Ch3 Health Care Delivery System

Question 0

Capitation Fee

Answer 0

A monthly or yearly payment made by a participant in an HMO

Question 1

Acuity

Answer 1

Clearness; or a disorder’s level of severity; minimum level or need for healthcare services that must be met for a client to be admitted to an avute care facility

Question 2

Case Management

Answer 2

Providing high quality care while effectively using healcare resources and controlling costs

Question 3

Chain-of-Command

Answer 3

Hierarchy of an organizational structure

Question 4

Client

Answer 4

A person who is participant in his or her healthcare

Question 5

Complementary Healthcare

Answer 5

Methods and beliefs other than traditional western medicine

Question 6

Co-Pay

Answer 6

Predetermined fee that is charged to HMO clients at the time of an office visit

Question 7

Holistic Healthcare

Answer 7

Healthcare that emphasizes care of the whole person

Question 8

Home healthcare

Answer 8

A nurse monitoring a client in his or her home, often after being discharged while completing recovery from surgery or an illness

Question 9

Hospice

Answer 9

A facility or program of care that is specially designed to provide emotional and physical support to end-of-life clients and their families

Question 10

Incentive Programs

Answer 10

Rewards given to employees by their employers for practicing healthy habits such as smoking cessation, weight loss, and having regular physical examinations

Question 11

Joint commission

Answer 11

Established rigid standards for an ongoing quality assurance program in hospitals , as well as for community health centers homecare agencies, and various levels of extended care facilities

Question 12

Managed Care

Answer 12

A plan for continual monitoring and maintenance of an individual’s health

Question 13

Medicaid

Answer 13

Public, tax-supported health insurance program for which people must qualify, a joint effort of federal and stage governments

Question 14

Medicare

Answer 14

Federal health insurance program available to nearly everyone over the age of 65, regardless of financial status and to younger people who qualify

Question 15

Outcome-based care

Answer 15

Quality management in which delivery of care is judge by results achieved

Question 16

Patient

Answer 16

Individual being treated by a healthcareprovider, now called a “client”

Question 17

Prospective Payment

Answer 17

Reimbursement for health care made by third-party payors according to a formula pr average reimbursement of actual costs per case

Question 18

Quality assurance

Answer 18

Standards of care that represent acceptable, expected levels o performance by nursing staff and other staff members

Question 19

Respite Care

Answer 19

Care provided for long-term or chronic clients so family members can have some time off or time away

Question 20

Telehealth

Answer 20

Telephone nursing and health counseling

Question 21

Third-party Payment

Answer 21

System develop to help indiviuals pay for the cost of medical bills, usually a health insurance plan