continuum Flashcards
the organization, institutions, and resources involved in delivering health care to individuals with the primary purpose to improve health
the health care system
aimed at reducing the likelihood of developing an illness or incurring and injury
primary prevention
reduces the likelihood of secondary problems occuring
secondary prevention
this stage is frequently overlooked because it is pre-entry into the system
preventative health care
an initial entry point for injury or illness. levels of patient car can be primary, secondary, tertiary or quaternary. usually delivered in three major settings
acute health care
access is usually gained by the emergency room services or admission onto a floor. hospital can be more than one type: teaching or community, generalized or specialized, for profit or not for profit
General acute care hospital
comprehensive trauma facility is the regional resource of care for every aspect of serious injury
trauma level I hospital
major trauma facility provides care for most serious injuries/illnesses
trauma level II hospital
general trauma facility have continuous general surgical services and the ability to initiate care and stabilize the patient
trauma level III hospital
stabilization trauma facility provide initial evaluation of patient and 24 hour emergency coverage
Level IV
condition
patient
procedure
beds or unit within acute hospital or stand alone
specialized acute care hospital
such as ambulatory care centers, health centers or urgent care centers that don’t offer critical care but have limited emergency services
other emergency care centers
payment made per stay based on DRG
LTACH have LT-DRG’s
inpatient acute care hospital
RIC used to group cases based on PAI determines assignment into CMG
payment rate made per stay (case rate)
inpatient rehab hospital/unit
MDS determines RUG category
Payment is per diem
skilled nursing faciltiy
no payment
extended care
OASIS determine HHRG
case rate system based on 60 day episode
home health
per diem rate for each level of care
hospice
for PT, it is a service based payment system where MPFS determines payment amount
outpatient
acute: minimum of 3 hours of therapy per day from more than one therapy
sub: acute: requires less than 3 therapies
free standing, unit within hospital or skilled nursing facility
inpatient rehabilitation facilities
provide skilled nursing and or other professional care in order to improve or restore function
can offer a generalized or speicalized care program
patients are classified according to the resource utilization groups III which determine the number, types and amount of therapy the patient can receive and be rimbursed by medicare
regulated by multiple agencies but licensed by the state
skilled nursing
another name for skilled nursing
in small or rural hospitals
swing bed
designed to care for those who need assistance with activities of daily living or with medical needs. is needed when someone has a condition that is likely to last for a long period of time or for the rest of his or her life
extended care facility
provide the added assitance of personal care in an extended care facility
assisted living facility
differs from skilled cursing care in that it provides custodial care to maintain patients at their current level of function
nursing home care
medically stable but fragile patients often need extended medical and nursing care. patients needing this level of care may be too ill for discharge to a nursing facility, an acute care rehabilitation hospital or their homes
long term acute care
encompass many different settings including health care provider offices, hospital base or privately owned clinics, and health clinics
ambulatory care services
intensified and structured like an inpatient program with the less restrictive environment of outpatient care treatment programs
ambulatory care services
provided to those with the intent of restoring function or maintaining level of function
home health services
are provided for the intent of maximal comfort and safety oof dying patients typically with 6 mo or less to live. services can be provided in the home environment or in a specialty facility
hospice services
both of these are required to complete an undergraduate degree followed by four years of medical school, and then a residency program, a residency program is done in an area of specialty
physicians
allopathic or osteopathic
practice medicine under the supervision of physicians and surgeons
take medical histories, examine and treat patients, order and interpret lab tests and x rays, make diagnoses. treat minor injuries by suturing, splinting and casting. record progress notes, instruct and counsel patients, and order or carrou out therapy. in 48 states they can prescribe medication.
physician assistants
requires one year of training at hospital, vocational school or community college
LPN licensed practice nurse
requires educational program that can be associates degree (community college) bachelors degree, masters degree for specialization or doctoral degree
RN registered nurse
is generally defined as a system of medical treatment based on the use of minute quantities of remedies that in larger doses produce effects similar to those of the disease being treated
homeopathy
