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30 Cards in this Set
- Front
- Back
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Adult day care
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A daytime program of nursing care, rehab, or therapy. A community based group program designed to meet the needs of functionally impaired adults through an individual plan of care.
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Case management
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A method of linking, managing, and coordinating services to meet the varied and changing needs of elderly clients.
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Chronic conditions
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Characterized by persistent and recurring health consequences lasting over a long period, which are generally irreversible.
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Dual certification
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Facilities that can admit Medicare and/or medicaid patients to any part of the facility.
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Hospice
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a cluster of comprehensive services for the terminally ill who have a life expectancy of six months or less.
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Respite care
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the most frequently suggested intervention to address family caregivers feelings of stress and burden. Can be any kind of service that focuses on giving informal caregivers some time off.
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Skilled nursing facility
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Provides a full range of clinical LTC services, from skilled nursing care to rehab.
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Assisted living facility
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A residential setting that provides personal care services, 24 hour supervision, scheduled and unscheduled assistance, social activities, and some nursing care services.
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Subacute care
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A blend of intensive medical, nursing, and other services.
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Disability
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Poses unique challenges to a health care system that is primarily oriented toward treating acute illness.
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The Health Care for the Homeless Program
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supports grantees from community health centers, local health depts, and other non profit org. to provide services to homeless individuals.
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The Healthy Schools, Healthy Communities Program
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The first federal program to encourage the development of new comprehensive full-time school-based primary care programs that serve vulnerable children.
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Vulnerablity
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Susceptibility to negative events.
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New morbidities
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drug and alcohol abuse, family and neighborhood violence, emotional disorders, and learning problems from which older generations did not suffer.
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Access
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The ability to get or recieve health care
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Administrative costs
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Costs associated with the management of the financing, insurance, delivery, and payment functions.
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Clinical practice guidelines
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explicit descriptions representing preferred clinical processes.
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Cost efficiency
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Or cost effectiveness, when the benefit recieved is greater than the cost incurred in providing the service.
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Cost shifting
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The ability of providers to make up for lost revenues in one area by increasing utilization or charging higher prices in other areas that are free of controls.
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Demand-side incentives
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Cost-sharing mechanisms that place a larger cost burden on consumers, thus encouraging them to be more cost conscious.
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Defensive medicine
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Leads to tests and services that are not medically justifiable but are performed by physicians to protect themsleves against potential malpractice lawsuits.
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Outcome
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Refers to the effects of final results obtained from utilizing the structure and processes of health care delivery.
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Overutilization
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overuse.....occurs when the costs or risks of treatment outweigh the benefits and yet additional care is delivered.
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Peer review
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the general process of medical review of utilization and quality carried out directly by, or under the supervision of, physicians.
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PRO
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Peer review organizations, statewide private organizations composed of practicing physicians and other health care professionals who are paid by the fed govt to review care.
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Quality
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The degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge.
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Quality assessment
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Quality may be evaluated from the perspective of individuals and populations or communities.
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Quality assurance
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assurance of quality care?
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Risk management
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proactive efforts to prevent adverse events related to clinical care and facilities operations, and is especially focused on avoiding medical malpractice.
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Underutilization
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underuse....occurs when the benefits of an intervention outweigh the risks or costs and yet the intervention is not used.
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