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23 Cards in this Set
- Front
- Back
Assisted-living facility
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Type of long-term care facility that provides residents with limited assistance with tasks such as medication administration, transportation, meals, and houseke
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client
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A person who is receiving the services of a home health care agency
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Diagnosis-related groups (DRGs)
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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
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Group insurance
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Insurance that is purchased at group rates by an employer or corporation
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Health care team
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Group of people with different types of knowledge and skill levels who work together to provide holistic care to the patient or resident
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Health Maintenance Organization (HMO)
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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
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Holistic
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An adjective used to describe care of the whole person, physically and emotionally
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Home health care agency
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An agency that provides skilled care in a person's home
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Hospice organization
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A health care organization that provides care for people who are dying, and their families
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Hospital
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A health care facility that provides treatment for people with acute medical or surgical conditions
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Long-term care facility (nursing home)
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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"
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Managed care system
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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)
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Medicaid
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A federally funded and state-regulated plan designed to help people with low incomes to pay for health care
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Medicare
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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
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Minimum Data Set (MDS)
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A report that focuses on the degree of assistance or skilled care that each resident of a long-term care facility needs
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Mission
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The officially stated purpose of a health care facility or organization
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Occupational Safety and Health Administration (OSHA)
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An agency within the Department of Labor that establishes safety and health standards for the workplace, to protect the safety and health of employees
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Omnibus Budget Reconciliation Act (OBRA)
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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
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Patient
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A person who is receiving health care in a hospital, clinic, or extended-care facility
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Precertification (preapproval) process
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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
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Resident
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A person who is living in a long-term care facility or assisted-living facility
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Sub-acute care unit (skilled nursing unit, skilled nursing facility)
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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
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Preferred Provider Organization (PPO)
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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
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