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Health Care Delivery
Long Term Care
26
Health Care
Graduate
10/13/2011

Additional Health Care Flashcards

 


 

Cards

Term
long term care
Definition
-set of health, personal care, and social services for people who have lost degree of functional capacity
Term
LTC help is provided for
Definition
-activities of daily living (basic)
-instrumental ADLS (advanced)
Term
who needs LTC services
Definition
-older adults (primary)
-patients with chronic disease
-patients with rehab needs
-terminally ill patients
Term
types of LTC
Definition
-skilled nursing facilities
-specialized institutions
-assisted living facilities
-hospice/palliative
-adult day services
Term
hospice care
Definition
-patients expected to live 6 months or less
-no curative treatments
-home, hospital, hospice center etc
Term
ways to pay for LTC
Definition
-Medicare
-Medicaid
-Out of Pocket
-Private Insurance
Term
Medicare reqs and LTC covered
Definition
-65+ years old, disability, or end stage renal disease
-covers skilled nursing/hospice care
Term
Medicare covers up to 100 days of LTC in a skilled nursing facility if
Definition
-3+ days hospitalized
-enter LTC within 30 days of discharge
-rehab needed
Term
Medicard reqs and LTC covered
Definition
-based on income and assets
-covers skilled nursing facility/home healthcare
Term
aging in place
Definition
-staying in same home and community as care needs change
Term
PACE
Definition
program of all-inclusive care for the elderly
Term
CCRC
Definition
-continuing care retirement communities
-contains independent living, assisted living, and skilled nursing care on a single campus
Term
pharmacist opportunities in LTC
Definition
-distribution
-consulting
Term
pharmacist distribution in LTC
Definition
-specialized packaging
-dosage form alternatives
-delivery services
-counseling services
-developing policies and procedures
-manage drug-related forms and reports
Term
pharmacists consulting
Definition
-patient outcomes and aid in PK dosing
-ID and resolve drug interactions
-cost-effective medications
-educate health care providers
-medication reconciliation
-MTM
-MRR,DUE,DUR
Term
MRR
Definition
-medication regimen review
-evaluation of patient's medication regimen with the goal of promoting positive outcomes and minimizing adverse consequences
Term
DUE
Definition
-drug utilization evaluation
-prospective, criteria based, ongoing,planned and systematic review of medications, their uses and contribution to outcomes
Term
DUR
Definition
-retrospective review of past patterns of medication misuse, monitoring of current medication therapy, and offering patient counseling
Term
MCH
Definition
-180 years
-566 residents
Term
drug use problems in LTC
Definition
-27% of assisted living patients in Rochester prescribed benzodiazepines
-anti-psychotics over prescribed
Term
Monroe County Almshouse founded/relocated/renamed in
Definition
1826,1933,1967
Term
number of employees/licensed beds at MCH
Definition
827, 566
Term
% of MCH payments from Medicaid
Definition
88%
Term
of 2.1 million elderly living in nursing home___% used Medicare to pay for antipsychotic Rxs
Definition
14%
Term
percent of medicare claims for antipsychotics used off label
Definition
83%
Term
percent of claims that do not comply with Medicare guidlines
Definition
22%
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