chapter 1

Question 1

providers

Answer 1

people or organizations that provide health care, including docs, nurses, clinics, and agencies

Question 2

facilities

Answer 2

places where care is delivered or administered

Question 3

payers

Answer 3

people or organizations paying for healthcare, including insurance companies, gov’t programs like medicare/medicaid, and individual patients/clients

Question 4

long term care (LTC)

Answer 4

given in long-term care facilities for people who need 24-hr skilled care

Question 5

skilled care

Answer 5

medically necessary care given by a skilled nurse or therapist, available 24 hrs a day

Question 6

nursing homes aka

Answer 6

long-term care facilities, skilled nursing facilities, rehab centers, or extended care facilities

Question 7

length of stay

Answer 7

of days a person stays in a healthcare facility

Question 8

terminal illness

Answer 8

illness will eventually cause death

Question 9

chronic conditions

Answer 9

conditions last a long period of time

Question 10

home health care

Answer 10

aka home care, care provided in a person’s home, given to ppl who are older, chronically ill but who are able to and wish to remain at home

Question 11

diagnoses

Answer 11

medical conditions determined by a doc

Question 12

assisted living

Answer 12

facilities where ppl need some help with daily care, do not need 24 hr skilled care

Question 13

dementia

Answer 13

serious loss of mental abilities, such as thinking, remembering, reasoning, and communicating

Question 14

adult day services

Answer 14

ppl who need some assistance and supervision during certain hours but who do not live in the facility where care is provided

Question 15

acute care

Answer 15

24 hr skilled care in hosp and ambulatory surgical centers for ppl who require short term, immediate care for illness or injuries, or after surgery

Question 16

subacute care

Answer 16

care given in hospitals or long term care facilities, for ppl who need < care than for acute illness, but > care than for chronic illness

Question 17

outpatient care

Answer 17

given to ppl who have had treatments, procedures, or surgeries and need short term skilled care

Question 18

rehabilitation

Answer 18

care given by specialists (physical, occupation, and speech therapists help resotre/improve function after illness or injury)

Question 19

hospice care

Answer 19

given in facilities/homes for ppl who have approximately 6 months or less to live

Question 20

managed care

Answer 20

cost control strategies employed by health insurance plans, seeks to control costs by limiting plan members’ choice of health care providers and facilities

Question 21

examples of managed care

Answer 21

health maintenance organizations (HMOs) and preferred provider organizations (PPOs)

Question 22

activites of daily living (ADLs)

Answer 22

daily person care

Question 23

catheters

Answer 23

thin tubes inserted into the body to drain or inject fluids

Question 24

policy

Answer 24

course of action that should be taken every time a certain situation occurs

Question 25

procedure

Answer 25

method or way of doing something

Question 26

surveys

Answer 26

inspections done periodically by the state agency that licenses facilities

Question 27

cite

Answer 27

to find a problem during a survey

Question 28

joint comission

Answer 28

independent, not-for-profit organization that evaluates and accredits healthcare organizations

Question 29

centers for medicare & medicaid services (CMS)

Answer 29

federal agency within US dept of hrealth that runs medicare and medicaid

Question 30

medicare

Answer 30

federal health insurance program for ppl 65 and older, has 4 parts, hospital insurance, medical insurance,provides private companies to provide benefits, prescirption coverage

Question 31

medicaid

Answer 31

medical assistance for ppl who have low income and ppl with disabilities

Question 32

culture change

Answer 32

process of transforming services for elders so that they are based on values and practices of person recieivng care

Question 33

person centered care

Answer 33

aka person directed care, emphasizes individuality of person who needs care and recognaizes and develops his/her capabilites

Question 34

services offered at facilities

Answer 34

PT/OT/speech therapy, wound care, catheter care, nutrition therapy, care of chronic conditions