Key Terms Chapter 3 Green
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| Activity of daily living (ADL) | include bathing, dressing,eating,, toileting,walking, and so on
( also called custodial care)
🗑
|
||||
| acute care facility (ACF) | a hospital that provides health care services to patients who have serious, sudden, or acute illnesses or injures and/ or who need certain surgeries
🗑
|
||||
| acute hospital classification | is short-term with an average length of stay of 4-5 days and a total of less than 25 days
🗑
|
||||
| Administration for Children and Families (ACF) | responsible for programs that provide services and assistance to needy children and families, including Temporary assistance to Needy Families (TANF), which is the new state-federal welfare program
🗑
|
||||
| Administration on aging (AoA) | supports a nationwide aging network, providing services to the elderly to enable them to remain independent
🗑
|
||||
| adult day care | provides care and supervision in a structured environment to seniors with physical or mental limitations
🗑
|
||||
| Agency for Healthcare Research and Quality (AHRQ) | 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) | works with states and other federal agencies to prevent exposure to hazardous substances from waste sites
🗑
|
||||
| Centers for Disease Control and Prevention (CDC) | provides a system of health surveillance to monitor and prevent outbreak of diseases
🗑
|
||||
| Food and Drug Administration (FDA) | assures the safety of foods and cosmetics, and the safety and efficiency of pharmaceuticals, biological products, and medical devices
🗑
|
||||
| Health Resources and Services Administration (HRSA) | provides health services for medically under-served populations,works to build the health care workforce, maintains National Health Service Corps, oversees nation's organ transplantation system,works to decrease infant mortality and improve child health
🗑
|
||||
| Health Resources and Services Administration (HRSA) - Continued | provides services to people with Aids through the Ryan White CARE Act Programs
🗑
|
||||
| Indian Health Services (IHS) | 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 of 557 federally recognized tribes
🗑
|
||||
| National Institutes of Health (NIH) | 17 separate institutes,the world's premier medical research organization, supporting some 35,000 research projects nationwide in diseases like cancer, Alzheimer's disease, diabetes, arthritis, heart ailments, and AIDS
🗑
|
||||
| Substance Abuse and Mental Health Services Administration (SAMHSA) | works to improve the quality and availability of substance abuse prevention, addition treatment, and mental health services
🗑
|
||||
| ancillary services | diagnostic and therapeutic services provided to inpatients and outpatients ( Ex. laboratory, physical therapy)
🗑
|
||||
| assisted - living facility (ALF) | a combination of housing and supportive services including personal care and household management for seniors ( Ex. bathing, meals)
🗑
|
||||
| Ambulatory surgery patients | undergo certain procedures that can be performed on an outpatient basis, with the patient treated and released the same day. Length of stay is a max of 23 hrs, 59 minutes, and 59 seconds. If a longer stay is required they must be admitted as an impatient
🗑
|
||||
| ambulatory patients(outpatients) | are treated and released the same day and do not stay overnight in the hospital. The maximum stay is 23 hrs, 59 minutes, and 59 seconds
🗑
|
||||
| emergency care patients | treated for urgent problems(trauma) and are either released the same day or admitted overnight to the hospital as inpatients
🗑
|
||||
| inpatients | stay overnight in the facility for 24 or more hours, and are provided with room and board and nursing services
🗑
|
||||
| newborn patients | 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
🗑
|
||||
| observation patients | receive services furnished on a hospital's premises that are ordered by a physician or other authorized individual, (use of a bed,periodic monitoring by nursing or other staff,which are reasonable and necessary to evaluate an outpatient's condition
🗑
|
||||
| sub acute care | provided in hospitals that provide specialized long-term acute care ( ex. chemotherapy, injury rehabilitation, ventilator support, wound care, and other types of health care services provided to seriously ill patients (less expensive than acute care)
🗑
|
||||
| ambulatory care ( outpatient care) | allows patients to receive care in one day without the need for inpatient hospitalization
🗑
|
||||
| long-term care | includes a range of nursing, social, and rehabilitative services for people who need ongoing assistance( typically longer than 30 days)
🗑
|
||||
| hospice care | provides comprehensive medical and supportive social, emotional, and spiritual care to terminally ill patients and their families
🗑
|
||||
| palliative care | comfort management
🗑
|
||||
| curative care | therapeutic
🗑
|
||||
| diagnostic - related groups (DRGS) | inpatient hospital cases classified into groups that are expected to consume similar hospital resources
🗑
|
||||
| single hospitals | hospital is self-contained and not part of a larger organization
🗑
|
||||
| multi-hospital systems | two or more hospitals owned, managed, or leased by a single organization: these may include acute, long-term , pediatric, rehabilitation , and/ or psychiatric care facilities
🗑
|
||||
| bed size ( bed count ) | the total number of inpatient beds for which the facility is licensed by the state: must be equipped and staffed to care for these patient admissions
🗑
|
||||
| Critical access hospitals (CAHs) | 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. Must provide emergency services 24 hrs a day and maintain no more than 15 inpatient beds
🗑
|
||||
| swing-bed | criteria allow a a rural hospital to admit a non-acute care patient( can have 25 inpatient beds if no more than 15 are used at any one time for acute care)
🗑
|
||||
| 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 state
🗑
|
||||
| specialty hospitals | concentrate on a particular population of patients(children) or disease category( cancer)
🗑
|
||||
| rehabilitation hospitals(inpatient) | admit patients who are diagnosed with trauma ( car accident)or disease( stroke) and need to learn how to function
🗑
|
||||
| behavioral health care hospitals | specialize in treating individuals with mental health diagnoses
🗑
|
||||
| short-term(acute) hospital classification | average length of stay of 4-5 days and a total of less than 25 days
🗑
|
||||
| long-term hospital classification | average length of stay greater than 25 days
🗑
|
||||
| Hospitalists | physicians who spend most of their time in a hospital setting admitting patients to their inpatient services from local primary care providers
🗑
|
||||
| long-term care hospitals (LTCH) | defined in Medicare law as hospitals that have an average inpatient length of stay greater than 25 days
🗑
|
||||
| durable medical equipment (DME) | includes canes,crutches,Iv supplies,hospital beds,ostomy supplies,oxygen, prostheses, walkers, wheelchairs
🗑
|
||||
| home care | allows people who are seriously ill or dying to remain at home and receive treatment from nurses, social workers, therapists, and other licensed health care professionals who provide skilled care int he home
🗑
|
||||
| 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
🗑
|
||||
| personal care and support services | provides assistance in performing daily living activities like bathing, dressing, grooming, going to the toilet, mealtime assistance, travel training, and accessing recreation activities
🗑
|
||||
| home infusion care | provided by home health agencies when intravenous administration of medication is medically appropriate for the patient's condition, and treatment is given in the home instead of an inpatient hospital basis
🗑
|
||||
| chemotherapy | intravenous administration of chemical agents that have specific and toxic effects upon a disease- causing cell or organism
🗑
|
||||
| drug therapy | intravenous administration of other drugs including antibiotics, antivirals, and so on
🗑
|
||||
| hydration therapy | intravenous administration of fluids, electrolytes, and other additives
🗑
|
||||
| pain management | intravenous administration of narcotics and other drugs designed to relieve pain
🗑
|
||||
| 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
🗑
|
||||
| Alzheimer's treatment facilities | have many of the same characteristics as assisted- living facilities, but there is more extensive monitoring of residents and day-to-day care
🗑
|
||||
| ventilator | breathing machine
🗑
|
||||
| Continuing Care Retirement Communities (CCRC) | provide different levels of care based on the resident's needs from independent living apartments to skilled nursing care in an affiliated nursing facility
🗑
|
||||
| intermediate care facility (ICF) | provides developmentally disabled people with medical care and supervision, nursing services, occupational and physical therapies, activity programs,educational and recreational services, and psychological services
🗑
|
||||
| federal certification | measures the ability of health care facilities to deliver care that is safe and adequate, in accordance with federal law and regulations
🗑
|
||||
| long-term care hospital (LTCH) | defined in Medicare law as a hospital that has an average inpatient length of stay that is greater than 25 days
🗑
|
||||
| residential care facility (RCF) | provides non medical custodial care, which can be provided in a single family residence, retirement residence,or in any appropriate care facility including a nursing home( not allowed to provide skilled services Ex. injections,colostomy care)
🗑
|
||||
| skilled nursing facility (SNF) nursing facility (NS) | provides medically necessary care to inpatients on a daily basis that is performed by, or under the supervision of skilled medical personnel
🗑
|
||||
| managed care | term is increasingly being use to refer to preferred provider organizations (PPO's)and some forms of indemnity coverage that incorporate utilization management activities
🗑
|
||||
| utilization management | controls health care costs and the quality of health care by reviewing cases for appropriateness and medical necessity
🗑
|
||||
| pre-admission certification (PAC) | a form of utilization management that involves the review for medical necessity of inpatient care prior to inpatient admission
🗑
|
||||
| medical necessity | requires the documentation of services or supplies that are proper and needed for the diagnosis or treatment of a medical condition: are provided for these purposes, meet the standards of good medical practice in local area & are not for convenience
🗑
|
||||
| correctional facilities | provide inmates with a secure housing environment that also offers vocational and educational advancement
🗑
|
||||
| Bureau of Prisons (BOP) | provides necessary medical, dental, and mental health services to inmates by a professional staff and consistent with acceptable community standards
(provide inmate ambulatory care )
🗑
|
||||
| federal medical centers (FMCs) | provide inmates with major medical care
🗑
|
||||
| National Commission on Correctional Health Care (NCCHC) | established in 1970's to provide an external peer review process for correctional institutions that wish to meet its nationally accepted standards for health services
🗑
|
||||
| military health system (MHS) | administers health care for active members of the uniformed services and their dependents as provided by military treatment facilities and networks of civilian health care professionals
🗑
|
||||
| military treatment facility (MTF) | a clinic or hospital located on a United States military base
🗑
|
||||
| Military Medical Support Office(MMSO) | coordinates civilian health care services when MTF services are unavailable
🗑
|
||||
| Veterans Health Administration (VHA) | an agency in the Department of Veterans Affairs, provides medical, surgical, and rehabilitative care to veterans of the armed services
🗑
|
||||
| Veterans Integrated Service Networks (VISN) | administer and provide health care services at VA medical centers and community- based outpatient clinics
🗑
|
||||
| Public Health Services (PHS) | Uniformed Service of the Department of Health and Human Services. Leadership is provided by U>S> Surgeon General . Provides highly trained and mobile professionals who carry out programs to promote nation's health, understand & prevent disease
🗑
|
||||
| Public Health Services (PHS) continued | injury , assure safe effective drugs and medical devices, deliver health care services to federal beneficiaries and furnish health expertise in time of war or other national/ international emergencies
🗑
|
||||
| ambulatory infusion center (AIC) | freestanding center that dispenses and administers prescribed medications by continuous or intermittent infusion to ambulatory patients
🗑
|
||||
| ambulatory surgical center (ASC) |
surgery is preformed on an outpatient basis, patients arrive on the day of the procedure, undergo surgery in operating room and recover under the care of nursing staff
🗑
|
||||
| cafeteria plan | provides subscribers and employees with a choice of HMO, PPO, or traditional health insurance plan: also called triple option plan
🗑
|
||||
| chemical dependency program | provides 24 hr. medically directed evaluation and withdrawal management in an acute care inpatient setting. Usually includes detoxification and withdrawal management, chemical dependency/substance abuse assessment and therapy
🗑
|
||||
| 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 | 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
🗑
|
||||
| co-payment | fixed amount a subscriber must pay when seeking health care services
🗑
|
||||
| crisis services | provides short term crisis (usually less than 15 days) intervention and treatment, patients have 24 hr. supervision
🗑
|
||||
| day treatment program | intensive treatment program provided to patients who live in the community but come to the facility up to five days a 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 (ICF) intermediate care facility, provide residential care, day programming;including academic training,clinical & technical assistance,health care services, & diagnosis & evaluation of individuals with developmental disabilities
🗑
|
||||
| direct contact model HMO | individual physicians in the community deliver contracted health care services to subscribers
🗑
|
||||
| emergency care center | immediate care is provided by an on duty physician(usually salaried), center is usually owned by private corporations in states where permitted or non-profit facilities: also called urgent care center
🗑
|
||||
| emergency care patient | one treated for urgent problems and either released the same day or admitted to the hospital as an inpatient
🗑
|
||||
| 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
🗑
|
||||
| flexible benefit plan | provides subscribers and employees with a choice of HMO,PPO,or traditional health insurance plan: also called cafeteria plan
🗑
|
||||
| group model HMO | participating physicians who are members of an independent multispecialty group providing health care services, physicians either contract with the HMO or they are owned or managed by the HMO
🗑
|
||||
| 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
🗑
|
||||
| heart and vascular center | provides ambulatory cardiovascular services to include diagnosis and treatment, disease prevention, research,education, and cardiac rehabilitation
🗑
|
||||
| hospital- owned physician practice | practices that are at least partially owned by the hospital, and physicians participate in a compensation plan provided by the hospital
🗑
|
||||
| imaging center | freestanding facility that provides radio-graphic and other imaging services to ambulatory patients, some centers also provide training and participate in national research projects
🗑
|
||||
| Independent Practice Association(IPA) | physicians who remain in their independent office settings but provide contracted health care services to subscribers, negotiates the HMO contract and manages the capitation payment,also called Individual practice association
🗑
|
||||
| Individual Practice Association (IPA) | physicians who remain in their independent office settings but provide contracted health care services to subscribers, negotiates the HMO contract and manages the capitation payment,also called independent practice association
🗑
|
||||
| Industrial health clinic | located in a business setting, the emphasis is on employee health and safety
🗑
|
||||
| infusion center | freestanding center that dispenses and administers prescribed medications by continuous or intermittent infusion to ambulatory patients, supervised by a licensed health care professional; also called ambulatory infusion center(AIC)
🗑
|
||||
| inpatients | those who remain overnight in a facility for 24 or more hrs. and are provided with room and board and nursing services
🗑
|
||||
| Integrated Delivery System(IDS) | organization of affiliated provider sites that offer joint health care services to subscribers.Sites include ambulatory surgical centers,hospitals,physicians groups.
🗑
|
||||
| Integrated Provider Organization (IPO) | manages health care services provided by hospitals, physicians, and other health care organizations
🗑
|
||||
| intensive case management | specially trained individuals coordinate and/or provide mental health,financial, legal, and medical services to help the patient live successfully at home and in the community
🗑
|
||||
| Management Service Organization (MSO) | provides practice management services,including administrative and support services, to individual physician practices
🗑
|
||||
| medical foundation | nonprofit organization that contracts with and acquires the clinical and business assets of physician practices
🗑
|
||||
| multi- specialty group physician practices | offer various types of medical specialty care in one organization, and they may be located in more than one location
🗑
|
||||
| National Commission on Correctional Health (NCCHC) | provides an external peer review process for correctional institutions that wish to meet its nationally accepted Standards for Health Services
🗑
|
||||
| neighborhood health center | health care is provided to economically disadvantaged people, and treatment is family-centered b/c illness may result indirectly from crowded living conditions,unsanitary facilities, and other socioeconomic factors
🗑
|
||||
| network model HMO | two or more physician multi-specialty group practices provide contracted health care services to subscribers
🗑
|
||||
| network providers | physicians and health care facilities under contract to the managed care plan
🗑
|
||||
| open - panel HMO | includes direct contract,individual practice association,and network models;physicians are not employees of the HMO and they do not belong to a specially formed medical group that serves the HMO
🗑
|
||||
| outpatient care | allows patients to receive care in one day without the need for inpatient hospitalization;also called ambulatory care
🗑
|
||||
| outpatient clinic | 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
🗑
|
||||
| outpatients | patients who are treated and released the same day and do not stay overnight in the hospital. The maximum stay is 23 hrs, 59 minutes, and 59 seconds: also called ambulatory patients
🗑
|
||||
| pain management center | specializes in treatment of acute and chronic pain syndromes using proven medications and procedures.
🗑
|
||||
| partial hospitalization program | program for hospital patients who regularly use the hospital facilities for a substantial number of either daytime or nighttime hours
🗑
|
||||
| pediatricians | provides comprehensive services for infants,children,and adolescents
🗑
|
||||
| Physician- Hospital Organization (PHO) | managed care contracts are negotiated by hospital(s) and physician groups: physicians maintain their own practices and provide services to plan members
🗑
|
||||
| Point - of - Service plan (POS) | patients have the freedom to use an HMO panel of providers(co-payment is paid)or to self-refer to non-HMO providers(greater out0of-pocket expenses apply)
🗑
|
||||
| Preferred Provider Organization (PPO) | network of physicians and hospitals join together to contract with third-party payers,employers,and other organizations to provide health care to subscribers for a discounted fee
🗑
|
||||
| public health department | provides preventive medicine services such as well baby clinics,which include immunizations and routine checkups
🗑
|
||||
| referred outpatient | hospital ambulatory car patient who receives diagnostic or therapeutic care b/c such care is unavailable in the primary care provider's office, follow-up is done at the primary care provider's office
🗑
|
||||
| rehabilitation facility(outpatient) | provides occupational,physical,speech therapy to patients with orthopedic, work related, & sports related injuries, and various neurological & neuromuscular conditions
🗑
|
||||
| residential treatment facility | seriously disturbed patients receive intensive and comprehensive psychiatric treatment on a long-term basis
🗑
|
||||
| respite care | care is 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 that are established remotely from the hospital ,primary care is provided by an on duty physician (usually salaried)
🗑
|
||||
| single-specialty group physician practices | single specialty practices that consist of two or more physicians who provide patients with one specific type of care
🗑
|
||||
| solo physician practices | organizations that do not have physician partners or employment affiliations with other practice organizations
🗑
|
||||
| staff model health maintenance organization (HMO) | similar to large multi-specialty group practices , it may be partially owned by 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
🗑
|
||||
| sub-acute care | provided in hospitals that provide
specialized long-term acute care such as chemotherapy,injury rehabilitation,ventilator support,wound care,and other types of health care services provided to seriously ill patients
🗑
|
||||
| subscribers | individuals who pay health insurance premiums
🗑
|
||||
| Temporary Assistance to Needy Families (TANF) | state -federal welfare program
🗑
|
||||
| therapeutic group home | six to 10 individuals are provided with supervised housing that may be linked with a day treatment program
🗑
|
||||
| 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(emergency care center) | immediate care is provided by an on duty physician (usually salaried), center is usually owned by private corporations in states where permitted or non-profit facilites
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
ckoontz7771
Popular Miscellaneous sets