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30 Cards in this Set

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