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17 Cards in this Set
- Front
- Back
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Outpatient Care definition
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Health care services that do not require an overnight stay in a hospital or long-term care facility
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Reasons for Inpatient and Outpatient Care
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Reimbursement, technological factors (less invasive), utilization control factors (authorization, monitoring), social factors (preference for care in home and community)
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5 Outpatient sources
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clinical, same day surgery, home health care (post acute and rehab), women's health, emergency care
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Freestanding Facilities
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Primary Care Centers, Urgent/Emergent Care Centers
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How Urgent/Emergent Care differs from Primary Care Centers
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clear to patients not providing ongoing care, usually provide info to obtain primary care, most are profit making, located areas to attract self-payed or privately insured
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In Store Clinics
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Inside pharmacies, discount stores, and supermarkets; advertise quick, convenient care; usually staffed by Nurse Practioners; 50% less; routine tests, immunizations, common ailments; not meant to replace Primary Care Physician
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Surgical Centers
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Independent of hospitals and requirements; opportunity to customize and scheduling and delivery of surgery; outpatient, no overnight
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Access
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Total number of patients discharged per 1000 pop for hospital inpatient services; (released from hospital acute care beds, includes deaths)
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Inpatient Day
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night spent in a hospital by a person admitted as an inpatient; also called patient day or hospital day
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Average Length of Stay (ALOS)
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the average number of days a patient stays in hospital; equals days of care/discharges
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Days of care
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total number inpatient days incurred by a population in a given time period; equals X average length of stay (alos)
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Why has ALOS gone down?
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PPS and MC, and the influence of technology
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Capacity
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Number of beds set up, staffed, and available; 84% community hospitals fewer than 300 beds; average is 165
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Census
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Number of patients in an inpatient facility on a given day
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Patient days
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Cumulative census over a given period of time
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Average Daily Census
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Patient days/number of days over which patients were computed
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Occupancy Rate
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(average daily census/capacity x 100); example: hospital occupancy = 165 so 80 patients/165 x 100 = 48.5%
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