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Ch 2 study stack

Chapter 2 Study Stack

QuestionAnswer
Residential care facilities Provide basic physical and emotional care for ones who can't care for themselves 1
Extended care facilities Provide skilled nursing care and rehabilitative care to patients before they return back to home environment 2
Independent living facilities People who can care for themselves; rent apartments in facility, nursing homes 3
Three services offered by medical offices 1. Diagnosis 2. Minor surgery 3. Treatment 4
Palliative care Care that provide support and comfort, that is directed toward allowing the person to die with dignity 5
Premium Fee, for insurance coverage. Made it to insurance company 6
Deductible Money must be paid by patient for medical services before the policy begins to pay 7
Co-payment A specific amount of money a patient pays for a particular service 8
HMOs Managed care plan for the delivery of health care services, pay for extra stuff 9
PPOs Healthcare usually provided to employees by big industries 10
Medicare Individuals over 65, care for elder 11
Medicaid Low income, children who qualify for public assistance. Physically disabled and blind 12
Children's health insurance program Healthcare for uninsured kids to working families who are too little to afford private insurance but too much for Medicaid 12
Worker's Compensation Healthcare for workers, only if you get hurt on job 14
World Health Organization/ WHO An international agency sponsored by the United nations 15
US department of Health and Human Services/ USDHHS A national agency that deals with health problems in America 16
National Institute of health/ NIH National organization that is involved in the research of disease 17
Occupational Safety and Health Administration/ OSHA Federal agency that establishes and enforces standards that protect workers from job-related injuries and illnesses 18
Health department The federal agency that researches the quality of health care delivery in identifies the standards of treatment that should be provided 19
Advantage of HMOS The fee stays the same no matter how much of care is used 20
Disadvantage of HMOS The insurance is required to used only HMO affiliated health care providers 21
How can an industry or company provide healthcare at lower rates? Managed care 22
Why did the concept of managed care develop? What is the principle behind managed care? Develop because rising healthcare cost. The principle is that all health care provided must have a purpose. 23
If you have pre-existing medical condition and you lose your job, what act protects your assessability to health insurance coverage? Health insurance portability and accountability ACT (HIPPA) 24
List two services provided by nonprofit agencies 1. American Red Cross 2. American Cancer Society 25
Three examples of how a healthcare facility or worker could be in violation of Hippa regulations 1. Sharing info about other people 2. Give false information that damages a person's reputation 3. Hitting or forcing people against their will or not providing physical care 26
What is a pro vision of the patient protection and affordable care act (3 things) 1. Creation of health insurance exchanges and each state 2. Expansion of Medicaid eligibility 3. Implementation of guaranteed issue 27
What is the purpose for an organizational structure in a health facility? To encompass a line of authority or chain of command. Indicates areas of responsibility and leads to most efficient operation of the facility. 28
75%/25% co-insurance Requires that specific percentages of expenses are shared by patient and company 29
What is the main goal of the care provided by rehabilitation facilities? They provide care to help patients with physical or mental disabilities to obtain maximum self-care and function 30
Created by: s834729kcs
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