Chapter 1

Question 1

Providers

Answer 1

People or organizations that provide health care, including doctors, nurses, clinics, and agencies

Question 2

Facilities

Answer 2

Places where care is delivered

Question 3

Payers

Answer 3

People or organizations paying for healthcare services

Question 4

Long-term Care (LTC)

Answer 4

Care given in ltcf for people who need 24-hour skilled care

Question 5

Skilled care

Answer 5

Medically necessary care given by a skilled nurse or therapist; it is available 24 hours a day

Question 6

Length of stay

Answer 6

The number of days a person stays in a healthcare facility

Question 7

Terminal illness

Answer 7

The illness will eventually cause death

Question 8

Home health care

Answer 8

Care provided in a person’s home

Question 9

Diagnoses

Answer 9

Medical conditions determined by a doctor

Question 10

Assisted living

Answer 10

Residences for people who need some help with daily care

Question 11

Dementia

Answer 11

The serious loss of mental abilities

Question 12

Adult day services

Answer 12

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

Question 13

Acute care

Answer 13

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

Question 14

Subacute care

Answer 14

Care given in a hospital or in a long-term care facility. It is used for people who need less care than acute illness but more care than for chronic.

Question 15

Outpatient care

Answer 15

Given for less than 24 hours. For people who have had treatments or surgery and need short-term skilled care

Question 16

Rehabilitation

Answer 16

Care given by specialists to improve or restore function after an illness or injury

Question 17

Hospice care

Answer 17

Given in facilities or homes for people who have approximately six months or less to live

Question 18

Health Maintenance Organizations (HMOs)

Answer 18

Insurance that require that participants use a particular doctor or group of doctors except in case of emergency

Question 19

Preferred Provider Organizations (PPOs)

Answer 19

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

Question 20

Managed care

Answer 20

Cost control strategies

Question 21

Activities of Daily Living (ADLs)

Answer 21

Daily personal care tasks such as bathing, skin, hair, and nail care, and assistance with walking, eating, dressing, transferring, and toileting.

Question 22

Catheters

Answer 22

Thin tubes inserted into the body to drain fluids or inject fluids

Question 23

Policy

Answer 23

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

Question 24

Procedure

Answer 24

A method, or way, of doing something

Question 25

Cite

Answer 25

To find a problem through a survey

Question 26

Joint Commission

Answer 26

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

Question 27

Medicare

Answer 27

A health insurance program for people 65 or older or those with disabilities and cannot work

Question 28

Medicaid

Answer 28

Medical assistance program for low-income people

Question 29

Culture change

Answer 29

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

Question 30

Person-directed care

Answer 30

Emphasizes the individuality of the person who needs care, seeks to build community by recognizing and developing each person's capabilities