Caring for Med-Surg Pts: Key Terms Flashcards
The degree of seriousness of illness or injury
acuity
Standing up for patients’ rights and ensuring that their needs are met
advocate
Biologic medicine; focuses on the biologic aspects of medicine
biomedicine
A payment method wherein the health care provider is paid a monthly contracted rate for each member patient assigned regardless of the type or number of services provided
capitation
Insurance in which both the insurer and the patient pay the medical bill
co-insurance
Types of treatments for medical disorders that do not rely on traditional medicine, but frequently are combined with traditional medical treatment for a disorder
complementary and alternative medicine (CAM)
The amount a member f an HMO has to pay for each visit to the health care provider
copayment
The need to hold costs to within fixed limits
cost containment
The yearly amount an insured person must spend out-of-pocket before a medical insurance plan begins to pay its share
deductible
Allocation of patient care activities to team members
delegation
Requiring an order from a health care provider (nursing action)
dependent
The classification used to determine Medicare payments for patient care based on medical diagnoses
diagnosis-related groups (DRGs)
The ability to recognize and share the emotions and states of mind of another; understanding another’s behavior
empathy
Fee paid for services provided; a type of medical practice
fee-for-service
A type of group health insurance practice that provides basic and supplemental health maintenance and treatment services to enrollees who prepay a fixed periodic fee that is set without regard to the amount of kind of services received
health maintenance organization (HMO)