Healthcare Flashcards
An institution that encompasses all of the health related components of the University, including its health professions school, patient care operations, and research enterprise
Academic health center
A hospital typically a community hospital that delivery service is designed to meet the needs of patients to require short term care for a period of less than 30 days
Acute care hospital
Medical care provided on an outpatient basis
Ambulatory care
Services that relate to a patient’s care, such as lab work, x-rays, and anesthesia
Ancillary services
The average number of days in a given period that a patient remains in the hospital; varies by type of admission, age, and sex and is calculated by dividing the total number of bad days by the number of discharges for a specified period
Average length of stay
The actor placing several products or services together in a single package and selling for a lower price than would be charged if the items were sold separately; in healthcare, usually means one price for all of the services provided for a given diagnosis or procedure, such as a total joint replacement
Bundled pricing
The federal agency responsible for administering Medicare, Medicaid, and the state children’s health insurance program
Centers for Medicare and Medicaid services
Charitable care, education services, and other benefits that he healthcare organization provides to its community to qualify as a tax exempt charity under section 501(c)(3) of the internal revenue code
Community benefit
The measure of infections acquired From a community, in contrast to those acquired in a hospital
Community acquired infection rates
The full spectrum of healthcare, including preventative, ambulatory, a cute, postacute, long-term, pallative and hospice
Continuum of care
A rural community hospital that receives cost based reimbursement
Critical access hospital
A hospital that receives Medicare funding for treatment in a higher proportion of indignant patience calculated by a formula; the affordable care act would decreased this funding overtime
Disproportionate share hospital
A statistical analysis in forecast of the health needs of the community a healthcare organization serves
Epidemiologic Planning model
A management approach that relies heavily on performance measurement, identification of best practices, and formal process specification
Evidence based management
A health insurance organization licensed at the state level two which subscribers pay a predetermined fee in return for access to a panel of employed physicians and network of facilities
Health maintenance organization
An account created for individuals who are covered under high deductible health plan to save for medical expenses that the plans do not cover
Health savings account
A managed-care technique in which the insured obtain permission from a managed care organization before entering the hospital for non-emergency care
Hospital preauthorization
A physician who manages broad categories of hospitalized patients
Hospitalist
Traditional fee for service health plans
Indemnity plans
A documented process that includes the patient, the family, and all clinical disciplines involved in planning and providing care to a patient from system point of entry, throughout the entire acute care episode, and to the next level of care
Interdisciplinary plan of care
The independent not-for-profit organization that evaluates in monitors the quality of care provided in hospitals
Joint commission
A continuum of maintenance, custodial, and health services provided to the chronically ill, disabled, or mentally handicapped
Long-term care
Health insurance sold by private insurance companies to fill the gaps in original Medicare plan coverage
Medigap
The incidence and severity of illness and accidents in a population
Morbidity
The incidence of death in a population
Mortality
An agency of the US Department of labor whose mission is to ensure safe and healthful working conditions
Occupational safety and health administration
The end result of medical care as indicated by recovery disability functional status mortality morbidity or patient satisfaction
Outcome
A patient self-determination or the right to make decisions regarding his or her own healthcare
Patient autonomy
Care of that as respectful of a responsive to the individual patient preferences needs and values
Patient centered care
The health outcomes of a defined group of individuals
Population health
A type of health plan that contracts directly with providers to create a networks; enrollees pay less if they use providers in this net work
Preferred provider organization
Linking financial incentives to the quality of care provided
Value based purchasing
Department of the US federal government that aims to protect the health and well-being of all Americans
US Department of health and human services
The evaluation of patient conditions for urgency and seriousness and the establishment of a priority list to direct care and ensure the efficient use of medical in nursing staff in facilities
Triage
Management of the flow of goods and services, including the movement and storage of raw materials, of work in progress inventory, and a finished goods from the point of origin to the point of consumption
Supply chain management
Nursing model in which staff nurses share the authority and accountability for practice decisions and other activities that influence their work environment
Shared governance
Patient care team is organized and coordinated around a set of similar disease or patient needs
Service lines
Anticipating a meeting or exceeding customer needs and expectations on the basis of an organizations mission and values
Service excellence
A hospital or health system that provides a significant level of care to low income, uninsured, and vulnerable population; maybe publicly owned and operated by local or state governments, or maybe not for profit
Safety net provider
A comprehensive set of standardize performance measures design to provide purchasers and consumers with the information they need for reliable comparison of health plan performance; he does measures relate to significant public health issues such as cancer, heart disease, smoking, asthma, and diabetes
Healthcare effectiveness data and information set
A legal entity that contracts with a group of independent physicians to provide services to manage care organizations and he negotiated per capita rate; the arrangement is usually not exclusive so the physicians may sign contracts with other managed care companies
Independent practice association
Care for injury and illness or another type of condition usually not life-threatening that should be treated within 24 hours; also refers to after hours care and to a health plans classification of hospital admissions as urgent semi urgent or elective
Urgent care
A type of managed care insurance plan that combines characteristics of a health maintenance organization and a preferred provider organization; enroll as choose a primary care physician in the healthcare network as their point of service but make the primary care physician referrals outside the network for lesser compensation from the insurance company
Point of service plan
The measure of a patient’s overall satisfaction with the level of care received from a healthcare professional hospital or other healthcare provider the HCAHPS survey is the first national standardize survey of patient satisfaction
Patient satisfaction score
Interdisciplinary care provided to a patient with a serious life-threatening or life limiting illness that aims not to provide curative treatment but rather to manage symptoms relief pain and discomfort improve quality of life and meet the emotional social and spiritual needs of the patient in the patient’s family
Palliative care
A program to identify and correct improper payments for Medicare to providers with the aim of preventing future and proper payments by Medicare; a common and proper payment is for surgical services provided in the wrong setting inpatient instead of outpatient
Medicare recovery audit program
An organization that Provides medical care and support services like pain in symptom management counseling bereavement services to terminally ill patients and their families; it may be a freestanding facility, unit of a hospital or other institution, or separate program of a hospital agency or institution
Hospice
A program developed by the American nurses credentialing center that recognizes healthcare organizations for quality patient care, nursing excellence, and innovations in professional nursing practice; magnet designation is the ultimate credential for high-quality nursing
Magnet Recognition program
