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Flashcards in Acute Care Deck (21):
0

AHA

American Hospital Association (not-for-profit advocacy)

1

ALOS

Average Length of Stay

2

CMS

Centers for Medicare and Medicaid Services

3

DHHS

Department of Health and Human Services

4

EMTALA

Emergency Medical Treatment and Active Labor Act

5

FAH

Federation of American Hospitals (for-profit advocacy)

6

HIPAA

Health Insurance Portability and Accountability Act

7

NICU

Newborn Intensive Care Unit

8

PACU

Post Anesthetic Care Unit

9

PPACA

Patient Protection and Affordability Care Act

10

PPS

Prospective Payment System

11

SWB

Salaries, wages, benefits

12

What is triage?

Triage is the process of separating cases/patients, based on acuity, into primary, secondary and tertiary care.

13

How many total hospitals are there in the US?

5,723 total registered hospitals
4,999 Community hospitals (i.e. acute care)

14

Percentage wise, how many not-for-profit hospitals are there in comparison to for-profit hospitals?

2/3 = not-for-profit (2,894)
1/3 = for-profit (1,068)

15

What are the 4 levels of medical care?

Primary = diagnosing and planning for treatment (physicians office, ER)
low acuity

Secondary = Anything for which you are admitted into a hospital. Admitted surgery with a medium acuity.

Tertiary = Level of care that requires at least one-on-one nursing. Generally takes place in an ICU. High acuity.

Quaternary = Experimental procedures and research not yet approved by FDA. Must be approved by IRB. Considered a kind of off-shoot of tertiary care

16

What are the 6 basic ADLs?

Eating
Bathing
Dressing
Toileting
Ambulance (walking)
Continence

17

What's the spiel on Critical Access Hospitals

They are rural hospitals with a 25 bed limit (though swing beds are allowed). They cannot be closer than 35 miles from a full service hospital. They get reimbursed on a "cost +" basis (generally a cost + 1%).

18

What is acute care?

Acute care is medical care for injury or illness (inpatient. Meant to be temporary).

19

What is a Disproportionate Share Hospital?

It is a hospital that treats a higher-than-average percentage of low-income patients. They are reimbursed by CMS on a DRG + DSH payment basis.

20

IRB

Institutional Review Board