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23 Cards in this Set

  • Front
  • Back
Assisted-living facility
Type of long-term care facility that provides residents with limited assistance with tasks such as medication administration, transportation, meals, and houseke
client
A person who is receiving the services of a home health care agency
Diagnosis-related groups (DRGs)
A system for controlling health care costs in which the length of a person's hospital stay, as well as payment for hospitalization, surgery, or other treatment, is specified according to the person's diagnosis
Group insurance
Insurance that is purchased at group rates by an employer or corporation
Health care team
Group of people with different types of knowledge and skill levels who work together to provide holistic care to the patient or resident
Health Maintenance Organization (HMO)
A managed care system that contracts with health care providers to provide health care services for a prepaid fee, and people seeking care agree to see only health care providers who are part of the HMO network
Holistic
An adjective used to describe care of the whole person, physically and emotionally
Home health care agency
An agency that provides skilled care in a person's home
Hospice organization
A health care organization that provides care for people who are dying, and their families
Hospital
A health care facility that provides treatment for people with acute medical or surgical conditions
Long-term care facility (nursing home)
A health care facility that provides care for people who are unable to care for themselves at home, yet do not need to be hospitalized; sometimes referred to as a "nursing home"
Managed care system
A system designed to control health care costs by delivering health care to people who need it by arranging contacts with various health care providers; examples include preferred provider organizations (PPOs) and health maintenance organizations (HMOs)
Medicaid
A federally funded and state-regulated plan designed to help people with low incomes to pay for health care
Medicare
A type of insurance plan that is federally funded by Social Security and which all people 65 years and older, and some younger disabled people, are eligible to participate in
Minimum Data Set (MDS)
A report that focuses on the degree of assistance or skilled care that each resident of a long-term care facility needs
Mission
The officially stated purpose of a health care facility or organization
Occupational Safety and Health Administration (OSHA)
An agency within the Department of Labor that establishes safety and health standards for the workplace, to protect the safety and health of employees
Omnibus Budget Reconciliation Act (OBRA)
An act passed in 1987 to improve the quality of life for people who live in long-term care facilities by making sure that residents receive a certain standard of care
Patient
A person who is receiving health care in a hospital, clinic, or extended-care facility
Precertification (preapproval) process
A system for controlling health care costs in which the health care provider must prove that a person's medical condition meets certain criteria and obtain the insurance company's go-ahead for the proposed treatment before starting treatment
Resident
A person who is living in a long-term care facility or assisted-living facility
Sub-acute care unit (skilled nursing unit, skilled nursing facility)
A unit within a hospital or a long-term care facility, or a separate facility that provides care focused on rehabilitation and helping the patient to move from hospital care to home care
Preferred Provider Organization (PPO)
A managed care system that contracts with an insurance company to accept a standard payment as total payment for services rendered; in return for seeking care only from health care providers who are part of the PPO network, the insured person usually receives that care at a reduced cost to herself