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Ch 3 HIT 110
Chapter 3 Green
| Question | Answer |
|---|---|
| Diagnosis related group- DRG | calssify inpatient hospotal cases into groups thar are expected to comsume similare hospital resourses. |
| Acute Care Facility- ACF | a hospital that provide health services to patients who have serious, sudden or acute illness or who need certin surgeries |
| Anciallary Service | diagnositce and theraputic serviesd provided to inpatients and outpatients. |
| single hospitals | are not contained within a larger organization |
| multi-hospital systems | are two or more hospitals owned, managed or leased by one organization |
| bed size/bed count | the total number of inpatient beds for which a facility is liscensed by the state |
| short term | length of stay 4 to 5 days with a total of 25 days |
| long term | average stay over 25 days |
| crutucal access hospitals CAH | located more than 35 mles away from any other hospital or another CAH or they are state cartified as being a necessary provider to area residents |
| swing bed | criteria that allows a rural hospital to admit a nonacute care patient |
| general hospital | provides emergency care, general surgery, admit patients by being liscensed with the state |
| speciality hospitals | concentrate on a particular population of patients or disease categories |
| rehabilitation hospitals | admit patients who are diagnosed wit trauma |
| behavorial health hospitals | specialize in treating individuals with mental health diagnoses |
| HOSPITALISTS | physcians who spend most of their time in a hospital setting admitting patients to their inpatient services from local primary care providers |
| ambulatory patients- outpatients | treated and released the same day and do not stay overnight or past the 24 hour mark |
| ambulatory surgery patients | undergo a certin procedure thaty can performed on an outaptient basus with them being there up to the 24 hour mark |
| emergency care patients | are treated for urgent problems and are either released or admitted to the hospital |
| inpatients | are admitted into the hosptaland stay over 24 hours |
| newborn patients | recieve infant care upon birth and if necessary they recieve neonatal intensive care at the hopital or are transfered to another facility |
| observation patients | recieve services futnished on a hospitals premises that are prdered by a physcian ro authorized person.this includes the use of a bed and periodic nurse monorting |
| subacute care | is provided in hospitals that provide specialized long term acute care such as chemotherapy, rehab, venilator support |
| ventilator support | breathing machine |
| ambulatory surgical center ASC | outpatient surgery center stnd alone facility |
| clinical laboratory | stand alone lab tht performas kab test |
| heart and vascular center | provides ambulatory cardiovascular services that include diagnosis and treatment, disease preventiopn, research, education, rehabilitation |
| staff model health managed organization | similar to large group practices that may be partially owned by a physcian or employees |
| imaging center | free standing facility that does xrays and other imaging services |
| industrial health clinic | located on a business setting that emphizes employee saftey |
| unfusion center | freestanding center that dispenses medication that is perscribed my a liscensed physican |
| neighboorhood health clinic | healht care is provided to fininacially disadvantages families and treatment is given because illnesses my be cause by crowded oving conditions. |
| pain management center | specializes in treatment of acute and chronic pain syndromes using proven medications and procedures |
| solo physcian practices | are a one doctor office, they ahve no partners or aren't affiliaed with any other organizations |
| single speciality group physcian practices | comsists of 2 or more physcians that specialize in one certin type of care |
| multi speciality group physcian practices | various types of medical specilizations in one organization |
| internal medicine physcians | specialize in the care of adults |
| peditricians | specialize in the care of children |
| family practicioners | provide care for the entire family |
| primary care center | offers adults and family care medicine in the listed areas above |
| public health department | provides preventitive medicines such as vaccinations and baby well clinics |
| student health center | health center that offers wellness clinics to students |
| urgent care | gives emergency care to anyone and is provided y an on site ohyscian. |
| clinic outpatient | recieves scheduled diagnositce and theraputic care |
| reffered outpatient | recieves diagnositc and theraputic care because primary care provides can't provide the care needed |
| partial hospitalization | program for hospital patients who regurlary use the hospital facilities for a large amount of hours during a day or night |
| hospital owned physcian practice | are partially owned by a hospital and the physcians particiapte in a compensation plan |
| satellite clinics | ambulatory care clinics that are established remotely from the hospital primary care is provided by and on duty physcian |
| chemical dependancy programs | provides 24 hour medically directed evaluation and withdrawl management in an acute care setting |
| crisis services | provides short term crisis intervention and treatment |
| day treatment program | intensive treatment program provided to patients who live in the community |
| developmentally disabled faciities | these facilites give treatment and provide care to those who are disabled |
| family support services | services are provided to assist familes in caring for a patient |
| intensive case management | specially trained individuals that coordinate and provide serices to those in the community |
| residential treatment facility | disturbed patients recieve intensive and comprhensive psychatric care |
| respite care | care is provided by specially trained individuals in a setting other that the patients home to offer relief and rest for family |
| theraputic group home | 6 to 10 individuals are provided with supervised houseing |
| skilled care | includes services that are ordered by a physcian and provided under supervision |
| durable medical equipment | medical equipment such as canes, walkers, wheel chairs etc... |
| personal care and support services | provides assistance in performing daily activities |
| home infusion care | provided by home health care agencies when intravenous administration od medication is approiate |
| chemotherapy | IV administration of chemical medications that have toxic effects and are used to kill diseases |
| drug therapy | UV admin of other drugs |
| hydration therpay | IV admin of fluids, electrolytes, and other additvatives |
| pain management | IV admin of narcotics and other drugs used to relieve pain |
| total parenatal nutrition | admin of nutritional substances by pheriphal or central IV infusion |
| hospice care | proveides comprehensive medical and supportive care to patients and their families when a patient is seriously ill |
| palliative care | comfort care for family and patient in the last link of time |
| curative care | theraputic car provided in the home |
| long term care | care facilites that prvide care and service for a wide range of people usually elderly for long periods of time over 30 days |
| adult day care | provides care an supervision in a structured manner to seniors with physcial or mental limitations |
| assisted living facilities | a combonation of housing and supportative services including personal care and household management |
| dementia care facilities// alzheimers treatment canters | they ahve the same characteristics as assisted living facilities but the are specialized for patients with dementia and alzhimers |
| continuing care retirement communities | differenmt levels of care based o the residents needs from independent living apartments to skilled nursing facilites |
| intermediate care facility | provides developmentally disabled people with medical care and supervision, nursing services and therapy |
| federal certification | measures the ability of health care faciliteies to deliver care that is safe and adequate |
| long term care hospital | is defined in medicare alws as hospitals that have an average stay greater than 25 days |
| residential care facility | provides non-medical custodial care which can be provided in a single family residence, a retirement place, and any other care facility that is approiate |
| activites of daily living` | daily activities such as bathing, dressing, eating, walking |
| skilled nursing facility | provides medically necessary care to onpatients on a daily basis that is performed by or under supervision of medical personnel |
| managed care | orginally refered to as prepaid health care sectors such as HMOs which combined health care delivery with the financing of health care services |
| exclusive provider organization | provides benefits to subscribers ho receive health care services from network providers |
| subscrubers | individuals who pay premiums |
| network providers | physcians and health care facilities inder contact to the managed care plan |
| integrated delivery system | organization of affiliated provider sites that offer joint health services to subscribers |
| group practice withour walls | managed care cintract in which physcians maintain their own offices and share services with plan members |
| medical foundation | non profit organization that contracts with and acquires the clinical and business assets of physcian offices |
| integragted provider organization | manafe health care serives provided by hospitalsm ohyscians, and other health care organizations |
| managemtnt services organizations | provides oractice management services including support services to individual physcian practices |
| phyhscian hospital organization | managed care contracts are neogatied by hospitals and physcian groups. physcians maintain their own practices and orivide services to plan memners |
| health maintence organization | alternative to traditional health insurance coverage. they provide comprehensive health care services to members on a prepaid basis/ |
| closed pannel HMO | includes groups and staff models that provide services at HMOowned health centers |
| open pannel HMO | includes direct contract, individual practice sassociations and network models |
| group model HMO | participating physcians who are members of an independant multi speciality group that provides health care services |
| direct contract model HMO | individual physcians in the community deliver contracted health services |
| individual practive association | physicans who remain in the independent office setting proveide contracted health care services to subscribers |
| network model HMO | 2 or more physcians multi speciality group practices proveide contracted services |
| point of service plan | patients have the freedom to use an HMO panel of providers or to self refer to non HMO providers |
| coepayment | a fixed amount a subscriber must pay when seeking medical treatment |
| perferred provider organization | a network of ohyscians and hospitals join together to contract with third part payers to proved health care to subscrubers at a discount |
| triple option plan | provides subscribers and employees with a choise of HMO, PPO< or traditional health insurance plan |
| utilization management | controls health care costs and the quality of care by reviweing cases |
| preadmission certification | is a form of utilization management that involves the review for medical necessity of inpatient care prior to admission. |
| medical necessity | rewuires the documentation of services or supplies that are proper and needed for the daignosis, direct care and treatment of a medical condition |
| correctional facilities | provide inamtes with medical care, secure hpuding and an enviromnet that offers educational and vocational advancment |
| bureau of prisions | provides necessary medical, dental and mental care to inmates on a professional level |
| federal medicine centers | provide major medical care to inmates |
| national commission on correctional health care | was established in the 1970s to provide and external peer review process for correctional instutitions that wish to meet its nationall accepted standards for health services |
| militay health system | administers health care for active members of the uniformaed service and provided by military treatment facilities and networks of civilian health care professionals |
| military treatment centers | a clinic orhospial located on a US military base |
| militay medical support office | coordinates civilian health care services when the MTF service aren't available |
| veterns health administration | an agency in the department of vetrans affairs, provides medical care to veterans of the armed services |
| veterans integrated service networks | administer and provide health care at VA medical centers and community based outpatient clinics |
| public health service | commissions corps is one of seven inofromed services of the US and provides highly trained health professionals who carry out programs to promote the nations health |
| administration for children and families | is responsible for service that ssist needy children and familes |
| temporary assistance to needy families | welfare |
| administration on aging | supports a nationwide aging network providing services to the elderyly |
| agency for healthcare research and quality | supports research designed to omprove the outcomes and quality of health care, reduce costs and address patient safety and quality of care |
| agency for toxic substances and disease registry | works with states and other fedral agencies to prevent exposure to hazardour materai l |
| centers for disease control and prevention | provides a systems of health surveillance to monitior and prevnet outbreak of diseases |
| centers for medicare and medicaid | administers medicare and medicaid and childrens health insurance |
| food and druf administration | assures the safety of food, drugs cosemetics, and other medicaldevices |
| health resources and services administration | provides heakth resources for medically inderdeserved populations, works to build health care workforces, maintains the national health serives corps |
| indian health services | supports a network of hospitals, clinics, schools, to american indian tribes |
| national instutites of health | with seperate instutites its the worlds premier medical research organization, supporting research projects on diseases |
| office of pyblic health and science | directed by the assistance secretary for health serves as a focal point of leaderships and coordinates progams across the US |
| office of the secretary of health and human services | advises the president on health, welfare, income security plans, etc |
| program support centers | a service for free organizations that utilizes business enterprose approach to provide governemnt support services |
| substane abuse and mental health administration | works to improve the quality and availability of substance abuse preventions, addictions, and treatments |
| capitation payment | lump sum payment |
Created by:
ashbug207
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