Chapter 1

Question 1

providers

Answer 1

people or organizations that provide healthcare, including doctors, nurses, clinics, and agencies

Question 2

facilites

Answer 2

in medicine, places where healthcare is delivered or administered including hospitals, long term care facilities and treatment centers.

Question 3

payers

Answer 3

People or organizations paying for healthcare services

Question 4

long term care (LTC)

Answer 4

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

Question 5

skilled care

Answer 5

Medically necessary care given by a skilled nurse or therapist

Question 6

assisted living

Answer 6

Residences for people who do not need 24-hour skilled care but do require some help with daily care.

Question 7

acute care

Answer 7

24-hour skilled care given in hospitals and ambulatory surgical centers for people who require short-term immediate care for illnesses and injuries.

Question 8

subacute care

Answer 8

care given in a hospital or in a long-term care facility for people who need less care than for a chronic illness.

Question 9

chronic illness

Answer 9

a disease or condition that is long-term or long lasting and requires management of symptoms.\

Question 10

terminal illness

Answer 10

a disease or condition that will eventually cause death.

Question 10

hospice care

Answer 10

Holistic, compassionate care given to people who have approximately six months or less to live.

Question 10

demtia

Answer 10

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

Question 11

adult day serviece

Answer 11

Care for people who need some assistance or supervision during certain hours, but who do not live in the facility where care is given.

Question 12

outpatient care

Answer 12

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

Question 13

rehabilitation

Answer 13

care given by specialists to help restore or improve function after an illness or injury.

Question 14

managed care

Answer 14

a system or strategy of managing health care in a way that controls costs.

Question 15

health maintenance organization (HMOs)

Answer 15

a method of health insurance in which a person has to use a particular doctor or group of doctors except in case of an emergency.

Question 16

Preferred provider organizations (PPOs)

Answer 16

a network of providers that contract to provide health services to a group of people.

Question 17

Activities of daily living (ADLs)

Answer 17

personal dailey care tasks, such as bathing, dressing, caring for teeth and nails, eating, drinking, walking, transferring, and elimination.

Question 18

The group with the longest average stay

Answer 18

made up of people who are developmentally disabled.

Question 19

policy

Answer 19

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

Question 20

procedure

Answer 20

a method or way of doing something

Question 21

cite

Answer 21

to find a problem through a survey in a long term care facility.

Question 22

joint commison

Answer 22

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

Question 23

Centers for MEdicare and MEdicaid Services (CMS) -

Answer 23

a federal agency within the U.S. Department of Health and human services that is responsible for medicare and medicaid

Question 24

medicare

Answer 24

a federal health insurance program for people who are 65 or older, have certain disabilities or permanent kidney failure, or are ill and cannot work.

Question 25

medicaid

Answer 25

a medical assistance program for people who have low income, as well as for people with disabilities.

Question 26

Culture change-

Answer 26

a term given to the process of transforming services for elders so that they are based on the values and practices of the person receiving care; core values include choice, dignity, respect, self-determination, and purposeful living.

Question 27

Person-centered care

Answer 27

a type of care that places the emphasis on the person needing care and his or her individuality and capabilities.