HOSA Bowl Health Care Systems

Centers for Disease Control (CDC)

A federal government agency that issues guidelines to protect and improve health.

Clinics

Institution that provides care for outpatients; a group of specialists working in cooperation.

Cost Containment

Trying to control the rising cost of health care.

Dental Offices

Vary in size from offices that are privately owned by one or more dentists to dental clinics that employ a number of dentists.

Diagnostic Related Groups (DRGs)

One way Congress is trying to control costs for government insurance plans such as Medicare and Medicaid. Under this plan, patients with certain diagnoses who are admitted to hospitals are classified in one payment group.

Emergency Care Services

Provide special care for victims of accidents or sudden illness.

Food and Drug Administration (FDA)

a federal agency charged with enforcing regulations against selling and distributing adulterated, misbranded, or hazardous food and drug products

Geriatric Care

care of, especially related to old people and their health

Health Departments

provide health services as directed by USDHHS and also provide specific services needed by the state or local community

Health Insurance Plans

to pay for the costs of health care, most people rely on it. without insurance, the cost of an illness can mean financial diaster for an individual or a family

Health Maintenance Organizations (HMOs)

Form of health care that provides services for a fixed period on a prepaid basis

Home Health Care

provides nursing, therapy, personal care or housekeeping services in the patient's own home

Hospice

Program designed to provide care for terminally ill while allowing them to die with dignity.

Hospitals

Institution that provides medical or surgical care and treatment for the sick or injured

Industrial Health Care Centers

Found in large companies or industries. Provide health care for employees of the industry or business by performing basic examinations.

Laboratories

A room or building where scientific tests, research, experiments, or learning takes place.

Long-term Care Facilities (LTCs or LTCFs)

mainly provide assistance and care for elderly patients, usually called residents

Managed Care

a type of insurance in which the carrier is responsible for both the financing and the delivery of health care

Medicaid

Government program that provides medical care for people whose income are below a certain level

Medical Offices

vary from offices that are privately owned by one doctor to large complexes that operate as corporations and employ many doctors and other health care professionals

Medicare

Government program that provides medical care for elderly and/or disabled individuals

Mental Health

the psychological state of someone who is functioning at a satisfactory level of emotional and behavioral adjustment

National Institute of Health (NIH)

Involved in the research on disease

Nonprofit Agencies

organizations that are supported only by contributions. They offer Educational health services in the form of Seminars, newsletters, classes and literature. Examples: American Heart Assoc, American Red Cross, MADD, American Lung. The speicific organizations usually are involved with vicitms of that illness by purchasing medical equipment and supplies, assisting with treatment costs, and providing treatment centers.

Occupational Safety and Health Administration (OSHA)

the federal regulatory compliance agency that develops, publishes, and enforces guidelines concerning safety in the workplace

Omnibus Budget Reconciliation Act (OBRA)

Federal law that regulates the education and testing of nursing assistants

Organizational Structure

specification of the jobs to be done within an organization and the ways in which they relate to one another

Preferred Provider Organization (PPOs)

Formed by an insurance company an employer or a group of employers who negotiate discounted fee with networks of health care providers. In return the employers guarantee a certain volume of patients. Those enrolled in this plan can elect to receive treatment outside the network but have to pay higher copayment or deductibles.

Rehabilitation

The restoration to useful life through therapy and education

School Health Services

doctors and nurses at schools that help in emergency and sudden illnesses

U.S. Department of Health and Human Services (DHHS)

The national agency that deals with health in the United States.

Voluntary Agencies

frequently called nonprofit agencies are supported by donations, membership fees, fundraisers, and federal or state grants

Wellness

State of being in good health; well

Worker's Compensation

Payment and care provided to an individual who is injured on the job

World Health Organization (WHO)

An organization attached to the United Nations that is concerned with the health and well being of all people. The organization works in developing nations to curb disease and other health related problems.

Co-Insurance

You and the insurance company both pay money for treatment. It is usually an 80/20 ratio, with the insurance paying 80% of the cost.

Premium

Amount of money you pay per month for your health insurance plan.

HMOs

(Health Matinance Organization) Covers routine preventative care. Must go to in-network providers. Usually have Low premiums/deductibles

PPOs

(Preferred Provider Organization) Covers routine preventative care. My use in-network or out-of-network providers (at a higher cost to you). Usually have higher premiums.

Workers' Compensation

for those who have been injured on the job. Pays for lost wage because of injury.

Deductible

Amount of money you pay before health insurance plan kicks in.

Organizational Structure

a chart which varifies the size of a medical office and the number of people employed.

Managed Care

some employers make sure money is not being spended wastefully. You may need a recommendation to see specialists.

Medicare

insurance plan for people 65+ and for disabled (who have received social security benefits for at least 2 years).

Medicare part A

medicare which covers hospital visits or home care.

Medicare part B

Medical insurance. Covers: outpatient, therapy, etc.

Medicade

insurance plan for low income families, children who qualify for public assistance and for the disabled/blind. Operated by individual states.

Hospitals

this type of medical facility performs complex surgeries, treats the very ill and performs special diagnostic tests.

Long-term care facilities

this type of facility provides assistance and care for the elderly.

Emergency Care Services

this place provides care for sudden accidents or illness.

Dental Offices

provide dental services

Mental Health Facilities

include guidance, counseling, and chemical abuse treatments centers

Home Health Care

provides care in patient's home

Clinics

a group of doctors who share a facility

Rehabilitation facilities

provide physical, occupational and other therapies.

Holistic Healthcare

type of healthcare that promotes physical, emotional and social well-being.

Outpatient clinics

a clinic for patients whom are not admitted to the hospital.

Champus

provides healthcare for all military personnel.

Medical Offices

offer several different services such as minor surgery, examinations and basic laboratory tests.

OBRA act of 1987

lead to the development of regulations for long-term care.

Health Department

is responsible for the well-being of the population. They may collect statistics, set up clinics for healthcare.