Chapter 1 pages 1-7 Understanding Healthcare Settings

Question 1

People or organizations that provide health care (including doctors, nurses, clinics and agencies)

Answer 1

Providers

Question 2

Places where care is delivered or administered (hospitals, LTCs and treatment centers)

Answer 2

Facilities

Question 3

People or organizations paying for healthcare services

Answer 3

Payers

Question 4

For people who need 24 hour skilled care

Answer 4

Long-term care facilities (LTCs)

Question 5

Medically necessary care given by a skilled nurse or therapist
(Available 24 hours a day) It is ordered by a doctor and involves a treatment plan (This type of care is given to people who need a high level of care for ongoing conditions)

Answer 5

Skilled care

Question 6

Number of days a person stays in a healthcare facility

Answer 6

Length of stay

Question 7

The illness will eventually cause death

Answer 7

Terminal illness

Question 8

(Most people who live in LTCs have a chronic illness)

Condition that lasts a long period of time and even a lifetime

Answer 8

Chronic

Question 9

Provided in a persons home; given to people who are older and are chronically ill but are able too and wish to remain at home. (May also be needed when a person is week after a recent hospital stay) (Referred to as clients) (May also clean, shop for groceries, cook or do laundry)

Answer 9

Home health care (Home care)

Question 10

Medical conditions determined by a doctor

Answer 10

Diagnosis

Question 11

Residences for people who need some help with daily care (Showering, meals and dressings) (People who live in these facilities do NOT need 24 hour skilled care

Answer 11

Assisted living (facilities)

Question 12

The serious loss of mental abilities (Thinking, remembering, reasoning and communicating)

Answer 12

Dementia

Question 13

For people who need some help but are not seriously ill or disabled (Helps provide breaks for spouses family members and friends) When needing assistance and supervision during certain times of the day but do not live in the facility where care is provided

Answer 13

Adult day services

Question 14

24 hour care given in hospitals and ambulatory surgical centers for people who require short term immediate care for illness or injuries. People who are also admitted for short stays for surgery

Answer 14

Acute care

Question 15

Care given in hospitals or in LTC facilities for people who need less care than for an acute illness, but more care than for a chronic illness (Treatment usually ends when the condition is stabilized or after the predetermined time period for treatment has been completed)

Answer 15

Subacute care

Question 16

Care given to people who have had treatments, procedures or surgeries and need short term skilled care. They do not require an overnight stay in a hospital or other care facility

Answer 16

Outpatient care

Question 17

Care given by a specialist (Physical, occupational and speech therapists help restore or improve function after an illness or injury)

Answer 17

Rehabilitation

Question 18

Given in facilities or homes for people who have 6 months or less to live (Hospice workers give physical and emotional care and comfort until a person dies while also supporting families during this process)

Answer 18

Hospice care

Question 19

A thin tube inserted into the body to drain fluids or injects fluids

Answer 19

Catheters

Question 20

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

Answer 20

Policy

Question 21

A method or way of doing something

Answer 21

Procedure

Question 22

Finding problems through a survey (Surveyors study how well staff is caring for patients)

Answer 22

Cite

Question 23

An independent not for profit organization that evaluates and accredits healthcare organizations

Answer 23

Joint Commission

Question 24

A federal agency within the U.S department of health and human services (They run two national health care programs) (They help pay for health care and health insurance for millions of Americans)

Answer 24

Centers of medicare & medicaid (CMS)

Question 25

A federal health insurance program that was made for people 65 years and older (Also covers anyone who has permanent kidney damage and people who have certain disabilities and for people who ill and cannot work)(There are 4 parts)

Answer 25

Medicare

Question 26

A medical assistance program for people who have low income, as well as for people with disabilities

Answer 26

Medicaid

Question 27

Covers HOSPITAL INSURANCE (Pays for care in a hospital or skilled nursing facility)

Answer 27

Part A

Question 28

Covers MEDICAL INSURANCE (Pay for doctor services and other medical services plus equipment you might need)

Answer 28

Part B

Question 29

Covers MEDICARE ADVANTAGE PLANS (Allows private health insurance companies to provide medicare benefits)

Answer 29

Part C

Question 30

Covers PRESCRIPTION DRUG COVERAGE

Answer 30

Part D

Question 31

Respecting both elders and those working with them

Answer 31

Culture change

Question 32

Places the emphasis on the person needing care and his or her individuality’s and capability’s

Answer 32

Person centered care (Person direct care)

Question 33

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

Answer 33

Managed care

Question 34

A method of health insurance in which a person has too use a particular doctor or group of doctors except in a case of emergency

Answer 34

Health maintenance organizations (HMOs)

Question 35

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

Answer 35

Preferred provider organizations (PPOs)

Question 36

Daily personal care tasks (Bathing, grooming and elimination needs)

Answer 36

Activities of daily living (ADLs)