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pattern of healthcare in which a patient is treated for an acute episode of illness, for the sequelae of an accident or other trauma, or during recovery from surgery |
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allows patients to retain more independence by living at home |
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long-term care setting with greater resident autonomy |
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providers receive a fixed amount per patient |
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diagnosis-related groups (DRGs) |
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hospitals recieve a set dollar amount based on an assigned group |
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activities directed toward identifying future proposed therapy and the need for additional resources before and after returning home |
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provides intermediate medical, nursing, or custodial care for patients recovering from acute illness or those with chronic illnesses or disabilities |
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worldwide scope or applicaiton |
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the provision of medically related professional and paraprofessional services and equipment to patietns and families in their homes for health maintenance, education, illness prevention, diagnosis and treatment of disease, palliation, and rehab. |
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focuse of care is palliative, not curative, treatment |
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independent practice association (IPA) |
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Definition
managed care organization that contracts with physicians or health care providers who usually are members of groups and whose practices indluce free-for-service and capitated patients |
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integrated delivery networks (IDN) |
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include a set number of providers and services organized to deliver a continuum of care to a populations of patients at a capitated cose in a particular setting |
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administrative control over primary health care services for a defined patient population |
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state medical assistance to people with low incomes. states receive mathcing federal funds to provide medical care and services to people meeting categorical and income requirements |
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Definition
federally funded national health insurance programs in the U.S. for people over age of 65. Part A provides basic protection against cost of medical, surgical, and psychiatric hospital care. Part B is a voluntary medical insurance program financed in part from federal funds and in part from premiums contributed by people enrolled in program |
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Definition
a rich resource for nurses in determining the best interventions to support the health care needs of this growing population |
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uses information and technology to communicate, manage knowledge, mitigate error, and support decision making |
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nursing-sensitive outcomes |
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Definition
patient outcomes and select nursing workforce characteristics that are directly related to nursing care such as changes in patients symptom experiences, functional status, safety, psychological distress, RN job satisfaction, total nursing hours per patient day, and costs |
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Definition
concept to improve work efficiency by changing the way that patient care is delivered |
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Definition
quality improvement strategies that reward excellence through financial incentives to motivate change to achieve measurable improvements |
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combination of primary and public health care that is accessible to individuals and families in a community and provided at an affordable level |
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professional standards review organizations (PSROs) |
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Definition
review the quality, quantity, and cost of hospital care |
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prospective payment system (PPS) |
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Definition
eliminated cost reimbursement |
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restores a person to the fullest physcial, mental, social, vocational, and economic potential possible |
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resource utilization groups (RUGs) |
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provides short-term relief to the family members who care for the patient |
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to help individuals regain maximal functional status and enhance quality of life through promotion of independence and self-care |
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offers skilled care from a licensed nursing staff which often includes administration of IV fluids, wound care, long-term ventilator management, and physcial rehabilitation |
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utilization review (UR) committees |
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Definition
review the admissions and identify and eliminate overuse of diagnostic and treatment serivces ordered by physicians caring for the patients on medicare |
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Term
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Definition
collection of individuals who are more likely to develop health problems as a result of excess risks, limits in access to health care services, or being dependent on others for care |
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Definition
formal process used to analyze the work of a certain work group and change the actual structure of the jobs performed |
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