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Chapter 3
Stack #166360
| Question | Answer |
|---|---|
| ACF | Acute care Facility (Hosptial) |
| A hospital that provides health care services to patients who have serious, sudden, or acute illnesses or injuries and/or need surgery | Acute care facility (Hosptal) (ACF) |
| DRGs | Diagnosis-related groups |
| They classify inpatient hospital cases into groups that are expected to consume similar hospital resources. | Diagnosis-related groups (DRGs) |
| What are diagnostic and therapeutic services provided to inpatients and outpatients? | Ancillary services |
| A hospital self contained and not part of a larger organization | Single hospital |
| Two or more hospitals owned, managed, or leased by a single organization | Multi-hospital hospital |
| Total number of inpatient beds | bed size or bed count |
| Hospital with an average LOS of 4 to 5 days and no more than 25 | Short-term or acute |
| Hospital with an average LOS greater than 25 days | Long-term |
| CAHs | Critical access hospitals |
| Hospital located more than 35 miles from any other hospital | Critical access hospitals (CAHs) |
| Hospital that provides emergency care, performs surgery, and admits patients for a range of problems | General hospital |
| Hospitals that concentrate on a particular population of patients or disease category | Specialty hospital |
| Hospital that admits patients who are diagnosed with trauma or disease and need to learn how to function | Rehabilitation hospitals |
| Hospital that specializes in treating individuals with mental health diagnoses | Behavioral health care hospitals |
| Physicians who spend most of their time in a hospital setting admitting patients to their inpatient services from local primary care providers | Hospitalists |
| Patients treated and released the same day and do not stay overnight in the hospital. | Ambulatory patients or outpatients |
| Patients that undergo certain procedures on an outpatient basis | Ambulatory surgery patients |
| Patients treated for urgent problems and are either released the same day or admitted as an inpatient | Emergency care patients |
| Patient that stay overnight with nursing care | Inpatient |
| Patient that receives care upon birth | Newborn patient |
| Patient being monitored by nursing staff to determine if necessary to admit as an inpatient | Observation patient |
| Breathing machine | ventilator |
| Care provided in hospitals that provide specialized long-term care | Subacute care |
| Allows patients to receive care in one day without the need for inpatient hopitalization | Ambulatory care or Outpatient care |
| Surgery performed on an outpatient basis | Ambulatory Surgical Center (ASC) |
| ASC | Ambulatory surgical center |
| Stand alone clinical laboratory | Clinical Lab |
| Provides ambulatory cardiovascular services | Heart and vascular center |
| May be partially owned by the physicians employees, with the physicians typically functioning as employees of either the physician group or the insurer | Staff model health maintenance organization (HMO) |
| HMO | Health maintenance organization |
| Freestanding facility that provides radiographic and other imaging services | Imaging center |
| Located in a business setting (factory), employee health and safety | Industrial Health Clinic |
| Freestanding center that dispenses and administers prescribed medications by continuous or intermittent infusion to ambulatory patients | Infusion Center |
| Health care is provided to economically disadvantaged | Neighborgood health center |
| Provides treatment for acute and cronic pain | Pain management center |
| Physician practicing alone | Solo physician practice |
| Two or more physicians who provide a specific care | Single-specialty group physician practice |
| Offers various types of medical specialty care in one organization and may be located in more than one location | Multi-specialty group physician practice |
| Offers adult and family care medicine in internal medicine, pediatrics, and family practice | Primary care center |
| Specializes in the care of adults | Internal medicine physicians |
| Specializes in the care of infants, children and adolescents | Pediatricians |
| Provide care for the whole family | Family practicioners |
| Provides preventive medicine services | Public health department |
| Provides occupational, physical, and speech therapy to patients | Rehabilitation facility |
| Provides health care to full-and part-time students who become ill or injured | Student health center |
| Immediate care is provided by an on-duty physician | Urgent care center or emergency care center |
| Elective surgery is performed on patients who are admitted and discharged the same day | Ambulatory surgery |
| Patient receives scheduled diagnostic and therapeutic care | Client outpatient |
| Patient receives diagnostic or therapeutic care because such care is unavailable in the primary care. | Referred outpatient |
| Immediate care to patients with trauma or urgent problems | Emergency Dept |
| Program for hospital patients who regularly use the hospital facilities a substantial number of either daytime or nighttime hours | Partial hospitalization program |
| Hospital-owned practices are at least partially owned by the hospital, and the physicians participate in a compensation plan provided by the hospital | Hospital-owned physician practice |
| Ambulatory care centers that are established remotely from the hospital | Satellite clinics |
| Provides 24 hour medically directed evaluation and withdrawal management in an acute care inpatient setting | Chemical dependency program |
| Provides short term crisis intervention and treatment. Patient receives 24 hour supervision | Crisis service |
| Intensive treatment program provided to patients who live in the community but come to the facility up to five days per week | Day treatment program |
| Sometimes categorized as an intermediate care facility (ICF), these facilities provide residential care and day programming, including academic training, clinical and technical assistance, health care services, and diagnosis and evaluation of individuals | Developmentally disabled / Mentally retarded facilities |
| Allows people who are seriously ill or dying to remain at home and receive treatment. | Home care |
| Services are provided to assist families in caring for the patient | Family support services |
| Services that are ordered by a physician and provided under the supervision of a registered nurse | Skilled Care |
| Patients receive comprehensive phychiatric treatmnet on an inpatient basis in a hospital | Intensive Case Management |
| Patients receive follow-up mental health care, and visits are usually under one hour. | Outpatient care |
| Patients use the facility for a substantial number of either day-time or night-time hours | Partial Hospitalization Program |
| Seriously disturbed patients receive intensive and comprehensive psychiatric treatment on a long-term basis | Residential Treatment Facility |
| Care is provided by specially trained individuals at a setting other than the patient's home to offer relief and rest to primary caregivers | Respite Care |
| Six to 10 individuals are provided with supervised housing | Therapeutic Group Home |
| DME | Durable medical equipment |
| Includes canes, cruthes, IV supplies, hospital beds, ostomy supplies, oxygen, prostheses, walkers, wheelchairs | Durable medical equipment |
| Provides assistance in performing daily living activities | Personal care and support services |
| provided by home health care agencies when intravenous administration of medication is medically appropriate for the patients condition, and treatment | Home infusion care |
| Intravenous administration of chemical agents that have specific and toxic effects upon a disease-causing cell or organism | Chemotherapy |
| Intravenous administration of other drugs including antibiotics, antivirals, and so on | Drug Therapy |
| Intravenous administration of fluids, electrolytes, and other additives | Hydration Therapy |
| Intravenous administration of narcotics and other drugs designed to relieve pain | Pain management |
| Administration of nutritional substances by peripheral or central intravenous infusion to patients who are either already malnourished or have the potential for developing malnutrition | Total parenteral nutrition (TPN) |
| TPN | Total parenteral nutrition |
| Provides comprehensive medical and supportive social, emotional and spiritual care to terminally ill patients and their families | Hospice Care |
| Comfort management | Palliative care |
| Therapeutic care | Curative care |
| A range of nursing, social and rehabilitative services for people who need ongoing assistance | Long-term care |
| Provides care and supervision in a structured environment to seniors with physical or mental limitations | Adult day care |
| A combination of housing and supportive services including personal care and household managemnet for seniors | Assisted-living facility (ALF) |
| ALF | Assisted living facility |
| Same characteristics as ALF but with more extensive monitoring and day to day care | Dementia care facilities and Alzheimer's treatment facilities |
| Provides different levels of care based on the resident's needs from independent living apartments to skilled nursing care in the affiliated nursing facility | Continuing care retirement communities (CCRC) |
| CCRC | continuing care retirement communities |
| ICF | Intermediate care facility |
| Provides developmentally disabled people with medical care and supervision, nursing services, occupational and physical therapies, activity programs, educational and recreational services and psychological services | Intermediate care facility |
| Measures the ability of health care facilities to deliver care that is safe and adequate, in accordance with federal law and regulations | Federal certification |
| Hospitals that have an average inpatient length of stay greater that 25 days | Long term care hospital (LTCH) |
| LTCH | Long term care hospital |
| Provides non-medical custodial care. Do not provide skilled services. | Residential care facility (RCF) |
| RCF | Residential care facility |
| ADL | Activities of daily living |
| Bathing, dressing, eating, and so on | Activities of daily living (ADL) |
| SNF | Skilled nursing facility |
| Provides medically necessary care to inpatients on a daily basis that is performed by or under the supervision of skilled medical personnel | Skilled nursing facility |
| Originally referred to the prepaid health care sector such as HMOs which combined helth care delivery with the financing of helth care sevices, increasingly used to refer to preferred provider organizations and some forms of indemnity coverage that incorp | Managed care |
| EPO | Exclusive Provider Organization |
| Provides benefits to subscribers who receive health care services from network providers | Exclusive provider organization (EPO) |
| An organization of affiliated provider sites that offer joint health care services to subscribers | Integrated Delivery System (IDS) |
| IDS | Integrated delivery system |
| Managed care contract in which physicians maintain their own offices and share services to plan members | Group practice without walls (GPWW) |
| GPWW | Group practice without walls |
| Nonprofit organization that contracts with and acquires the clinical and business assets of physician practices | Medical Foundation |
| Manages health care services provided by hospitals, physicians and other health care organizations | Integrated Provider Organization (IPO) |
| IPO | Integrated provider organization |
| Provides practice management services | Management service organization (MSO) |
| MSO | Management service organization |
| Managed care contracts are negotiated by hospitals and physician groups | Physician-hospital organization (PHO) |
| PHO | Physician-hospital org. |
| An alternative to traditional health insurance coverage, provides comprehensive health care services to members on a prepaid basis | Health Maintenance Organization (HMO) |
| Group and staff models that provide services at HMO owned health centers. | Closed-panel HMO |
| Direct contact were physicians are not employees of the HMO | Open-panel HMO |
| Participating physicians who are members of an independent multi-specialty group | Group model HMO |
| Physicians owned by the HMO | Staff model HMO |
| Individual physicians in the community deliver contracted health care services to subscribers | Direst contract model HMO |
| Physicians who remain independent | Individual Practice Association (IPA) |
| IPA | Individual practice assoc. |
| Lump sum paid by the HMO to care for a group if subscriber | Capitation payment |
| Two or more physician multi-specialty group practices provide contracted health care services to subscribers | Network Model HMO |
| POS | Point of service plan |
| Patients have the freedom to use an HMO panel of providers or self refer to non-HMO providers | Point of service plan (POS) |
| Fixed amount a subscriber must pay when seeking health care services | Copayment |
| A network of physicians and hospitals join together to contract with third party payers | Preferred provider Organization (PPO) |
| PPO | Preferred Provider Org. |
| Provides subscribers and employees with a choice of HMO, PPO, or traditional health insurance plan | Triple Option Plan or Flexible Benefit Plan |
| Controls health care costs and the quality of health care by reviewing cases for appropriateness and medical necessity | Utilization management |
| A form of utilization management that involves the review for medical necessity of inpatient care prior to inpatient admission | Preadmission Certification (PAC) |
| PAC | Preadmission Certification |
| Requires the documentation of services or supplies that are proper and needed for the diagnosis or treatment of a medical condition | Medical Necessity |
| Provides inmates with secure housing environment | Correctional facility |
| BOP | Bureau of Prisons |
| Provides necessary medical, dental, and mental health services to inmates | Bureau of Prisons (BOP) |
| Provide major medical care | Federal medical centers (FMC) |
| FMC | Federal medical centers |
| Provides an external peer review process for correctional institutions that wish to meet its nationally accepted standard for health services | National Commission on Correctional health (NCCHC) |
| NCCHC | National Commission on Correctional Health |
| Administers health care for active memebers of the uniformed services | Military health system (MHS) |
| MHS | Military health system |
| A clinic and or hospital located on US military base | Military treatment facility (MTF) |
| Coordinates civilian health care services when MTF services are unavailable | Military Medical Support Office (MMSO) |
| MMSO | Military Medical Support Office |
| VHA | Veterans health administration |
| An agency in the Department of Veterans Affairs, provides medical, surgical,and rehabilitative care to veterans of the armed services | Veterans health administration (VHA) |
| Administer and provide health care services at VA medical centers and community based outpatient clinics | Veterans Integrated Service Networks (VISN) |
| VISN | Veterans Integrated Service Networks |
| PHS | Public health service |
| Uniformed service of the U.S. and provides highly trained and mobile health professionals who carry out programs to promote the nation's health. | Public health service |
| ACF | Administration of Children and Families |
| Responsible for programs that provide services and assistance to needy chhildren and families | Administration for children and families |
| TANF | Temporary Assistance to Needy Families |
| New state-federal welfare program | Temporary assistance to needy families (TANF) |
| AoA | Administration on Aging |
| Provides services to the elderly to enable them to remain independent | Administration on Aging (AoA) |
| AHRQ | Agency for Healthcare Research and Quality |
| Supports research designed to improve the outcomes and quality of health care, reduce its costs, address patient safety and medical errors, and broaden access to effective services. | Agency for Healthcare Research and Quality (AHRQ) |
| ATSDR | Agency for Toxic Substances and Disease Registry |
| Works with states and other federal agencies to prevent exposure to hazardous substances from waste sites | Agency for Toxic Substances and Disease Registry (ATSDR) |
| CDC | Center for Disease Control |
| Provides a system of health surveillance to monitor and prevent outbreak of diseases | Center for Disease Control (CDC) |
| CMS | Centers for Medicare and Medicaid Services (CMS) |
| Administers Medicare, Medicaid, and the Children's Health Insurance Program (CHIP) and was formerly called the Health Care Financing Administration, OR HCFA | Centers for Medicare and Medicaid Services (CMS) |
| FDA | Food and Drug Administration |
| Assures the safety of foods and cosmetics, and the safety and efficacy of pharmaceuticals, biological products, and medical devices | Food and Drug Administration (FDA) |
| HRSA | Health Resources and Services Administration |
| Provides health resources for medically underserved populations, works to build the health care workforce, maintains the National Health Service Corps, oversees the nation's organ transplantation system, works to decrease infant mortality and improve chil | Health Resources and Services Administration (HRSA) |
| IHS | Indian Health Services |
| Supports a network healthcare centers to provide services to Indians | Indian Health Services (IHS) |
| NIH | National Institutes of Health |
| Worlds premier medical research organization | National Institutes of Health (NIH) |
| OPHS | Office of Public Health and Science |
| Serves as the focal point of leadership and coordination across DHHS in public health and science | Office of public health and science (OPHS) |
| OS | Office of the Secretary of Health and Human Services |
| Advises the President on health, welfare, and income security plans, policies, and programs of the federal govt | Office of the Secretary of Health and Human Services (OS) |
| PSC | Program Support Center |
| Supports services for a fee | Program support center (PSC) |
| SAMHSA | Substance Abuse and Mental Health Services |
| Works to improve the quality and availability of substance abuse prevention addiction treatment, and mental health services | Substance Abuse and Mental Health Services (SAMHS) |
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