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HIT 110 Definitions

Module 4, Assignment 1

QuestionAnswer
Activity of daily living(ADL)- Services provided by a residential care facility including: Bathing, dressing, eating, toileting, walking, etc…
Acute care facility (ACF Hospitals that provide health care services to patients who have serious, sudden, or acute illnesses or injuries and/or who need surgeries.
Acute hospital classification Same as short term hospital
Administration on Aging (AoA) DHHS program that supports a nationwide aging network, providing services to the elderly to enable them to remain independent.
Agency for Healthcare Research and Quality (AHRQ) = DHHS agency that 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.
Administration for Children and Families (ACF)- DHHS programs that provide services and assistance to needy children and families.
Agency for Healthcare Research and Quality (AHRQ)- DHHS agency that 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 Toxic Substances and Disease Registry (ATSDR)- DHHS agency that works with states and other federal agencies to prevent exposure to hazardous substances from waste sites.
Alzheimer’s treatment facilities Long-term care facility that specializes in the care of patients diagnosed with Alzheimer’s disease.
Ambulatory surgical patient Certain procedures can be performed on an outpatient basis, with the patient treated and released the same day. Length of stay is a maximum of 23 hours, 59 minutes, and 59 seconds.
Ambulatory Infusion Center (AIC) Same as infusion center
Ambulatory patients Patients who are treated and released the same day and do not stay overnight in the hospital; length of stay is a maximum of 23 hours, 59 minutes, and 59 seconds; if patients require a longer stay, they must be admitted to the facility as inpatients.
Ambulatory surgical center (ASC) Surgery is performed on an outpatient basis at a free
Ancillary services Diagnostic and therapeutic services provided to inpatients and outpatients.
Assisted living facility (ALF) Combination of housing and supportive services including personal care and household management for seniors. Residents pay monthly rent and additional fees for services they require.
Bed count Same as bed size
Bed size Toatal number of inpatient beds for which the facility is licensed by the state; also called bed count.
Behavioral health care hospital Specializes in treating individuals with mental health diagnoses.
Bureau of prisons (BOP) Federal program that provides necessary medical, dental, and mental health services to inmates by a professional staff and consistent with acceptable community standards. It consists of 82 institutions, each of which provides inmate ambulatory care.
Cafeteria plan See triple option plan
Capitation payment Lump sum paid by the HMO to the provider to care for a group of subscribers.
Centers for Disease Control and Prevention (CDC) DHHS agency that provides a system of health surveillance to monitor and prevent the outbreak of diseases.
Chemical dependency program Provides 24 medically directed evaluation and withdrawal management in an acute care inpatient setting. Treatment services usually include detoxification and withdrawal management, chemical dependency/substance control assessment and therapy.
Chemotherapy Intravenous administration of chemical agents that have specific and toxic effects upon a disease
Clinical laboratory Performs testing in microbiology, clinical chemistry, and toxicology; directed by a pathologist ; and testing is performed by certified, professional technologists and technicians.
Clinic outpatient Hospital ambulatory care patient who receives scheduled diagnostic and therapeutic care.
Closed panel HMO
Continuing Care Retirement Communities (CCRC) Provides different levels of care on the residents needs from independent living apartments to skilled nursing care in an affiliated nursing facility.
Copayment Fixed amount a subscriber must pay when seeking health care services.
Correctional facilities Provides inmates with a secure housing environment that also offers vocational and educational advancement. Medical, dental, and mental health care services are provided to inmates according to a standard of care imposed by court.
Crisis service Provides short term (usually less than 15 days) crisis intervention and treatment
Critical Access hospital (CAS) Located more than 35 miles from any other hospital or another CAH, or they are state certified as being a necessary provider of health care to area residents.
Curative care Therapeutic
Day treatment program Intensive treatment program provided to patients who live in the community but come to the facility up to five days per week.
Dementia care facilities Long term care facilities that specialize in the care of patients diagnosed with dementia.
Developmentally disabled/mentally retarded facilities 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.
Diagnosis related groups (DRG) Inpatient hospital cases classified into groups that are expected to consume similar hospital resources. Hospital inpatients are discharged once the acute phase of illness has passed, and they are often transferred to other types of health care.
Direct contract model HMO Individual physicians in the community deliver contracted health care services to subscribers.
Drug therapy Intravenous administration of other drugs including antibiotics, antivirals, and so on.
Durable medical equipment (DME) Includes canes, crutches, IV supplies, hospital beds, ostomy supplies, oxygen, prostheses, walkers, wheelchairs, etc…
Emergency care center Same as urgent care center.
Exclusive Provider Organization (EPO) Provides benefits to subscribers who receive health care services from network providers.
Family practitioners Provides care for the entire family and focuses on general medicine, obstetrics, pediatrics, and geriatrics.
Family Support Services Services provided to assist families in caring for the patient.
Federal certification Measures ability of health care facilities to deliver care that is safe and adequate, in accordance with federal law and regulation.
Federal medical centers (FMC) Provide major medical care to federal correctional facility inmates.
Flexible benefit plan Same as Triple option plan.
Food and Drug Administration (FDA) DHHS agency that assures the safety of foods and cosmetics, and the safety and efficacy of pharmaceuticals, biological products, and medical devices.
General hospitals 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.
Group model HMO Participating physicians who are members of an independent multi
Group Practice Without Walls (GPWW) Managed care contract in which physicians maintain their own offices and share services to plan members.
Health Maintenance Organization (HMO) An alternative to traditional health insurance coverage provides comprehensive health care services to members on a prepaid basis .
Health Resources and Services Administration (HRSA) DHHS agency that provides health resources for medically underserved populations, works to build the health care workforce, decrease infant mortality and provides services to people with AIDS through the Ryan White CARE Act programs.
Heart and vascular center Provides ambulatory cardio
Federal certification Measures ability of health care facilities to deliver care that is safe and adequate, in accordance with federal law and regulation.
Federal medical centers (FMC) Provide major medical care to federal correctional facility inmates.
Flexible benefit plan Same as Triple option plan.
Food and Drug Administration (FDA) DHHS agency that assures the safety of foods and cosmetics, and the safety and efficacy of pharmaceuticals, biological products, and medical devices.
General hospitals 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.
Group model HMO Participating physicians who are members of an independent multi
Group Practice Without Walls (GPWW) Managed care contract in which physicians maintain their own offices and share services to plan members.
Health Maintenance Organization (HMO) An alternative to traditional health insurance coverage provides comprehensive health care services to members on a prepaid basis .
Health Resources and Services Administration (HRSA) DHHS agency that 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
Heart and vascular center Provides ambulatory cardio
Total parenteral nutrition (TPN) Administration of nutritional substances by peripheral or central intravenous infusion to patients who are either already malnourished or have the potential for developing malnutrition.
Triple Option plan Provides subscribers and employees with a choice of HMO, PPO, or traditional health insurance plan; also called cafeteria plan.
Urgent care center Immediate care is provided by an on duty physician. The center is usually owned by private corporations in states where permitted or non profit facilities; also called emergency care center.
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 (VHA) An agency in the Department of Veterans Affairs that provides medical, surgical, and rehabilitative care to veterans of the armed services.
Veterans Integrated Service Network (VISN) Administers and provides health care services at FA Medical Centers and community based outpatient clinics.
Skilled nursing facility (SNF) Provides medically necessary care to inpatients on a daily basis that is performed by, or under the supervision of, skilled medical personnel. SNF’s provide IV therapy , rehabilitation, and wound care services; also called nursing facility.
Solo physician practices Organizations that do not have physician partners or employment affiliations with other practice organizations.
Specialty hospitals concentrate on a particular population of patients or disease.
Staff model Health maintenance organization (HMO) Similar to large, multispecialty group practices, it may be partially owned by the physicians employees, with the physicians typically functioning as employees of either the physician group owning the practice or the insurer.
Student health center Provides health care to full and part time students who become ill or injured.
Subacute care Provided in hospitals that provide specialized long
Subscribers Individuals who pay health insurance premiums.
Substance and Mental Health Services Administration (SAMHSA) DHHS agency that works to improve the quality and availability of substance abuse prevention, addiction treatment, and mental health services.
Swing bed Allows a rural hospital to admit a nonacute care patient.
Temporary Assistance to Needy Families (TANF) State federal welfare program.
Therapeutic group home 6 to 10 individuals are provided with supervised housing that may be linked with a day treatment program.
Public health department Provides preventive medicine services such as well baby clinics, which include immunizations and routine checkups.
Referred outpatients Hospital ambulatory care patient who receives diagnostic or therapeutic care because such care is unavailable in the primary care provider’s office. Follow up is done at the primary care provider’s office.
Rehabilitation hospital Admits patients who are diagnosed with trauma or disease and who need to learn how to function.
Residential care facility (RCF) provides non
Residential treatment facility Seriously disturbed patients receive intensive and comprehensive psychiatric treatment on a long term basis.
Respite care care provided by specially trained individuals at a setting other than the patient’s home to offer relief and rest to primary caregivers.
Satellite clinics Ambulatory care centers established remotely from the hospital. Primary care is provided by an on duty physician.
Short term hospital classification
Single hospitals Category of hospitals that are self
Single specialty group physician practice
Skilled care Includes services that are ordered by a physician and provided under the supervision of a registered nurse, or physical, occupational, or speech therapist.
Created by: 1633531773