Video Notes: Healthcare Systems, Medications & Procedures

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Vocabulary flashcards covering healthcare systems, treatments, procedures, and patient care terms.

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19 Terms

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Capitation

A fixed payment per patient paid to a provider or plan, regardless of the services used.

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Fee-for-service

A payment model where providers are paid for each individual service delivered.

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Health Maintenance Organization (HMO)

A managed care organization that requires using in-network doctors and referrals for specialty care.

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Managed care

A system that coordinates and controls costs of healthcare services.

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Patient-centered medical home (PCMH)

A team-based primary care model focused on comprehensive, continuous care.

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Point of service (POS)

A hybrid plan combining HMO and PPO features; offers flexibility but can be more costly.

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Value-based plan

A plan that pays for quality and outcomes rather than quantity of services.

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Centers for Medicare and Medicaid Services (CMS)

The U.S. government agency that oversees Medicare, Medicaid, and other health programs.

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Therapeutic effects

The desired results or benefits of a treatment.

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Side effects

Mild unintended effects of a medication or treatment.

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Adverse reactions

Severe or harmful unintended effects of a medication or treatment.

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Venipuncture

Drawing blood from a vein.

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Capillary puncture

Sampling from capillaries (e.g., finger or heel stick) for small blood samples.

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Point of care testing

Tests performed near the patient with immediate results (e.g., glucose).

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Biopsy

Removal of tissue for diagnostic testing.

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Barium enema

Imaging test using barium contrast to visualize the colon.

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Patient navigator

A person who helps patients manage the healthcare system and access services.

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Coding

Translating diagnoses and procedures into standardized medical codes.

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Chief complaint (CC)

The main reason a patient seeks care.