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Stack #169059

HIT 114 - Ch 3

Activity of Daily Living bathing, dressing, eating, toileting, walking and so on.
ADL Activity of Daily Living
Acute Care Facility a hospital that provides health care services to pts who have serious, sudden or acute illnesses or injuries and/or who need certain surgeries.
ACF Acute Care Facility
Acute Hospital Classification average length of stay of 4 to 5 days and a total of less than 25 days
Administration for Children and Families responsible for programs that provide svcs and assistance to needy children and families including TANF
ACF Administration for Children and Families
Administration on Aging supports a nationwide aging network, providing services to the elderly to enable them to remain independent.
AoA Administration on Aging
adult day care provides care and supervision in a structured environment to seniors with physical or mental limitations.
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 svcs.
AHRQ Agency for Healthcare Research and Quality
Agency for Toxic Substances and Disease Registry works with state and other federal agencies to prevent exposure to hazardous substances from waste sites.
ATSDR Agency for Toxis Substances and Disease Registry
Alzheimer's treatment facility like ALF, but with more monitoring of residents and day to day care.
ambulatory care outpatient care
ambulatory infusion center A center that dispenses and administers prescribed meds by continuous or intermittent infusion to outpts. same as infusion center.
AIC ambulatory infusion center
ambulatory patients outpatients
ambulatory surgical center a center that performs surgery on an outpt basis. pt recover under the care of a nurse. (mom's surgery)
ASC ambulatory surgical care
ambulatory surgery patient outpt basis, can undergo surgery and go home in one day. 23:59:59 max.
ancillary services diagnostic and therapeutic services provided to in and out pts.
assisted-living facility combination of housing and suportive svcs including personal care and household mngmt for seniors.
ALF assisted-living facility
bed count total number of inpt beds for which the facility is licensed by the state
bed size same as bed count
behavioral health care hospitals specialize in treating pts with mental health diagnoses.
Bureau of Prisons provides necessary medical, dental and mental health svc to inmates by a professional staff and consistent with acceptable community standards.
BOP Bureau of Prisons
cafeteria plan provides subscribers and employees with a choice of HMO, PPO, or traditional health ins. plan (flexible benefit plan and triple option plan)
capitation payment lump sum paid by the HMO to care for a group of scubscribers
Centers for Disease Control and Prevention provides a system of health surveillance to monitor and prevent outbreak of diseases
CDC Centers for Disease Control and Prevention
chemical dependency program provides 24 hr medically directed evaluation and withdrawal mgmt in an acute care inpt setting (detox)
chemotherapy IV administration of chemical agents that have specific and toxic effects upon a disease-causing cell or organism
clinical laboratory Labs, not in hospitals, that perform testing in microbiology, clinical chemisty and toxicology.
clinic outpatient pt rec's follow up mental health care, >1 hr per visit.
closed-panel HMO includes group and staff models that provide svcs at HMO owned health centers or clinics, or by dr. who belong to a specially formed medical group that serves the HMO
Continuing Care Retirement Communities provides different levels of care based on the residents' needs from independent living apartments to SNF. Residents move about from one place to the other based on their needs.
CCRC Continuing Care Retirement Communities
copayment a fixed amount a subscriber must pay when seeking health care svcs.
correctional facilities provides inmates with a secure housing environment that also offers vocational and educational advancement.
crisis services provides 24 hr a day supervision to pt for a short time (>15 days) for crisis intervention and treatment.
critical access hospital located more than 35 miles from any other hospital or another CAH, or are state certified as being a necessary provider of health care to area residents.
CAH critical access hospital
curative care therapeutic management
day treatment program intensive treatment prgm provided to pts who live in the community but come to the facility up to 5 days a week.
dementia care facilities like ALF, but with more monitoring of residents and day to day care.
developmentally disabled/mentally retarted facilities sometimes known as ICF; provide residential care and day programming to individuals with developmental disabilities.
diagnosis-related groups They classify inpatient hospital cases into groups that are expected to consume similar hospital resources.
DRG diagnosis-related groups
direct contract model HMO Individual dr. in the community deliver contracted health care services to subscribers
drug therapy IV administration of other drugs including antibiotics, antivirals, etc.
durable medical equipment canes; crutches; iv supplies; hospital beds; ostomy supplies; oxygen; prostheses; walkers; wheelchairs
DME durable medical equipment
emergency care center same as urgent care center; immediate care is provided by an on-duty physician. (lake after hours)
emergency care patient pt treated for urgent problems (trauma) and released to go home or to admit as an inpt
Exclusive Provider Organization provides benefits to subscribers who rec health care svcs from network providers
EPO Exclusive Provider Organization
family practitioners provide care for the entire family and focus on general medicine, obstetrics, pediatrics and geriatrics
Family Support Services services are provided to assist families in caring for the pt (support groups)
federal certification measures the ability of health care facilities to deliver care that is safe and adequate, iaw federal law and regs.
federal medical centers There are 8 of these that provide medical care to inmates.
FMCs federal medical centers
flexible benefit plan same as Cafeteria Plan: provides subscribers and employees with a choice of HMO, PPO, or traditional health ins. plan
Food and Drug Administration assures the safety of foods and cosmetics, and the safety and efficacy of pharmaceuticals, biological products, and medical devices
FDA Food and Drug Administration
general hospitals provide er care, perform sugery, and admit pts from a range of problems; based on licensing from the state.
group model HMO Participating Dr who are members of an independent multi-specialty group provide health care svc. dr. group is either owned or managed by the HMO or contracted by the HMO
Group Practice Without Walls managed care contract in which dr. maintain their own offices and share svcs to plan mbr.
GPWW Group Practice Without Walls
Health Maintenance Organization an alternative to traditional health insurance coverage. HMOs provide comprehensive health care scvs to mbrs on a prepaid basis
HMO Health Maintenance Organization
Health Resources and Services Administration provices health resources for nedically 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
HRSA Health Resources and Services Administration
heart and vascular center a center that provides for ambulatory(outpt) cardiovascular svcs.
home care when people are very ill or dying, a nurse (or other skilled care worker) comes to their home to take care of them and treat them
home infusion care home health care agencies provide intravenous administration of medication at home instead of a hospital
hospice care Comprehensive medical and supportive social, emotional, and spiritual care to terminally ill pts and their families.
hospitalits drs. who work at the hospital and not have their own practices
hospital-owned physician practice hospital-owned practices are at least partially ownned by the hospital, and the dr. participate in a compensation plan provided by the hospital.
hydration therapy IV administration of fluids, electrolytes and other additives
imaging center facility that provides radiographic and othe rimaging svc to outpt.
Independent Practice Association physicians who remain in their independent office setting provide contracted health care svc to subscribers.
IPA Individual/Independent Practice Association
industrial health clinic located at a job site, emphasis is on employee health and safety
infusion center A center that dispenses and administers prescribed meds by continuous or intermittent infusion to outpts. same as Ambulatory infusion center (AIC).
Individual Practice Association physicians who remain in their independent office setting provide contracted health care svc to subscribers.
Indian Health Service Supports a network of hospitals, health centers, school health centers, health stations, and urban Indian health centers to provide svc for American Indians and Alaska Natives of federally recognized tribes.
IHS Indian Health Service
inpatients pt stays overnight in the hospital, provided with room, board, and nursing services
Integrated Delivery System An organization of affiliated provider sites that offer joint health care svcs to subscribers.
IDS Integrated Delivery System
Integrated Provider Organization Manages health care svcs provided by hospitals, dr. and other health care organizations.
IPO Integrated Provider Organization
intensive case management specialty trained individuals coordinate and or provide mental health, financial, legal and medical svcs to help the pt live successfully at home and in the community.
intermediate care facility provides developmentally disabled people with medical care and supervision, nursing svc, occupational and phy therapy, activity programs, educational and recreational svc and psychological svc.
ICF intermediate care facility
internal medicine physicians specializes in the care of adults
long-term care a range of nursing, social and rehab svcs for people who need ongoing assist. Typically over 30 days.
long-term care hospital average los of greater than 25 days
LTCH long-term care hospital
long-term hospital classification same as LTCH
managed care HMOs and PPOs and some forms of indemnity coverage that incorporate utilization mgmt activities.
Management Service Organization provides practice mgmt svc, including administrative and support svcs, to ind. phys practices.
MSO Management Service Organization
medical foundation Nonprofit organization that contracts with and acquires the clinical and business assets of physician practices.
medical necessity requires the documentation of svcs or supplies taht are proper and needed for the diagnosis or treatment of a medical condition
Military Health System provides health care for active duty members and their dependents as provided by MTF and networks of civilian health care professionals.
MHS Military Health System
Military Medical Support Office coordinates with civilian health care servcies when MTF is unavailable.
MMSO Military Medical Support Office
military treatment facility a clinic or hospital on a military base
MTF military treatment facility
multi-hospital systems two or more hospitals owned, managed, or leased by a single organization.
multi-specialty group physician practices offers more than one type of specialty care in one organization.
National Commission on Correctional Health Care provides and external peer review process for correctional institutions that wish to meet its nationally accepted Standards for Health Services
NCCHC National Commission on Correctional Health Care
National Institutes of Health the world's premier medical research organization, supporting some 35,000 research projects nationwide in diseases.
NIH National Institutes of Health
neighborhood health center health care is provided to the poor, and treatment is family-centered because illnesses may result indirectly from crowded living conditions, unsanitary facilities.
network model HMO 2 or more physician multi-specialty group practices provide contracted health care svc to subscribers.
network providers physicians and health care facilities under contact to the managed care plan
newborn patients at birth babies recieve care and if needed go to the NICU in the hospital or transfer to hosp.
nursing facility Same as SNF.
NF nursing facility
observation patients outpt that need to be monitored by medical staff for a condition that may need admitting to the hosp as an inpt
Office of Public Health and Science serves as the focal point of leadership and coordination across DHHS in public health and science.
OPHS Office of Public Health and Science
Office of the Secretary of Health and Human Servcies advises the President on health, welfare, and income security plans, policies, and programs of the federal government
OS Office of the Secretary of Health and Human Services
open-panel HMO includes direct contract, individual practice association, and network models; dr.s are NOT employees of the HMO and they do not belong to a specially formed medical group that serves an HMO.
outpatient clinic following an inpt stay, a pt receives sked diagnostic and therapeutic care (Chemo)
outpatients pts treated and released the same day and do not stay overnight in a hospital; 23:59:59 hrs max.
pain management IV administration of narcotics and other drugs designed to relieve pain
pain management center specializes in treatment of acute and chronic pain syndromes using proven medications and procedures.
outpatient care pts who receive care in one day without the need for inpt hospitalization
palliative care comfort management
partial hospitalization program program for hospital pts who regularly use the hospital facilities for a substantial number of hours (day or night)
pedicatricians Dr. who specialize in children's health
personal care and support services assistance in ADL provided by home health care agencies
Physician-Hospital Organization managed care caontracts are negotiated by hospital(s) and physician groups. Phys. maintain their own practices and provide svc to plan mbrs.
PHO Physician-Hospital Organization
Point-of-Service plan pt has the freedom to choose, and HMO or Non-HMO, they pay the difference
POS Point-of-Service Plan
preadmission cerfitication a form of utilization mgmt that involves the review for medical necessity of inpt care prior to inpt admission
PAC preadmission certification
Preferred Provider Organization a network of dr and hospitals join together to contract with 3rd party payers, employers, and other organizations to provide health care to subscribers for a discounted fee.
PPO Preferred Provider Organization
primary care center offers adult and family care medicine in internal medicine, pediatrics, and family practice.
Program Support Center a svc-for-free organization taht uses a business enterprise approach to provide gov't support svcs thoughout the DHHS, as well as other fed agencies.
PSC Program Support Center
Public Health Service a uniformed service of the US, that provides highly trained and movile health professionals who carry out programs to promote the nation's health.
PHS Public Health Service
public health department provides preventive medicine svcs such as well baby clinics
referred outpatient rec's diagnostic or therapeutic care because primary care office does not have that available in office.
rehabilitation facility (outpatient) provides occupational, physical and speech therapy to pts with orthopedic injuries, work related injuries, sport-related injuries, and various neurological and neuromuscular conditions.
rehabilitation facility (inpatient) provides occupational, physical and speech therapy to pts with orthopedic injuries, work related injuries, sport-related injuries, and various neurological and neuromuscular conditions.
residential care facility provided non-medical custodial care, including ADL (nursing homes, retirement homes, etc.)
RCF residential care facility
residential treatment facility seriously disturbed pts recieve intensive and comprehensive psychiatric treatment on a long-term basis.
respite care care is provided at a setting other than the home, to give the caregiver a break, rest, or relief.
satellite clinics ambulatory care cetners that are established remotley from the hospital.
short-term (acute) hospital classification average length of stay of 4 to 5 days and a total of less than 25 days
single hospitals self contained and not part of a larger organization
single-specialty group physician practices consist of 2 or more dr. who provide pts with 1 specific type of care
skilled care services that are ordered by a physician and provided by a RN, or a therapist (phy. speech, or occup.)
skilled nursing facility provides medically necessary care to inpt on a daily basis that is performed by, or under the supervision of skilled medical personnel. Same as NF.
SNF skilled nursing facility
solo physician practices no physician partners or employment affiliations with other practice organizations
specialty hospitals concentrate on a particular population of pt. or disease (St. Jude)
staff model health maintenance organization similiar to multi-specialty group practices, may be partially owned by the dr employees, witht the dr typically functioning as employees of either the physician group owning the practice or the insurer.
HMO staff model health maintenance organization
student health center provides health care to full or part-time students who are sick or injured. Not a full functioning facility.
subacute care Mini-intensive care units. provided in hospitals that provide specialized long-term acute care, and pts are usually transferred from ICUs.
subscribers individuals who pay premiums
Substance Abuse and Mental Health Services Administration works to improve the quality and availability of substance abuse prevention, addiction treament and mental health svcs.
SAMHSA Substance Abuse and Mental Health Services Administration
swing bed when a rural hospital can admit a nonacute care pt
Temporary Assistance to Needy Families A new state-federal welfare program
TANF Temporary Assistance to Needy Families
therapeutic group home 6-10 people are provided with supervised housing (could be a day treatment prg)
total parenteral nutrition administration of nutritional substances by peripheral or central IV infusion to pts who are already malnourished or have the potential to become malnourished.
TPN total parenteral nutrition
triple option plan provides subscribers and employees with a choice of HMO, PPO, or traditional health ins. plan
urgent care center immediate care is provided by an on-duty physician. (lake after hours)
utilization management controls health care costs and the quality of health care by reviewing cases for appropriateness and medical necessity.
ventilator breathing machine
Veterans Health Administration an agency that provides medical, surgical and rehab care to vets of the military
VHA Veterans Health Administration
Veterans Integrated Service Network Administer and provide health care services at VA medical centers and community-based outpatient clinics.
VISN Veterans Integrated Service Network
Created by: kreynerson