CNA CH 1

Healthcare System

The people, places, and organizations involved in providing and paying for healthcare services

Provider

A person or organization providing healthcare, such as a doctor, nurse, or agency

Facility

A place where healthcare is delivered, such as a hospital or LTCF

Payer

An individual or organization paying for healthcare (e.g., insurance, Medicare)

Long-Term Care (LTC)

24-hour skilled nursing care for people with chronic illnesses or disabilities

Skilled Care

Medically necessary care provided by a nurse or therapist

Resident

A person living in a long-term care facility

Client

A person receiving home health care

Assisted Living

Housing for those needing help with daily activities but not 24-hour care

Adult Day Services

Daytime care for those needing supervision, usually not seriously ill

Acute Care

Short-term, immediate care for illness or injury, usually in hospitals

Subacute Care

Care for people who need more than chronic care but less than acute care

Outpatient Care

Care that does not require an overnight hospital stay

Rehabilitation

Care to help restore or improve function after illness or injury

Hospice Care

Care for people who are terminally ill, focused on comfort, not cure

Policy

A rule or course of action (e.g., keep information confidential)

Procedure

The specific method for performing a task

Survey

An inspection of a facility to ensure compliance with regulations

F-Tag

Federal code number identifying a regulation violation

CMS

Centers for Medicare & Medicaid Services

Medicare

Federal insurance for people over 65 or with disabilities

Medicaid

Health assistance for low-income individuals and people with disabilities

Culture Change

Changing care to be based on the values and choices of the resident

Person-Centered Care

Focus on individual needs, choices, and preferences of the person receiving care

Trauma-Informed Care

Recognizes and responds to trauma history with compassion and safety

Which of the following is an example of a payer in the healthcare system?

C. Medicare

What kind of care is given to people who need 24-hour skilled nursing for chronic conditions?

B. Long-term care

What term describes care given at home to clients who are chronically ill but do not want to move to a facility?

C. Home health care

Which program helps pay healthcare costs for low-income individuals?

B. Medicaid

Which organization evaluates and accredits healthcare facilities?

C. Joint Commission

Home health aides are usually called "residents" because they live in the care setting.

False

Person-centered care focuses on the preferences and individuality of the person receiving care.

True

Surveys are only done in long-term care facilities that have received complaints.

False

What is the difference between a policy and a procedure in a healthcare facility?

A policy is a general rule or guideline, while a procedure is a specific set of steps to carry out a task

What is trauma-informed care, and why is it important in healthcare settings?

It considers a person's past trauma and emphasizes safety and compassion to avoid re-traumatization