Inpatient Facilities And Services Flashcards
Voluntary Hospitals
Non profit community hospitals financed through local philanthropy instead of taxes
Board of trustees
Elected members to a governing board that controlled voluntary hospitals
Swing beds
Allows small rural hospitals to switch bed use from acute care to long term care
Discharge
Total number of patients discharged from hospitals acute care beds in a given period
Inpatient day
A night spent in the hospital by a patient
Days of care
Cumulative number of patient days over a certain period
Average length of stay
Total days of care/total number of discharges
Average daily census
Average number of inpatients receiving care each day in a hospital
Occupancy rate
Average daily census/average number beds
Public hospitals
Owned by agencies of federal, state, or local governments
Propriety or investor-owned hospitals
For profit owned by individuals, partnerships, or corporations.
Community hospital
Non federal short stay hospital whose facilities are available to the public
Multi-hospital system
When two are more hospitals are owned, leased, sponsored, or contractually managed by a central organization
General hospital
Variety of services to meet general needs of community. Most US hospitals are general.
Specialty hospital
Provide diagnostic treatment to inpatients with a specific disease or condition. Not mental Orr substance abuse.
Rehabilitation hospital
Specialize in therapeutic services to restore the maximum level of functioning in patients who have suffered recent disability due to an episode of illness or accident
Short stay hospital
Average length of stay is 25 days or less. Most hospitals.
Urban hospitals
Located in a county that is part of a metropolitan statistical area.
Rural hospitals
Located in a county that is not part of a metropolitan statistical area
Critical access hospital
Certain rural hospitals that have no more that 25 beds and they provide ER services.
Teaching Hospital
Has one or more graduate residency programs approved by the AMA
Academic medical center
When one or more hospitals with or without affiliated outpatient clinics are organized around a medical school
Board of trustees
Legally responsible for operations of hospital and consists of influential business and community leaders
Executive committee
Monitors responsibility and authority over the hospital
Medical staff committee
Charged with medical staff relations
Chief of staff
Head of medical staff
Chief of service
Such as chief of cardiology or heads each specialty
Credentials committee
Grants and reviews admitting privileges for those already credentialed and for new doctors whose skills are yet untested
Medical records committee
Ensures that accurate documentation is maintained on the entire regimens of care given to each patient
Utilization review committee
Performs routine checks to ensure that inpatient placements as well as the length of stay are clinically appropriate
Infection control committee
Reviews policy procedures for minimizing infections in hospitals
Quality improvement committee
Overseas the program for continual quality improvement
Licensure
Each state sets its own standards and state governments oversea licensure of health care facilities
Certification
Gives the hospital the authority to participate in Medicare and Medicaid
Conditions of participation
Hospitals must meet conditions to participate in Medicare and Medicaid. This is done to protect patient health and safety and to ensure quality.
Accreditation
Private mechanism designed to assure that accredited health care facilities meet certain basic standards.
Deemed status
Means the hospital is deemed to have met Medicare and Medicaid standards
Magnet hospital
American nurses credentialing center that recognizes quality patient care, nursing excellence, and innovations in professional nursing practice in hospitals.
Patients bill of rights
Document they reflects the law concerning issues such as confidentiality and consent
Informed consent
Patient right to make an informed choice regarding medical treatment
Patient centered care
Patients are involved in their own care and treatment
Advance directives
Patients wished regarding continuation or withdrawal of treatment when the patient lacks decision making capacity
Do not resuscitate order
Directs caregivers not to administer any artificial means to resuscitate person when heart or breathing stops
Living will
Communicates patients wishes raga riding medical treatment when they are unable to make decision due to illness or incapacitation
Durable power of attorney
Written legal document where patient appoints another person to act on their behalf when they can not
Ethics committee
Develops guidelines and standards for ethical decision making in the delivery of health care
Moral agent
The manager morally affects and is morally affected by actions taken
