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36 Cards in this Set

  • Front
  • Back
Acuity
clearness: minimum level or need for healthcare services that must be met for a client to be admitted to an acute care facility
case management
providing hight quality care while effectively using health care resources and controlling costs
chain-of-command
hierarchy of an organizational structure
client
a person who is a participate in his or her healthcare
complementary healthcare
methods and beliefs other than traditional western medicine
co-pay
predetermined fee that is charged to HMO clients at the time of an office visit
holistic healthcare
health care that emphasizing taking care of the whole person
home healthcare
a nurse monitoring a client in his or her home, often after being discharged while completing recovery from surgery or an illness
hospice
a facility or program of care that is specifically designed to provide emotional and physical support to end of life clients and their families
incentive programs
rewards given to employees by their employer for practicing healthy habits such as smoking cessation, weight loss and having regular physical examination
managed care
a plan for continual monetary and maintenance of an individuals health
Medicaid
is a joint effort of federal and state government; it's a public tax supported health insurance program for which people must qualify; again, a joint effort of federal and state governments
Medicare
federal health insurance program available to nearly every one over the age of 65 regardless of financial status and to younger people who qualify
outcome-based care
quality management in which delivery of care is judged by results achieved
patient
individual being treated by a healthcare provider now called a client
prospective payment
reimbursement for healthcare made by third party payors according to a formula or average reimbursment for average cost per case
quality assurance
standards of care that represent acceptable expected levels of performance by nursing staff and other staff members
respite care
care provided for long term for chronic clients so family members can have some time off or time away
telehealth
telephone nursing and health counseling
third-party payment
system developed to help individuals pay for the costs of medical bills usually a health insurance plan
CQI
contiguious (or continous) quality improvement
DRG
diagnosis related groups
ECF
extended care facility
HMO
health maintenance organization
ICF
intermediate care facility
ICU
intensive care unit
JCAHO
Joint Commission on Accreditation of Healthcare Organizations
NLN
National League of Nursing
OSHA
Occupational Safety and Health Association
POS
point of service
PPO
preferred provider organization
QA
quality assurance
RUG
resource utilization group
SNF
skilled nursing facility
SSDI
social security disability insurance
UAP
unlicensed assistance personnel