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10 Cards in this Set
- Front
- Back
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Case management
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a method for delivering nursing care in which the nurse is responsible for a case load of clients across the health care continuum
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Coinsurance
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an insurance plan where the client pays a percentage of the payment and some other group (eg, employer, government) pays the additional percentage
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Critical pathways
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multidisciplinary guidelines for client care based on specific medical diagnoses designed to achieve predetermined outcomes
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Diagnosis-related groups (DRGs)
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a Medicare payments system to hospitals and physicians which establishes fees according to diagnosis
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Health care system
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the totality of services offered by all health disciplines
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Health maintenance organization (HMO)
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a group health care agency that provides basic and supplemental health maintenance and treatment services to voluntary enrollees
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Independent practice associations (IPAs)
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provide care in offices, clients pay a fixed prospective payment and IPA pays the provider. Earnings or losses are assumed by the IPA
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Integrated delivery system (IDS)
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a system that incorporates acute care services, home health care, extended and skilled care facilities, and outpatient services
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Licensed vocational (practical) nurse (LVN/LPN)
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a nurse who practices under the supervision of a registered nurse, providing basic direct technical care to clients
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Managed care
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a method of organizing care delivery that emphasizes communication and coordination of care among all health care team members
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