Untitled Flashcards Set

Chapter4

Providers

People or organizations that provide health care, including doctors, nurses, clinics, and agencies.

Facilities

Places where health care is delivered or administered, including hospitals, long-term care facilities, and treatment centers.

Payers

People or organizations paying for healthcare services.

Long-term care (LTC)

Care given in long-term care facilities (LTCF) for people who need 24-hour skilled care.

Skilled care

Medically necessary care given by a skilled nurse or therapist; available 24 hours a day.

Length of stay

The number of days a person stays in a healthcare facility.

Terminal illness

A disease or condition that will eventually cause death.

Chronic illness

A disease or condition that is long-term or long-lasting and requires management of symptoms.

Home health care

Care that takes place in a person’s home.

Diagnoses

Physicians’ determinations of an illness.

Assisted living

Residences for people who do not need skilled, 24-hour care, but do require some help with daily care.

Dementia

The serious loss of mental abilities, such as thinking, remembering, reasoning, and communicating.

Adult day services

Care for people who need some assistance or supervision during certain hours, but do not live in the facility where care is given.

Acute care

24-hour skilled care for short-term illnesses or injuries; generally given in hospitals and ambulatory surgical centers.

Subacute care

Care given in a hospital or in a long-term care facility for people who need less care than for an acute illness, but more care than for a chronic illness.

Outpatient care

Care given for less than 24 hours for people who have had treatments or surgery and need short-term skilled care.

Rehabilitation

Care given in facilities or homes by a specialist to restore or improve function after an illness or injury.

Hospice care

Holistic, compassionate care given to dying people and their families.

Health maintenance organizations (HMOs)

A method of health insurance in which a person has to use a particular doctor or group of doctors except in case of emergency.

Preferred provider organizations (PPOs)

A network of providers that contract to provide health services to a group of people.

Managed care

A system or strategy of managing health care in a way that controls costs.

Activities of daily living (ADLs)

Daily personal care tasks, such as bathing, dressing, toileting, eating and drinking.

Catheters

Thin tubes inserted into the body to drain or inject fluids.

Policy

A course of action that should be taken every time a certain situation occurs.

Procedure

A method, or way, of doing something.

Cite

To find a problem through a survey in a long-term care facility.

Joint Commission

An independent, not-for-profit organization that evaluates and accredits healthcare organizations.

Centers for Medicare & Medicaid Services (CMS)

A federal agency responsible for Medicare and Medicaid, among other responsibilities.

Medicare

A federal health insurance program for people who are 65 or older, are disabled, or are ill and cannot work.

Medicaid

A medical assistance program for low-income people.

Culture change

The process of transforming services for elders to be based on the values and practices of the person receiving care.

Person-directed care

A type of care that emphasizes the person needing care and his or her individuality and capabilities.