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Module 2

HIT 110

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