Exam 3 Flashcards
(92 cards)
1
Q
ORBA
A
Omnibus Reconcilation Budget Act
2
Q
OD
A
Doctor of Optometry
3
Q
OMB
A
Office of Management and Budget
4
Q
OPPS
A
Outpatient Prospective Payment System
5
Q
OSHA
A
Occupational Safety and Health Administration
6
Q
OT
A
Occupational Therapist
7
Q
P4P
A
Pay-for-Play
8
Q
PA
A
Physician Assistant
9
Q
PACE
A
Program of All-inclusive Care for the Elederly
10
Q
PCM
A
Primary Care Manager
11
Q
PCP
A
Primary Care Provider
12
Q
PET
A
Positron Emmision Tomography
13
Q
PharmD
A
Doctor of Pharmacy
14
Q
PhD
A
Doctor of Philosopy
15
Q
PHI
A
Personal Health Information
16
Q
PHO
A
Physician-hospital organization
17
Q
PHS
A
Public Health Service
18
Q
PMPM
A
payment per member per month
19
Q
POS
A
Point-of-service plan
20
Q
PPM
A
physician practice management
21
Q
PPO’s
A
Prespective Provider Organizations
22
Q
PPS
A
Prospective Payment System
23
Q
PRO’s
A
Peer reviewed organizatioons
24
Q
PTA
A
Physical therapy assistant
25
PTCA
percutaneous transluminal coronay angioplasty
26
PT's
Physical therapists
27
QALY
Quality-Adjusted Life Year
28
QMB
Qualified Medicare Beneficiary program
29
R & D
Research and Development
30
RBRVS
Resource-based relative value scales
31
RN
Registered Nurse
32
RUG'S
Resource Utilization Groups
33
RVU's
relative value units
34
SAMHSA
Substance Abuse and Mental Health Services Administration
35
SARS
severe acute respiratory syndrome
36
SAV
small area variations
37
SCHIP
State Children's Health Insurance Program
38
SES
Socioeconomic Status
39
SHI
socialized health insurance
40
SNF
skilled nursing facility
41
SSI
Supplemental Security Income
42
SMI
supplementary medical insurace
43
SLMB
specified low-income Medicare beneficiary
44
STD's
sexually transmitted diseases
45
TANF
Temporary Assistance for Needy Families
46
TEFRA
Tax Equity and Fiscal Responsibilty Act
47
TPA
third-party adminstrator
48
TQM
Total Quality Management
49
UCR
usual, customary, and reasonable
50
UR
utilization review
51
VA
Department of Veterans Affairs
52
VHA
Veterans Health Administration
53
WHO
World Health Organization
54
WIC
Women, Infants and Children
55
The most commonly used measure of disability. Determine whether individuals need assistance to perform basic activities
ADL
56
Short-term, intense medical care for an illness or injury ususally requiring hospitalization
Acute care
57
Community-based, long-term care service that provides support care for elderly adults
Adult day care
58
Care rendered to patients who come to physicians offices, outpatient departments of hospitals and health centers to receive care
Ambulatory care
59
Hospital or other inpatient servies other than room and board and professional medical services
Ancillary Care
60
Case Management
An organized approach to evaluating and coordinating care, particulary for patients who have complex problems
61
Case Mix
An aggregate of the severity of conditions requiring medical intervention
62
Medical condition that persits over time
Chronic condition
63
Standardized guidlines in the form of scientifically established protocols, representing preferred processes in medical practice
Clinical practice guidelines
64
Local nonprofit, community owned health care providers serving low-income and medically underserved areas
Community health center
65
Medicare designation for small rural hospitals with 25 bed or fewer that provide emergency medical services besides short-term hospitalization for patients with non complex needs
Critical Access hospital
66
Outcome based, patient centered case management tools that are interdisciplinary, facilitating coordination of care among multiple clinical departments and caregivers
Critical Pathways
67
Nonmedical care provided to support and maintain the patients condition and the essentials of daily living
Custodial Care
68
Excessive medical tests and procedures performed as a protection against malpractice lawsuits
Defensive medicine
69
Part of the overall treatment plan designed to facilitate discharge from an inpatient setting
Discharge Planning
70
Advance directives telling medical professionals not to perform CPR
Do-not-resuscitate (DNR)
71
A written document that provides a legal means for a patient to delegate authority to another to act on the patients behalf
Durable Power of Attorney
72
Endemic
A disease restricted to a local region
73
An outbreak of an infectious disease that spreads rapidly and affects many individuals within a population
Epidemic
74
A list of acceptable prescription drugs approved by a health plan
Formulary
75
The application of information science to improve the efficiency, accuracy, and reliability of health care services.
Health informatics
76
A federal designation indicating an area has shortages of primary medical care, dental, or mental health services.
HPSA's Health professional shortage area
77
A person's own sense of health, ability to function, role limitations stemming from physical or emotional problems and personal happiness during or subsequent to disease experience
Health-related quality of life (HRQL)
78
A cluster of special services for the dying
Hospice
79
The number of new cases of a disease in a defined in a defined population within a specified period
Incidence
80
A legal entity that physicians in private practice can join so that the organization can represent them in the negotiation of managed care contracts
Independent practice association (IPA)
81
A fundemental patient right to make an informed choice regarding medical treatment based on full disclosure of medical information by the providers
Informed consent
82
A person's ability to perform household and social tasks.
Instrumental Activities of Daily Living
83
A network of organizations that provides or arranges to provide a coordinated continuum of services to a defined population and is willing to be held clinically and fiscally accountable for the outcomes and health status of the population serviced
Intergrated delivery system (IDS)
84
A legal document in which a patient puts into writing what his or her preferences are regarding treatment during terminal illness and the use of life-sustaining technology.
Living will
85
A special designation by the American Nurses Credentialing Center, to recognize quality patient care, nursing excellence and innovations in professional nursing practice in hospitals
Magnet hospital
86
An imbalance of the distribution of health professionals
Maldistribution
87
A distribution principle according to which health care is most equitably distributed through the market forces of supply and demand rather than government interventions
Market justice
88
US Census has defined a geographic area that includes at least one city with a population of 50,000
Metropolitan statistical area (MSA)
89
Sickness
Morbidity
90
Death
Mortality
91
Certain new drug therapies for conditions that affect fewer than 200000 people
Orphan drugs
92
Serving to relieve or alleviate, such as pharmacologic pain management and nausea relief
Palliative
