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Definition
a method for delivering nursing care in which the nurse is responsible for a caseload of clients across the health care continuum |
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Definition
a method of organizing care delivery that emphasizes communication and coordination of care among all health care team members |
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Definition
the totality of services offered by all health disciplines |
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multidisciplinary guidelines for client care based on specific medical diagnoses designed to achieve predetermined outcomes |
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Term
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Definition
delivery model that brings all services and care providers to the client |
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Definition
the delivery of individualized nursing care to clients by a team led by a professional nurse |
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Term
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Definition
a national and state health insurance program for U.S. residents older than 65 years of age |
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Term
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Definition
an insurance plan in which the client pays a percentage of the payment and some other group (e.g., employer, government) pays the remaining percentage |
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Definition
a no cost federal & state insurance program for the poor |
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Term
Supplemental Security Income |
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Definition
special payments for people with disabilities, those who are blind, and people who are not eligible for Social Security; these payments are not restricted to health care costs |
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Term
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Definition
a Medicare payments system to hospitals and physicians that establishes fees according to diagnosis |
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Health Maintenance Organization |
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Definition
a group health care agency that provides basic and supplemental health maintenance and treatment services to voluntary enrollees |
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Preferred Provider Organization |
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Definition
a group of physicians or a hospital that provides companies with health services at a discounted rate |
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Term
Preferred Provider Arrangement |
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Definition
similar to PPOs, but PPAs can contract with individual health care providers; the plan can be limited or unlimited |
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Term
Independent Practice Association |
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Definition
provide care in offices; clients pay a fixed prospective payment and IPA pays the provider; earnings or losses are assumed by the IPA |
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Term
Integrated Delivery System |
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Definition
a system that incorporates acute care services, home health care, extended and skilled care facilities, and outpatient services |
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