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 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
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
diagnoses
physician’s 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
adult day services
care for people who need some assistance or supervision during certain hours, but who don’t live in the facility where care is given
acute care
24 hours skilled care for short term illnesses or injuries; generally given in hospitals and ambulatory surgical centers
subacute care
care given in a hospital or a long term care facility for people who need less care than for an acute illness, but more care then for a chronic illness
outpatient care
care given for less than 24 hours for people who have had treatment or surgery and need short term skilled care
rehabilitation
care that is given by specialists to help 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 sue a particular doctor or group of doctors except in case of emergency
preferred provider organizations (PPOs)
a network of providers that contract 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
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 and medicaid services (CMS)
a federal agency within the US 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 that places the emphasis on the person needing care and her individuality and capabilities
the pioneer network
advocates for person directed care
the eden alternative
seeks to improve the lives of elders and their caregivers; creates environments that support growth and development and eliminate loneliness, helplessness, and boredom
