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Module 2
HIT 110
| Term | Definition |
|---|---|
| activities of daily living (ADL) | bathing, dressing, eating, toileting, walking, etc. |
| acute care facility (ACF) | hospital that provides care to patients with serious, sudden, or acute illness/ injuries who may need surgery. |
| acute hospital classification | short term hospital classification |
| Administration for Children and Families (ACF) | DHHS programs that provide assistance to needy children and families |
| Administration on Aging (AoA) | DHHS program that supports a nationwide aging network, providing services to the elderly to enable them to remain independent |
| adult day care | provides care in a structured environment to seniors with physical/mental limitations. |
| Agency for Healthcare Research and Quality (AHRQ) | DHHS agency that supports research designed to improve the outcomes of health care, reduce it's cost, address patient safety and medical errors, and broaden access to efficient services. |
| Agency for toxic Substances and Disease Registry (ATSDR) | DHHS agency that works with states and other federal agencies to prevent exposure to hazardous sunstances from waste sites |
| Alzheimer's treatment facilities | long term care facility that specializes in care of patients with alzheimer's disease |
| ambulatory care | outpatient care that allows pts to receive care in one day |
| ambulatory infusion center (AIC) | infusion center |
| ambulatory patients | pts treated and released in one day - no longer than 24 hours |
| ambulatory surgical center | pts undego surgery & recovery in care of nurses (outpatient) |
| ambulatory surgery patient | outpatient |
| ancillary services | diagnostic and therapeutic services for inpatients and outpatients |
| assisted-living facility (ALF) | housing and supportive services including personal care and household management for seniors- monthly rent + additional fee |
| bed count | total number of inpatient beds |
| bed size | total number of inpatient beds |
| behavioral health care hospital | treats pts with mental diagnosis |
| Bureau of Prisons (BOP) | provides necessary medical, dental, and mental healthcare services to inmates |
| cafeteria plan | triple option plan |
| capitation payment | money paid by HMO to provider to care of subscribers |
| Centers for Disease Control and Prevention (CDC) | DHHS agency monitors and prevents disease outbreaks |
| chemical dependency program | 24 hour evaluation and withdrawal management inpatient setting -detoxification, withdrawal management, chemical dependency/substance abuse assessment, & therapy |
| chemotherapy | IV administration of chemical agents that have specific and toxic effects upon disease causing cells |
| clinical laboratory | testing on microbiology. clinical chemistry, and toxicology. -directed by pathologist, testing performed by certified techs |
| clinic outpatient | |
| closed-panel HMO | provide services at HMO owned health centers or satellite clinics by physicians from HMO |
| Continuing Care Retirement Communities (CCRC) | different levels of care based on needs from independent to nursing home |
| copayment | fixed amount subscribers must pay when seeking healthcare |
| correctional facilities | provides inmates with secure housing, dental, medical, mental services |
| crisis services | short term(15dys or less) crisis prevention/treatment -24 hr supervision |
| critical access hospital (CAH) | <35 miles from any other hospital - stat certified as being necessary health care provider |
| curative care | therapeutic |
| day treatment | intensive treatment program for community -up to 5 days a week |
| dementia care facilities | long term care facilities for pts with dementia |
| developmentally disable/mentally retarded facilities | intermediate care facility- provide residential care and day programming, including academic training, clinical and technical assistance, health care services, and diagnosis and evaluation |
| diagnosis-related groups (DRG) | inpatient cases expected to consume similar hospital resources- discharged once acute phase passes. transferred to different type of care |
| direct contract model HMO | individual physicians in community deliver contracted health care services to subscribers |
| drug therapy | IV administration of other drugs including antibiotics, antivirals, etc |
| durable medical equipment (DME) | canes, crutches, IV supplies, hospital beds, osotomy supplies, oxygen, prostheses walkers, wheelchairs, etc. |
| emergency care center | urgent care center |
| Emergency care patient | treated for urgent problems-released same day or admitted to hospital |
| Exclusive Provider Organization (EPO) | provides benefits to subscribers who receive healthcare services from network providers |
| family practitioner | provides care for family and focuses on general medicine, obstetrics, geriatrics, pediatrics |
| Family support services | assist families in caring for pts |
| federal certification | measures ability of healthcare facilities to deliver care that is safe and adequate, in accordance with federal laws |
| federal medical centers | provides major medical care to federal correctional facility inmates |
| flexible benefit plan | triple option plan |
| Food and Drug Administration (FDA) | DHHS agency that assures the safety of foods and cosmetics, and the safety of efficacy of phamaceuticals, biological products, and medical devices |
| general hospital | provide emergency care, perform general surgery, and admit pts for a range of problems |
| group model HMO | par who are members of an independent multi-specialty group providing healthcare services- contracted or owned by HMO |
| group practice without walls (GPWW) | managed care contract in which physicians maintain their own offices and share services to plan members |
| Health Maintenance Organization (HMO) | alternative to traditional health insurance coverage- provides comprehensive health care services to members on prepaid basis |
| Health Resources and Services Administration (HRSA) | DHHS agency that provides health resources for medically under-served populations. |
| heart and vascular center | provides ambulatory cardiovascular services to include diagnosis and treatment, disease prevention, research, education, and cardiac rehabilitation |
| home care | allows people who are seriously ill or dying to remain at home and receive treatment from nurses, social workers, therapists, and other help |
| home infusion care | provided by home health care agencies when IV administration of medication is medically appropriate for pts condition, and treatment is administered in home |
| hospice care | provides comprehensive medical and supportive social, emotional, and spiritual care to teminally ill pts and families- goal is palliative rather than curative |
| hospitalists | physician who spends most time in hospital admitting pts to inpatient services from local primary care providers |
| hospital-owned physician practice | practices partially owned by hospital and physicians participate in a compensation plan provided by hospital |
| hydration therapy | IV administration of fluids, electrolytes, etc |
| imaging center | freestanding facility providing imaging services to ambulatory pts. |
| independent practice association (IPA) | individual practice association |
| Indian Health Services (IHS) | DHHS agency that supports 37 hospitals, 60 hc centers, 3 school hc centers, 46 health stations, and 34 urban indian health centers- |
| Individual Practice Association (IPA) | physicians who remain independent office settings but provide contracted health care services to subscribers-negotiates the HMO contact and manages the capitation payment |
| Industrial Health Clinic | located in a business setting, the emphasis is on employee health and safety |
| Infusion Center | dispenses and administers prescribed medications by continuous or intermittent infusion to ambulatory pts. -supervised by licensed health care pro. |
| inpatients | those who remain overnight in facility for >24 hours- provided with room and board and nursing services |
| Integrated Delivery System (IDS) | offer joint health care services to subscribers. sites include ambulatory surgical centers, hospitals, physician groups, etc. |
| Integrated Provider Organization (IPO) | manages health care services provided by hospitals, physicians, etc. |
| Intensive Case Management | coordinate with mental health, financial, legal, and medical services to help pts live successfully at home and in community |
| intermediate care facility (ICF) | developmentally disabled people with medical care and supervision, nursing services, occupational and physical therapies, activity programs, educational and recreational services and psychological services |
| internal medicine physicians | care of adults |
| long term care | nursing, social, and rehabilitative services for people who need ongoing assistance. >30 days |
| long term care hospitals | average inpatients length of stay >25 days. provide extended medical and rehabilitative care for pts who are clinically complex and may suffer from multiple chronic conditions |
| long term care hospital classification managed care | long term care hospital ----- combined healthcare delivery with financing of health care services; increasingly used to refer to ppo and some forms of indemnity coverage |
| Management Service Organization (MSO) | provides practice management services, including administrative and support services to individual physician practices |
| medical foundation | nonprofit organization that contracts w/ clinical business assets of physician practices |
| medical necessity | doc. of services that are proper and needed for diagnosis or treatment of condition |
| Military Health System (MTF) | administrative health care for active members of military and dependents as provided by military treatment facilities |
| military medical support office (MMSO) | coordinates civilian health care services when military treatment facility services are unavailable |
| military treatment facility (MTF) | clinic/hospital located on military base |
| multi-hospital systems | 2 or more hospitals are owned, managed, or leased by a single organization -acute, long-term, pediatric,rehab,psychiatric care facilities. |
| multi-specialty group physician practices | offer various types of medical specialty care in one organization- may be located in more than one location |
| National Commission on Correctional Health Care (NCCHC) | provide external peer review process for correctional institutions that wish to meet its nationally accepted standards for health services |
| National Institutes of Health | DHHS research center with 17 institutes- the worlds premier medical research organization, supporting 35000 research projects |
| neighborhood health center | provided to economically disadvantaged people and treatment is family centered bc illness may result indirectly from crowded living conditions, etc. -physician, nurse, & social worker |
| network model HMO | 2 or more physician multi-specialty group practices provide contracted health care services to subscribers |
| network providers | physicians and healthcare facilities under contact to the managed care plan |
| newborn patients | receive infant care upon birth- neonatal intensive care if needed |
| nursing facility (NF) | skilled nursing facility |
| observation patients | receive services on hospital campus ordered by a physician -including bed use, monitoring, etc |
| open panel HMO | includes direct contract, individual practice association, network models, -physicians are not employees of hmo |
| outpatient care | ambulatory care |
| outpatient clinic | |
| outpatients | ambulatory pt |
| pain management | IV administration of narcotics and other drugs designed to relieve pain |
| pain management center | treatment of chronic pain syndromes using riven medications and procedures |
| palliative care | comfort management |
| partial hospitalization program | for hospital pts who use hospital facilities for substantial number |
| pediatricians | provides comprehensive services for infants, children, and adolescents |
| personal care and support services | provide assistance in performing daily living activities, such as bathing, dressing, grooming, bathroom, mealtime, etc |
| Physician-Hospital Organization (PHO) | managed care contracts are negotiated by hospitals and physician groups- physicians maintain their own practices and provide service to plan members |
| Point-of-Service plan (POS) | patients have the freedom to use an hmo panel of providers(prepaid) or to self refer to non hmo (outofpocket) |
| preadmission certification (PAC) | utilization management that involves the review for medical necessity of inpatient care prior to inpatient admission |
| Preferred Provider Organization (PPO) | third party payers, employers, and other organizations to provide healthcare for a discounted fee |
| primary care center | offers adult and family care medicine in internal medicine, pediatrics, and family practice |
| Public Health Service (PHS) | leadership- us surgeon general. provides highly rained and mobile health professionals who carry out programs to promote the nations health, understand disease prevention, assure safety, etc. |
| public health department | |
| referred outpatient | receives diagnostic/therapeutic care bc such care is unavailable in primary care providers office |
| rehabilitation facility (outpatient) | |
| residential care facility (RCF) | provides non medical custodial care, which can be provided in a single family residence, retirement residence or in any appropriate care facility |
| residential treatment facility | seriously disturbed pts receive intensive and comprehensive psychiatric treatment on a long term basis |
| respite care | provided by specially trained people at setting other than pts home to offer relief to primary caregiver |
| satellite clinics | ambulatory care centers established remotely from hospital. primary care provided by on duty physician |
| short term (acute) hospital classification | pts have average los of 5 days and total los of less than 25 days |
| single hospitals | category of hospitals that are self contained and not part of a larger organization |
| single-specialty group physician practices | single specialty practices that consist of 2 or more physicians who provides pts with specific type of care |
| skilled care | services ordered by physician and provided under supervision of rn or physical, occupational, pr speech therapist |
| skilled nursing facility (SNF) | provides medically necessary care to inpatients on daily basis- under supervision of skilled medical personnel. -provide iv therapy, rehabilitation, and wound care services |
| solo physician practices | organizations that do not have physician partners with other practice organizations |
| specialty hospitals | concentrates on a particular population on pts or disease |
| staff model HMO | partially owned by physician employees with physician functioning as employee- most physicians are paid a salary |
| student health center | provides healthcare to students who have become ill or injured |
| subacute care | provide specialized long term care such as chemotherapy, injury rehab, ventilator support, etc. |
| subscribers | pay health insurance premiums |
| substance abuse and mental health services administration (SAMHSA) | DHHS agency works to improve quality and availability of substance abuse prevention, addiction treatment, and mental health services |
| swing bed | allows a rural hospital to admit a nonacute care pt |
| Temporary Assistance to Needy Families (TANF) | state-federal welfare program |
| therapeutic group home | 6 to 10 individuals are provided with supervised housing that may be linked with day treatment program |
| total parental nutrition (TPN) | administration of nutritional substances by peripheral or central iv infusion to pts malnourished |
| triple option plan | provides subscribers and employees with a choice of hmo, ppo, or traditional health insurance plan |
| urgent care center | immediate care provided by on duty physician -owned by private corporations or non profit facilities |
| utilization management | controls health care costs and quality of health care by reviewing cases for appropriateness and medical necessity |
| ventilator | breathing machine |
| veterans health administration | an agency in dept. of veterans affairs that provide medical, surgical, and rehabilitaion support to veterans of armed forces |
| veterans integrated service network | administers and provides health care services at VA medical centers and community based outpatient clinics |
Created by:
tkirk0829
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