dynamics 1-6

Acute infectious disease

Illness with a sudden onset , intense but short effect

ACA (date made and second name )

March 2010, Obama care

ACA (effect and purpose)

The ACA : expanded healthcare to all Americans , controlling healthcare costs by expanding Medicaid and providing subsidies,

AAFP

American academy of family physicians: organization that supports primary care physicians through networking and continuing education.

AHA

American hospital administration, national agency that supports hospitals, hc systems , health networks , and communities served

ABA

Applied behavior analysis: application of behavioral sciences in schools and clinics for behavior and learning problems , also treats autism.

ASD

Autism spectrum disorders- group of developmental disabilities that can cause social and behavioral changes

Avain(bird)influenza

Stains of influenza that infect birds/poultry but can sometimes be zoonotic

Birth defect

Changes (structural) in organs or other body parts in infants at birth , (surgery usually required to improve function ). Common ones are changes to the heart

CMS

Centers for Medicare and Medicaid - agency in HHS that manages Medicare/medicaid and makes sure it’s up to standards and high quality

Clinical care

Service provided to a individual/group/community to benefit health status

Congenital malformation

Structural or functional malformations that occur under the age of one (rare)

Doulas

Individual who provides support(emotional and physical ) for women during and after childbirth

Ebola

Rare and deadly infection native to Africa , largest epidemic was in 2014

EHR

Electronic health records : data stored online for easy access and information sharing

Equality vs equity

Equality = same healthcare for everyone (universal immunizations for kids ) but

Equity is removing obstacles to hc(proving high quality care regardless of income or providing transportation)

FPL

Federal poverty level: measure of income level issued annually by HHS, used to determine if you can have Medicaid , chip,

(and costs of premium health service purchased through health exchanges )

Health disparities

Differences in health outcomes due to race/ ethnicity, immigration , etc

Human genome project

International research project that mapped human genomes

Almshouses

Place to care for disabled and ill in 1700s (before hospitals)

Ambulatory care

Care provided out of institutional setting

CcBHCs

Certified community behavioral health clinics:congress funded to help people with behavioral health issues due to opioid crisis

Community hospital

Short term specialized hospital

Community mental health act

1963 passed to established comprehensive mental health centers throughout us

CMHC

Community mental health centers : established in 1963 to serve mental health needs in US but they were NOT adequately funded to meet needs

FQHC

federally qualified health centers , provided comprehensive care for lower income , minority , or homeless individuals in underserved areas (medically ) , can receive reimbursement from Medicaid/care

FMC

Free medical clinics : non profit community/religious organizations who provide care with little or no charge , people who use them are commonly homeless , drug addicts , HIV/AIDs carriers , or immigrants

HRSA

Health resources and services administration: most important division with 11 operating divisions inside it

IHS

Indian health service : provided healthcare to Alaskan/native Americans

Informed consent

Process of providing consent to hc providers , before invasive , experimental (drugs), or research procedures

PCMH

Model for delivering healthcare in which primary care Provider coordinates hc for individual patients

Serous mental illness

Mental illness that is difficult to treat and interferes with regular function and relationships, like schizophrenia and bipolar disorder

Social decorum act of 1935 and 65

35- federal funding of state healthcare departments for martial and childcare services

65- established medical and Medicare

Accountable care organizations

Healthcare delivery model that tied the provider reimbursement payments to the quality AND cost of care for a patient population (idk what it means )

American medical association

Professional medical org that represents physicians nation wide to address professional and public health problems!

Bundled payment

Method of controlling hc costs by reimbursing Medicare for all services for a procedure , EX: surgery then home healthcare all in one payment instead of individual services

Capitation

Paying a fixed amount per person for services without regard to volume of service provided

CMS payments

(Centers for Medicare / Medicaid ) division of CMS that tests various payment and service methods to achieve the highest care with lowest costs

CHIP

For kids (18& under ) for those who are too rich for Medicaid but can’t afford private insurance

Community engagement

Engaging with the community (like PSAs or blood drives or vaccination )

Copayment

Share of costs not covered by insurance

Coinsurance

fixed Percent of costs of the healthcare costs paid by the consumer

Cost sharing subsidy

Form of financial assistance that reduces out of pocket costs, for individuals who purchase silver health plans

HMO

Health managed organizations: prepaid health insurance that only covers in network and need a referral from PCP for out of network

PPO

In/out of network , are fee for service systems ,

EPO

No PCP for a referral to specialist

Biggest impact of managed care

Less use of hospitals

MCO

Healthcare plan with established cost control designed to improve quality of care

Medicaid eligibility

Seniors at 100% or adults at 133% of FPL

Tax credit :

subsides allowed by the ACA to reduce cost of care and insurance premiums

ADL

Activities of daily living ( bathing or drinking )

IADL

Instrumental activity of daily living (taxes , working )

Alzheimer’s

Degenerative brain disease commonly in dimensions or decline in cognitive function

Assured living facility

Facility primarily for seniors that provides meals , house keeping , medication management , and other adl support

Old old

85+ (I think idk)

LTSS

Long term services and support , system to provide health and personal care for disabled , elderly , or others with chronic illness in someone’s HOME NOT INSTITUTION

Medicare advantage

Private health insurance consent contracts with Medicare to provide A and B

Burwell vs hobby lobby

Supreme Court care that ruled closely affiliated corporations opposed to contraceptives don’t have to provide insurance coverage for it

Closely held company

50% of the stocks are held under 5 individuals

Essential health benefits

Comprehensive health services that are Healy required to be provided by corporations

King V burwell

Dispute whether individuals who purchased health plans through a federal exchange instead of a state exchange would be eligible for premium subsidies

Little sisters of the poor V. Pennsylvania

(Little sisters won) employs with morale or religious obligation opposed to contraception to be expert from coverage in health plans

Minimum essential covering

Standard by ACA for the kind of coverage insurance companies must provide in every policy

navigator (obsolete )

Person mandated by ACA who’s role is to assist consumers in applying for health insurance

Qualified health plan

Under ACO, a QHP is certified by the health insurance marketplace to include essential health benefits

Turn the card

Good boy

Medical technology

Procedures , equipment , and process by which medical care is delivered

Health IT

H info tech : used to store , retrieve , or transfer info (basically ehr)

HIPAA

Health insurance portability and accountability act