Chapter 1

Question 1

providers

Answer 1

people or organizations that provide health care, including doctors, nurses, clinics, and agencies

Question 2

facilities

Answer 2

in medicine, places where health care is delivered or administered, including hospitals, long-term facilities, and treatment centers

Question 3

payers

Answer 3

people or organizations paying for healthcare services

Question 4

long-term care (LTC)

Answer 4

care given in long-term care facilities (LTCF) for people who need 24 hour skilled care

Question 5

skilled care

Answer 5

medically necessary care given by a skilled nurse or therapist

Question 6

length of stay

Answer 6

the number of days a person stays in a healthcare facility

Question 7

terminal illness

Answer 7

a disease or condition that will eventually cause death

Question 8

chronic illness

Answer 8

a disease or condition that is long-term or long lasting and requires management of symptoms

Question 9

diagnoses

Answer 9

physician’s determinations of an illness

Question 10

assisted living

Answer 10

residences for people who do not need skilled, 24 hour care, but do require some help with daily care

Question 11

adult day services

Answer 11

care for people who need some assistance or supervision during certain hours, but who don’t live in the facility where care is given

Question 12

acute care

Answer 12

24 hours skilled care for short term illnesses or injuries; generally given in hospitals and ambulatory surgical centers

Question 13

subacute care

Answer 13

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

Question 14

outpatient care

Answer 14

care given for less than 24 hours for people who have had treatment or surgery and need short term skilled care

Question 15

rehabilitation

Answer 15

care that is given by specialists to help restore or improve function after an illness or injury

Question 16

hospice care

Answer 16

holistic, compassionate care given to dying people and their families

Question 17

health maintenance organizations (HMOs)

Answer 17

a method of health insurance in which a person has to sue a particular doctor or group of doctors except in case of emergency

Question 18

preferred provider organizations (PPOs)

Answer 18

a network of providers that contract to provide health services to a group of people

Question 19

managed care

Answer 19

a system or strategy of managing health care in a way that controls costs

Question 20

policy

Answer 20

a course of action that should be taken every time a certain situation occurs

Question 21

procedure

Answer 21

a method, or way, of doing something

Question 22

cite

Answer 22

in a long term care facility, to find a problem through a survey

Question 23

joint commission

Answer 23

an independent, not for profit organization that evaluates and accredits healthcare organizations

Question 24

centers for medicare and medicaid services (CMS)

Answer 24

a federal agency within the US department of health and human services that is responsible for medicare and medicaid, among many other responsibilities

Question 25

medicare

Answer 25

a federal health insurance program for people who are 65 or older, are disabled, or are ill and cannot work

Question 26

medicaid

Answer 26

a medical assistance program for low income people

Question 27

culture change

Answer 27

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

Question 28

person directed care

Answer 28

a type of care that places the emphasis on the person needing care and her individuality and capabilities

Question 29

the pioneer network

Answer 29

advocates for person directed care

Question 30

the eden alternative

Answer 30

seeks to improve the lives of elders and their caregivers; creates environments that support growth and development and eliminate loneliness, helplessness, and boredom