Shared Flashcard Set

Details

Unit 1 Ch 2
Unit 1 - Ch 2 Healthcare Delivery System
41
Nursing
Undergraduate 1
09/10/2013

Additional Nursing Flashcards

 


 

Cards

Term
Adult Day Care Centers
Definition
Provide a variety of health and social services to specific populations who live alone or with family in the community
Term
Assisted Living
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

Term
Capitation
Definition
The providers receive a fixed amount per patient or enrolee of a health care plan
Term
Continuing Care
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

Term
Diagnosis-Related Groups
Definition
Each group has a fixed reimbursement amount with adjustments based on case severity, rural/urban/regional costs, and teaching costs
Term
Extended Care Facility
Definition
Provides intermediate medical, nursing, or custodial care for patients recovering from acute illness or disabilities
Term
Health
Definition
A state of mental, physical, and social well-being, and not merely the absence of disease and infirmity
Term
Health care system is faced with:
Definition
rising costs, increased access to services, growing population, improved quality outcomes, and threats of bioterrorism
Term
Home Care
Definition
Involves coordination of services and equipment for health maintenance, education, illness prevention, diagnosis and treatment of disease, palliative care, and rehabilitation
Term
Influences on Health Care Delivery System
Definition

Rising health care costs

Evidence-based practice

Nursing and biomedical research

Nursing Shortage

Nursing Curriculum

Term
Issues in Healthcare Delivery
Definition

Competency

Evidence-Based Practice

Knowing Clients

Know who you work with

Quality Health Care

Term
Long-term Care (LTC) Insurance
Definition
Supplemental
Term
Magnet Recognition Program
Definition
Exemplary professional practice, empirical quality outcomes, structural empowerment
Term
Managed Care
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
Term
Managed Care Organization (MCO)
Definition
Primary Care
Term
Medicaid
Definition
Federally funded, state run, low income
Term
Medicare
Definition
Federally funded, elderly over 65
Term
Patient Satisfaction
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)

Term
Preferred Provider Organization (PPO)
Definition
Managed care, preferred providers (MCO with preferred providers)
Term
Preventative Care
Definition
Screenings, preventing risk for disease and illness
Term
Primary Care
Definition

Promotion of health; immunizations

 

Most effective method is focusing on behaviors

Term
Private insurance
Definition
Expensive, fee-for-service
Term
Quality Care
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

Term
Rehabilitation
Definition

Attempts to restore patients to their fullest physical, mental social, vocational, and economical potential

 

Occurs in many health care settings--begins in hospital

Term
Resource Utilization Groups
Definition
Long term care
Term
Respite Care
Definition
The service provides short term relief or time off for persons providing home care to an ill, disabled, or frail older adult
Term
Restorative Care
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

Term
SCHIP
Definition

State Children's Health Insurance Programs, uninsured children

 

i.e. Husky

Term
Secondary Care
Definition
Illness treatment, early identification
Term
Secondary and Tertiary Care settings are
Definition
Hospitals, subacute care, rural hospitals, ICU, psychiatric facilities, Subacute facilities
Term

Skilled Nursing Facility

(intermediate care)

Definition

Provides care for clients until they can return to their community or residential care

 

Offers skilled care from a licensed nursing staff

Term
Tertiary Care
Definition
Diagnosis, prevent further development of disease or illness, control
Term
Utilization Review Comittees
Definition
Review admission, identify and eliminate overuse of diagnostic and treatment services by physicians
Term

 

The Affordable Care Act is also known as:

Definition

 

Obama Care

Term

 

The institute of medicine calls for a healthcare system that is:

Definition

Safe, effective, efficient, equitable, timely, and patient-centered

Term
Professional standards review organizations (PSROs)
Definition
review the quality, quantity, and cost of hospital care
Term
Prospective Payment System (PPS)
Definition
Eliminated cost-based reimbursement
Term
Integrated delivery networks (IDNs)
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
Term
Hospice
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
Term
Nursing Informatics
Definition
"Uses information and technology to communicate, manage knowledge, mitigate error, and support decision-making."
Term
Vulnerable Populations
Definition
Children, women, and older adults
Supporting users have an ad free experience!