Hcm Ch 10 - 12

Front 1

adult day care

Back 1

daytime program of nursing care, rehabilitation therapy, superivsion, and socialization that enables frail people to remain in the community

Front 2

case management

Back 2

refers to a method of linking, managing, and coordinating services to meet the varied and changing health care needs of elderly clients

Front 3

chronic conditions

Back 3

characterized by persistent and recurring health consequences lasting over a long period, which are generally irreversible.

Front 4

hospice

Back 4

end of life care which is a cluster of comprehensive services for the terminally ill who have alife expectancy of 6 months or less

Front 5

respite care

Back 5

the most frequently suggested intervention to address family cargivers' feelings of stress and burden

Front 6

skilled nursing facility

Back 6

medically oriented care provided by a licensed murse

Front 7

assisted living facility

Back 7

described as a residential setting that provides personal care services, 24 hour supervision, assistance, social activities, and some nursing care services.

Front 8

subacute care

Back 8

a blend of intensive medical, nursing, and other services.

Front 9

The Health Care for the Homeless program

Back 9

supports grantees from community health centers local health departments, community coaltions and other non profit.

Front 10

The Healthy Schools, Health Community Program

Back 10

est 1994 first federal program to encourage the dev of new comprehensive full time school based primary care programs that serve vulnerable children

Front 11

vulnerability

Back 11

denotes suspectibilty to negative events

Front 12

dual certification

Back 12

can admit medicare and or medicaid patients to any part of the facility.

Front 13

administrative costs

Back 13

costs associated with the management of the financing insurance delivery and payment functions

Front 14

clinical practice guidelines

Back 14

explict descriptions representing preferred clinical processes

Front 15

cost shifting

Back 15

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

Front 16

demand-side incentives

Back 16

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

Front 17

defensive medicine

Back 17

leads to test and services that are not medically justified but are performed by physicians to proect themselves against potential malpractice lawsuits

Front 18

outcome

Back 18

refers to the effects or final results obtained from utilizing structure and processes of helath care delivery

Front 19

overutilization

Back 19

occurs when the costs or risks of treatment outweigh the benefits and yet additional care is delivered.

Front 20

peer review

Back 20

refers to the general process of medical review utlization and quality carried out directly by physicians

Front 21

PRO

Back 21

peer review organization

Front 22

risk management

Back 22

consists of proactive efforts to prevent adverse events related to clinical care and facilities operations

Front 23

underutilization

Back 23

occurs when the benefits of an intervention outweighthe risks or costs and yet the intervention is not used