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30 Cards in this Set

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ADULT DAY CARE CENTERS
CENTERS THAT PROVIDE A VARIETY OF HEALTH AND SOCIAL SERVICES TO SPECIFIC CLIENT POPULATIONS WHO LIVE ALONE OR WITH FAMILY IN THE COMMUNITY
ASSISTED LIVING
ATTRACTIVE LONG-TERM CARE SETTING WITH A HOMIER ENVIROMENT AND GREATER RESIDENT AUTONOMY
ASSISTIVE PERSONNEL (AP)
PEOPLE WHO PROVIDE SUPPORT TO RN 'S AND LPNS IN THE HEALTH CARE SETTING
BLOCK NURSING
PRACTICE IN WHICH NURSES WHO LIVE WITHING A NEIGHBORHOOD COLLABORATE TO OFFER SERVICES TO PEOPLE IN THE COMMUNITY
CAPITATION
METHOD OF PAYING A PHYSICIAN, HOSPITAL, OR MANAGED CARE SYSTEM FOR ANNUAL SERVICES BASED ON A FEE PER CLIENT
CASE MANAGEMENT
MODEL OF CARE; THE CASE MANAGER ADVISES NURSING STAFF ON SPECIFIC NURSING CARE ISSUES, COORDINATES THE REFERRAL OF CLIENTS TO SERVICES PROVIDED BY OTHER DISIPLINES, ENSURES THAT CLIENT EDUCATION HAS BEEN IMPLEMENTED, AND MONITORS THE CLIENTS PROGRESS THROUGH DISCHARGE
CRITICAL PATHWAY
TOOL USED IN MANAGED CARE THAT INCORPORATES THE TREATMENT INTERVENTIONS OF CAREGIVERS FROM ALL DISCIPLINES WHO NORMALLY CARE FOR A CLIENT. DESIGNED FOR A SPECIFIC CASE TYPE, A PATHWAY IS USED TO MANAGE THE CARE OF A CLIENT THROUGHOUT A PROJECTED LENGTH OF STAY
DELEGATION
PROCESS OF ASSIGNING ANOTHER MEMBER OF THE HEALTH CARE TEAM ASPECTS OF CLIENT CARE
DIAGNOSIS-RELATED GROUPS (DRGS)
GROUPS OF CLIENTS CLASSIFIED FOR PURPOSES OF MEASURING A HOSPITALS DELIVERY OF CARE
DISCHARGE PLANNING
SET OF DECISIONS AND ACTIVITIES INVOLVED IN PROVIDING CONTINUITY AND COORDINATION OF NURSING CARE WHEN A CLIENT IS DISCHARGED FROM A HEALTH CARE AGENCY
EVIDENCE-BASED PRACTICE
THE INTEGRATION OF BEST RESEARCH EVIDENCE WITH CLINICAL EXPERTISE AND PATIENT VALUES TAKING INTO ACCOUNT A NURSES'S CLINICAL EXPERIENCE, PRACTICE TRENDS, AND INDIVIDUAL CLIENT PREFERENCED
EXTENDED CARE FACILITY
INSTITUTION PROVIDING MEDICAL, NURSING, OR CUSTODIAL CARE FOR CLIENTS OVER A PROLONGED PERIOD
HOME CARE
THE PROVISION OF MEDICALLY RELATED PROFESSIONAL AND PARAPROFESSIONAL SERVICES AND EQUIPMENT TO CLIENTS AND FAMILIES IN THERI HOMES FOR HEALTH MAINTENANCE, EDUCATION, ILLNESS PREVENTION, DIAGNOSIS AND TREATMENT OF DISEASE, PALLIATION AND REHABILITATION.
HOSPICE
A SYSTEM OF FAMILY-CENTERED CARE DESIGNED TO ALLOW CLIENTS TO LIVE AND REMAIN AT HOME WITH COMFORT INDEPENDENCE, AND DIGNITY WHILE ALLEVIATING THE STRAINS CAUSED BY TERMINAL ILLNESS
INTEGRATED DELIVERY NETWORKS (IDNS)
A SET OF PROVIDERS AND SERVICED ORGANIZED TO DELIVER A COORDINATED CONTINUUM OF CARE TO THE POPULATION OF CLIENTS SERVED AT A CAPITATED COST
MANAGED CARE
HEALTH CARE SYSTEM IN WHICH THERE IS ADMINISTRATIVE CONTROL OVER PRIMARY HEALTH CARE SERVICES REDUNDANT FACILITIES AND SERVICED ARE ELIMINATED AND COSTS ARE REDUCED. PREVENTIVE CARE AND HEALTH EDUCATION ARE EMPHASIZED
MEDICAID
STATE MEDICAL ASSISTANCE BASED ON TITLE XIX OF THE SOCIAL SECURITY ACT. STATES RECEIVE 50%IN MATCHING FEDERALFUNDS TO PROVIDE MEDICAL CARE AND SERVICED TO PEOPLE MEETING CATEGORICAL AND INCOME REQUIREMENTS; COVERS HOME CARE SERVICED BASED ON MEDICARE GUIDELINES
MEDICARE
FEDERAL GOVERNMENT INSURANCE COVERAGE FOR PERSONS OVER 65 (OR DISABLED AND UNDER 65)YEARS OF AGE WHO HAVE PAID INTO THE SOCIAL SECURITY OR RAILROAD RETIREMENT SYSTEM; COVERS INPATIENT HOSPITAL CHARGES AND SOME HOME CARE SERVICES
NURSING CENTER
WRITTEN GUIDELINES OF NURSING CARE THAT DOCUMENT SPECIFIC NURSING DIAGNOSIS FOR THE CLIENT AND GOALS, INTERVENTIONS AND PROJECTED OUTCOMES
PARISH NURSING
A NONTRADITIONAL SETTING WHERE PREVENTIVE AND PRIMARY CARE CAN BE FOUND. CHURCHES AND SYNAGOGUES OFFER THE SITE AND SUPPORT SYSTEM FOR THE PROGRAMS ACTIVITIES
PRIMARY CARE
FIRST CONTACT IN A GIVEN EPISODE OF ILLNESS THAT LEADS TO A DECISION REGARDING A COURSE OF ACTION TO RESOLVE THE HEALTH PROBLEM
PRIMARY HEALTH CARE
AN APPROACH FOR BUILDING INTERVENTIONS THAT LEAD TO IMPROVED HEALTH OUTCOMES FOR AN ENTIRE POPULATION
PROFESSIONAL STANDARDS REVIEW ORGANIZATIONS (PSRO'S)
ORGANIZATION THAT FOCUSES ON THE EVALUATION OF NURSING CARE PROVIDED IN A HEALTH CARE SETTING. THE QUALITY, EFFECTIVENEDD AND APPROPRIATENESS OF NURSING CARE FOR THE CLIENT ARE THE FOCI OF EVALUATION
PROSPECTIVE PAYMENT SYSTEMS (PPS)
METHOD OF REIMBURSEMENT FOR HEALTH CARE SERVICES. IT INVOLVES A FIXED REIMBURSEMENT FOR A MEDICAL CONDITION/PROCEDURE REGARDLESS OF CLIENTS LENGHT OF STAY
REHABILITATION
RESTORATION OF AN INDIVIDUAL TO NORMAL OR NEAR NORMAL FUNCTION FOLLOWING A PHYSICAL OR MENTAL ILLNESS INJURY OR CHEMICAL ADDICTION
RESPITE CARE
CARE THAT GIVES THE PRIMARY CARE PROVIDER THE OPPORTUNITY TO HAVE TIME AWAY. THESE SERVICES CAN TAKE PLACE IN THE CLIENTS HOME, HOSPITAL, OR EVEN EXTENDED CARE SETTING
RESOURCE UTILIZATION GROUPS (RUGS)
A SYSTEM FOR REIMBURSEMENT USED IN THE LONG TERM CARE SETTING
RESTORATIVE CARE
CARE SETTINGS THAT INCLUDE BUT ARE NOT LIMITED TO INPATIENT AND OUTPATIENT REHABILITATION FACILLITIES, SUBACUTE CARE AGENCIES, CLINICS, AND HOME CARE AGENCIES. THE SERVICES PROVIDED IN THE RESTORATIVE CARE SETTINGS ARE DESIGNED TO BRING THE CLIENT TO THE MAXIMAL LEVEL OF FUNCTION AND HEALTH
SKILLED NURSING FACILITY (SNF)
INSTITUITION OT PART OF AN INSTITUTION THAT MEETS CRITERIS FOR ACCREDIATION ESTABLISHED BY THE SECTIONS OF THE SOCIAL SECURITY ACT THAT DETERMINE THE BASIS FOR MEDICAID AND MEDICARE REIMBURSEMENT FOR SKILLED NURSING CARE
UTILIZATION REVIEW (UR)
ASSESMENT OF THE APPROPRIATENESS AND ECONOMY OF AN ADMISSION TO A HEALTH CARE FACILITY OR CONTINUES HOSPITALIZATION