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Stack #169059
HIT 114 - Ch 3
| Question | Answer |
|---|---|
| Activity of Daily Living | bathing, dressing, eating, toileting, walking and so on. |
| ADL | Activity of Daily Living |
| Acute Care Facility | a hospital that provides health care services to pts who have serious, sudden or acute illnesses or injuries and/or who need certain surgeries. |
| ACF | Acute Care Facility |
| Acute Hospital Classification | average length of stay of 4 to 5 days and a total of less than 25 days |
| Administration for Children and Families | responsible for programs that provide svcs and assistance to needy children and families including TANF |
| ACF | Administration for Children and Families |
| Administration on Aging | supports a nationwide aging network, providing services to the elderly to enable them to remain independent. |
| AoA | Administration on Aging |
| adult day care | provides care and supervision in a structured environment to seniors with physical or mental limitations. |
| Agency for Healthcare Research and Quality | supports research designed to improve the outcomes and quality of health care, reduce its costs, address patient safety and medical errors, and broaden access to effective svcs. |
| AHRQ | Agency for Healthcare Research and Quality |
| Agency for Toxic Substances and Disease Registry | works with state and other federal agencies to prevent exposure to hazardous substances from waste sites. |
| ATSDR | Agency for Toxis Substances and Disease Registry |
| Alzheimer's treatment facility | like ALF, but with more monitoring of residents and day to day care. |
| ambulatory care | outpatient care |
| ambulatory infusion center | A center that dispenses and administers prescribed meds by continuous or intermittent infusion to outpts. same as infusion center. |
| AIC | ambulatory infusion center |
| ambulatory patients | outpatients |
| ambulatory surgical center | a center that performs surgery on an outpt basis. pt recover under the care of a nurse. (mom's surgery) |
| ASC | ambulatory surgical care |
| ambulatory surgery patient | outpt basis, can undergo surgery and go home in one day. 23:59:59 max. |
| ancillary services | diagnostic and therapeutic services provided to in and out pts. |
| assisted-living facility | combination of housing and suportive svcs including personal care and household mngmt for seniors. |
| ALF | assisted-living facility |
| bed count | total number of inpt beds for which the facility is licensed by the state |
| bed size | same as bed count |
| behavioral health care hospitals | specialize in treating pts with mental health diagnoses. |
| Bureau of Prisons | provides necessary medical, dental and mental health svc to inmates by a professional staff and consistent with acceptable community standards. |
| BOP | Bureau of Prisons |
| cafeteria plan | provides subscribers and employees with a choice of HMO, PPO, or traditional health ins. plan (flexible benefit plan and triple option plan) |
| capitation payment | lump sum paid by the HMO to care for a group of scubscribers |
| Centers for Disease Control and Prevention | provides a system of health surveillance to monitor and prevent outbreak of diseases |
| CDC | Centers for Disease Control and Prevention |
| chemical dependency program | provides 24 hr medically directed evaluation and withdrawal mgmt in an acute care inpt setting (detox) |
| chemotherapy | IV administration of chemical agents that have specific and toxic effects upon a disease-causing cell or organism |
| clinical laboratory | Labs, not in hospitals, that perform testing in microbiology, clinical chemisty and toxicology. |
| clinic outpatient | pt rec's follow up mental health care, >1 hr per visit. |
| closed-panel HMO | includes group and staff models that provide svcs at HMO owned health centers or clinics, or by dr. who belong to a specially formed medical group that serves the HMO |
| Continuing Care Retirement Communities | provides different levels of care based on the residents' needs from independent living apartments to SNF. Residents move about from one place to the other based on their needs. |
| CCRC | Continuing Care Retirement Communities |
| copayment | a fixed amount a subscriber must pay when seeking health care svcs. |
| correctional facilities | provides inmates with a secure housing environment that also offers vocational and educational advancement. |
| crisis services | provides 24 hr a day supervision to pt for a short time (>15 days) for crisis intervention and treatment. |
| critical access hospital | located more than 35 miles from any other hospital or another CAH, or are state certified as being a necessary provider of health care to area residents. |
| CAH | critical access hospital |
| curative care | therapeutic management |
| day treatment program | intensive treatment prgm provided to pts who live in the community but come to the facility up to 5 days a week. |
| dementia care facilities | like ALF, but with more monitoring of residents and day to day care. |
| developmentally disabled/mentally retarted facilities | sometimes known as ICF; provide residential care and day programming to individuals with developmental disabilities. |
| diagnosis-related groups | They classify inpatient hospital cases into groups that are expected to consume similar hospital resources. |
| DRG | diagnosis-related groups |
| direct contract model HMO | Individual dr. in the community deliver contracted health care services to subscribers |
| drug therapy | IV administration of other drugs including antibiotics, antivirals, etc. |
| durable medical equipment | canes; crutches; iv supplies; hospital beds; ostomy supplies; oxygen; prostheses; walkers; wheelchairs |
| DME | durable medical equipment |
| emergency care center | same as urgent care center; immediate care is provided by an on-duty physician. (lake after hours) |
| emergency care patient | pt treated for urgent problems (trauma) and released to go home or to admit as an inpt |
| Exclusive Provider Organization | provides benefits to subscribers who rec health care svcs from network providers |
| EPO | Exclusive Provider Organization |
| family practitioners | provide care for the entire family and focus on general medicine, obstetrics, pediatrics and geriatrics |
| Family Support Services | services are provided to assist families in caring for the pt (support groups) |
| federal certification | measures the ability of health care facilities to deliver care that is safe and adequate, iaw federal law and regs. |
| federal medical centers | There are 8 of these that provide medical care to inmates. |
| FMCs | federal medical centers |
| flexible benefit plan | same as Cafeteria Plan: provides subscribers and employees with a choice of HMO, PPO, or traditional health ins. plan |
| Food and Drug Administration | assures the safety of foods and cosmetics, and the safety and efficacy of pharmaceuticals, biological products, and medical devices |
| FDA | Food and Drug Administration |
| general hospitals | provide er care, perform sugery, and admit pts from a range of problems; based on licensing from the state. |
| group model HMO | Participating Dr who are members of an independent multi-specialty group provide health care svc. dr. group is either owned or managed by the HMO or contracted by the HMO |
| Group Practice Without Walls | managed care contract in which dr. maintain their own offices and share svcs to plan mbr. |
| GPWW | Group Practice Without Walls |
| Health Maintenance Organization | an alternative to traditional health insurance coverage. HMOs provide comprehensive health care scvs to mbrs on a prepaid basis |
| HMO | Health Maintenance Organization |
| Health Resources and Services Administration | provices health resources for nedically underserved populations, works to build the health care workforce, maintains the National Health Service Corps, oversees the nation's organ transplantation system, works to decrease infant mortality and improve chil |
| HRSA | Health Resources and Services Administration |
| heart and vascular center | a center that provides for ambulatory(outpt) cardiovascular svcs. |
| home care | when people are very ill or dying, a nurse (or other skilled care worker) comes to their home to take care of them and treat them |
| home infusion care | home health care agencies provide intravenous administration of medication at home instead of a hospital |
| hospice care | Comprehensive medical and supportive social, emotional, and spiritual care to terminally ill pts and their families. |
| hospitalits | drs. who work at the hospital and not have their own practices |
| hospital-owned physician practice | hospital-owned practices are at least partially ownned by the hospital, and the dr. participate in a compensation plan provided by the hospital. |
| hydration therapy | IV administration of fluids, electrolytes and other additives |
| imaging center | facility that provides radiographic and othe rimaging svc to outpt. |
| Independent Practice Association | physicians who remain in their independent office setting provide contracted health care svc to subscribers. |
| IPA | Individual/Independent Practice Association |
| industrial health clinic | located at a job site, emphasis is on employee health and safety |
| infusion center | A center that dispenses and administers prescribed meds by continuous or intermittent infusion to outpts. same as Ambulatory infusion center (AIC). |
| Individual Practice Association | physicians who remain in their independent office setting provide contracted health care svc to subscribers. |
| Indian Health Service | Supports a network of hospitals, health centers, school health centers, health stations, and urban Indian health centers to provide svc for American Indians and Alaska Natives of federally recognized tribes. |
| IHS | Indian Health Service |
| inpatients | pt stays overnight in the hospital, provided with room, board, and nursing services |
| Integrated Delivery System | An organization of affiliated provider sites that offer joint health care svcs to subscribers. |
| IDS | Integrated Delivery System |
| Integrated Provider Organization | Manages health care svcs provided by hospitals, dr. and other health care organizations. |
| IPO | Integrated Provider Organization |
| intensive case management | specialty trained individuals coordinate and or provide mental health, financial, legal and medical svcs to help the pt live successfully at home and in the community. |
| intermediate care facility | provides developmentally disabled people with medical care and supervision, nursing svc, occupational and phy therapy, activity programs, educational and recreational svc and psychological svc. |
| ICF | intermediate care facility |
| internal medicine physicians | specializes in the care of adults |
| long-term care | a range of nursing, social and rehab svcs for people who need ongoing assist. Typically over 30 days. |
| long-term care hospital | average los of greater than 25 days |
| LTCH | long-term care hospital |
| long-term hospital classification | same as LTCH |
| managed care | HMOs and PPOs and some forms of indemnity coverage that incorporate utilization mgmt activities. |
| Management Service Organization | provides practice mgmt svc, including administrative and support svcs, to ind. phys practices. |
| MSO | Management Service Organization |
| medical foundation | Nonprofit organization that contracts with and acquires the clinical and business assets of physician practices. |
| medical necessity | requires the documentation of svcs or supplies taht are proper and needed for the diagnosis or treatment of a medical condition |
| Military Health System | provides health care for active duty members and their dependents as provided by MTF and networks of civilian health care professionals. |
| MHS | Military Health System |
| Military Medical Support Office | coordinates with civilian health care servcies when MTF is unavailable. |
| MMSO | Military Medical Support Office |
| military treatment facility | a clinic or hospital on a military base |
| MTF | military treatment facility |
| multi-hospital systems | two or more hospitals owned, managed, or leased by a single organization. |
| multi-specialty group physician practices | offers more than one type of specialty care in one organization. |
| National Commission on Correctional Health Care | provides and external peer review process for correctional institutions that wish to meet its nationally accepted Standards for Health Services |
| NCCHC | National Commission on Correctional Health Care |
| National Institutes of Health | the world's premier medical research organization, supporting some 35,000 research projects nationwide in diseases. |
| NIH | National Institutes of Health |
| neighborhood health center | health care is provided to the poor, and treatment is family-centered because illnesses may result indirectly from crowded living conditions, unsanitary facilities. |
| network model HMO | 2 or more physician multi-specialty group practices provide contracted health care svc to subscribers. |
| network providers | physicians and health care facilities under contact to the managed care plan |
| newborn patients | at birth babies recieve care and if needed go to the NICU in the hospital or transfer to hosp. |
| nursing facility | Same as SNF. |
| NF | nursing facility |
| observation patients | outpt that need to be monitored by medical staff for a condition that may need admitting to the hosp as an inpt |
| Office of Public Health and Science | serves as the focal point of leadership and coordination across DHHS in public health and science. |
| OPHS | Office of Public Health and Science |
| Office of the Secretary of Health and Human Servcies | advises the President on health, welfare, and income security plans, policies, and programs of the federal government |
| OS | Office of the Secretary of Health and Human Services |
| open-panel HMO | includes direct contract, individual practice association, and network models; dr.s are NOT employees of the HMO and they do not belong to a specially formed medical group that serves an HMO. |
| outpatient clinic | following an inpt stay, a pt receives sked diagnostic and therapeutic care (Chemo) |
| outpatients | pts treated and released the same day and do not stay overnight in a hospital; 23:59:59 hrs max. |
| pain management | IV administration of narcotics and other drugs designed to relieve pain |
| pain management center | specializes in treatment of acute and chronic pain syndromes using proven medications and procedures. |
| outpatient care | pts who receive care in one day without the need for inpt hospitalization |
| palliative care | comfort management |
| partial hospitalization program | program for hospital pts who regularly use the hospital facilities for a substantial number of hours (day or night) |
| pedicatricians | Dr. who specialize in children's health |
| personal care and support services | assistance in ADL provided by home health care agencies |
| Physician-Hospital Organization | managed care caontracts are negotiated by hospital(s) and physician groups. Phys. maintain their own practices and provide svc to plan mbrs. |
| PHO | Physician-Hospital Organization |
| Point-of-Service plan | pt has the freedom to choose, and HMO or Non-HMO, they pay the difference |
| POS | Point-of-Service Plan |
| preadmission cerfitication | a form of utilization mgmt that involves the review for medical necessity of inpt care prior to inpt admission |
| PAC | preadmission certification |
| Preferred Provider Organization | a network of dr and hospitals join together to contract with 3rd party payers, employers, and other organizations to provide health care to subscribers for a discounted fee. |
| PPO | Preferred Provider Organization |
| primary care center | offers adult and family care medicine in internal medicine, pediatrics, and family practice. |
| Program Support Center | a svc-for-free organization taht uses a business enterprise approach to provide gov't support svcs thoughout the DHHS, as well as other fed agencies. |
| PSC | Program Support Center |
| Public Health Service | a uniformed service of the US, that provides highly trained and movile health professionals who carry out programs to promote the nation's health. |
| PHS | Public Health Service |
| public health department | provides preventive medicine svcs such as well baby clinics |
| referred outpatient | rec's diagnostic or therapeutic care because primary care office does not have that available in office. |
| rehabilitation facility (outpatient) | provides occupational, physical and speech therapy to pts with orthopedic injuries, work related injuries, sport-related injuries, and various neurological and neuromuscular conditions. |
| rehabilitation facility (inpatient) | provides occupational, physical and speech therapy to pts with orthopedic injuries, work related injuries, sport-related injuries, and various neurological and neuromuscular conditions. |
| residential care facility | provided non-medical custodial care, including ADL (nursing homes, retirement homes, etc.) |
| RCF | residential care facility |
| residential treatment facility | seriously disturbed pts recieve intensive and comprehensive psychiatric treatment on a long-term basis. |
| respite care | care is provided at a setting other than the home, to give the caregiver a break, rest, or relief. |
| satellite clinics | ambulatory care cetners that are established remotley from the hospital. |
| short-term (acute) hospital classification | average length of stay of 4 to 5 days and a total of less than 25 days |
| single hospitals | self contained and not part of a larger organization |
| single-specialty group physician practices | consist of 2 or more dr. who provide pts with 1 specific type of care |
| skilled care | services that are ordered by a physician and provided by a RN, or a therapist (phy. speech, or occup.) |
| skilled nursing facility | provides medically necessary care to inpt on a daily basis that is performed by, or under the supervision of skilled medical personnel. Same as NF. |
| SNF | skilled nursing facility |
| solo physician practices | no physician partners or employment affiliations with other practice organizations |
| specialty hospitals | concentrate on a particular population of pt. or disease (St. Jude) |
| staff model health maintenance organization | similiar to multi-specialty group practices, may be partially owned by the dr employees, witht the dr typically functioning as employees of either the physician group owning the practice or the insurer. |
| HMO | staff model health maintenance organization |
| student health center | provides health care to full or part-time students who are sick or injured. Not a full functioning facility. |
| subacute care | Mini-intensive care units. provided in hospitals that provide specialized long-term acute care, and pts are usually transferred from ICUs. |
| subscribers | individuals who pay premiums |
| Substance Abuse and Mental Health Services Administration | works to improve the quality and availability of substance abuse prevention, addiction treament and mental health svcs. |
| SAMHSA | Substance Abuse and Mental Health Services Administration |
| swing bed | when a rural hospital can admit a nonacute care pt |
| Temporary Assistance to Needy Families | A new state-federal welfare program |
| TANF | Temporary Assistance to Needy Families |
| therapeutic group home | 6-10 people are provided with supervised housing (could be a day treatment prg) |
| total parenteral nutrition | administration of nutritional substances by peripheral or central IV infusion to pts who are already malnourished or have the potential to become malnourished. |
| TPN | total parenteral nutrition |
| triple option plan | provides subscribers and employees with a choice of HMO, PPO, or traditional health ins. plan |
| urgent care center | immediate care is provided by an on-duty physician. (lake after hours) |
| utilization management | controls health care costs and the quality of health care by reviewing cases for appropriateness and medical necessity. |
| ventilator | breathing machine |
| Veterans Health Administration | an agency that provides medical, surgical and rehab care to vets of the military |
| VHA | Veterans Health Administration |
| Veterans Integrated Service Network | Administer and provide health care services at VA medical centers and community-based outpatient clinics. |
| VISN | Veterans Integrated Service Network |
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kreynerson
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