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IDENTIFIABLE RESIDENT INFO, RESIDENT ASSESSMENTS, PLAN OF CARE AND SERVICES, PRE-ADMISSION SCREENINGS CONDUCTED BY THE STATE, AND PROGRESS NOTE:

a. Nursing Documentation
b. Administrative Reports
c. Billing Records
d. Facility Policies

1 Answer

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Final answer:

In developing healthcare policies that address health records management, the primary concerns include evaluating treatment cost-effectiveness, prioritizing patient quality of life, and ensuring individual privacy protection.

Step-by-step explanation:

The question pertains to the documentation and policies related to healthcare practices and the management of health records. In developing policies that balance the costs of treatments and diagnoses, patient quality of life, and risks to individual privacy, three primary questions must be addressed.

How will the cost-effectiveness of treatments be evaluated against patient outcomes? What measures will ensure patient quality of life is prioritized in care decisions? And, how will patient privacy be protected in the documentation and handling of health records?

Healthcare professionals, including nurses and surgeons, operate under strict protocols that ensure patient safety, such as verifying the correct procedure and surgical site, ensuring that instrument counts are complete, and reviewing the patient's medical history.

These protocols also involve direct supervision by trained staff such as registered nurses when providing critical treatments like dialysis. Additionally, healthcare teams must confirm the identity of the patient and review any anticipated critical events before proceeding with any medical intervention.

The discussion of health records naturally involves addressing established administrative and regulatory requirements, which are informed by sources such as the Agency for Healthcare Research and Quality and studies on healthcare costs, like the one by Stensland et al., cited in the question.

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