Intro terms

Question 1

Health Care System

Answer 1

A group of people, agencies, and/or institutions that provide health care services to individuals in a variety of settings.

Question 2

Health Care Professional

Answer 2

The individuals who wish to care for the people seeking to improve their health status.

Question 3

Ambulatory Care Center

Answer 3

Centers that provide health care consultation, treatment, and medication using advanced medical technology; also known as community centers.

Question 4

Acute Care Hospitals

Answer 4

Institutions that provide care for individuals who have a disease that comes on quickly or that lasts for a short period of time.

Question 5

Skilled Nursing Facilities

Answer 5

Care for patients who require the skills of a licensed personnel such as a physical therapist or an occupational therapist.

Question 6

Assisted Living Facilities

Answer 6

Care that bridges the gap between home care and nursing homes by providing a homelike environment.

Question 7

Hospice Care

Answer 7

Care focused on the physical and emotional needs of patients who have terminal illnesses that will usually result in death within six months or less.

Question 8

Home Care

Answer 8

supportive care provided in the patient’s home.

Question 9

What do Acute Care Hospitals offer?

Answer 9

Technical equipment, pharmaceuticals, medical supplies, medical staff and personnel

Question 10

3 Categories of Acute Care Hospitals

Answer 10

Proprietary; for profit
Non-Profit; Charity
Government supported

Question 11

Health Maintenance Organization (HMOs)

Answer 11

Provide preventative health care at lower costs have contracts with Dr’s, clinics arrange care through prepaid plan

Question 12

Medicaid

Answer 12

Largest source of funding for health insurance for low income families in the United States.

Question 13

Affordable Care Act

Answer 13

An act signed into law in March 2010 by president Barrack Obama with the goal of increasing the quality of health insurance in the United States

Question 14

Medicare

Answer 14

Health insurance plan provided by the government for people age 65 and older

Question 15

Deductibles

Answer 15

Minimum amount that a person must pay out of pocket before insurance will pay any expenses to the health care provider

Question 16

Copayment

Answer 16

Predetermined amount defined by the health insurer that must be paid each time a health service is assessed

Question 17

Coinsurance

Answer 17

Refers to the splitting the cost between individuals and their insurance carrier

Question 18

Tricare

Answer 18

Type of health insurance dedicated to honoring those who served or are currently serving in the military

Question 19

Medicare Part A

Answer 19

Plan you’re automatically enrolled in when you apply for Medicare; hospital insurance plan
Include inpatient hospital coverage, skilled nursing care, nursing home care, and hospice care

Question 20

Medicare Part B

Answer 20

Covers supplies that are medically necessary to treat your health condition; medical insurance plan
Includes outpatient services such as lab tests and visits to the doctor, durable medical equipment (DME) or any medical equipment used in the home to aid in a better quality of living. Can also cover ambulance and preventative services

Question 21

Medicare Part C

Answer 21

Ran by private insurance companies
Medicare Advantage Plan, enables beneficiaries to choose a plan that includes supplementary insurance. Covers out of pocket cost that are not covered by Parts A and B. Beneficiaries must participate in part A and B to qualify
Includes choice of prescription drug coverage (or not) often at no additional cost, combines hospital stays with coverage for Dr visits

Question 22

Medicare Part D

Answer 22

Medicare prescription drug benefit, the US federal government program that subsidizes the cost of prescription drugs and prescription drug insurance premiums for medical beneficiaries

Question 23

What manages and regulates Tricare?

Answer 23

Department of Defense

Question 24

What are the two legislations that make up Affordable Care Act?

Answer 24

The patient protection and Affordable Care Act

The heath care and education reconciliation act of 2010

Question 25

CHIP

Answer 25

Children Health Insurance Program

Question 26

Health Insurance

Answer 26

Provides patients with a means to pay the costs associated with medical care and services; also called health benefits or health coverage.

Question 27

Cap

Answer 27

to create a maximum on

Question 28

Protocols

Answer 28

A set of rules that explain how a task or procedure should be completed.

Question 29

Ethics

Answer 29

the principles and standards that govern behavior and include your moral values.

Question 30

Bioethics

Answer 30

The ethical implications related to research in the field of health care.

Question 31

Code of Ethics

Answer 31

A set of principles that guide an individual’s practice in health care

Question 32

Health Insurance Portability and Accountability Act (HIPAA)

Answer 32

A law passed in 1996 to protect patient information

Question 33

Scope of practice

Answer 33

The procedures, actions, and processes that are permitted for the licensed individual

Question 34

Licensure

Answer 34

The process by which a federal, state, or local governmental agency grants an individual permission to practice in a particular occupation or profession.

Question 35

Certification

Answer 35

The process by which private organizations recognize individuals for meeting certain criteria established by the organization.

Question 36

Activities of Daily Living

Answer 36

Bathing, dressing, combing hair, and getting dressed

Question 37

Communication

Answer 37

An exchange of thoughts, ideas, information, and messages.

Question 38

Therapeutic Communication

Answer 38

Occurs between a health care worker and a patient