chapter 1 Flashcards
providers
people or organizations that provide health care, including docs, nurses, clinics, and agencies
facilities
places where care is delivered or administered
payers
people or organizations paying for healthcare, including insurance companies, gov’t programs like medicare/medicaid, and individual patients/clients
long term care (LTC)
given in long-term care facilities for people who need 24-hr skilled care
skilled care
medically necessary care given by a skilled nurse or therapist, available 24 hrs a day
nursing homes aka
long-term care facilities, skilled nursing facilities, rehab centers, or extended care facilities
length of stay
of days a person stays in a healthcare facility
terminal illness
illness will eventually cause death
chronic conditions
conditions last a long period of time
home health care
aka home care, care provided in a person’s home, given to ppl who are older, chronically ill but who are able to and wish to remain at home
diagnoses
medical conditions determined by a doc
assisted living
facilities where ppl need some help with daily care, do not need 24 hr skilled care
dementia
serious loss of mental abilities, such as thinking, remembering, reasoning, and communicating
adult day services
ppl who need some assistance and supervision during certain hours but who do not live in the facility where care is provided
acute care
24 hr skilled care in hosp and ambulatory surgical centers for ppl who require short term, immediate care for illness or injuries, or after surgery
subacute care
care given in hospitals or long term care facilities, for ppl who need < care than for acute illness, but > care than for chronic illness
outpatient care
given to ppl who have had treatments, procedures, or surgeries and need short term skilled care
rehabilitation
care given by specialists (physical, occupation, and speech therapists help resotre/improve function after illness or injury)
hospice care
given in facilities/homes for ppl who have approximately 6 months or less to live
managed care
cost control strategies employed by health insurance plans, seeks to control costs by limiting plan members’ choice of health care providers and facilities
examples of managed care
health maintenance organizations (HMOs) and preferred provider organizations (PPOs)
activites of daily living (ADLs)
daily person care
catheters
thin tubes inserted into the body to drain or inject fluids
policy
course of action that should be taken every time a certain situation occurs
procedure
method or way of doing something
surveys
inspections done periodically by the state agency that licenses facilities
cite
to find a problem during a survey
joint comission
independent, not-for-profit organization that evaluates and accredits healthcare organizations
centers for medicare & medicaid services (CMS)
federal agency within US dept of hrealth that runs medicare and medicaid
medicare
federal health insurance program for ppl 65 and older, has 4 parts, hospital insurance, medical insurance,provides private companies to provide benefits, prescirption coverage
medicaid
medical assistance for ppl who have low income and ppl with disabilities
culture change
process of transforming services for elders so that they are based on values and practices of person recieivng care
person centered care
aka person directed care, emphasizes individuality of person who needs care and recognaizes and develops his/her capabilites
services offered at facilities
PT/OT/speech therapy, wound care, catheter care, nutrition therapy, care of chronic conditions
