Chapter 11 Flashcards
(ACO) Accountable care organization
group of health care entities organized via incentives to deliver the most efficient and high quality care for the population served
APRN Advanced practice registered nurse
a registered nurse educated at the masters or post masters level in a specific role and for a specific population. Examples include, nurse practitioners, clinical nurse specialist, CRNA, and midwives
Ambulatory care
health care settings located in area that are convenient for people to walk into and receive care; may be provided in hospitals, clinics or centers
Capitation
a fixed amount per patient for a specified time period to a health care service provider for the delivery of health care services
care coordination
deliberate coordination of patient care activites between 2 or more participants, to facilitate the appropriate delivery of health care services.
*Make sure patient gets right care at right time at right place
care coordination
Deliberate coordination of patient care activities between 2 or more participants, to facilitate the appropriate delivery of health care services.
*Make sure the patient gets the right care at right time at the right place
Community health center
Regionalized service for vulnerable geographic populations w/ emphasis on primary care and education; est to ensure everyone who needs care gets it regardless of ability to pay
Consumer
Person who uses the health care (patient)
DRG - Diagnosis related group
classifications of patient by major medical diagnosis for purpose of standardizing health care costs
entitlement reform
proposed legislation making changes in entitlement benefits, such as medicare and Medicaid, paid by the government to citizens with goal in improving the nations budget
Extended care services
Organizations, family members and other caregivers that provide medical and nonmedical care for people with chronic illnesses or disabilities who are physically or mentally unable to care for themselves
Fee for service
system for when a bill is generated and a fee is paid everytime a provider does something for a patient
Health insurance marketplace
Federal and state system designed to help people more easily find health insurance that fits their budget and needs
HMO Health maintenance organization
prepaid, group-managed care plan that allows subscribers to receive all medical services they require through a group of affiliated providers
High reliability organization
organization that operates in a complex, high hazard domain for an extended period without serious accidents
