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39 Cards in this Set
- Front
- Back
Acuity |
clearness: minimum level or need for healthcare services that must be met for a client to be admitted to an acute care facility |
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case management
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providing hight quality care while effectively using health care resources and controlling costs
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chain-of-command
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hierarchy of an organizational structure
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client
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a person who is a participate in his or her healthcare
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complementary healthcare
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methods and beliefs other than traditional western medicine
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co-pay
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predetermined fee that is charged to HMO clients at the time of an office visit
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holistic healthcare
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health care that emphasizing taking care of the whole person
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home healthcare
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a nurse monitoring a client in his or her home, often after being discharged while completing recovery from surgery or an illness
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hospice
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a facility or program of care that is specifically designed to provide emotional and physical support to end of life clients and their families
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incentive programs
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rewards given to employees by their employer for practicing healthy habits such as smoking cessation, weight loss and having regular physical examination
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managed care
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a plan for continual monetary and maintenance of an individuals health
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Medicaid
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is a joint effort of federal and state government; it's a public tax supported health insurance program for which people must qualify; again, a joint effort of federal and state governments
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Medicare
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federal health insurance program available to nearly every one over the age of 65 regardless of financial status and to younger people who qualify |
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outcome-based care
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quality management in which delivery of care is judged by results achieved
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patient
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individual being treated by a healthcare provider now called a client
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prospective payment
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reimbursement for healthcare made by third party payors according to a formula or average reimbursment for average cost per case
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quality assurance
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standards of care that represent acceptable expected levels of performance by nursing staff and other staff members
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respite care
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care provided for long term for chronic clients so family members can have some time off or time away
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telehealth
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telephone nursing and health counseling
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third-party payment
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system developed to help individuals pay for the costs of medical bills usually a health insurance plan
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CQI
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contiguious (or continous) quality improvement
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DRG
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diagnosis related groups
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ECF
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extended care facility
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HMO
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health maintenance organization
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ICF
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intermediate care facility
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ICU
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intensive care unit
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JCAHO
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Joint Commission on Accreditation of Healthcare Organizations
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NLN
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National League of Nursing
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OSHA
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Occupational Safety and Health Association
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POS
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point of service
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PPO
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preferred provider organization
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QA
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quality assurance
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RUG
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resource utilization group
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SNF
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skilled nursing facility
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SSDI
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social security disability insurance
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UAP |
unlicensed assistance personnel
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Services Commonly Found in an Acute Care Facility: |
Administration Admitting Ambulatory Care/Outpatient Surgery Dietary Emergency Care Home Health ICU Laboratory Medical Unit Neonatal Obstetrics and Gynecology Pediatrics Physical Therapy Radiology Respiratory Therapy Surgical Unit Telemetry Unit Transitional Unit/Step down Units |
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Types of Ownership of Healthcare Facilities: |
Profit Oriented(Proprietary) -Individual -Partnership -Corporation
Nonprofit(Voluntary) -Church Associated(Loma University Medical Center) -Private School Associated -Foundation Associated(Shriners Hospital)
Nonprofit(Government) -Federal(Veterans Administration, active duty military hospitals) -State(university,hospital) -County(city, or county hospital) -City-County(city or county hospital) |
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Resources for the 21st century must include the following heathcare priorities: |
-Primary care services for medically underserved populations, especially those in rural or economically depressed areas.
-Mobile services available in low population areas, such as visits from mobile mammography, magnetic resonance imaging, or computed tomography scan units by truck/plane to theses areas on a scheduled basis.
-Multi-institutional systems for the coordination or consolidation of expensive or specialized health services
-The development of institutions on a geographically integrated basis to prevent excessive duplication of services.
-Multi-institutional arrangements for sharing support services
-Uniform cost accounting, simplified reimbursement, and utilization reporting systems
-Improved financial management procedures. |