Acute Care Flashcards
ALOS
Average Length of Stay
AHA
American Hospital Association (not-for-profit advocacy)
CMS
Centers for Medicare and Medicaid Services
DHHS
Department of Health and Human Services
EMTALA
Emergency Medical Treatment and Active Labor Act
FAH
Federation of American Hospitals (for-profit advocacy)
HIPAA
Health Insurance Portability and Accountability Act
NICU
Newborn Intensive Care Unit
PACU
Post Anesthetic Care Unit
PPACA
Patient Protection and Affordability Care Act
PPS
Prospective Payment System
SWB
Salaries, wages, benefits
What is triage?
Triage is the process of separating cases/patients, based on acuity, into primary, secondary and tertiary care.
How many total hospitals are there in the US?
5,723 total registered hospitals
4,999 Community hospitals (i.e. acute care)
Percentage wise, how many not-for-profit hospitals are there in comparison to for-profit hospitals?
2/3 = not-for-profit (2,894) 1/3 = for-profit (1,068)
What are the 4 levels of medical care?
Primary = diagnosing and planning for treatment (physicians office, ER)
low acuity
Secondary = Anything for which you are admitted into a hospital. Admitted surgery with a medium acuity.
Tertiary = Level of care that requires at least one-on-one nursing. Generally takes place in an ICU. High acuity.
Quaternary = Experimental procedures and research not yet approved by FDA. Must be approved by IRB. Considered a kind of off-shoot of tertiary care
What are the 6 basic ADLs?
Eating Bathing Dressing Toileting Ambulance (walking) Continence
What’s the spiel on Critical Access Hospitals
They are rural hospitals with a 25 bed limit (though swing beds are allowed). They cannot be closer than 35 miles from a full service hospital. They get reimbursed on a “cost +” basis (generally a cost + 1%).
What is acute care?
Acute care is medical care for injury or illness (inpatient. Meant to be temporary).
What is a Disproportionate Share Hospital?
It is a hospital that treats a higher-than-average percentage of low-income patients. They are reimbursed by CMS on a DRG + DSH payment basis.
IRB
Institutional Review Board
