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Vocabulary Words Health Care Settings

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Activity of daily living(ADL)   Services provided by a residential care facility including: Bathing, dressing, eating, toileting, walking, etc…  
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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.  
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Acute hospital classification   Same as short term hospital  
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Administration for Children and Families (ACF)   DHHS programs that provide services and assistance to needy children and families.  
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Administration on Aging (AoA)   DHHS program that supports a nationwide aging network, providing services to the elderly to enable them to remain independent.  
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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.  
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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.  
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Alzheimer’s treatment facilities   Long-term care facility that specializes in the care of patients diagnosed with Alzheimer’s disease.  
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Ambulatory care   Outpatient care that allows patients to receive care in one day without the need for inpatient hospitalization; also called outpatient care.  
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Ambulatory Infusion Center (AIC)   Same as infusion center  
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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.  
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Ambulatory surgical center (ASC)   Surgery is performed on an outpatient basis at a free-standing ambulatory surgical center. Patients arrive on the day of procedure, undergo surgery in an operating room, and recover under the care of the nursing staff.  
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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 max of 23 hours,59 minutes,and 59 seconds. Any longer, admit as an inpatient.  
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Ancillary services   Diagnostic and therapeutic services provided to inpatients and outpatients.  
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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.  
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Bed count   Same as bed size  
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Bed size   Total number of inpatient beds for which the facility is licensed by the state; also called bed count.  
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Behavioral health care hospital   Specializes in treating individuals with mental health diagnoses.  
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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.  
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Cafeteria plan   See triple option plan  
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Capitation payment   Lump sum paid by the HMO to the provider to care for a group of subscribers.  
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Centers for Disease Control and Prevention (CDC)   DHHS agency that provides a system of health surveillance to monitor and prevent the outbreak of diseases.  
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Chemical dependency program   Provides 24-hour medically directed evaluation and withdrawal management in an acute care inpatient setting. Treatment services usually included detoxification and withdrawal management, chemical dependency/substance control assessment, and therapy.  
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Chemotherapy   Intravenous administration of chemical agents that have specific and toxic effects upon a disease-causing cell or organism.  
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Clinical laboratory   Performs testing in microbiology, clinical chemistry, and toxicology; directed by a pathologist ; and testing is performed by certified, professional technologists and technicians.  
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Clinic outpatient   Hospital ambulatory care patient who receives scheduled diagnostic and therapeutic care.  
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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.  
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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.  
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Copayment   Fixed amount a subscriber must pay when seeking health care services.  
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Correctional facilities   Houses inmates while serving time. Health care services are provided to inmates according to a standard of care imposed by court decisions, legislation, accepted correctional and health care standards, and department policies and procedures.  
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Crisis service   Provides short-term (usually less that 15 days) crisis intervention and treatment; patients receive 24-hour-per-day supervision.  
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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.  
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Curative care   Therapeutic  
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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.  
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Dementia care facilities   Long term care facilities that specialize in the care of patients diagnosed with dementia.  
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Developmentally disabled/mentally retarded facilities   These facilities provide residential care and day programming, including academic training, clinical and technical assistance, health care services, and diagnosis and evaluation of individuals with developmental disabilities.  
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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.  
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Direct contract model HMO   Individual physicians in the community deliver contracted health care services to subscribers.  
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Drug therapy   Intravenous administration of other drugs including antibiotics, antivirals, and so on.  
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Durable medical equipment (DME)   Includes canes, crutches, IV supplies, hospital beds, ostomy supplies, oxygen, prostheses, walkers, wheelchairs, etc…  
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Emergency care center   Same as urgent care center.  
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Exclusive Provider Organization (EPO)   Provides benefits to subscribers who receive health care services from network providers.  
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Family practitioners   Provides care for the entire family and focuses on general medicine, obstetrics, pediatrics, and geriatrics.  
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Family Support Services   Services provided to assist families in caring for the patient.  
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Federal certification   Measures ability of health care facilities to deliver care that is safe and adequate, in accordance with federal law and regulation.  
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Federal medical centers (FMC)   Provide major medical care to federal correctional facility inmates.  
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Flexible benefit plan   Same as Triple option plan.  
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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.  
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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.  
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Group model HMO   Participating physicians who are members of an independent multi-specialty group providing health care services. Physician groups either contract with the HMO or they are owned or managed by the HMO.  
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Group Practice Without Walls (GPWW)   Managed care contract in which physicians maintain their own offices and share services to plan members.  
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Health Maintenance Organization (HMO)   An alternative to traditional health insurance coverage provides comprehensive health care services to members on a prepaid basis .  
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Health Resources and Services Administration (HRSA)   DHHS agency that provides health resources for medically underserved, works to build the health care workforce, maintains the Nat'l Health Svc Corps, oversees the organ transplant system, works to decrease infant mortality,improve child health.  
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Heart and vascular center   Provides ambulatory cardio-vascular services to include diagnosis and treatment, disease prevention, research, education, and cardiac rehabilitation.  
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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 in the home.  
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Home infusion care   Provided by home health care agencies when intravenous administration of medication is medically appropriate for the patient’s condition, and treatment is administered in the home instead of on an inpatient hospital basis .  
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Hospice care   Provides comprehensive medical and supportive social, emotional, and spiritual care to terminally ill patients and their families. Goal is palliative rather than curative.  
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Hospitalist   physician who spends most of the time in a hospital setting admitting patients to inpatient services from local primary care providers.  
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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.  
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Hydration therapy   Intravenous administrative of fluids, electrolytes, and other additives.  
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Imaging center   Freestanding facility that provides radiographic and other imaging services to ambulatory patients. Some centers also provide training and participate in national research projects.  
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Independent Practice Association- (IPA)   Same as Individual Practice Association (IPA)  
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Industrial health clinic   Located in a business setting, the emphasis is on employee health and safety.  
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Infusion center   Freestanding center that dispenses and administers prescribed medications by continuous or intermittent infusion to ambulatory patients. Infusion is supervised by a licensed health care professional; aka ambulatory infusion center.  
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Inpatients   Those who remain overnight in the facility for 24 hours or more and are provided with room and board and nursing services.  
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Integrated Delivery System (IDS)   Organization of affiliated provider sites that offer joint health care services to subscribers.  
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Integrated Provider Organization (IPO)   Manages health care services provided by hospitals, physicians, and other health care organizations.  
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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.  
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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.  
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Internal medicine physicians   Specializes in the care of adults.  
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Long-term care   Includes a range of nursing, social, and rehabilitative services for people who need ongoing assistance. Lengths of stay typically average greater than 30 days.  
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Long-term care hospital (LTCH)   Defined in 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 and may suffer from multiple acu  
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Long-term hospital classification   Same as long-term care hospital.  
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Managed care   Originally referred to the prepaid health care sector, such as HMOs, which combined health care delivery with the financing of health care services; increasingly used to refer to preferred provider organizations and some forms of indemnity coverage that  
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Management Service Organization (MSO)   Provides practice management services, including administrative and support services, to individual physician practices.  
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Medical foundation   Nonprofit organization that contracts with and acquires the clinical and business assets of physician practices.  
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Medical necessity   requires documentation of services or supplies that are proper and needed for the diagnosis or treatment of a medical condition; are provided for the diagnosis, direct care, and treatment of a medical condition.  
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Military Health System (MHS)   Administers health care for active members of the uniformed services as provided by military treatment facilities and networks of civilian health care unavailable.  
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Military Medical Support Office (MMSO)   Coordinates civilian health care services when military treatment facility services are unavailable.  
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Military treatment facility (MTF)   Clinic and/or hospital located on a U.S. military base.  
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Multi-hospital systems   Category of hospitals where two or more hospitals are owned, managed, or leased by a single organization; these may include acute, long-term, pediatric, rehabilitation, and/or psychiatric care facilities.  
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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.  
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National Commission on Correctional Health Care (NCCHC)   Provides an external peer process for correctional institutions that wish to meet its nationally accepted Standards for Health Services.  
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National Institutes of Health (NIH)   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, heart ailments, and AIDS.  
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Neighborhood health centers   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. Family care team consisting o  
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Network model HMO   Two or more physician specialty group practices provide contracted health care services to subscribers.  
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Network providers   Physicians and health care facilities under contract to the managed care plan.  
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Newborn patients   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.  
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Nursing facility (NF)   Same as skilled nursing facility.  
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Observation patients   Receive services furnished on a hospital’s premises that are ordered by a physician or an the authorized individual, including use of a bed and periodic monitoring by nursing or other staff, which are reasonable and necessary to evaluate an outpatient’s  
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Open-panel HMO   Includes direct contract, individual practice association, and network models; physicians are not employees of the HMO and thery do not belong to a specially formed medical group that serves the HMO.  
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Outpatient care   Same as ambulatory care.  
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Outpatients   Same as ambulatory patients.  
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Pain management   Intravenous administration of narcotics and other drugs designed to relieve pain.  
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Pain management center   Specializes in treatment of acute and chronic pain syndromes using proven medications and procedures. Usually a multidisciplinary approach is used involving participating specialists such as physiatrists, psychiatrists, neurologists, neurosurgeons, int  
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Palliative care   Comfort management.  
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Partial hospitalization program   Program for hospital patients who regularly use the hospital facilities for a substantial number of either daytime or nighttime hours.  
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Pediatricians   Provides comprehensive services for infants, children, and adolescents.  
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Personal care and support services   provide assistance in performing daily living activities, such as bathing, dressing, grooming, going to the toilet, mealtime assistance, travel training, and accessing recreation services.  
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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.  
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Point-of-service plan (PSO)   Patients have the freedom to use an HOM 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).  
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Preadmission certification (PAC)   form of utilization management that involves the review for medical necessity of inpatient care prior to inpatient admission.  
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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.  
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Primary care center   Offers adult and family care medicine in internal medicine, pediatrics, and family practice.  
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Public Health Service (PHS)   Uniformed Service of the DHHS. Leadership is provided by the U.S. Surgeon General. It provides highly trained and mobile health professionals who carry out programs to promote the nation’s health, understand and prevent disease and injury, assure safe  
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Public health department   Provides preventive medicine services such as well baby clinics, which include immunizations and routine checkups.  
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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.  
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Rehabilitation hospital   Admits patients who are diagnosed with trauma or disease and who need to learn how to function.  
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Residential care facility (RCF)   provides 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.  
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Residential treatment facility   Seriously disturbed patients receive intensive and comprehensive psychiatric treatment on a long-term basis.  
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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.  
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Satellite clinics   Ambulatory care centers established remotely from the hospital. Primary care is provided by an on-duty physician.  
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Short-term hospital classification   Patients have an average LOS of 4-5 days and a total LOS of less than 25 days; also called acute hospital classification.  
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Single hospitals   Category of hospitals that are self-contained and not part of a larger organization.  
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Single-specialty group physician practice   Single-specialty practice that consists of two or more physicians who provide patients with one specific type of care.  
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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.  
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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.  
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Solo physician practices   Organizations that do not have physician partners or employment affiliations with other practice organizations.  
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Specialty hospitals   concentrate on a particular population of patients or disease.  
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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. Most physicians in this ty  
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Student health center   Provides health care to full and part-time students who become ill or injured.  
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Subacute 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.  
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Subscribers   Individuals who pay health insurance premiums.  
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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.  
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Swing bed   Allows a rural hospital to admit a nonacute care patient.  
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Temporary Assistance to Needy Families (TANF)   State federal welfare program.  
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Therapeutic group home   6 to 10 individuals are provided with supervised housing that may be linked with a day treatment program.  
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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.  
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Triple Option plan   Provides subscribers and employees with a choice of HMO, PPO, or traditional health insurance plan; also called cafeteria plan.  
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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.  
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Utilization management   Controls health care costs and the quality of health care by reviewing cases for appropriateness and medical necessity.  
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Ventilator   Breathing machine.  
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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.  
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Veterans Integrated Service Network (VISN)   Administers and provides health care services at FA Medical Centers and community based outpatient clinics.  
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