Hes 345 Exam 3

Front 1

In the early years, hospitals primarily located... (3)

Back 1

Large cities and seaports like New York, Philladelphia, and New Orleans

Front 2

Hospital Survey and Construction Act of 1946 (Hill Burton Act)

Back 2

provided substantial funds for hospital construction

Front 3

Third party payment system

Back 3

a health insurance term that says bills will be paid by the insurer and not by the pt. or the provider

Front 4

American Health Security Act of 1993

Back 4

health care reform introduced by Clinton but never enacted

Front 5

managed care

Back 5

health plans that integrate the financing and delivery of health care serviced covered by arrangements with selected providers who furnish comprehensive care to members

Front 6

population based public health practice

Back 6

incorporates interventions airmed at disease prevention and health promotion, specific protection, and a good share of case findings

Front 7

Primary care

Back 7

the provision of integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs

Front 8

Secondary medical care

Back 8

specialized attention and ongoing management for common and less frequently encountered medical conditions

Front 9

Tertiary medical care

Back 9

specialized and technologically sophisticated medical and surgical care for those with unusual or complex conditions

Front 10

Restorative care

Back 10

care provided after successful treatment or when the progress of an uncurable disease has been arrested

Front 11

Long term care

Back 11

includes the different kinds of help that people with chronic illnesses, disabilities, or other conditions that limit them physically or mentally need

Front 12

End of Life practice

Back 12

health care services provided to individuals shortly before death

Front 13

Hospice care

Back 13

a program of pallitive and support care service for dying people

Front 14

Independent providers

Back 14

health care professionals with the education and legal authority to treat any health problem

Front 15

limited care providers

Back 15

health care providers that provide care for a specific part of the body (dentists, optomitrists, etc)

Front 16

allied health care professionals

Back 16

health care workers who provide services that assist, facilitate, and complement the work of physicians and other health care specialists

Front 17

public health professional

Back 17

a health care worker who works in a public health organization

Front 18

medically indignant

Back 18

those lacking the financial ability to pay for their own medical care

Front 19

ambulatory care facilities

Back 19

facilities that provide a wide array of outpatient services

Front 20

home health care

Back 20

care that is provided in the patients residence for the purpose of promoting, maintaining or restoring health

Front 21

Joint Commission

Back 21

the predominant organization responsible for accrediting health care facilities

Front 22

prepaid health care

Back 22

a method of paying for cevered health care services on a per-person premium basis for a specific time period prior to the service being rendered

Front 23

State Children's Health Insurance Program

Back 23

a title insurance program under the Social Security Act that provides heath insurance to uninsured children

Front 24

fixed indemnity

Back 24

the maximum amount that an insurer will pay for a specific service

Front 25

Medicare

Back 25

a national health insurance program for people age 65 and older, certain younger disabled people, and people with permanent kidnew failure

Front 26

Medicare Part A

Back 26

hospital insurance (mandatory and provided without further cost)

Front 27

Medicare Part B

Back 27

medical insurance (costs around $100 per month with about $150 deductible)

Front 28

Medicare Part C

Back 28

managed care plan (no need for medigap policy as offers addl services)

Front 29

Medicare Part D

Back 29

prescription drug coverage

Front 30

prospective pricing system

Back 30

one in which providers are paid predetermined amounts of money per procedure for serviced provided

Front 31

diagnosis-related system

Back 31

a procedure used to classify the health problems of all Medicare patients when they are admitted to a hospital

Front 32

Medicaid

Back 32

a jointly funded federal-state health insurance program for the poor

Front 33

Quality management and utillization Review

Back 33

analysis of provided health care for its appropriateness by someone other than the patient and the provider

Front 34

Preferred provider organization (PPO)

Back 34

an organization that buys fixed rate health services from providers and sells them to consumers

Front 35

Exclusive provider organization

Back 35

like a PPO but with fewer providers and stronger financial incentives

Front 36

Health maintanance organizations

Back 36

groups that supply prepaid conprehensive health care with an emphasis on prevention