Basic Allied Health Statistics And Analysis Chapter 2

Front 1

what is the definition of a hospital?

Back 1

a health care institution with an organized medical and professional staff and with inpatient beds available round the clock to provide inpatient care , and some outpatient services such as ER.

Front 2

what is a Long Term Care facility? (LTC)

Back 2

patients are not in acute phase, but require inpatient care, they are in a LTC bed and receive round the clock care

Front 3

what is a skilled nursing facility?

Back 3

gives the highest level of long term care; rehabilitation facilities as well as nursing homes for elderly

Front 4

what is intermediate care facility?

Back 4

less intense care than SNF, but still need institution care, variety of physical or emotional conditions

Front 5

what is a residential care facility/ lifecare facility?

Back 5

provides custodial care for those unable to live independently

Front 6

what are specialized facilities?

Back 6

they treat a unique population, can be inpatient or outpatient, such as:
Rehabilitation, psychiatric, substance abuse, children's hospitals, cancer treatment,, burn facilities, dialysis center

Front 7

What is ambulatory care?

Back 7

outpatient care

Front 8

what is an encounter?

Back 8

a direct personal contact between a patient and a physician or health care provider to order or deliver health care services for the diagnosis or treatment of a patient, and social services. THEY DO NOT INCLUDE ANCILLARY SERVICES OR TELEPHONE CONTACTS

Front 9

what is an occasion of service?

Back 9

a specified, identifiable service involved in the care of a patient that is NOT an encounter, (like a lab test ordered during an encountered)

Front 10

what is a visit?

Back 10

a single encounter with a health care professional that includes all the services supplied during the encounter. It may involve one occasion of service or a number of related services IE: a patient scheduled and undergoing blood tests, an EKG, and an x-ray all performed during the same scheduled appearance-is credited with one outpatient visit and three occasions of service.

Front 11

what is the definition of a hospital?

Back 11

a health care institution with an organized medical and professional staff with inpatient beds whose primary function is to provide inpatient care for both surgical, nonsurgical , outpatient and emergency care.

Front 12

what is the difference between a Long Term Care (LTC) facility and a hospital?

Back 12

the difference is the level of care. Long term patients are not in an acute phase, but inpatient, have a LTC bed and receive round the clock care

Front 13

is a skilled nursing facility a type of LTC?

Back 13

yes. it provides the highest level of LTC. Probably encompasses rehabilitation services because they take care of long term care for years, as well as recovery from acute episodes and stroke and hip replacement.

Front 14

what is an Intermediate Care Facility? (ICF)

Back 14

it provides long-term but provides a more limited degree of support and nursing. This is more varied care for those who still need institutional care, but less skilled nursing care.

Front 15

what is a (RCF) Residential Care Facility?

Back 15

it provides custodial care to those unable to live independently, they suffer from physical, mental or emotional conditions.

Front 16

What are specialized facilities.

Back 16

Rehab, Psych, Substance abuse, Children's hospitals, Cancer treatment centers, burn failities, dialysis

Front 17

what is considered ambulatory care?

Back 17

Ancillary services- Lab, radiology, physical therapy, occupational therapy and chemotherapy, primary care center, Emergency room Ambulatory surgery, home care, hospice, respite care

Front 18

what is a managed care organization (MCO)?

Back 18

a group insurance company that manages all aspects of patient's care (HMO) and (PPO)

Front 19

what is a HMO?

Back 19

health maintenance organization under explicit criteria for selecting providers with incentives to utilize those within the organization. A fixed premium is paid by members in return for services covered under the plan. A primary care physician coordinated care and recommends referrals and specialists

Front 20

what is a PPO?

Back 20

preferred provider organization -large organizations contract with a hospital and providers to offer services at a negotiated cost.

Front 21

how are "beds"classified?

Back 21

adult, children, adolescent

Front 22

What is a temporary bed?

Back 22

while in treatment, disaster times, delivery room, recovery room, observation , UNDER 24 HOURS!!

Front 23

what is a swing bed?

Back 23

either adult or children that can either be used as acute or long term care beds. Swing beds are most common in rural hospitals with less than 50 beds or staffed and operating with forty nine or fewer beds.

Front 24

what about bassinets?

Back 24

beds or isolettes in the nursery. Newborn statistics are generated from bassinet data. Only live babies are newborn, stillborn is not a hospital admission.

Front 25

what are the four basic service classifications?

Back 25

1. medical- all not classified as the bottom 3
2. surgical- if performed in their operating room, but patient delivering by C section is OB, not surgical ,although the surgery is included as a surgical operation in OR statistics
3. obstetrics
4. newborn

Front 26

what is an OB patient?

Back 26

any patient being treated for a pregnancy condition, labor and puerperium : divided into 3 categories
1. delivered in the hospital, where liveborn or fetal death
2. admitted after delivery
3. not delivered

Front 27

what is a newborn?

Back 27

a liveborn delivered in the hospital

Front 28

what is a special care unit?

Back 28

special care delivered such as:
burn, cardiac care, cardiovascular surgery, neonatal ICU, renal dialysis, these are all medical care units

Front 29

what are medical care units?

Back 29

can include: dermatology, obstetrics, gynecology, ootorhinolarngology, physical medicine and rehabilitation, neurology, general surgery, neurosurgery, orthopedic surgery, urology, psychiatry, and pediatrics.

Front 30

why are service classifications useful?

Back 30

health care administrators determine utilization of facilities and in planning future facilities and services to best meet the needs of the community

Front 31

what factors aid in assignment of classification?

Back 31

1. final, principal diagnosis and procedure
2. physician specialty
3. treatment received
4. medical staff unit providing treatment ( like an ortho unit)

Front 32

what in an intrahospital transfer?

Back 32

it is a change in medical care/staff, responsible physician, of an inpatient during hospitalization

Front 33

what is TRF-in?

Back 33

patient transferred in to a unit

Front 34

what is TRF-out?

Back 34

discharged from a unit and reassigned to another unit

Front 35

what is a discharge transfer?

Back 35

the disposition of an inpatient to another health care facility, such as convalescence at a lower level care facility.

Front 36

what are 3 ways a patient might be discharged?

Back 36

1. discharged home, or routine discharge
2. left AMA
3. died in hospital
other codes might be:
1- alive to home 2, alive to another care facility. 3. alive to nursing facility 4. alive to IP rehab 5. alive to hospice 6. alive to home health 7. alive to mental health 8. expired

Front 37

what is concurrent data collection?

Back 37

coder is sent to nursing station to code the record while patient is hospialized

Front 38

what is retrospective collection?

Back 38

coded after discharge

Front 39

what is a primary source of data?

Back 39

the patient record- physicians notes, ancillary services, OR, delivery reports, ER and ambulatory reports, admission and discharge dates, demographic information, diagnoses, attending and consulting doctors, expected payor, etc.

Front 40

what is a secondary source of data?

Back 40

abstracted data, lists, registers, indexes

Front 41

what is an abstract?

Back 41

a concentrated essence of a larger whole

Front 42

what is a daily admission list?

Back 42

census information, transfer list, discharge list, death lists...

Front 43

what is an index?

Back 43

a tool used to locate information

Front 44

what is a master patient index (MPI)?

Back 44

maintains the name of every patient receiving service at a facility. number index prevents two different patients from being admitted with the same hospital identification number

Front 45

what is a disease index?

Back 45

a listing of patients discharged with a specific diagnosis code.

Front 46

what is a procedural/operation index

Back 46

lists all patients with the same procedure (CPT) Current Procedure Terminology especially outpatient.

Front 47

what is a physician's index

Back 47

sorted according to physician's patients services to keep up with their activities

Front 48

what is a register?

Back 48

it is a chronological list of data in a health care facility includes:
admission and discharge register that have separate OR and ER registers

Front 49

what is a registry?

Back 49

it is abstracts that are shared to form a larger database, amount of information exceeds that found in a register or index- cancer registry is the oldest- others include AIDS, birth defects, organ transplants, and trauma

Front 50

What is an incident report?

Back 50

it is a primary means to asses risk in the hospital, identify trends and take action to correct

Front 51

are hospitals for acutely ill or long-term?

Back 51

acutely ill

Front 52

what is the classification for a child?

Back 52

under 14 years of age

Front 53

are temporary beds counted in bed statistics?

Back 53

No

Front 54

what are the four basic service classifications in a hospital?

Back 54

1. medical
2. surgical
3. obstetric
4. newborn

Front 55

name the service classification of the following disorders:
acne rosacea

Back 55

dermatology

Front 56

adenonatous goiter

Back 56

endocrinology

Front 57

cataract

Back 57

ophthmalogy

Front 58

hay fever

Back 58

allergy

Front 59

inguinal hernia

Back 59

urology

Front 60

iron deficiency anemia

Back 60

hematology

Front 61

kliebsella pneumonia

Back 61

pulmonary medicine

Front 62

prolapsed uterus

Back 62

gynecology

Front 63

schizophrenia

Back 63

psychiatry

Front 64

syphilis

Back 64

Infectious (communicable disease)

Front 65

hypersensitivity disorders

Back 65

allergy and imunology ( A &I)

Front 66

heart and blood disorders

Back 66

cardiovascular (CV)

Front 67

skin disorders

Back 67

dermatology

Front 68

endocrine gland disorders

Back 68

endocrinology

Front 69

GI tract disorders

Back 69

GI tract disorders

Front 70

gynecology

Back 70

female reproductive orders and breast disorders

Front 71

urinary tract and male reproductive disorders

Back 71

genitourinary

Front 72

blood disorders

Back 72

hematology

Front 73

neurology

Back 73

brain and nerve

Front 74

neonatology

Back 74

newborn and infant disorders

Front 75

obstetrics

Back 75

pregnancy and delivery complications

Front 76

oncology

Back 76

tumor disorders

Front 77

ophthalmology

Back 77

eye disorders

Front 78

orthopedics

Back 78

bone and muscle disorders

Front 79

otorhinolaryngology

Back 79

ear, nose and throat

Front 80

pediatrics

Back 80

healthy newborn or infant and children disorders

Front 81

psychiatric

Back 81

mind and behavior

Front 82

pulmonary

Back 82

respiratory tract