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HIT 110 MOD 3
Stack #166294
| Question | Answer |
|---|---|
| Diagnosis-related group | is a system to classify hospital cases |
| DRG | Diagnosis-related group |
| ACF | Acute Care Facilty |
| Acute Care Facilty | provides heath care services to patients who have serious illnesses or injtures and/o need certian surgeires |
| ancilliary services | diagnostic and theraputetic services provided to inpatints and outpatients |
| ancillary services | lab work, physical therapy, etc |
| single hospital | self contained, not part of a larger organization |
| multi-hospital system | two or more hosptial owned, managed or leased by single organization |
| bed size/bed count | number of inpatinent beds for which the facility is lisenced by the stage, hopsital must be equipped and stagged to caer for these patient admissions |
| short term stay | stay is less than 25 days |
| long term stay | stay is greater than 25 days |
| Critical Access Hospital | located no more than 35 miles from any other hospital or they are state certified as being a necessary provider of heatl care to area residents |
| CAH | Critical Access Hospital |
| swing bed | allow rual hospital to admit nonacute care patient |
| general hospital | emergency care, feneral sugery, admit pateitns for a range of problems |
| specialty hosptials | particulat population of patients or disease category |
| swing bed | treated and released the same day and do not stay overnight in the hospital |
| rehabilitation hospitals | admit patintes who are dagnosed with trauma or disease and need to learn how to function |
| Behavioral health care hospital | specialize in treating individuals with mental health diagnoses |
| hospitalist | physicians who spend most of thier time in a hospital setting admitting patients to theri inpatint services from local primary care providers |
| rehabilitation hospitals | undergo certian procudeures tha cna be preformed on an outpatient basis when the patient treated and relased on the same day |
| emergency care patients | specialize in treating individuals with mental health diagnoses |
| hospitalist | stay overnight in the faciclty for 24 hours or more and are provided with room and board and nursing serivces. |
| newborn patients | infant care upon birth and if necessarey they recieve neonatal intenisve care within the hospital or as the result transfer to another hospital |
| observation patients | sercices furnished on hospital, ordered by physician or authorized individual; periodic monitoring by staff to evaluate the patients condition |
| subacute care | provided specialized care; rehab, chemotherapy, ventilator, support, wound care and other types of services provided to other seriouslly ill patients |
| ventilator | breathing machine |
| ambulatory care/outpatient care | allows patients to recive care in one day w/out the need for inpatinent hospitalization. |
| abulatory surgical center | surgery is profeomed on an ouptaients basis at a freestanding ambulatory sugical center |
| ASC | Ambulatory Surgical Center |
| Clinical laboratory | stand-alone clliniacl laboratory prefomrs testing in microbiology, clinical chemistry, and toxicology |
| heart and vascular center | provides ambulatory cardovasuclar services to include diagnosis and treatment, disease prevention, reseasrch, education, and cardiac rehabilitation. |
| staff model heatlh maintenance organization | similar to large, multi-specialty group practices, physicians typically functioning as employees of either the owning froup practice or the insurer |
| imaging center | freestanding faciltiy that procides readiographic and other imaging services |
| industrial health clinic | located in a buisness setting the emphaiss is on employee heatlth and safety |
| infusion center/ambulatory infusion center | freestanding center theat dispenses and admintsters prescribed medications by contiuous or intermittent infusion to ambulatory patients |
| AIC | ambulatory infusion center |
| neighborhood health center | heatlh care is provided to economically disadvanteged and treatment is family centered. ilnesses may ersult indirectly from crowded living conditions, unsanitary facilites, and other socioeconomic factors |
| pain managment center | specializes in treatment of actue and chronic pain syndromes using proven medications and procedures |
| solo pysician practices | do not have physician partners or emploment affilitaions with other practice organiziations. |
| single-specialty group physican practices | consist of two or more physicans who provide patients with one specic type of care |
| multi-specialty group phsycian practices | provide various types of medical specialty care in one organization and they may be located in more than one location |
| primary care center | offers adult and family care miedicnine in internal medicine, pediatrics, and other fmaily practice |
| internal medicine physicians | specialize in care of adults |
| pediatritions | provide comprehenisve services for children, infants, and adolescents. |
| family practitioners | enterie family and focous on general medicien, obsetrics, pediatrics and geriatrics |
| public health department | provides preventaive medicene services such as well baby clinics, which include immuniztions and routine check ups |
| student heatlh center | provdes heath care to full and part time students who become ill or injured |
| urgent care/emergency care center | immediate care is provided by an on-duty physican. |
| Hospital based departments and programs | ambulatory surgery, outpatient dpearment |
| clinic outpatient | recieves scheduled diagnostic and theraputic care |
| referred outpatient | diagnostic or theraputic care because such care is unavailble in the primary care providers office |
| partial hospitalization program | program for hospitla patients who regulary use the hospital facilities for a substantial number of daytime or nightime hours |
| hospital owned phsyican practice | partially owned by the hospital and the phycisnans participate in a compensation plan procided by the hospital |
| satellite clinic | ambulatroy care centers that are established remotley from the hospital. |
| Hospital-owned facilities | hospital-owned physican practice, satellite clinics |
| chemical dependency programSave Changes | provides 24 hour medically directed evaluation and withdrawal manegment an acute care inpatient setting |
| crisis service | provides short term crisis intervention and treatment |
| day treatment program | intensive treatment program provided to patients who live in the community but come to the facitlilty up to five days per week. |
| developmentally disabled/menatlly retarded facilities | sometimes catororized by an intermediate care facility, they provide learning, health care, techingal assitance, clinica,l, evaluations. |
| family support services | 24 hour a day services for emergencies |
| intensive case managment | specially trained indivuidauls coordinate and or provide mental health, finacial, legal, and medical sercvices to help the patient live successfuly at home and in the community |
| residential treatment facitlty | seriouslly disturbed patients recieve intinsive and comprehenisve psychiatric tretment on a long term basis |
| respite care | care is provided by specially trained individuals at a setting other than the patient's home to offer relief and rest to primary caregivers |
| therapeutic group home | 6-10 individuals are provided with supervised housing. |
| home care | allows people who are seriously ill or dying to remain at home and recieve treament from nurses, social wokrers, therapists and other licesnsed health care professionals who provide skilled care in the home |
| skilled care | services that are odered by a physician and provided under the supervision of a RN, or physical, occumational, or speech therapist. |
| durable medical equipment | canes, crutches, IV supplies, hospital beds, ostomy supplies, o2, prostheses, walkers, weelchairs |
| DME | durable medical equipment |
| personal care and support services | assistance in preforming daily activities |
| home infusion care | also provided by home health care when intravenous admininstration of medication is medically appropriate, and is administered in the home |
| chemotherapy | intravienous admionstraion of chemical agents that have specific and toxic effect upon ad disease causing cell or organizm |
| drug therapy | intravenous administraion of other drugs including antibiotics, antivirals |
| hydration therapy | intravenous administration of fluids, electrolytes, and other additives |
| pain manegment | intravenous administration of nartotics and toerh drugs designed to relieve pain |
| total parental nutrition | Administration of nutritional substances by peripheral or central intravenous infuseion to patients who are either already malburished or have the poteintial of developing malnutrition |
| TPN | Total parental nutrition |
| Hospice Care | provides comprehensive medicial and supportive social, emotional, and spirtitual care to terminally ill patients and thier families |
| palliative care | comfort managment |
| curative care | theraputic |
| long term care | range of nursing, social and rehablilitave services for people who need ongoing assistance |
| adult day care | provides care and supervision in a structured environment to seniors with physical or mental limitations |
| assisted living faciltiy | combonation of housing, and supporitive services including household and personal care for seniors |
| ALF | assisted living facility |
| demential care facilities and alzhimers's treatment facilities | same characteristics as assisted living, there is more extensive monitoring of patients |
| continuing care retirement communities | provide levels of care based on the residents needs from independent living apartments to skilled nursing care in a n affiliated nursing facility |
| CCRC | Continuing Care reitirment communities |
| Intermediate Care Facility | provides deveelopmetnally disabled people with medical care and supervision, nursing services, occupationsal and physical therapies, activy programs, educational and recreational service programs, and psychological services |
| ICF | Intermediate Care Facility |
| Federal Certification | measures the ability ability of health care facilities to deliver care that is safe and adequate in accordance with federal law and regulations |
| long term care hospital | in meidcare law as hospital that have an average inpatinent lenght of stay greater than 25 days |
| LTCH | Long term care hospital |
| residential care facility | provides non medical custodial care, which can be frovided in a single family residence, a retirment residence, or in any appropriate care facility including a nursing home |
| RCF | Residential Care Facility |
| Activities of daily living | bathing, dressing, eating, toiliting, waliking |
| ADL | Activities of daily living |
| Skilled Nursing Facility/nursing facility | provides medically necessary care to inpatinets on a daily basis that is prefomed by or under the supervison of skilled medical professionals |
| SNF/NF | Skilled nursing facility/nursing facility |
| managed care | originaly reffered to the prepaid helath care sectors which combined health care delivery with the financing of health care services |
| Exclusive provider organization | provides beinfits to subricbers who recieve health care services from network providers. |
| EPO | exculsive provider organization |
| subsciber | individuals who pay premiums |
| network providers | physisicans and healht care facilities under contract to the managed care plan |
| Integrated delivery system | organization of affiliated proiveder sites that offer joint healht care services to subsribers |
| IDS | Integrated delivery system |
| group practice without walls | managed care contract in which pjysicians maintain their own offices and share survices to plan members |
| GPWW | Group practice without walls |
| medical foundation | nonprofit org. that contracts w/and acquires the clinical and buisness assets of physician practices |
| integrated provider organization | manages halth care services provided by hospitals, physicans and other health care organizations |
| IPO | Integrated provider organization |
| Managment service organization | provides practice manegment sercies to individual physician practices |
| mso | managment service organization |
| PHO | Physican hospital organization |
| physican hospital organization | managed care contracts are negotiated ny hospital and physican groups |
| HMO | Heatlh maintence organization |
| health maintenece organization | provide comprehensive health care services to members on a prepaid basis |
| closed panel HMO | group and staff modles that provide services at HMO owned health centers or satellite clinics, or by physicans who belong to a specially formed medical group that serves the HMO |
| open panel HMO | direct contact, individual practice association, and network modles, physicans are not empolyees of the HMO and they do not belong to a specially formed medical group that serves the HMO |
| Group model HMO | participating phys. that are members of an independent multi-specialty group provided health care services |
| direct contract model HMO | indiv. phyc. in the community deliver contracted health care services to subscribers |
| IPA | individual practice association/independed practice association |
| independent practice association/individual practice assocation | phyc. that remain in independed office settings procide contracted health care services to subscribers |
| capitation payment | lump sum paid by the HMO to care for a group of subscribers |
| network model HMO | two or more physican multi-specialty grup practices provide contracted health care services to subscribers |
| POS | point of service plan |
| point of service plan | patients have the freedom to use an HHMO panel of providers or to self refer to non-hmo providers |
| Copayment | fixed amt of subsrciper must pay when seeking health care services |
| preferred provider organization | network of phycians and hospitals join together to contract with 3rd party payers, employers, and other org. to provide health cae to subsricbers for a discounted rate |
| PPO | preffered provider organization |
| triple option plan, cafeteria plan, flexible benifit plan | provides subsribers and employees with a choice of HMO, PPO, or traditional health insurance plan |
| utalization manegment | controls health care costa and the quality of health care by reviewing cases for appropriatness and medical necessity |
| preadmission certification | utalization manegment that infloces the review for medical necessity of inpattient care prior to inpatient admission |
| PAC | preadmission certification |
| meidcal necessity | requires the documentatino of services or supplies that are proper and neeeded for the diagnosis or treatment of a medical condiont are provided for the diagnosis, direct care and treatmend of a medical condition, meet the standard of good medical practic |
| correctional facilities | provide inmates with a secure housing enviroment that also offers vocational and educational advancement |
| BOP | bureau of prisons |
| bureau of prisons | provides necessary medical, dental, and mental halth servies to inmates by a professional staff and consistent with acceptable community standards |
| FMC | federal medical center |
| federal medical center | provide major medical care |
| NCCHC | National commission on correctional health care |
| National commission on correctional health care | established in the 1970's to provide an external peer review process for corerecitional institutions that wish to meet its nationally accepted standards for halth services |
| Military halth system | administers healh care for active members of the uniformed services and thier dependeds as profided by military treatment facilites and networks of civilian health care professionals |
| MHS | Millitary health system |
| MTF | millitary treatment facility |
| millitary treatment facility | clinic and/or hospital located on a US millitary base |
| MMSO | millitary medical support office |
| millitary medical support office | coordinates civilian health care services whem MTF servies are unavailible |
| VHA | vetrans health admisitration |
| Vetrans health administration | agency in deparment of vetrans affairs privdes medidcal surgical and rehabilitative care to vetrans of the armed services |
| vetrans integrated service networks | admiister and provied health care services at VA medical centers |
| VISN | vetrans integrated service networks |
| PHS | public health service |
| public health service | one of seven uniformed services of the US and provides highly trained and moble halth professinals who carry out programs to promote the nation's health, understand and prevend disease and injury, assure safe and effective drugs,a and meidcal services, de |
| ACF | admiistration for children and families |
| administraton for children and families | programs that provide serives and assisting to needy children and familes |
| TANF | Temporary assistance to needy families |
| Temporary assistance to needy families | new state federal welfare program |
| AOA | admin. on aging |
| administration on aging | supports a natinwide aging network providign servies to the elderly to enable them to remain independent |
| AHRQ | agency for healthcare research and quality |
| agency for healthcare research and quality | supports resarech designed to improve the outcomes and quality of health care. reduce its costs, addres spatient safey and medical errors and broaden acces to effective services |
| ATSD | Agency for Toxic substances and disease registry |
| Agency for Toxic substances and disease registry | works with states and other federal agencies to prefent exposure to haz sub from waste sites |
| CDC | centers for disease control and prevention |
| centers for disease control and prevention | system of health surveylance to monitor and prevent outbreak of disease |
| CMS | centers for medicare and medicaid services |
| centers for medicare and medicaid services | admisiters medicare, medicaid, and the childrens health insurance program (CHIP) and was formerly called the health care finacing admisitration or the HCFA |
| FDA | food and drug administration |
| food and drug admisintration | assures the safety of foods and cosmetics, and the safey and efficay of pharmaceuticals, biological products and medical devices |
| HRSA | health resources and services administration |
| Heath resources and services administration | provides health resources for medically undedserved populations, works to build the health care workfoce, maintaains the national health servive corps, oversees the nations organ transplatation system, works to decrease infant mortality and improve child |
| IHS | indian health service |
| indian health service | supports a network of 37 hospitals, 3 school health cneters, 46 health statoions, and 34 urban indian health centers to provide services to nearly 1.5 million american indians and alaska natives of 557 fedearally recognized tribes |
| NIH | National institue of health |
| national institute of health | with 17 seperate instutes, is the world's premier medical research organization, suppoting some 35,000 research projects nationwide in diseases like cancer, alzhimers, diabetes, arthritis, heart, and AIDS |
| OPHS | office of public health and science |
| office of public health and science | directed by the Assistance secretary for health, serves as the focal point of leadership and coordinatino across DHHS in public health and science, provides direction to program offices within OPHS, and provides advice and consel on public health and scie |
| OS | office of the secretary of health and human services |
| office of the secretary of healht and human services | advises the president on health, welfare, and inocome security plans, policies, and programs of the federal government |
| PSC | program support center |
| program support center | service-for-fee organization that utilizes a buisness enterprise approach to provide government support services throughout the Deparment of Heatlh and Human services DHHS, as well as other federal agencies |
| Substance abuse and mental health services administration | works to improve the quality and availibility of substance abuse prevention, addictin treatment, and mental health services |
| SAMHSA | substance abuse and mental health services administration |
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