Dynamics of Healthcare VOCAB Rutgers Test

Affordable Care Act (ACA)

Healthcare reform legislation signed into law by President Barack Obama in March 2010 with a goal of increasing access to health insurance while controlling healthcare costs

Medical Technology

the procedures, equipment, and processes by which medical care is delivered

Chronic Disease

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

Disparities

wide differences in access to health care or quality of health care based on where one lives as well as income, educational level, race, ethnicity, gender expression, or sexual orientation

Health Outcomes

health status of an individual or community as a result of preventive public health programs or medical intervention

Federal Poverty Level (FPL)

a measure of income level issued early by HHS used to determine eligibility for Medicaid, the Children's Health Insurance Program, and the cost of premiums for health insurance purchased through Health Exchanges

Epidemic

an outbreak of disease in a certain geographic area in greater numbers than usual; the most common cause of an epidemic in the U.S is influenza.

Infectious Disease

illness caused by pathogenic viruses, fungi, or bacteria and transmitted by person-to-person contact or through a vector such as an infected mosquito.

World Health Organization (WHO)

agency of the United Nations that directs and coordinates international health within the United Nations' system.

Narcan (naloxone)

now available to reverse opioid overdose and is used by EMTs and ER staff to prevent death

SIDS

sudden infant death syndrome

Doulas

support services before, during, and after birth to educate the parents on infant care

Zoonotic diseases

where animals can pass diseases, comes from new organism which is transmitted by/from animals

EHR

Electronic health record

Human Genome project

identified gene mutations that increases the risk of disease and modify response to drugs used to treat disease

PPE (Personal protective equipments)

masks, gloves, and gowns for health care workers

ASD

Autism spectrum disorder

SDOH

social determinants of health

Equity

giving people based on their needs and removing obstacles

HHS

The U.S. Department of Health and Human Services- sets the guidelines for private government institution provide care with hospital and outpatient or ambulatory care services; provide people what they need; responsible for Medicare, Medicaid, public health, biomed research in USA and abroad

NIH

National Institute of Health - an organization that provides money for science research.

HRSA

health resources and service administration - includes the division of nursing, division of medicine and dentistry, and the division of public health and interdisciplinary education

FQHC - Federally Qualified Health Centers

federally funded; supported by → HRSA

PCMH - Patient-Centered Medical Home

where the patient get adequate treatment

Privately funded free medical clinics (FMC)

non-profit, community-based or faith-based that provide healthcare a little or no charge to low income individuals

National Association of Free and Charitable Clinics (NAFC)

a nationwide survey showed that those who used a free clinic were homeless, immigrants, and substance and disorders; supported by a variety of individuals or organizations

Ambulatory care

everything that is outside of the hospital aiming to get the patient well

TRICARE

managed program for retired and active duty members of the armed forces, their families, and survivor

CMHC

Community Mental Health Centers

SMI

serious mental illness

Almshouse

institution that cared for the poor who were chronically ill or disabled.

Social Security Act of 1965:

Propriety hospitals

for-profit hospitals are operated for financal benefits of the persons or corperations.

Hospital system

more than one hospital managed by one organization or a single hospital that includes other healthcaee organizations

Ambulatory Healthcare Services

care provided outside institutional settings is ambulatory and most frequent contact most people have with healthcare system

DRG

diagnostic-related groups.

MCO

managed care organization.

Deductibles

starts every calendar year/ amount of money insured most pay; amount of money you pay out of pocket or covered services per plan year before your insurance starts to share money

Co-pay

also set amount of money, but fixed for attached to certain covered services; don't always count towards your deductibles

HMO

prepaid health insurance that only covers care provided by providers and health care facilities inside the HMO

EPO

is similar to HMO, but it doesn't usually require the primary care provider to make referrals to specialists. Exclusive provider org

IADL

instrumental activities of daily living: things like managing money, shopping, preparing meals, and taking medication

ADL- activities of daily living:

basic skills to independently care for oneself

LTSS

long term service and supports: Medicaid is the primary payer and safety net program

Hospice

cared for the wounded, sick, and dying during medieval era in England

Modern hospice care

for the dying

POS

Point of Service

Telemedicine

the use of electronic communications and information technology to provide or support clinical care at a distance

CDSS

clinical decision support system - the clinical information needed to make informed decision changes a guidelines and clinical based-evidence medicine evolves

E-prescribing

when a doctor, PA, or NP sends a prescription to the pharmacy for you

HIPAA - Health insurance portability accountability act

put into place to give privacy, security, and protection for health information for the patient/ all info must remain confidential,

The Hospital Readmission Reduction Program (HRRP)

used incentives for heart attack, heart failure, and pneumonia.

BLS

Bureau of labor statistics - classifies healthcare occupation into 3 categories

Orthotist

prosthetic design support device including artificial limbs, braces, etc.

Licensure - certification and registration

obtaining and maintaining licensure or in some professions certification is necessary to practice legally in individual states. Obtaining continuing education hours within specified period like every 2 years is necessary to maintain licensure or certification

Hippocratic Oath

oath contains many values that form basis for codes of ethics: act to benefit the patient, refusing to do harm to patients, and maintain patient confidences

Disparagement

belittling or criticizing the skills, knowledge, or qualifications of another professional instead of focusing on the merit of the issue, usually seen in personal attacks

Conflict of Interest

a clash between an individual's selfish interest and his/her obligations to an organization, group, or person

Confidentiality

refers to the provider not to disseminate the patients information with anyone

Healthcare Terms

consist of variety of health personnel each with specific function; include of doctors, nurses, dieticians, and therapist

Licensing

refers to the right to practice by a government agency to provide a service. Each state decides what profession to license.

Accreditation

the process by which an external entity receives an organization of program of study to determine if the organization or program meets certain predetermined standards

Certification

providing an individual with an official document attesting to his/her status or level of achievement

Malpractice

professional misconduct

Negligence

professional misconduct

Negligence - the common type; refers to someone failing to do something that a reasonably prudent person would do in the same or similar situation or doing something that a reasonably prudent person would not do. Thi scan be carelessness, inattentiveness, or neglectfulness as opposed to intentionally trying to do harm

Fraud

intentional deception of another person to that person's detriment

Abuse

pattern of practices or customs that are unsound or inconsistent with ethical, fiscal, or healthcare practices or customs

RNs

projected employment in 2019 is 3.3 mil, more than any other healthcare provider and yet the education requirements for RNs are lower than any other healthcare provider with similar job responsibilities

WIC

Women, infants, and children

Compounding

actual mixing of ingredients to form powders, tablets, capsules, ointment, and solutions/ this small part of their job since most medication are produced by pharmaceutical companies

OAT

optometry admissions test

SLPs

(speech language pathologist)/Speech therapists - assess, diagnose, treat, and help prevent disorders related to speech, cognitive communication, voice, swallowing, and fluency

AuD

Doctor of Audiology and must be licensed in all 50 states

Athletic Trainers

focus on improving athletic performance or treating muscle, or both injuries

Clinical exercise physiologist

develop and supervise exercise program to improve functioning in individuals with heart, lung, orthopedic, or neuromuscular disease

Kinesiotherapist

use rehab exercise to recondition and P.E. to treat patients who have problems moving in any way

Sports medicine physicians

work for an athletic team or university sports team or consult with athletic trainers on injury prevent and enhancing performance

Pedigree

family tree that includes health conditions and causes and age of death of biological family members.

CEO (Chief executive Officer)

provides overall management direction but is also concerned with community outreach,planning,policy making,response to govt.agencies and regulations and negotiation.They speak before civic groups,promote public participation in health programs and coordinate activities with govt or community agencies.

Emergency Medical Responder

prepared to care for patients at the scene of an accident while transporting patients to hospital. They have skills to assess conditions and manage respiratory,cardiac and trauma emergencies.

Emergency Medical Technician

has more advanced training and perform interventions with equipment in ambulance.

Advance Medical Emergency Technician

they have the skills of EMT plus how to operate basic and advance equipment in ambulance

Paramedic

provide the most extensive care, they administer drugs orally and through IV,interpret ECGs (EKG) and perform intubations and use monitors and heart defibrillator (AED); all work indoors and outdoors; require lifting, bending,squatting, and carrying; could be exposed to hepatitis B and AIDS as well as violence from unstable patients. They work about 50 hours a week.

CPT

current procedural terminology

ICD-10

International Statistical Classification of Diseases and Related health problems

Diagnosis Related group DRG

determines the amount Medicare or other insurance companies will reimburse the healthcare provider.

Nonfarm animal caretakers

often work with cats and dogs in animal shelters.

Animal trainers

train animals for riding,security,performance,obedience,or assisting people with disabilities.

Susceptible person

someone who is not vaccinated or otherwise immunocompromised due to underlying condition.

Immunosuppressed

when they receive steroids,antibiotics,cancer meds and autoimmune suppressant drugs for transplanted organs.

COINSURANCE

the percentage of covered health costs you're responsible for paying after you've met your deductible.

Gatekeeper

primary care physicians who serve as the initial point of contact for patients seeking healthcare services

Psychiatric techs

They are also known as mental health tech and provide therapeutic care to pts.who are mentally impaired,developmentally disabled,or emotionally disabled.They work with an interdisciplinary team that includes physicians,psychiatrist,psychologists,psychiatric nurses,social workers,counselors,and therapists.They lead in therapeutic and rec activities

Psychiatric aides

care for mentally or emotionally impaired.They help pts dress,eat,bathe,groom,play games watch tv,or go on field trips.There were 82,800 jobs in 2019 and median salary was $ 35,000.00 They need a post secondary cert or associate's degree program

CAHIIM

The Commission on Accreditation for Health Informatics & Information Management Education

an accrediting organization that focuses on ensuring the quality and standards of higher education programs in health informatics and health information management.

Clinical decision support system (CDSS

refers to the variety of technologies that provide healthcare practitioners with tools to improve the quality of care through diagnostic and treatment recommendations.

Center for medicaid and medicare

Agency that provides coverage to americans through programs like medicaid and medicare.

Specialty hospitals

for pts that are usually limited to those who have a specific illness or condition