Term
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Definition
| Provide a variety of health and social services to specific populations who live alone or with family in the community |
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Term
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Definition
Offers a long-term care setting with a home environment and greater resident autonomy
Laundry services, meal assistance, personal care, housekeeping, and 24-hour oversight |
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Term
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Definition
| The providers receive a fixed amount per patient or enrolee of a health care plan |
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Term
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Definition
For patients who are disabled, functionally dependent, or suffering a terminal disease.
Nursing home- 24 hour care, daycare- supervised setting, respite- provides care-taker a break |
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Term
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Definition
| Each group has a fixed reimbursement amount with adjustments based on case severity, rural/urban/regional costs, and teaching costs |
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Term
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Definition
| Provides intermediate medical, nursing, or custodial care for patients recovering from acute illness or disabilities |
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Term
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Definition
| A state of mental, physical, and social well-being, and not merely the absence of disease and infirmity |
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Term
| Health care system is faced with: |
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Definition
| rising costs, increased access to services, growing population, improved quality outcomes, and threats of bioterrorism |
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Term
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Definition
| Involves coordination of services and equipment for health maintenance, education, illness prevention, diagnosis and treatment of disease, palliative care, and rehabilitation |
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Term
| Influences on Health Care Delivery System |
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Definition
Rising health care costs
Evidence-based practice
Nursing and biomedical research
Nursing Shortage
Nursing Curriculum |
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Term
| Issues in Healthcare Delivery |
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Definition
Competency
Evidence-Based Practice
Knowing Clients
Know who you work with
Quality Health Care |
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Term
| Long-term Care (LTC) Insurance |
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Definition
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Term
| Magnet Recognition Program |
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Definition
| Exemplary professional practice, empirical quality outcomes, structural empowerment |
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Term
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Definition
| Describes health care systems in which the provider or health care system receives a predetermined capitated payment for each patient enrolled in the program; care shifts from individual illness care to prevention, early intervention, and outpatient care |
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Term
| Managed Care Organization (MCO) |
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Definition
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Term
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Definition
| Federally funded, state run, low income |
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Term
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Definition
| Federally funded, elderly over 65 |
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Term
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Definition
A measurement designed to obtain reports or ratings from patients about services received from an organization, hospital, physician, or health care provider
HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) |
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Term
| Preferred Provider Organization (PPO) |
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Definition
| Managed care, preferred providers (MCO with preferred providers) |
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Term
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Definition
| Screenings, preventing risk for disease and illness |
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Term
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Definition
Promotion of health; immunizations
Most effective method is focusing on behaviors |
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Term
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Definition
| Expensive, fee-for-service |
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Term
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Definition
The degree to which health services increase the desired health outcomes for individuals and populations
The degree to which services are consistent with current professional knowledge |
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Term
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Definition
Attempts to restore patients to their fullest physical, mental social, vocational, and economical potential
Occurs in many health care settings--begins in hospital |
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Term
| Resource Utilization Groups |
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Definition
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Term
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Definition
| The service provides short term relief or time off for persons providing home care to an ill, disabled, or frail older adult |
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Term
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Definition
Helps individuals regain maximal function and enhance quality of life
Promotes patient independence and self-care abilities, serves clients recovering from an acute or chronic illness, requires a multidisciplinary approach |
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Term
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Definition
State Children's Health Insurance Programs, uninsured children
i.e. Husky |
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Term
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Definition
| Illness treatment, early identification |
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Term
| Secondary and Tertiary Care settings are |
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Definition
| Hospitals, subacute care, rural hospitals, ICU, psychiatric facilities, Subacute facilities |
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Term
Skilled Nursing Facility
(intermediate care) |
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Definition
Provides care for clients until they can return to their community or residential care
Offers skilled care from a licensed nursing staff |
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Term
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Definition
| Diagnosis, prevent further development of disease or illness, control |
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Term
| Utilization Review Comittees |
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Definition
| Review admission, identify and eliminate overuse of diagnostic and treatment services by physicians |
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Term
The Affordable Care Act is also known as: |
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Definition
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Term
The institute of medicine calls for a healthcare system that is: |
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Definition
Safe, effective, efficient, equitable, timely, and patient-centered |
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Term
| Professional standards review organizations (PSROs) |
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Definition
| review the quality, quantity, and cost of hospital care |
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Term
| Prospective Payment System (PPS) |
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Definition
| Eliminated cost-based reimbursement |
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Term
| Integrated delivery networks (IDNs) |
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Definition
| Includes a set of providers and services organized to deliver a contiuum of care to a population of patients at a capitated cost in a particular setting |
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Term
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Definition
| A system of family-centered care that allows patients to live and remain at home with comfort, independence, and dignity while easing the pains of terminal illness |
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Term
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Definition
| "Uses information and technology to communicate, manage knowledge, mitigate error, and support decision-making." |
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Term
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Definition
| Children, women, and older adults |
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