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The Clinical Care Classification ( CCC) System is a standardized, coded nursing terminology that identifies the discrete elements of nursing practice. The CCC provides a unique framework and coding structure. Used for documenting the plan of care; following the nursing process in all health care settings.
Electronic documentation. Point of care (POC) documentation is the ability for clinicians to document clinical information while interacting with and delivering care to patients. [10] The increased adoption of electronic health records (EHR) in healthcare institutions and practices creates the need for electronic POC documentation through the ...
A personal health record (PHR) is a health record where health data and other information related to the care of a patient is maintained by the patient. This stands in contrast to the more widely used electronic medical record, which is operated by institutions (such as hospitals) and contains data entered by clinicians (such as billing data) to support insurance claims.
6. Ask lots of questions. Understanding your care plan is a big part of being your own advocate. Asking questions is a great way to learn more. Consider writing down questions ahead of time and ...
Laws about what a health care agent can decide vary by state. Usually, they can make choices about life support and more routine care. This could mean the choice to start, stop, or try a different ...
When a healthcare provider recommends a specific procedure, you have the right to accept or refuse it. If you decide to move forward, you’ll need to give informed consent first. Informed consent ...
Clinical peer review. Clinical peer review, also known as medical peer review is the process by which health care professionals, including those in nursing and pharmacy, evaluate each other's clinical performance. [1] [2] A discipline-specific process may be referenced accordingly (e.g., physician peer review, nursing peer review ).
Days 21 through 100: Medicare covers the majority of the cost, but you will owe a daily copayment. In 2020, this copayment is $204 per day. Day 100 and beyond: Medicare does not cover skilled ...