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116 Cards in this Set
- Front
- Back
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Facility
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refers to the place in which care is given
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Hospital
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a complex organization that provides a full range of health care services.
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Skilled Care Facility
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provides care to persons whose conditions are stable but who need monitoring, nursing care, and treatments.
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5 Basic Functions of ALL Health Care Facilities
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1. Providing services for the ill and injured.
2. Preventing disease. 3. Promoting individual and community health. 4. Educating health care workers. 5. Promoting research in medicine and nursing. |
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Patient-Focused Health Care
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care focus based on the fact that each patient is a unique individual and has different needs.
Attention must be given to the physical, mental, and emotional aspects of the person's being if that person is to lead a fulfilling and satisfying life. |
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Infection Control Alert
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The Development of infection is dangerous for the patient and is very costly to insurance companies and the hospital. Prevention of infection is a major nursing assistant function.
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Managed Care
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What insurance companies use to provide the services in the most efficient manner at the lowest cost.
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Managed Care
What Insurance Companies will do #1 |
Not permit certain procedures or diagnostic tests until they have been approved by the insurer.
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Managed Care
What Insurance Companies will do #2 |
Negotiate with specific physicians, hospitals, pharmacies, and other care providers to render services at a lower cost to the company's members.
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Managed Care
What Insurance Companies will do #3 |
Approve only a certain nmber of days of hospitalization for specific diagnoses
ex) a woman giving birth is allowed up to 48 hours. |
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Managed Care
What Insurance Companies will do #4 |
Require that specific procedures be done on an outpatient basis rather than having the patient admitted to the hospital.
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Community
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People who live in a common area and share common health needs.
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6 types of health care needed throughout life
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Preventative Care
Emergency Care Surgery Rehabilitation Long-Term Care Hospice Care |
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Preventative Care
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-Prenatal Care
-Well-Baby check ups and immunizations -Health education to teach individuals how to avoid disease and injury -physical examinations throughout life |
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Emergency Care
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Short-term care for sudden illness or injury
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Surgery
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To repair injured body part or remove a diseased organ
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Rehabilitation
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To help a patient to regain abilities after illness or injury
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Long-Term Care
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For patients who have chronic or incurable conditions
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Hospice Care
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for patients who are dying and their families
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Health Care Consumers
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People who are receiving health care
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Patient
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person in acute care facilities such as hospitals
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Client
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person receiving care in their own homes
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Resident
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person in long-term care facility
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Acute Illness/injury
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comes on suddenlt and requires intense, immediate treatment.
ex) heart attacks, sever burns, strokes, and uncontrolled diabetes |
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Chronic Illness
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one that is treatable but not curable and is expected to require lifelong care.
ex) cardiovascular disease, Alzheimer's disease, MS, Parkinson's disease, and diabetes |
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4 Types of Hospitals
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Pediatric, Psychiatric, Rehabilitation, Long-Term Acute Care Hospitals (LTACH)
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Pediatric Hospital
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Hospitals care only for children from birth to the age of 18.
Ex) Children's Memorial |
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Psychiatric Hospital
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Hospitals provide care for persons with mental illnesses
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Rehabilitation Hospital
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Hospitals provide restorative services to patients following disease, illness, or injury.
Designed to help the patient regain the ability to function at the highest level possible, considering the patient's illness or injury |
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Long-Term Acute Care Hospital (LTACH)
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The facility is licensed as a hospital but is designed for patients who are expected to have a lengthy stay.
To be accepted in an LTACH, the paitent must have a medically complex condition, need acute care services, and have a good chance of improvement. |
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Medical Department
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cares for patients with medical conditions such as pneumonia or heart disease.
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Surgical Department
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Cares for patients before, during, and after surgery.
Includes multiple surgery rooms and Post anesthesia recovery areas. |
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Post Anesthesia Recovery (PAR)
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Ares where patiens are closely monitored after surgery.
Patients remain in this area until they are stable enough to leave the surgical department. |
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Pediatric Department
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Cares for sick or injured children
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Obstetric Department
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Cares for newborns and their mothers.
Includes labor and delivery unity, postpartum, and nursery |
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Pediatric Hospital
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hospital that cares only for children from birth to 18 years of age.
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Psychiatric Hospital
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Hospitals that provide care for persons with mental illnesses,
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Rehabilitation Hospital
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Hospitals provide restorative care and services to patients following disease, illness, or injury.
Designed to help the patient regain the ability to function at the highest level possible, considering the patients illness or injury. |
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Long - Term Care Hospital (LTACH)
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facilities that are liscensed as a hospital but designed for patients who are expected to have a lengthy stay.
Must have a medically complex condition, need for acute care services, and have a good chance of improvement. |
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Hospital Organization (Departments)
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Medical, Surgical, pediatric, obstetric, emergency, critical care, orthopedic,
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Medical Department
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cares for patients with medical conditions such as pneumonia or heart disease.
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Surgical Department
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Cares for patients before, during, and after surgery.
Includes PAR |
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Post-Anesthesia recovery (PAR)
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area where patients are closely monitored after surgery.
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Pediatric Department
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cares for sick or injured children
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Obstetric Department
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Cares for newborns and their mothers.
Includes postpartum unit |
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Postpartum Unit
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For mothers who have given birth
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Emergency Department
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Cares for victims of trauma, natural disasters, or medical emergencies
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Critical Care Department
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for seriously ill patients who require constant monitoring and care.
(also known as ICU...intensive Care Unit) |
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Orthopedic
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bones and muscles
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Dietary Services
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Registered dietician plans the meals for all patients and provides educational services to patients on special diets.
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Pharmacy Services
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Registered pharmacists prepare and provide all medications and intravenous therapy solutions.
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Diagnostic Services
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Pathology diagnostic tests are done on specimens taken from body tissue to help the doctor make a diagnosis.
diagnostic imaging and radiology, x-rays, and other specialized procedures are done to help make a diagnosis. |
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Pathology
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the study of disease.
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Laboratory
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Area where analysis of specimens and tests are done.
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Rehabilitation Services
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physical therapy
occupational therapy speech therapy respiratory therapy. |
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Physical Therapy
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assists patients to regain mobility skills
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Occupational Therapy
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Helps patients to regain self-care skills
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Speech Therapy
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Helps patients to regain the ability to communicate and works with patients who have swallowing disorders
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Respiratory Therapy
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provides care for patients who have disorders of the cardiopulmonary system, respirations, and sleep disorders that affect the patients breathing.
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Social Services
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staff members provide counseling for patients and their familes, help needy families get financial assistance, plan for patient discharge, and arrange for patient transfers from one facility to another.
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Environmental Services
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housekeeping is responsible for the overall cleaning of the hospital
maintenance cares for and repairs equipment. laundry services provide and clean all hospital linens. |
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Business Services
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Responsible for patient billing, employee payroll, and other financial matters.
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Medical Records
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transcribes and catalogs all patient records.
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5 ways to pay for health care
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1. Insurance
2. Out of pocket payments 3. Medicare 4. Diagnosis Related Groups (DRG) 5. Medicaid |
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Insurance
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Health Maintenance Organizations (HMO)
-type of prepaid insurance -group of health care providers and hospitals -members must see only certain doctors and designated hospitals, except in emergency. |
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Out of Pocket Patients
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by health care consumer who has no insurance or for expenses not covered by insurance.
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Medicare
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Federal government program that pays a portion of health care costs for someone 65 + years and younger persons who are permanently disabled. and qualify for benefit.
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Diagnosis Related Groups ( DRG)
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what medicare payment is based on
pay only fixed rate determined by DRG |
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Medicaid
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state and federal government program that pays health care costs for persons of any age who do not have financial resources for health care.
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Survey
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a review and evaluation to ensure that facilities are maintaining acceptable standards of practice.
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License
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each facility holds a state license which permits it to conduct business
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Certification
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necessary to collect medicare and medicaid payments.
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Surveyors
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Representatives of the agency that reviews the facility
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Joint Commission (JayCo)
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agency that insepects and accredits health care providers.
Although participation is volunteer facilities cannot accept medicare payments without accreditation. |
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Occupational Safety and Health Administration (OSHA)
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government agency that protects the health and safety of employees.
Survey includes interviews with employees and a tour of all facilites |
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Citation
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written notice that informs the facility of the violation of rules
employer must post written report of each citation for 3 days or until unsafe condition is corrected. |
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Magnet Program for Excellence in Nursing Services
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based on quality indicators and standards of nursing practice
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3 main purposes of Magnet Program
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1. Elevate the status of the nursing profession.
2. Recognize excellence in nursing practice on many levels, from staff nurse to management. 3. Validate Excellence in patient care given by facility. |
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Quality Assurance (QA)
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committee conducts internal reviews to identify problems and find ways to improve.
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Postpartum
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For mothers who have given birth
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Emergency Department
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Cares for victims of trauma, natural disasters, or medical emergencies.
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Critical Care Department
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Cares for the seriously ill patients who require constant monitoring and care.
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Orthopedic
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bones and muscles
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Dietary Services
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Registered dietician plans the meals for all patients and provides educational services to patients on special diets.
The hospital's food services dept. prepares meals and delivers them to patients. |
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Pharmacy Services
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Registered pharmacists prepare and provide all medications and intravenous therapy solutions.
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Diagnostic Services
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Pathology diagnostic tests are done on specimens taken from body tissues to help the doctor make a diagnosis.
Diagnostic Imaging and radiology - x-rays and other specialized procedures are done to help make a diagnosis. Laboratory- analysis of specimens and tests |
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Rehabilitation Services
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physical therapy
occupational therapy speech therapy respiratory therapy |
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Physical Therapy
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assist patients to regain mobility skills
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Occupational Therapy
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helps patients to regain self-care skills
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Speech Therapy
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Helps patients to regain the ability to communicate and works with patients who have swallowing disorders.
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Respiratory Therapy
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Provides care pare for patients who have disorders of the cardiopulmonary system, respirations, and sleep disorders that affect the patient's breathing.
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Social Services
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staff members provide counseling for patients and their families, help needy families get financial assistance, plan for patient discharge, and arrange for patient transfers from one facility to another.
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Environmental Services
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Housekeeping
Maintenance Laundry services |
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Housekeeping
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responsible for the overall cleaning of the hospital
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Maintenance
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Cares for and repairs equipment
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Laundry Services
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provide and clean all hospital linens
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Business Services
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responsible for patient billing, employee payroll, and other financial matters
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Medical Records
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Department transcribes and catalogs all patient records.
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Volunteer Services
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provide services free of charge and perform tasks such as delivering mail and flowers, etc..
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Pastoral Services
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help meet patients' religious and spiritual needs and provides counseling.
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5 ways Health Care is paid for
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1. Insurance
2. Out of pocket payments 3. Medicare 4. Diagnosis Related Groups (DRGs) 5. Medicaid |
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Insurance
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Health Maintenance Organizations (HMOs)
-type of prepaid insurance -group of health care providers and hospitals -members must see only certain doctors and designated hospitals, except in emergencies |
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Out of pocket payment
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by health care consumer who has no insurance or for expenses not covered by insurance.
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Medicare
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federal government program that pays a portion of health care costs for persons 65 + years and for younger persons who are permanently disabled and qualify for benefit.
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Diagnosis Related Groups (DRGs)
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what medicare payment is based on
pay only fixed rate determined by DRG |
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Medicaid
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state and federal government program that pays health care costs for persons of any age who do not have financial resources for health care.
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survey
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a review and evaluation to ensure that facilities are maintaing acceptable standards of practice
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license
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each facility holds a state license which permits it to conducts business.
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Certification
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necessary t collect medicare and medicaid payments
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Surveyors
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Representative of the agency that reviews the facility
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Joint Commission (JayCo)
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agency that inspects and accredits health care providers
-although participation is voluntary facilities cannot accept medicare payments without accreditation. |
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Occupational Safety and Health Care Administration (OSHA)
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- government agency that protects the health and safety of employees
- survey includes interviews with employees and a tour of all facilities |
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Citation
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-written notice that informs the facility of the violation of OSHA rules
- employer must post written report on each citation for 3 days or until unsafe conditions are corrected. |
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Magnet Program Services for Excellence in Nursing Services
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based on quality indicators and standards of nursing practice
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3 Main Purposes of Magnet Program
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1. Evaluate the status of the nursing profession
2. recognize excellence in nursing practice on many levels, from staff nurse to management. 3. Validate excellence in patient care given by a facility ***Only 3% of 6,000 hospitals have it! . |
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Quality Assurance (QA)
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committee conducts internal reviews to identify problems and find ways to improve.
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