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Chapter 6-7-8-0 L&E
Terminology
| Question | Answer |
|---|---|
| Autopsy | Examination by specially trained medical personnel of the body after death to determine cause of death or pahtological conditions |
| Coroner | An official usually elected, who investigates death from sudden, unknown, or violent causes; may or may not be a physician |
| Fiduciary | A trustee relationship between individuals |
| IPV - Intimate Partner Violence | Intimate partner violence = Domestic Violence:abuse between spouse/former spouse - boyfreind/girlfriend - same sex or heterosexual partners- |
| Notifiable or Reportable Disease | A disease that concerns the public welfare and requires reporting to the proper authority; a potentially pathologic condition that may be transmitted directly or indirectly from one individual to another |
| Notifiable or Reportable Injury | An injury that concerns the public welfare and requires reporting to the proper authority; for example; injuries resulting from gun or knife wounds |
| 7- Consent | The affirmation by a client to allow touching, examination, or treatment by medically authorized personnel. |
| Doctrine of Informed Consent | Specific guidelines for consent, usually identified by medical practice acts at the state level. Clients right to know before agreeing to treatments, care, and procedures. Physicians must use terms or language that clients understand. |
| Minor | A person who has not reached the age of maturity. The age of maturity is 18 years in most jurisdictions. |
| Emancipated Minor | A person younger than 18 years of age who is free of parental care and is financially responsible for himself or herself. |
| Mature Minor | A person, usually younger that 18 years of age, who possesses sufficient understanding and appreciation of the nature and consequencess of treatment despite chronological age. |
| Uninformed Consent | Client gives permission to allow touching, examination, or treatment by medically authorized personnel but does not understand what has been consented to. |
| 8 (CPAP) Continuous Positive Airway Pressure | Small electrical pump that delivers presurized air through a nasal mask. Used to prevent airway from closing while sleeping, leading to sleep apnea. |
| Microfiche | Method of filing data on film using minute images |
| (POMR) Problem-Oriented Medical Record | A charting system, developed by Lawrence L. Weed, MD, that is based on client problems |
| SOAP/SOAPER | A charting method using subjective and objective data for client assessment and planning, education and response |
| Capitation | Physicians are paid a fixed monthly fee for a range of services for each HMO member in their care. |
| Co-Payment | A medical expense that is a member's responsibility; usually a fixed amount of $5 to $20 |
| COBRA | Consolidated Omnibus Budget Reconcilisation Act of 1985 mandates that continuation of group insurance coverage be offered to covered persons who lose health or dental coverage due to a qualifying event. |
| Deductible | A cost sharing arrangement in which the member pays a set amount toward covered services before the insurer begins to make any payments. Typically, HMO members do not pay deductibles. |
| (DRG) Diagnostic Related Group | A classification system that groups together patients who are similar in their diagnosis and treatment, and in their consumption of hospital resources, thus allowing comparisons of resource use across hospitals with varying mixes of patients. |
| (HMO) Helath Maintenance Organization | Prepaid health care services rendered by participating physicians and providers to an enrolled group of persons |
| (IPA) Independent Practice Association | Is an entifty that offers a number of reimbursement plans and contracts with providers who practice independently in their own clinics. |
| (ICD-10-CM) International Classification of Disease, 10th Revision, Clinical Modifications | A listing that IDs the diagnostic categories, specific DRG numbers, and monetary values. That monetary value is how US hospitals and providers are reimbursed unless there are extenuating circumstances |
| Managed Care | A type of health care plan; generally one or two types, namely HMO or preferred provider organization (PPO) |
| (MSA) Medical Savings Accounts | A method for companies with 50 or fewer employees, self-employed persons, and the uninsured to purchase medical insurance by making tax-free deposits to an MSA |
| (P4P) Pay for Performance | A type of managed care that encourage physicians to improve the quality of their clients care and reimburses them for their progress toward a fixed goal. |
| (PPO) Preferred Provider Organization | A type of business agreement between a medical service provide and an insurer organization in which the fees for specific services are predetermined for an already established group of clients assigned to or selected by the provider. |
| (PCP) Primary Care Physician | A Physician in an HMO who authorize medical care to clients. |
| (UCR) Usual, Customary, and Reasonable Fee | Describes how providers are reimbursed for their servcies and is widely accepted by insurance carriers. The usual fee is a providers average fee for a service or what is usually charged for a procedure. |
| Neglect | failure to provide basic care including, food, clothing, shelter, or medical attention that endangers the health of a child |
| Physical Injury | burns, severe bruising, lacerations, fractures, injuries to internal organs |
| Mental Injury | Harm to a childs well beings well being that damages their psychological or intellectual development. Child may be emotionally withdrawn, depressed, anxious, or aggressive, but injury is not evident |
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