Chapter 3 Vocabulary

Front 1

Acuity

Back 1

minimum level or need for healthcare services that must be met for a client to be admitted to an acute care facility

Front 2

Capitation Fee

Back 2

The fee or premium paid in advance to the HMO

Front 3

case management

Back 3

providing high quality care while effectively using healthcare resources and controlling costs

Front 4

chain of command

Back 4

hierarchy of an organizational structure

Front 5

client

Back 5

a person who is a participant in his or her healthcare

Front 6

complementary healthcare

Back 6

methods and beliefs other than traditional Western medicine

Front 7

co-pay

Back 7

predetermined fee that is charged to HMO clients at the time of an office visit

Front 8

holistic healthcare

Back 8

healthcare that emphasizes care of the whole person

Front 9

home healthcare

Back 9

a nurse monitoring a client in his or her home, often after being discharged while competing recovery from surgery or an illness

Front 10

hospice

Back 10

a facility or program of care that is specifically designed to provide emotional and physical support to end of life clients and their families

Front 11

incentive programs

Back 11

rewards given to employees by their employers for practicing healthy habits such as smoking cessation, weight loss, and having regular physical examinations

Front 12

managed care

Back 12

a plan for continual monitoring and maintenance of an individual's health

Front 13

medicaid

Back 13

public, tax supported health insurance program for which people must qualify, a joint effort of federal and state governments

Front 14

medicare

Back 14

federal health insurance program available to nearly everyone over the age of 65, regardless of financial status, and to younger people who qualify

Front 15

outcome-based care

Back 15

quality management in which delivery of care is judged by results achieved

Front 16

patient

Back 16

individual being treated by a healthcare provider, now called a "client"

Front 17

prospective payment

Back 17

reimbursement for health care made by third-party payors according to a formula or average reimbursement of actual costs per case

Front 18

quality assurance

Back 18

standards of care that represent acceptable, expected levels of performance by nursing staff and other staff members.

Front 19

respite care

Back 19

care provided for long term or chronic clients so family members can have some time off or time away

Front 20

telehealth

Back 20

telephone nursing and health counseling

Front 21

third party payment

Back 21

system developed to help individuals pay for the cost of medical bills, usually a health insurance plan

Front 22

CQI

Back 22

Contiguious (or continuous) quality improvement

Front 23

DRG

Back 23

Diagnosis-related groups

Front 24

ECF

Back 24

Extended care facility

Front 25

HMO

Back 25

Health maintenance Organization

Front 26

ICF

Back 26

Intermediate care facility

Front 27

ICU

Back 27

Intensice Care Unit

Front 28

JCAHO

Back 28

Joint Commission on Accreditation of Healthcare Organizations

Front 29

NLN

Back 29

National League for Nursing

Front 30

OSHA

Back 30

Occupational safety and Health Administration

Front 31

POS

Back 31

Point of service

Front 32

PPO

Back 32

Preferred Provider Organization

Front 33

QA

Back 33

Quality Assurance

Front 34

RUG

Back 34

Resource utilization group

Front 35

SNF

Back 35

Skilled nursing facility

Front 36

SSDI

Back 36

Social Security Disability Insurance

Front 37

UAP

Back 37

Unlicensed Assistive Personnel