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AHS 330 > Exam 3 > Flashcards

Exam 3 Flashcards

1
Q

ORBA

A

Omnibus Reconcilation Budget Act

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2
Q

OD

A

Doctor of Optometry

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3
Q

OMB

A

Office of Management and Budget

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4
Q

OPPS

A

Outpatient Prospective Payment System

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5
Q

OSHA

A

Occupational Safety and Health Administration

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6
Q

OT

A

Occupational Therapist

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7
Q

P4P

A

Pay-for-Play

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8
Q

PA

A

Physician Assistant

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9
Q

PACE

A

Program of All-inclusive Care for the Elederly

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10
Q

PCM

A

Primary Care Manager

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11
Q

PCP

A

Primary Care Provider

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12
Q

PET

A

Positron Emmision Tomography

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13
Q

PharmD

A

Doctor of Pharmacy

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14
Q

PhD

A

Doctor of Philosopy

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15
Q

PHI

A

Personal Health Information

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16
Q

PHO

A

Physician-hospital organization

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17
Q

PHS

A

Public Health Service

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18
Q

PMPM

A

payment per member per month

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19
Q

POS

A

Point-of-service plan

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20
Q

PPM

A

physician practice management

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21
Q

PPO’s

A

Prespective Provider Organizations

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22
Q

PPS

A

Prospective Payment System

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23
Q

PRO’s

A

Peer reviewed organizatioons

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24
Q

PTA

A

Physical therapy assistant

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25
Q

PTCA

A

percutaneous transluminal coronay angioplasty

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26
Q

PT’s

A

Physical therapists

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27
Q

QALY

A

Quality-Adjusted Life Year

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28
Q

QMB

A

Qualified Medicare Beneficiary program

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29
Q

R & D

A

Research and Development

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30
Q

RBRVS

A

Resource-based relative value scales

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31
Q

RN

A

Registered Nurse

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32
Q

RUG’S

A

Resource Utilization Groups

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33
Q

RVU’s

A

relative value units

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34
Q

SAMHSA

A

Substance Abuse and Mental Health Services Administration

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35
Q

SARS

A

severe acute respiratory syndrome

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36
Q

SAV

A

small area variations

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37
Q

SCHIP

A

State Children’s Health Insurance Program

38
Q

SES

A

Socioeconomic Status

39
Q

SHI

A

socialized health insurance

40
Q

SNF

A

skilled nursing facility

41
Q

SSI

A

Supplemental Security Income

42
Q

SMI

A

supplementary medical insurace

43
Q

SLMB

A

specified low-income Medicare beneficiary

44
Q

STD’s

A

sexually transmitted diseases

45
Q

TANF

A

Temporary Assistance for Needy Families

46
Q

TEFRA

A

Tax Equity and Fiscal Responsibilty Act

47
Q

TPA

A

third-party adminstrator

48
Q

TQM

A

Total Quality Management

49
Q

UCR

A

usual, customary, and reasonable

50
Q

UR

A

utilization review

51
Q

VA

A

Department of Veterans Affairs

52
Q

VHA

A

Veterans Health Administration

53
Q

WHO

A

World Health Organization

54
Q

WIC

A

Women, Infants and Children

55
Q

The most commonly used measure of disability. Determine whether individuals need assistance to perform basic activities

A

ADL

56
Q

Short-term, intense medical care for an illness or injury ususally requiring hospitalization

A

Acute care

57
Q

Community-based, long-term care service that provides support care for elderly adults

A

Adult day care

58
Q

Care rendered to patients who come to physicians offices, outpatient departments of hospitals and health centers to receive care

A

Ambulatory care

59
Q

Hospital or other inpatient servies other than room and board and professional medical services

A

Ancillary Care

60
Q

Case Management

A

An organized approach to evaluating and coordinating care, particulary for patients who have complex problems

61
Q

Case Mix

A

An aggregate of the severity of conditions requiring medical intervention

62
Q

Medical condition that persits over time

A

Chronic condition

63
Q

Standardized guidlines in the form of scientifically established protocols, representing preferred processes in medical practice

A

Clinical practice guidelines

64
Q

Local nonprofit, community owned health care providers serving low-income and medically underserved areas

A

Community health center

65
Q

Medicare designation for small rural hospitals with 25 bed or fewer that provide emergency medical services besides short-term hospitalization for patients with non complex needs

A

Critical Access hospital

66
Q

Outcome based, patient centered case management tools that are interdisciplinary, facilitating coordination of care among multiple clinical departments and caregivers

A

Critical Pathways

67
Q

Nonmedical care provided to support and maintain the patients condition and the essentials of daily living

A

Custodial Care

68
Q

Excessive medical tests and procedures performed as a protection against malpractice lawsuits

A

Defensive medicine

69
Q

Part of the overall treatment plan designed to facilitate discharge from an inpatient setting

A

Discharge Planning

70
Q

Advance directives telling medical professionals not to perform CPR

A

Do-not-resuscitate (DNR)

71
Q

A written document that provides a legal means for a patient to delegate authority to another to act on the patients behalf

A

Durable Power of Attorney

72
Q

Endemic

A

A disease restricted to a local region

73
Q

An outbreak of an infectious disease that spreads rapidly and affects many individuals within a population

A

Epidemic

74
Q

A list of acceptable prescription drugs approved by a health plan

A

Formulary

75
Q

The application of information science to improve the efficiency, accuracy, and reliability of health care services.

A

Health informatics

76
Q

A federal designation indicating an area has shortages of primary medical care, dental, or mental health services.

A

HPSA’s Health professional shortage area

77
Q

A person’s own sense of health, ability to function, role limitations stemming from physical or emotional problems and personal happiness during or subsequent to disease experience

A

Health-related quality of life (HRQL)

78
Q

A cluster of special services for the dying

A

Hospice

79
Q

The number of new cases of a disease in a defined in a defined population within a specified period

A

Incidence

80
Q

A legal entity that physicians in private practice can join so that the organization can represent them in the negotiation of managed care contracts

A

Independent practice association (IPA)

81
Q

A fundemental patient right to make an informed choice regarding medical treatment based on full disclosure of medical information by the providers

A

Informed consent

82
Q

A person’s ability to perform household and social tasks.

A

Instrumental Activities of Daily Living

83
Q

A network of organizations that provides or arranges to provide a coordinated continuum of services to a defined population and is willing to be held clinically and fiscally accountable for the outcomes and health status of the population serviced

A

Intergrated delivery system (IDS)

84
Q

A legal document in which a patient puts into writing what his or her preferences are regarding treatment during terminal illness and the use of life-sustaining technology.

A

Living will

85
Q

A special designation by the American Nurses Credentialing Center, to recognize quality patient care, nursing excellence and innovations in professional nursing practice in hospitals

A

Magnet hospital

86
Q

An imbalance of the distribution of health professionals

A

Maldistribution

87
Q

A distribution principle according to which health care is most equitably distributed through the market forces of supply and demand rather than government interventions

A

Market justice

88
Q

US Census has defined a geographic area that includes at least one city with a population of 50,000

A

Metropolitan statistical area (MSA)

89
Q

Sickness

A

Morbidity

90
Q

Death

A

Mortality

91
Q

Certain new drug therapies for conditions that affect fewer than 200000 people

A

Orphan drugs

92
Q

Serving to relieve or alleviate, such as pharmacologic pain management and nausea relief

A

Palliative

AHS 330 (9 decks)

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