Dynamics of Healthcare in Society Chapter 4 Vocabulary

activities of daily living (ADLs)

Set of key capabilities use to evaluate need for personal care assistance for older adults

Adult day care services

Program for the disabled or elderly who require health and/or support services; used to supplement home care services or a less costly option to being institutionalized

Aging Network

System of federal state and local agencies committed to having older Americans live independently in their homes and communities

Alzheimer's disease

A degenerative brain disease and the most common for of dementia; early symptoms are a decline in cognitive function that affects memory, language, and problem solving. Later Stages require complete care

Area Agencies on Aging (AAAs)

one of 365 agencies nationwide with the purpose of providing resources and supports for older adults; established in 1973

assisted living facilities

Living facility primarily for seniors that provides meals, housekeeping, medication management, and other assistance with daily living activities as needed

caregiving

The process of providing personal care services for a senior friend or family member who is physically or mentally disabled or is experiencing dementia.

Centers for Medicare and Medicaid Services (CMS)

Agency of the U.S. Department of Health and Human Services (HHS) that manages Medicare and Medicaid and strives to ensure effective, up-to-date healthcare coverage and to promote quality care for beneficiaries.

chronic diseases

A disease that is long in duration, reoccurs frequently, and progresses slowly

continuing care community

Community or campus that allow residents to move from independent living to assisted living or to a skilled nursing facility as their needs change

Dementia

Decline in cognitive function that affects memory, language, and problem solving skills. Causes are poor heart health, smoking, brain injury, and some disease of the brain including Alzheimer's disease and vascular dementia. Typical symptoms are getting lost in a familiar neighborhood, forgetting names of family members, or forgetting common words.

Demographic

Related to characteristics of the population: age, gender, race, ethnicity

frail elderly

physically weak patients of advanced age

geriatrician

Primary care physicians who specialize in the care of those 65 years of age and older and focus on common health and social issues related to the aging process.

health literacy

The ability of an individual to obtain, process, and understand health information and services needed to make appropriate health decisions

Healthy People 2020

The offices of disease prevention and health promotion within the us department of health and human services establishes health goals every decade and compares health data with goals

Home Health Agencies (HHAs)

Agencies that provide nursing and medical care in the patient's home.

instrumental activities of daily living (IADLs)

Complete self-care activities that are used to evaluate independence of disabled persons or older adults; examples are shopping, preparing meals, managing finances, and taking medications as prescribed

Intermediate care facilities for people with intellectual disability (ICF/ID)

a facility that provides personal care and social services

Interprofessional Education (IPE)

Model for teaching students in the health professions about the roles and responsibilities of health professionals by functioning as a collaborative team during clinical training.

Long-term services and supports (LTSS)

system of providing health and personal care support for the disabled, elderly, or others with chronic health problems in people's homes instead of an institution

Managed Care Organization (MCO)

healthcare plan with established cost controls and designed to improve quality of care

Medicaid spousal impoverishment provisions

a program that allows for protection of a couple's Financial Resources so that a spouse can continue living in the community when his or her partner requires a nursing home care.

Medicare Advantage

When a private health insurance company contracts with Media fe to provide all Part A (hospital) and part B (outpatient) benefits including prescription drugs

Medicare supplemental health insurance

Health insurance purchased by Medicare beneficiaries to cover the cost of copayments for hospital and outpatient health services

National centers for health statistics (NCHS)

A division within the CDC that collects data on factors contributing to health risks

old-old

those over 85 years of age

1973 Older Americans Act (OAA)

An addition to a program established by the U.S. Congress in 1965 to provide resources and supports for the elderly, enacted primarily to create the area agency on aging

Omnibus Budget Reconciliation Act of 1987 (OBRA 87)

A law passed by Congress that required Medicare and Medicaid standards and certification procedures for long-term care facilities to merge; ICF/ID standards were upgraded to be the same as skilled care facilities.

Preadmission Screening and Resident Review (PASRR)

Screening for mental illness or intellectual disability required for all admissions to Medicaid-certified nursing homes.

Program for All-Inclusive Care for the Elderly (PACE)

Program that provides comprehensive, preventative, primary, acute, and long-term care services so older individuals with chronic care needs can continue living in their local community

Residential care communities

See assisted-living facilities

senior centers

Focal point for services and referrals to resources for the elderly; funded by the federal government as a result of the Older Americans Act.

Skilled Nursing Facility (SNF)

a nursing home that provides the level of care closest to hospital care

supplemental insurance

plans to cover expenses and services not on typical policies

U.S. administration on aging (AOA)

Division within HHS agency, administration for community living; provides a variety of home and community based services for older adults and disabled persons