Chapter 1 Flashcards
AHCCS
Arizona Healthcare Cost Containment System - A unique form of Arizona welfare, used instead of Medicaid
APC
Ambulatory
Patient
Classification
- System implemented in 2000, determines payment to hospitals for outpatient services
CLI88
Clinical Laboratory Improvements of 88 - mandates that all labs use the the same standards regardless of type, location, or size
CEU’s
Continuing
Education
Units
- Credits for some form of continuing education to continually upgrade skills and knowledge
CPT
Current
Procedural
Terminology
- Coding system for billing at physician’s offices
DRG’s
Diagnosis
Related
Groups
- Hospitals are reimbursed at a set amount for each patient procedure using established disease categories
HIPPA
Health Insurance Portability Accountability Act - Enacted in order to secure patient information and regulate patient privacy
HMO
Health
Maintenance
Organization
- Group practices are reimbursed on a prepaid, negotiated, discounted basis
ICD-9-CM
International Classification of Disease Ninth Revision Clinical Modifications - Coding system that groups together familiar disease and operations for reimbursement
MCOs
Managed
Care
Organizations
- Groups that contract with local providers to establish a complete network of healthcare services
PHS
Public
Health
Service
- Federal agency offering monitoring, screening, and education of the public
PPO
Preferred
Provider
Organization
- Independent group of physicians or hospitals that offer services to employers at discounted rates in exchange for a steady supply of patients
PPS
Prospective
Payment
System
-Limits the standardized Medicare/Medicaid payments made to hospitals, started in 1983
TAT
Turn
Around
Time
- time it takes for the laboratory test request to be completed and charted
Patients Bill of Rights
An accepted statement of principles that guides healthcare workers in their dealing with patients while in a hospital or other healthcare facility
Barriers
Anything interfering with communication, such as personal bias or cultural diversity
Certification
A process indicating completion of a defined academic and training requirements and a satisfactory score on a national examination
Entitlement Programs
Right, such as Social Security, earned through employment
Exsanguinate
Blood loss to the point of being life-threatening (Hint: Poor George Washington)
Gatekeeper
Primary care physicians in a managed care plan who coordinates the patient’s healthcare needs
Kinesic Slip
When nonverbal messages do not match verbal messages
Kinesics
Study of body motion and language, such as facial expressions, gestures, and eye contact
Medicaid
Program funded by state and federal government for providing medical care to the poor
Medicare
Federally funded program enacted in 1965 that provides healthcare to persons older than age 65 and the disabled, regardless of financial status
Phlebotomy
Procedure for withdrawing blood from the body
Primary Care
Service in which the family physician offers an initial consult and related treatment
Proxemics
Study of an individual’s concept and use of space
Reference Laboratory
Large, independent organization that performs all types of laboratory testing for many different facilities and physicians
Secondary Care
Healthcare beyond primary care, which until recently was considered inpatient service
Tertiary Care
Highly complex services and therapy performed as inpatient, requiring a patient to stay overnight or longer
Third-Party Payer
Fiscal Intermediary that pools individual contributions for a common group objective, protection from financial disaster
Another name for Blood Bank?
Immunohematology
The hospital department the laboratory coordinate therapeutic drug monitoring with is the ___________
Pharmacy
Another term for outpatient care is __________ .
Ambulatory Care
_______________________ is part of the phlebotomists’ role because they represent the laboratory, promote good public relations with visitors, staff, and patients’, and the patient often equates blood-drawing experiences with the quality of overall care received.
Promoting good public relations
Outpatient phlebotomy areas such as in a physicians office or patient care service center will assign a _______, a national coding system, for reimbursement.
CPT code
The ______________ is responsible for administering oxygen therapy.
Respiratory Therapy Department
The term _____________ describes a sophisticated and highly complex medical care.
Tertiary Care
The term “____________” is derived from the Greek word that literally means Cut a Vein.
phlebotomy
It is NOT a phlebotomist’s duty to start __________.
Intravenous (IV) lines
The credentials for an ASCP certified phlebotomist are __________.
PBT
_____________ are proof of participation in workshops to upgrade skills required by agencies to renew certifications
Continuing education units (CEU’s)
A Medical Technologist is also referred to as a ____________ .
Clinical Laboratory Scientist
When a patient doesn’t speak English, is a child, or is upset emotionally it is considered a _________ to effect communication.
barrier
A way to confirm a response to a patient is to say: “_____________” .
I understand how you must be feeling
A frowning face is an example of __________
negative kinesis
Wearing __________ is not part of communicating a professional appearance.
strong cologne
Hanging up on an angry caller is not part of ____________
proper telephone protocol
__________ is not performed by local public health agencies.
Licensure of Healthcare Personnel
If you were hiring a phlebotomist, what credentials, professional qualities, and work ethics would you want a person to have?
Good customer service/people skills, certification ASPT, professional attitude/attire, work well under pressure
Phlebotomist calls neighbors to let them know a friend is in the hospital. Is this proper? Why, or why not?
No, HIPPA describes such an act as breaching a patients right to privacy.
How is it possible to tell if you’re getting a message through to a patient who is hard of hearing/spanish?
Look for an interprator, like a coworker or family member of a patient. Be certain the patient seems attentive and not just nodding along vacantly to questions.
What to do with a cranky patient?
Laugh it off inside, do your best to be comforting while addressing and assuaging the patients concerns, being empathetic and explaining the importance of having their blood drawn
Patient calls at the same time as a supervisor?
Answer the phone professionally with a greeting and an introduction of the department and your name, ask what you can do to help, transfer if they have the wrong department.
What are the two part of a clinical lab?
Clinical and Anatomical
What are the 9 branches of a Clinical lab?
Hemotology, Coagulation, Chemistry, Urinalysis, Serology/Immunology, Blood Bank/Immunohemotology, Microbiology, Cytogenetics, Specimen Processing
What are the 2 branches of the anatomical lab branch?
Histology, Cytology
