medical technologist)

Registered phlebotomy technician (RPT)

ASCP (American Society for clinical pathology)

Phlebotomy technician (PBT)

( ASPT) American Society of phlebotomy technicians)

Phlebotomy technician (PTC)

National health career Association

Certified phlebotomy technician (CPT)

NCCT (National career for competency testing)

National certified phlebotomy technician (NCPT)

NPA (National phlebotomy Association)

Certified phlebotomy technician (CPT)

AHA (American heart Association)

The association publishes a statement of patient rights and responsibilities.

Contains a brochure called the patient care partnership, which helps patients understand what they should expect during their hospital. Stay regarding rights and responsibilities.

HIPPA (Health insurance portability and accountability act)

Federal law that requires all healthcare providers to obtain patient’s consent in writing before disclosing medical information. Protects a broad range of health information.

Safeguarding the confidentiality of protected health information is one of the primary aims of this.

PHI (protected health information)

Individually identifiable health information that is transmitted by electronic media, Maintained in electronic media, or transmitted in any other form.

PHS (public health service)

A way of delivering healthcare to the citizens of the United States. Sponsors and administers programs of health resources. Ran by the Department of Health and Human Services (HHS)

CPT (current procedural terminology)

A coding system used by all types of healthcare providers to classify, report, and bill for a variety of healthcare services. Codes used to describe medical procedures, such as tests and surgeries when billing insurance companies

ICD (International classification of diseases)

Codes based on medical conditions, symptoms, or body systems

HCPCS (healthcare common procedure Coding system

Codes used to identify procedures, products supplies, and services that are not included in CPT codes

Was developed by CMS

Based on CPT codes

Used for Medicare/medicaid and other third-party payers

APC (ambulatory patient classification)

Classification system for determining payment to healthcare facilities for Medicare and Medicaid patients only

DRGs (Diagnosis-related groups)

Hospitals are reimbursed a set amount for each patient procedure using established disease categories

FFS (Fee for service)

Traditional payment model of reimbursement for healthcare services by third-party payers to the healthcare provider after service is rendered

PPS (prospective payment system)

Limit and standardize the Medicare/Medicaid payments made to hospitals

ACA (accountable care organizations)

Designed to streamline the delivery of healthcare by reducing duplication through a new kind of integrated care offered by an accountable care organization

HMOs (Health maintenance organizations)

Health plans that have a network of physicians, hospitals, and other healthcare service providers. They restrict you to their network of providers and require you to see a primary care physician first. If it is decided you need to see a specialist, you will be given a referral to an in-network specialist

PPOs (preferred provider organizations)

Health plans that have a large network of providers however, you can see a specialist without a referral and go to a doctor outside your network, though the cost might be higher

Managed care

A payment system that attempts to control cost and access to healthcare and strives to meet high-quality standards

Ex: Limiting the providers that the patient can use, use of primary care physicians as gatekeepers to control referrals, Use of case managers to monitor and coordinate patients, Utilization review of all healthcare services

CLIA (clinical laboratory improvement amendments) ❗

A federal law administered by CMS. This law established standards that apply to all clinical laboratories that test human specimens to provide information used to diagnose, prevent, or treat diseases and assess health status.

The standard’s address quality assurance and quality control and proficiency test testing

The aim of the standards is to ensure accuracy, consistency, and reliability

Quality assurance (QA)

Includes all activities and programs put in place to guarantee the excellence of patient care.

Aims to identify quality problems and established criteria and standards to address them. Involves data collection and analysis to determine if the criteria and standards are being met

Continuous quality improvement (CQI)

A system put in place to improve quality by continuous monitoring and analyzing all processes and identifying those processes that need improvement

The joint commission (TJC)

The oldest and largest standards-setting body in healthcare.

An independent, Nonprofit organization charged with establishing standards for the operation of hospitals and other health related facilities and services and accrediting and certify these organizations

Survey analysis for evaluating risk (SAFER)

A method used by TJC to identify and communicate risk levels connected with deficiencies found during site surveys.

The intent of this is to help healthcare organizations prioritize and focus their corrective actions by providing visual representation of survey results preformed by TJC.

SAFER MATRIX

Safer provides an on-site post survey tool called the safer matrix that illustrates the likelihood of harm to patient, Visitor, Or staff that is due to an area of noncompliance

(Connected to safer and TJC)

National patient safety goals (NPSG)

A program that is a part of the overall continuous quality improvement requirements for accreditation that promote and enforced major changes related to patient safety.

Address several critical areas of safety concerns and describe expert based solutions

Institute for healthcare improvement (IHI)

A nonprofit organization focused on the patient safety agenda

Works with countries, Regions, Organizations, And individuals to build safety into every system of care

Clinical laboratory improvement advisory committee (CLIAC)

It’s purpose is to provide technical and scientific advice and guidance to the appropriate people in the CMS who administer the regulations of CLIA

Good laboratory practices (GLPs)

A list of 10 recommendations that emphasize quality assurance in collecting and performing bloodwork using waved testing kits

College of American pathologists (CAP)

Offers proficiency testing and a continuous form of laboratory inspection by a team made up of pathologist and laboratory professionals.

Does not compete with TJC Accreditation.

Designed for pathology and laboratory services only

Clinical and laboratory standards Institute (CLSI)

A global nonprofit standards- developing organization with representatives from the profession, industry, and government That set standards for all areas of the laboratory

International organization for standardization (ISO)

An independent non-governmental international organization comprising experts from all over the world who shared knowledge and develop voluntary international standards

Quality indicators

Measurements or values that provide information on the effectiveness or quality of processes

Thresholds and data

A level of acceptable practice beyond which quality patient care cannot be assured. Exceeding this level may trigger intensive evaluation to see if there is a problem that needs to be corrected.

CAPA plan is established if the data identify a problem or opportunity for improvement

Corrective action prevention care (CAPA)

A plan established if threshold data identify a problem or opportunity for improvement

Quality control

The use of checks and controls to assure quality

Used to identify and correct any problems that might affect the quality of patient results

Quality assurance forms

Accreditation standards for agency such as TJC require the laboratory to have available all documentation on quality control checks.

Examples include temperature logs for refrigerators and freezers used for specimen storage, Centrifuge maintenance records, Heat block temperature logs, Event report forms, And incident reports

Individualized quality control plan (IQCP)

a customized quality control framework that clinical laboratories can use under CLIA regulations to manage and and tailor their quality control testing frequency

The litigation process phase one and two

Phase one- Begins when an alleged patient incident occurs, or the patient becomes aware of a prior possible injury

Phase two-Begins when the injured party or family member consults and attorney. Plaintiff

CDC

Centers for disease control and prevention

Charged with the investigation and control oh various diseases

Communicable

Pathogenic microbes that are able to spread from person to person

HAI (healthcare associated infection)

That applies to infections acquired during healthcare delivery in all healthcare settings

Three most common HAI pathogens that fight resistance to antibiotics

C-diff, MRSA, and enterococcus

OSHA (occupational Safety and Health Administration)

An infection control program that provides the evaluation and treatment of employees who are exposed to infections on the job

Mandated confidential medical evaluation, treatment, counseling, and follow up of employees who have been exposed to blood-borne pathogens

OSHA BLOODBORNE PATHOGENS STANDARD

Standard requires implementation of engineering controls, and work practice controls to prevent exposure incidents

Engineering controls are devices that isolate or remove blood-borne pathogen hazards

OSHA HAZARD COMMUNICATION STANDARD (HCS)

OSHA develop this to protect employees who may have been exposed to hazardous chemicals.

Putting on PPE steps

1. gown

2. Mask or respirator

3. If goggles and face shield are required put them on after the mask

4. Put gloves on last

taking off PPE steps

1. Take gloves off first

2. Remove face Shield and goggles next

3. Gown

4. Mask

Some patients who may require protective reverse isolation include-

Patient with suppressed or compromised immune function, Burn patients, Organ transplant patients, AIDS patients, And neutropenic (having a low neutrophil count) chemotherapy patients

UP (universal precautions)

CDC introduced an infection control strategy that all HCWs are susceptible to disease when coming in contact with blood or other body fluids and should take precautions

Asepsis

Condition of being free of contamination

Needle stick safety and prevention act

Impost additional requirements on healthcare employees concerning sharps procedures in order to further reduce healthcare worker exposure to blood-borne pathogens

EPA (environmental protection agency)

OSHA requires surfaces in specimen collection and processing areas to be decontaminated by cleaning them with the bleach solution or other disinfectant.

This agency is a government agency whose mission is to protect people’s health and environment by impleading and enforcing environmental laws

SDS (safety data sheets)

Communicates general and precautionary information about hazards

DOT (department of transportation labeling system)

Diamond shaped labels to identify hazzards

Includes a hazard class symbol, a four digit hazard identification number, and a hazard class number

NFPA (National fire protection Association labeling system)

Another hazardous material labeling system called the 704 marketing system.

It’s mission is to label areas where hazardous chemicals or other materials are stored

Is a diamond shape:

Upper red corner includes identification of flammability

Left blue corner includes identification of health hazard

Right yellow corner includes identification of reactivity

Bottom white corner includes other specific Hazards