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23 Cards in this Set

  • Front
  • Back
adult day care
daytime program of nursing care, rehabilitation therapy, superivsion, and socialization that enables frail people to remain in the community
case management
refers to a method of linking, managing, and coordinating services to meet the varied and changing health care needs of elderly clients
chronic conditions
characterized by persistent and recurring health consequences lasting over a long period, which are generally irreversible.
end of life care which is a cluster of comprehensive services for the terminally ill who have alife expectancy of 6 months or less
respite care
the most frequently suggested intervention to address family cargivers' feelings of stress and burden
skilled nursing facility
medically oriented care provided by a licensed murse
assisted living facility
described as a residential setting that provides personal care services, 24 hour supervision, assistance, social activities, and some nursing care services.
subacute care
a blend of intensive medical, nursing, and other services.
The Health Care for the Homeless program
supports grantees from community health centers local health departments, community coaltions and other non profit.
The Healthy Schools, Health Community Program
est 1994 first federal program to encourage the dev of new comprehensive full time school based primary care programs that serve vulnerable children
denotes suspectibilty to negative events
dual certification
can admit medicare and or medicaid patients to any part of the facility.
administrative costs
costs associated with the management of the financing insurance delivery and payment functions
clinical practice guidelines
explict descriptions representing preferred clinical processes
cost shifting
refers to the ability of privders to make up for lost revenues in one area by increasing utilization or charging higher prices in other areas that are free of controls
demand-side incentives
refer to cost-sharing mechanisms that place a larger cost burden on consumers thus encouraging the consumers to be more cost conscious in slecting the insurance plan
defensive medicine
leads to test and services that are not medically justified but are performed by physicians to proect themselves against potential malpractice lawsuits
refers to the effects or final results obtained from utilizing structure and processes of helath care delivery
occurs when the costs or risks of treatment outweigh the benefits and yet additional care is delivered.
peer review
refers to the general process of medical review utlization and quality carried out directly by physicians
peer review organization
risk management
consists of proactive efforts to prevent adverse events related to clinical care and facilities operations
occurs when the benefits of an intervention outweighthe risks or costs and yet the intervention is not used