Term
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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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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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Term
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Definition
| multidisciplinary guidelines for client care based on specific medical diagnoses designed to achieve predetermined outcomes |
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Term
| Diagnosis-related Groups (DRGs) |
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Definition
| a Medicare payments system to hospitals and physicians that establishes fees according to diagnosis |
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Term
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Definition
| a system in which the best possible use of nursing personnel is based on their educational preparation and resultant skill sets |
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Term
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Definition
| the totality of services offered by all health disciplines |
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Term
| Health Maintenance Organization (HMO) |
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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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Term
| Independent Practice Associations (IPAs) |
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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 (IDS) |
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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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Term
| Licensed Vocational (practical) Nurse (LVN/LPN) |
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Definition
| a nurse who practices under the supervision of a registered nurse, providing basic direct technical care to clients |
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Term
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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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Term
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Definition
| a U.S. federal public assistance program paid out of general taxes and adminstered through the individual states to provide health care for those who require financial assistance |
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Term
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Definition
| a national and state health insurance program for the U.S. residents older than 65 years of age |
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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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Term
| Preferred Provider Arrangements (PPAs) |
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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
| Preferred Provider Organizations (PPO) |
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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
| Supplemental Security Income (SSI) Benefits |
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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
| the delivery of individualized nursing care to clients by a team led by a professional nurse |
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