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ch.6 key terms
3-2-1 code it !
| Question | Answer |
|---|---|
| Ambulatory care | (see outpatient) - (ambulatory patient)-patient who is treated and release the same day and who does not stay overnight in the hospital. |
| Ambulatory patient | patient who is treated and release the same day and who does not stay overnight in the hospital. |
| Ambulatory surgery patient | patient who undergoes procedures that can be performed on an outpatient basis, with the patient treated and released the same day. |
| clinic outpatient | patient who receives scheduled diagnostic and therapeutic care. |
| data elements for emergency department systems (DEEDS) | collections of data reported by hospital-based emergency departments for the purpose of reducing incompatibly in emergency department records. |
| diagnostic coding and reporting guidelines for outpatient services | developed by the federal government and approved for use by hospitals and providers for coding and reporting hospital-based outpatient services and provider-based office visits. |
| emergency care patient | patient treated for urgent problems and either released the same day or admitted to the hospital as an inpatient. |
| first-listed diagnosis | diagnosis, condition, problem, or other reason for encounter/ visit documented in the patient record to be chiefly responsible for the services provided. |
| inconclusive diagnosis | ( qualified diagnosis) -diagnosis documented as probable, suspected, questionable, rule out, or working diagnosis. |
| observation patient | patient who receives services furnished on a hospital's premises that are ordered by a physician , including used of bed and periodic monitoring by nursing or other staff, and necessary to evaluate the outpatient or determined admission as an inpatient. |
| outcome and assessment information (OASIS) | core set of comprehensive assessment for adult home care patients used to measure patient outcome for outcome base quality improvement (OBQI),HHA improvements, patients characteristics (health), HHAs use Home Assessments and validation and entry. |
| Outpatient | (see ambulatory patient )-patient who is treated and release the same day and who does not stay overnight in the hospital. |
| outpatient care | any health care services provided to a patient who is not admitted to a facility. |
| preadmission testing (PAT) | occurs after a surgical patient registers with a facility's admitting department, when the patient undergoes preoperative nursing assessment and receives preanesthesia evaluation by an anestheologist. |
| primary care | acute care and preventive services provided as outpatient care and referred to as point the point of first contact. |
| primary care provider | manages and coordinates the patient's care, including referring the patient to a medical specialist for consultation and a second opinion. |
| qualified diagnosis | diagnosis documented as probable, suspected, questionable, rule out, or working diagnosis. |
| referred outpatient | patient who receives diagnostic or therapeutic care because such care because such care is unavailable in the primary care provider's office. |
| triage | organized method of identifying and treating patient according to urgency of care required. |
| Uniform Ambulatory care Data set (UACDS) | established by the federal government as a standard data set for ambulatory care facility records. |
Created by:
mariaparra
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