Chapter 1 Flashcards
Providers
People or organizations that provide health care, including doctors, nurses, clinics, and agencies
Facilities
In medicine, 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; is 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 series 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 who 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 contact 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; caring for skin, nails, hair, and teeth; dressing; toileting; eating and drinking; walking; and transferring.
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
In a long-term care facility, to find a problem through a survey
Joint Commission
An independent, not-for-profit organization that evaluates and accredits healthcare organizations
Centers for Medicare & Medicaid Services (CMS)
A federal agency within the U.S. Department of Health and Human Services that is responsible for Medicare and Medicaid, among many 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
A term given to the process of transforming services for elders so that they are based on the values and practices of the person receiving care; core values include choice; dignity, respect, self-determination, and purposeful living.
Person-directed care
A type of care the places the emphasis on the person needing care and hood or her individuality and capabilities.
