flashcards exam 3.txt

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  1. acute care
    "Pattern of health care in which a patient is treated for an acute episode of illness, for the sequelae of an accident or other trauma, or during recovery from surgery."
  2. adult day care centers
    "Facility for the supervised care of older adults, providing activities such as meals and socialization during specified day hours. "
  3. advance directives
    Document defining a patient's endof-life care decisions.
  4. advantages & disadvantages of managed health care
  5. affective learning
    affective (attitudes) "Acquisition of behaviors involved in expressing feelings in attitudes, appreciation, and values."
  6. analogies
    Resemblances made between things otherwise unlike.
  7. assisted living
    Residential living facilities in which each resident has his or her own room and shares dining and social activity areas.
  8. attentional set
    Internal state of the learner that allows focusing and comprehension. (Potter 1178)
  9. capitation
    "Payment mechanism in which a provider (e.g., health care network) receives a fixed amount of payment per enrollee."
  10. case management
    "Organized system for delivering health care to an individual patient or group of patients across an episode of illness and/or a continuum of care; includes assessment and development of a plan of care, coordination of all services, referral, and follow-up; usually assigned to one professional. "
  11. Center for medicare & Medicaid Services (CMS)
    The federal government agency that administers Medicare and Medicaid. (Cherry 124)
  12. cognitive learning
    cognitive (understanding) "Acquisition of intellectual skills that encompass behaviors such as thinking, understanding, and evaluating."
  13. community health nursing
    A nursing approach that combines knowledge from the public health sciences with professional nursing theories to safeguard and improve the health of populations in the community.
  14. community-based nursing
    The acute and chronic care of individuals and families to strengthen their capacity for self-care and promote independence in decision making. (Potter 1180)
  15. condition of participation
    A requirement that all patients be notified of their rights when entering a health care facility. Part of the Key Principles of Patient's Rights documentation. (Potter 1218)
  16. continuum of care
    "Matching an individual's ongoing needs with the appropriate level and type of medical, psychological, health, or social care or services within an organization or across multiple organizations. "
  17. critical pathway
    "Tools used in managed care that incorporate the treatment interventions of caregivers from all disciplines who normally care for a patient. Designed for a specific care type, a pathway is used to manage the care of a patient throughout a projected length of stay. (Potter 1180)"
  18. diagnosis-related groups (DRGs)
    "Group of patients classified to establish a mechanism for health care reimbursement based on length of stay; classification is based on the following variables: primary and secondary diagnosis, comorbidities, primary and secondary procedures, and age. (Potter 1181)"
  19. discharge planning
    Activities directed toward identifying future proposed therapy and the need for additional resources before and after returning home. (Potter 1181)
  20. effectiveness
    Production of a desired outcome; take the right action to achieve the expected result. (Cherry 124)
  21. efficiency
    "The extent to which resources, such as energy, time, and money, are used to produce the intended result. (Cherry 124)"
  22. evidence-based practice
    "The use of current best evidence from nursing research, clinical expertise, practice trends, and patient preferences to guide nursing decisions about care provided to patients. (Potter 1182)"
  23. extended care facility
    "An institution devoted to providing medical, nursing, or custodial care for an individual over a prolonged period, such as during the course of a chronic disease or during the rehabilitation phase after an acute illness. (Potter 1182)"
  24. functional health illiteracy
    "The inability of an individual to obtain, interpret, and understand basic information about health. (Potter 1183)"
  25. globalization
    Worldwide scope or application. (Potter 1183)
  26. gross domestic product (GDP)
    The measure of the total value of goods and services produced within a country; the most comprehensive overall measure of economic output; provides key insight to the driving forces of the economy. (Cherry 124)
  27. Health Insurance Portability Act (HIPPA)
    A federal law designed to protect the privacy of patient health information. (Potter 1220)
  28. health literacy
    "patients� reading and math skills, comprehension, the ability to make health-related decisions, and successful functioning as a consumer of health care (Potter 196)"
  29. home care
    "Health service provided in the patient's place of residence for the purpose of promoting, maintaining, or restoring health or minimizing the effects of illness and disability. (Potter 1184)"
  30. hospice
    System of family-centered care designed to help terminally ill persons be comfortable and maintain a satisfactory lifestyle throughout the terminal phase of their illness. (Potter 1184)
  31. incidence rates
    The rate of new cases of a disease in a specified population over a defined period of time. (Potter 1184)
  32. independent practice association (IPA)
    Managed care organization that contracts with physicians or health care providers who usually are members of groups and whose practices include fee-for-service and capitated patients.
  33. learning
    "Acquisition of new knowledge and skills as a result of reinforcement, practice, and experience. (Potter 1185)"
  34. learning objective
    Written statement that describes the behavior a teacher expects from an individual after a learning activity. (Potter 1185)
  35. levels of prevention
    "avoiding disease (health promotion and disease prevention), curing disease (secondary prevention), and diminishing complications (tertiary prevention) (Potter 20)"
  36. managed care
    "Health care system in which there is administrative control over primary health care services. Redundant facilities and services are eliminated, and costs are reduced. Preventive care and health education are emphasized. (Potter 1185-1186)"
  37. marginal
    "An economic term that refers to a small or insignificant change in some variable (e.g., the number of tests performed)."
  38. medicaid
    "A jointly sponsored state and federal program that pays for medical services for persons who are elderly, poor, blind, or disabled and for certain families with dependent children who meet specified income guidelines. (Cherry 124)"
  39. medicare
    "Federally funded national health insurance program in the United States for people over 65 years of age. The program is administered in two parts. Part A provides basic protection against costs of medical, surgical, and psychiatric hospital care. Part B is a voluntary medical insurance program financed in part from federal funds and in part from premiums contributed by people enrolled in the program. (Potter 1186)"
  40. minimum data set (MDS)
    "Required by the Omnibus Budget Reconciliation Act of 1987, the MDS is a uniform data set established by the Department of Health and Human Services. The MDS serves as the framework for any state-specified assessment instruments used to develop a written and comprehensive plan of care for newly admitted residents of nursing facilities. (Potter 1186)"
  41. motivation
    Internal impulse that causes a person to take action.
  42. nursing-sensitive outcome
    "Outcomes that are within the scope of nursing practice; consequences or effects of nursing interventions that result in changes in the patient's symptoms, functional status, safety, psychological distress, or costs. (Potter 1187)"
  43. patient self-determination Act
    Legislation that requires all Medicare and Medicaid recipient hospitals to provide patients with information on advance directives and their right to accept or reject medical treatment.
  44. patient-centered care
    Concept to improve work efficiency by changing the way patient care is delivered. (Potter 1188)
  45. patient's rights
    The rights to which patients are entitled as recipients of medical care. (Potter 1224)
  46. population
    A collection of individuals who have in common one or more personal or environmental characteristics. (Potter 1188)
  47. primary care
    First contact in a given episode of illness that leads to a decision regarding a course of action to resolve the health problem. (Potter 1189)
  48. private health insurance
    "A method for individuals to maintain insurance coverage for health care costs through a contract with a health insurance company that agrees to pay all or a portion of the cost of a set of defined healthcare services such as routine, preventive, and emergency health care; hospitalizations; medical procedures; and/or prescription drugs. Typically the private insurance is provided through an individual's employer with a portion of the cost paid by the employer and a portion paid by the employee. Private insurance policies can also be purchased by individuals but are generally much more expensive than when provided through an employer's group plan. (Cherry 124)"
  49. professional standards review organizations (PSROs)
    "Focuses on evaluation of nursing care provided in a health care setting. The quality, effectiveness, and appropriateness of nursing care for the patient is the focus of evaluation. (Potter 1189)"
  50. prospective payment system
    "A method of reimbursing health care providers (i.e., physicians, hospitals) in which the total amount of payment for care is predetermined based on the patient's diagnosis; provides for a �set price per diagnosis� payment system in contrast to the retrospective or �fee-for-service� system; encourages increased efficiency in the use of health care services because providers are reimbursed at a set level regardless of how many services are rendered or procedures performed to treat a particular diagnostic category; most common method of payment in today's health care system. (Cherry 124)"
  51. provider
    An individual (such as a physician or nurse practitioner) or an organization (such as a hospital) that receives reimbursement for providing health care services. (Cherry 124)
  52. psychomotor learning
    psychomotor (motor skills) Acquisition of ability to perform motor skills.
  53. public health bursing
    A nursing specialty that requires the nurse to care for the needs of populations or groups. (Potter 1189)
  54. rehabilitation
    "Restoration of an individual to normal or near-normal function after a physical or mental illness, injury, or chemical addiction."
  55. reinforcement
    Provision of a contingent response to a learner's behavior that increases the probability of the behavior's recurring.
  56. respite care
    Short-term health services to dependent older adults either in their home or in an institutional setting. (Potter 1190)
  57. restorative care
    Health care settings and services where patients who are recovering from illness or disability receive rehabilitation and supportive care. (Potter 1190)
  58. retrospective payment system
    "A method of reimbursing health care providers (i.e., physicians, hospitals) in which professional services are rendered and charges are billed based on each individual service provided; also known as the �fee-for-service� payment system. This system may encourage overuse of health care services because the more services rendered or procedures performed, the more revenue received by providers. (Cherry 124)"
  59. return demonstration
    Demonstration after the patient has first observed the teacher and then practiced the skill in mock or real situations.
  60. single payer system
    "A method of reimbursement in which one payer, usually the government, pays all health care expenses for citizens, funded by taxes. Decisions about covered treatments, drugs, and services are made by the government. Though the terms universal health care and single payer system are sometimes used interchangeably, universal health care could be administered by many different payer groups; both offer all citizens health insurance coverage. (Cherry 124)"
  61. six levels of health care
    "preventive, primary, secondary, tertiary, restorative, and continuing care"
  62. skilled nursing facility
    "Institution or part of an institution that meets criteria for accreditation established by the sections of the Social Security Act that determine the basis for Medicaid and Medicare reimbursement for skilled nursing care, including rehabilitation and various medical and nursing procedures. (Potter 1191)"
  63. teaching
    "Implementation method used to present correct principles, procedures, and techniques of health care; to inform patients about their health status; and to refer patients and family to appropriate health or social resources in the community."
  64. The Joint Commission
    "A private, nongovernmental agency that establishes guidelines for the operation of health care facilities. The guidelines are the basis of accreditation, generally required for Medicare reimbursement. Formerly known as The Joint Commission on Accreditation of Healthcare Organizations. (Potter 1227)"
  65. third-party payer
    "An organization other than the patient and the supplier (hospital or physician), such as an insurance company, that assumes responsibility for payment of health care charges. An individual's health insurance plan provided by his or her employer is considered a third-party payer. (Cherry 124)"
  66. utilization review (UR) committees
    "Physician-supervised committees to review admissions, diagnostic testing, and treatments provided by physicians or health care providers to patients. (Potter 1192)"
  67. vulnerable populations
    "A collection of individuals who are more likely to develop health problems as a result of excess risks, limits in access to health care services, or being dependent on others for care. (Potter 1192)"
Card Set:
flashcards exam 3.txt
2012-11-27 02:11:00
Week 10

Exam 3 Week 10
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