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HIM Study Questions

Chapter three definitions

QuestionAnswer
What does ADL stand for and its meaning? Activity of daily living which are activities such as bathing, dressing,eating, toileting,walking and etc.
What does ACF stand for and its meaning? Acute care facility which is a hospital that health care services to patients who have serious, sudden, or acute illness or injuries.
What is acute hospital classification? It is determined by the length of stay of patients for 4 or 5 days and a total LOS of less than 25 days which is called short-term or acute hospital classification.
What does ACF stand for and give its meaning? It stands for administration for children and families which is a DHHS program that provides services and assistance to needy children and families, including temporary assistance to needy families.
What does AOA stand for and its meaning? Stands for administration on aging which is a DHHS program that supports a nationwide aging network, providing services to the elderly to enable them to remain independent.
What is adult day care? It provides care and supervision in a structured environment to seniors with physical or mental limitations.
What does AHRQ stand for and its meaning? It stands for agency for healthcare research and quality which is a DHHS agency that supports research designed to improve the outcomes and quality of healthcare, reduce its cost, address patient safety and medical errors, and broaden access to effective
What does ATSDR stand for and its meaning? Agency of Toxic substance and Disease Control. It is a DHHs agency that works with the state and other federal agencies to prevent exposure to hazardous substances from waste sites.
Describe Alzheimer's treatment facilities. They are long-term care facility that specializes in the care of patience's diagnosed with Alzheimer's disease.
What is Ambulatory care? It is outpatient care that allows a patient to receive care in one day without the need for inpatient admission.
What is an Ambulatory infusion center? It is a free standing center that dispenses and administers prescribed medications by continuous or intermittent infusion to outpatient's.
What are ambulatory patient's? They are patient's who are treated and released the same day and do not stay overnight in the hospital. The length of stay is a max of 23hrs 59mins and 59secs.
What is an ambulatory surgical center? It is where surgery is preformed on a outpatient basis at a free standing ambulatory surgical center.
what is an ambulatory surgery patient? It is a patient where certain procedures can be preformed on an outpatient basis with the patient treated and released the same day.
What is ancillary services? It is diagnostic and therapeutic services provided to inpatients and outpatients.
What is a assisted-living facility? It is a combination of housing and supportive services including personal care and household management for seniors.
What is mean by bed count? It is the total number of inpatient beds for which the facility is licensed by the state.
what is a behavioral health care hospital? It is a hospital that specializes in treating individuals with mental health diagnoses.
What does BOP stand for? Stands for the Bureau of Prisons which is a federal program that provides necessary medical, dental, and mental health services to inmates by a professional staff and consistent with acceptable community standards.
What is the cafeteria plan? It provides subscribers and employees with a choice of HMO, PPO, or traditional health insurance.
What is capitation payment? It is a lump sum paid by the HMO to the provider to care for a group of subscribers.
What does CDC stand for and give its meaning? Stands for Center of Disease Control and Prevention. It is a DHHS agency that provides a system of health surveillance to monitor and prevent the outbreak of diseases.
What is the chemical dependency program? It is a program that provides 24hr medically directed evaluation and withdrawal management in an acute care inpatient setting.
What is chemotherapy? It is intravenous administration of chemical agents that have specific and toxic effects upon a disease-causing cell or organism.
What is a clinical laboratory? It performs testing in microbiology, clinical chemistry, and toxicology and is directed by a pathologist and testing is performed by certified professional technologists and technicians.
What is a clinic outpatient? It is a hospital ambulatory care patient who receives scheduled diagnostic and therapeutic care.
What is a closed-panel HMO? It includes group and staff models that provide services at HMO-owned health centers or satellite clinics, or by physicians who belong to a specially formed medical group that serves the HMO.
What is continuing care retirement communities? It provides different levels of care based on the residents needs from independent living apartment to skilled nursing care in an affiliated nursing facility.
What is a co-payment? It is a fixed amount a subscriber must pay when seeking health care services.
What is a correctional facility? It provides educational advancement, medical, dental, and mental health care services to inmates according to a standard of care imposed by court decisions, legislation, accepted correctional and health care standards,and department policies.
What is crisis service? It provides short-term crisis intervention and treatment to patients and gives a 24-hr-per-day supervision.
What is a critical access hospital? They are hospital located more than 35 miles from other hospitals or another CAH, or they are state certified as being a necessary provider of health care to area residents.
What is curative care? It is therapeutic.
What is a day treatment program? It is a intensive treatment program provided to patients who live in the community but come to the facility up to five days a week.
What is a dementia care facility? It is a long-term care facility that specializes in the care of patients diagnosed with dementia.
What is a developmentally disabled/mentally retarded facility? It is a facility that provide residential care and day programming, including academic training, clinical and technical assistance, health care services , and evaluation of individuals with developmental disabilities.
What is a diagnosis-related groups? They are inpatient hospital cases classified into groups that are expected to consume similar hospital resources. Hospital inpatients are discharged once the acute phrase of illness has passed, and are often transferred to other facilities.
What is a direct contact model HMO? It is individual physicians in the community deliver contracted health care services to subscribers.
what is drug therapy? It is intravenous administration of other drugs including antibiotics, antivirals, and so on.
What is durable medical equipment? It is canes, crutches, IV supplies, hospital beds, ostomy supplies, oxygen, prostheses, walkers, wheelchairs, and so on.
What is a emergency care center? It is immediate care that is provided by an on-duty physician. The center is usually owned by private corporations in states where permitted or non-profit facilities.
What is emergency care patients? It is one treated for urgent problems and either released the same day or admitted to the hospital as an inpatient.
What is a exclusive provider organization? It provides benefits to subscribers who receive health care services from network providers.
What are family practitioners? They provide care for the entire family and focuses on general medicine, obstetrics, pediatrics and geriatrics.
What is family support services? It provides services to assist families in caring for the patient.
What is federal certification? It measures the ability of health care facilities to deliver care that is safe and adequate, in accordance with federal law and regulation.
What are federal medical centers? They provide major medical care to federal correctional facility inmates.
What are flexible health benefit? It provides subscribers and employees with a choice of HMO, PPO, or traditional health insurance plans.
What does FDA stand and give its meaning? Stands for Food and Drug Administration. They are a DHHS agency that assures the safety of foods and cosmetics, and the safety and efficiency of pharmaceuticals, biological products, and medical devices.
What are general hospitals? They provide emergency care, perform general surgery, and admit patients for a range of problems from fractures to heart disease, based on licensing by the state.
What are group model HMO? It is participating physicians who are members of an independent multispecialty group providing health care services.
What are group practice without walls? It is managed care contract in which physicians maintain their own offices and share services to plan members.
what are health maintenance organization? It is an alternative to traditional health insurance coverage; provides comprehensive health care services to members on a prepaid basis.
What is the Health Resources and Services Administration? It is a DHHS agency that provides health resources for the medically under served populations, works to build the health care workforce, maintains the national health service corps and over sees the nation's organ transplantation system.
What is the heart vascular center? It provides outpatient cardiovascular services to include diagnosis and treatment, disease prevention, research, education, and cardiac rehabilitation.
What is home care? It is a service that allows people who are seriously ill or dying to remain home and receive treatment from nurses, social workers, therapists, and other licensed health care professionals who provide skilled care in the home.
What is home infusion care? It is provided by home health care agencies where intravenous administration of medication is medically appropriate for the patient's condition, and treatment is administered in the home.
What is hospice care? It provides comprehensive medical and supportive social, emotional, and spiritual care to the terminally ill patients and their families.
What is a hospitalist? It is a physician who spends their time in a hospital setting admitting patients to inpatient services from local primary care providers.
What are hospital-owned physician practice? It is practices that are at least partially owned by the hospital and physicians participate in a compensation plan provided by the hospital.
What is hydration therapy? It is intravenous administration of fluids, electrolytes, and other additives.
What is the imaging center? It is a free standing facility that provides radiographics and other imaging services to outpatient. Some centers also provide training and participate in national research projects.
What are independent practice association? It is physicians who remain in their independent office settings but provide contracted health care to subscribers.
What is the Indian Health Services? It is a DHHS agency that supports a network of 37 hospitals,60 health centers, 3 school health centers, 46 health stations and 34 urban Indian health centers to provide services to nearly 1.5 million American Indians and Alaska Natives.
What is the individual practice association? It is physicians who remain in their independent office settings but provide contracted health care to subscribers.
What are industrial health clinics? They are located in a business setting, the emphasis is on employee health and safety.
what are infusion centers? It is a free standing center that dispenses and administers prescribed medications by continuous or intermittent infusion to outpatients.
What are inpatients? They are patients who remain overnight in the facility for 24 hrs or more and are provided with room and board and nursing services.
What is the intergrated delivery system? It is an organization of affiliated provider sites that offer joint health care services to subscribers.
What is the intergrated provider organization? It manages health care services provided by hospitals, physicians, and other health care organizations.
What is intensive care management? It is specially trained individuals who coordinate and or provide mental health, financial, legal, and medical services to help the patient live successfully at home and in the community.
What are intermediate care facilities? They provide develop mentally disabled people with medical care and supervision, nursing services, occupational and physical therapies, activity programs, educational and recreational services, and psychological services.
What are internal medicine physicians? They specialize in the care of the adult.
What is long-term care? It includes a range of nursing, social, and rehabilitative services for people who need ongoing assistance. Length of stay typically average greater than 30 days.
What are long=term care hospitals? They are defined by Medicare law as hospitals that have an average inpatient length of stay greater than 25 days. these hospitals typically provide extended medical and rehabilitative care for patients who are clinically complex.
What is long-term classification? It is a classification given to hospitals where length of stay is greater than 25 days on average.
What is manage care? It originally referred to the prepaid health sector, such as HMO's, which combined health care delivery with the finacing of health care services; increasing used to refer to preferred provider organization and some forms of indemnity coverage.
What are management service organizations? They provide practic management services, including administrative support services, to individual physician practices.
What is the medical foundation? It is a non-profit organization that contracts with and acquires the clinical and business assets of physician practices.
What is the military health system? It administers health care for active members of the uniformed services (and their dependents) as provided by military treatment facilities and netwrks of civilian health care professionals.
What is the military medical support office? It coordinates civilian health care services when military treatment facility services are unavailable.
What are military treatment facilities? They are clinic and/or hospital located on a US military base.
What is the mult-hospital systems? It is a catelog of hospitals where two or more hospitals are owned, managed, or leased by a single organization these may include acute, long-term, pediatrics, rehabilitation, and/or psychiatric care facilities.
What are mult-speciality group physician practices? They offer various thpes of medical specialty care in one organization and they may be located in more than one location.
What is the national commission on correctional health care? It provides an external peer review process for correctional institutions that wish to meet its nationally accepted standards for health services.
What is the national institutes of health? It is a DHHS research center, with 17 separate institutes, is the world's premier medical research organization, supporting some 35,000 research projects nationwide in diseases like cancer, Alzheimer's disease, diabetes, arthritis, and heart ailments.
What is a neighborhood health center? It is wher health care is provided to economically disadvantaged people, and treatment is family-centered because illnesses may result indirectly from crowded living conditions, unsanitary facilities, and other socioeconomic factors.
What are network model HMO? It is where two or more physician mult speciality group practices provide contracted health care services to subscribers.
What are network providers? They are physicians and health care facilities under contract to the managed care plan.
What are newborn patients? They are those who receive infant care upon birth, and if necessary they receive neonatal intensive care either within the hospital or as the result of transfer to another hospital.
What are nursing facilities? They provide medically necessary care to inpatients on a daily basis that is performed by ,or under the supervision of, skilled medical personnel.
What are observation patients? They receive services furnished on a hospital's premises that are ordered by a pyhsician or other authorized individual, including use of a bed and periodic monitoring by nursing or other staff,which are reasonable to evaluate an outpatients condition.
What are open-panel HMO? They include direct contract, individual practice association, and network models; physicians are employees of the HMO and they do not belong to a specially formed medical group that serves the HMO.
What is outpatient care? It is outpatient care that allows patients to receive care in one day without the need for inpatient hospitalization.
What are outpatient clinics? Patients receive follow-up mental health care, and visits are usually under one hour. The number of visits per week depends on the patients needs.
Waht are outpatients? They are patients who receive care in one day without an admission as an inpatient.
What is pain management? It is intravenous administration of narcotics and other drugs designed to relieve pain.
What are pain management centers? They specialize in treatment of acute and chronic pain syndromes using proven medications and procedures usually a mult disciplinary as phyiatrists, phychiatrists and etc.
What is palliative care? It is comfort care.
What are partial hospitalization programs? They are programs for hospital patients who regularly use the hospital facilities for a substantial number of either daytime or nighttime hours.
What is a pediatrician? They provide comprehensive services for infants, children, and adolescents.
What are personal care and support services? They provide assistance in performing daily living activities, such as bathing, dressing, grooming, going to the toilet, mealtime assistance, travel training and accessing recreation.
What are point of service plans? The patient have the freedom to use any HMO panel of providers (for which a copayment is paid) or to self-refer to non-HMO providers (for which greater out-of-pocket expenses apply).
What is preadmission certification? It is aform of utilization management that involves the review for medical necessity of inpatient care prior to inpatient admission.
What are preferred provider organization? They are a network of physicians and hospitals join together to contract with third party payers, employers, and other organizations to provide health care to subscriber for a discounted fee.
What are primary care centers? They offer adult and family care medicine in internal medicine, pediatrics, and family practice.
What are public health service? It provides highly trained and mobile health professionals who carry out programs to promote the nations health, understand and prevent disease and injury, assure safe and effective drugs and medical devices.
What are public health departments? They provide preventive medicine services such as well baby clinics, which include immunizations and routine checkups.
What are referred outpatients? They are ambulatory care patients who receives diagnostic or therapeutic care because such care is unavailable in the primary care providers office.
What are rehabilitation facilities? They provide occupational, physical, and speech therapy to patients with orthopedic, sports, or work related injuries and various neurological conditions.
What are rehabilitation hospitals (inpatient)? They admit patients who are diagnosed with trauma or disease and need to learn how to function.
What are residential care facilities? They provide non-medical custodial care, which can be provided in a single family residence, a retirement residence or in any appropriate care facility including a nursing home.
What are residential treatment facilities? They provide seriously disturbed patients with intensive and comprehensive psychiatric treatment on a long-term basis.
What is respite care? It provides care by specially trained individuals at a setting other than the patient's home to offer relief and rest to primary caregivers.
What are satellite clinics? They are ambulatory care centers established remotely from the hospital. Primary care is provided by an on-duty physician.
What is short-term hospital classification? It is when patients have an average LOS of 4 to 5 days and a total LOS of less than 25 days.
What are single hospitals? They are a category of hospitala that are self-contained and not part of a larger organization.
What are single speciality group physician practice? It is a single speciality practices that consist of two or more physicians who provide patients with one specific type of care.
What is skilled care? It includes services that are ordered by a physician and provided under the supervision of a registered nurse, or physical, occupational, or speech therapist.
What are skilled nursing facilities? They provide medically necessary care to inpatients on a daily basis that is performed by or under the supervision of skilled medical personnel.
What are solo physician practices? They are organizationa that do not have physician partners or employment affiliations with other practic organizations.
What are speciality hospitals? They concentrate on a particular population of patients or disease category.
What are staff model health maintenance organizations? They are similar to large mult-speciality group pactices, it may be partially owned by the physician employer with physicans typically functioning as employees of either the physician group owning the practice or the insurer.
What are student health center? They provide health care to full and part-time students who become ill or are injured.
What is subacute care? It is provided in hospitals that provide specialized long-term acute care such as chemotherapy.
What are subscribers? Ther are individuals who pay health insurance premiums.
What is the substance abuse and mental health services administration? It is a DHHS agency that works to improve the quality and availability of substance abuse prevention, addiction treatment, and mental health services.
What is a swing bed? It allows a rural hospital to admit a nonacute patient.
What is the temporary assistance to needy families? It is a state-federal welfare program.
What are therapeutic group homes? They are six to ten individuals which are provided with supervised housing that may be linked with a day treatment program.
What is total parenteral nutrition? It is administration of nutritional substances by peripheral or central intravenous infusion to patients who are either already malnourished or have the potential for developing malnutrition.
What is the triple option plan? It provides subscribers and employees with a choice of HMO,PPO, or traditional health insurance plans.
What are urgent care centers? They provide immediate care by an on-duty physician. The center is usually ownd by private corporations in states where premitted.
What is utization management? It controls health care costs, the quality of care by reviewing cases for apporiateness and medical necessity.
What is a ventilator? It is a breathing machine.
What is the veterans health administration? It is an agency in the department of veterans affairs that provides medical,surgical,and rehabilation care to veterans of the armed services.
What is the veterans integrated service network? It administers and provides health care services at VA medical centers and community-based outpatient clinics.
Created by: jwburrell