Chapter 8 Flashcards
Case management
The process of coordinating an individual’s healthcare for the purpose of maximizing positive outcomes and containing costs.
Ambulatory care
Healthcare settings located in areas that are convenient for people to walk into and receive care; may be provided in hospitals, clinics, or centers.
Consumer
The person who uses healthcare services ( the patient)
Diagnosis-related group (DRG)
Classification of patients by major medical diagnosis for the purpose of standardizing healthcare costs.
Hospice
A type of end-of-life care for persons who are terminally ill, characterized by the following: (1) patients are kept as free from pain as possible so they may die comfortably and with dignity; (2) patients receive continuity of care, are not abandoned, and do not lose personal identity; (3) patients retain as much control as possible over decisions regarding their care and are allowed to refuse further life-prolonging technological interventions; and (4) patients are viewed as individuals with personal fears, thoughts, feelings, values, and hopes
Inpatient
Person who enters a healthcare setting for a stay ranging from 24 hours to many years.
Long-term care
Facilities for long-term care that provide healthcare and help with activities of daily living for people of any age who are physically or mentally unable to independently care for themselves.
Managed care
An organized, high-quality, cost-effective system of healthcare that influences the selection and use of healthcare services of a population.
Medicaid
Title XIX (Social Security Act, 1965) to make healthcare available to those people with less than the minimum income who do not qualify for Medicare.
Medicare
Title XVIII (Social Security Act, 1965) to provide a measure of health coverage to all Social Security recipients.
Outpatient
Person who requires healthcare services but does not need to stay in an institution for those services
Palliative care
(Hospice care), taking care of the whole person -body, mind, spirit, heart and soul- with the goal of giving patients with life threatening illnesses the best quality of life they can have through the aggressive management of symptoms.
Primary healthcare
Essential healthcare based on practical, scientifically sound, and socially acceptable methods and technology, made universally accessible through the community’s full participation and at a cost the community can afford.
Respite care
A type of care provided for caregivers of home bound ill, disabled, or elderly patients.
