ATI Flashcards
Diagnosis-related group (DRG)
A fixed payment system for reimbursement for health care services based on the client’s diagnosis and procedures performed
goal of the ACA
improve health care quality and increase access to services
hospital consumer assessment of healthcare providers and systems
a survey instrument and data collection method to measure clients’ perceptions of their inpatient experiences
name the five major social determinants of health
economic stability
education
social and community context
health and health care
neighborhood and built environment
sentinel event
an event that results in client death or permanent or severe temporary harm
role of a naturopathic doctor
prescribe natural and alternative treatment options such as lifestyle changes, exercise, herbs, and acupuncture
long-term care hospital
specializes in caring for clients who require hospitalization for long-term illnesses such as severe burns, trauma, or ventilation needs
long-term care facility
care for clients who do not need specific nursing skills but rather a place to live
skilled nursing facility
sometimes referred to as a nursing home or long-term care; may provide short-term rehabilitation care such as occupational and physical therapy as well as oversight for activities of daily living
role of the occupational therapist
assist clients to either recover or develop new skills to maintain daily living and return to work
role of physical therapist
provide services to clients to assist in recovery from injury or illness; work with clients to help them improve their movement and alleviate pain
define advanced practice registered nurse
also called a nurse practitioner; a registered nurse who ahs completed advanced education in a specialty and passes the associated certification eaxmination
role of the case manager
to facilitate the treatment plan and look for the most cost-effective care in the least restrictive setting while maintaining client self-determination and culturally appropriate care
role of the social worker
help to find solutions to client challenges and advocate for resources to help resolve issues. Clinical social workers can also diagnose, treat clients, and provide psychotherapy services
health care disparities
social, economic, and environmental differences that affect health status
hospital acquired infections
central line-associated bloodstream infection
surgical site infection
MRSA
catheter-associated urinary tract infection
accreditation
demonstrating how a program or organization meets published standard through a self-study and site visit
nurse staffing
the process of determining the correct number and skill mix of nurses for the number and acuity of clients needing care
patient protection and affordable care act
helps provide affordable health coverage for each person in the Unites States
HIPAA
protects insurance coverage of individuals who lost employer-sponsored health insurance because they lost of changed employment and requires that national standards be established for electronic health care transactions
EMTALA
helps prevent “patient dumping” the practice of one health care organization moving a client based on inability to pay or lack of insurance coverage
advanced directives
legal forms used to communicate and document health care decisions if an individual becomes unable to do so
health disparities
preventable differences in incidence and prevalence of disease, injury, or violence, based on race, ethnicity, gender, gender identity or LGBTQIA status, age, or socioeconomic status
health equity
the removal of obstacles such as poverty and discrimination, and subsequent lack of access to fair pay, quality education, housing, safety, and health care, so as to provide a more equitable distribution of health-related resources
culture of safety
a systems approach to safety that moves away from individual blame in the case of medical errors
epidemiology
the study of the distribution and determinants of health-related states and events in specified populations and the application of the results to control health problems; may be done at local, state, national, or global level
health promotion
the process of encouraging clients to take control and improve their overall health
wellness
a positive state of health
primary prevention
decreasing the risk of alterations in health occurring by changing behaviors or minimizing exposure