Health Care Systems Flashcards
Agency for Health Care Policy and Research
Efficient and cost effective mental health services, disseminatino of relevant state of the art information to practitioners and public, establish clinical practice guidelines for assessment and treatment
alternative therapies
Therapies a person may use instead of or in addition to modern medicine that are not predicated within their traditional ethno-cultural heritage.
assisted living facilities
allow individuals who can care for themselves to rent or pruchase and apartment in the facility. Provides services such as:meals, housekeeping. laundry, transportation, social evnets, and basic medical care
Centers for Disease Control and Prevention
Provides a system of health surveillance to monitor and prevent outbreak of diseases and maintians national health statistics
clinics
small or private health care facility
complementary therapies
Method of treatment used in conjunction with biomedical therapies
cost containment
Means of trying to control the rising cost of health care
dental offices
provide care for teeth and dental disease
diagnostic related groups
designations used to identify reimbursement per condition in a hospital; used for Medicare patients.
emergency care services
Services that are provided by the physician in the emergency department for unplanned patient encounters; no distinction ismmade between new and established patients who are seen in the emergency department.
Food and Drug Administration
a federal agency in the Department of Health and Human Services established to regulate the release of new foods and health-related products
genetic counseling centers
can be an independent facility or locatedin another facility such as a hsopital
geriatric care
care of, especially related to old people and their health
health departments
provide helath services as directed by the U.S. Department of health and human services
health insurance plans
to pay for the costs of health care, most people rely on it. without insurance, the cost of an illness can mean financial diaster for an individual or a family
health maintenance organizations
provide a broad range of health care services to members for a set monthly, prepaid fee. These are not insurers, but providers. These do not put limits on how much health care is used and will have a gate-keeper or primary care physician. You must receive preapproval for hospital admittance. There is usually a small copayment and no deductible. If you use a doctor not on the plan’s list, you will the full freight of the costs.
holistic health care
Care that promotes physical, emotional, social, intellectual, and spiritual well being by treating the whole body, mind and spirit.
home health care
provides nursing, therapy, personal care or housekeeping services in the patient’s own home
hospice
a program of medical and emotional care for the terminally ill
hospitals
Institution the provides medical or surgical care and treatment for the sick or injured
independent living facilities
facilities that allow individuals who can care for themselves to rent or purchase an apartment in the facility.
industrial health care center
Centers that provide health care for employees of the business by performing basic exams; also called occupational health clinics
laboratories
one of the busiest in acute care hospital. provides valuable diagnostic information by analyzing blood, body secretions, and tissue samples.
long-term care facilities
mainly provides asssistance and care for elderly patients, usually called residents.
managed care
A system that combines the financing and the delivery of appropriate, cost-effective health care services to its members.
Medicaid
a federal and state assistance program that pays for health care services for people who cannot afford them
medical offices
vary from offices that are privately owned by one doctor to large complexes that operate as corporations and employ many doctors and other health care professionals
Medicare
A program added to the Social Security system in 1965 that provides hospitalization insurance for the elderly and permits older Americans to purchase inexpensive coverage for doctor fees and other health expenses.
mental health
the psychological state of someone who is functioning at a satisfactory level of emotional and behavioral adjustment
National Institutes of Health
an agency in the Department of Health and Human Services whose mission is to employ science in the pursuit of knowledge to improve human health
nonprofit agencies
organizations that are supported only by contributions. They offer Educational health services in the form of Seminars, newsletters, classes and literature. Examples: American Heart Assoc, American Red Cross, MADD, American Lung. The speicific organizations usually are involved with vicitms of that illness by purchasing medical equipment and supplies, assisting with treatment costs, and providing treatment centers.
Occupational Safety and Heath Administration
It establishes and enforces standards that protect workers from job-related injuries and illnesses.
Omnibus Budget Reconciliation Act
A federal law which extends the minimum COBRA continuation of group health care coverage from 18 to 29 months for qualified beneficiaries who are disabled at the time of qualification.
optical centers
can be indiviually owned by an ophthalmologist or optometrist, or the can be part of a large chain of stores
organizational structure
specification of the jobs to be done within an organization and the ways in which they relate to one another
preferred provider organizations
provided by health insurance companies such as Blue Cross/Blue Shield, Travelers, and Aetna. Medical care providers (hospitals and doctors) contract with insurance companies to provide discounted services. These have more leeway than HMO’s, but are also more expensive.
rehabilitation
the restoration of someone to a useful place in society
school heath services
are found in schools and colleges.they provide emergency care for victims of accidents and sudden illnesses
U.S. Department of Health and Human Services
most important federal public health agency that funded through tax dollars
voluntary agencies
frequently called nonprofit agencies are supported by donations, membership fees, fundraisers, and federal or state grants
wellness
maximun well-being; the top of the range of health states; the goal of the person who strives toward realizing his or her full potential physically, mentally, emotionally, spiritually, and socially
Workers’ Compensation
A form of insurance paid by the employer providing cash benefits to workers injured or disabled in the course of employment.
World Health Organization
a United Nations agency to coordinate international health activities and to help governments improve health services
Term used when referring to patients in long-term care facilities
Residents
Nursing and geriatric homes
Provide basic physical and emotional care and help with activities of daily living for individuals who can no longer care for themselves
Extended care facilities or skilled care facilities
Provide skilled nursing care an rehabilitative care to prepare patients (sometimes called clients) for return to their home or other long-term care facilities
Sub-acute units
Units in skilled care facilities that provide services to patients who need rehabilitation to recover from a major illness or surgery, treatment for cancer, or treatments such as dialysis or heart monitoring
