Providers
people or organizations that provide health care (doctors, nurses, clinics, agencies
Facilities
places where care is delivered or
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Payers
people or organizations paying for healthcare services (insurance companies, govt programs medicaid, medicare, and the individual person needing care)
Long-Term Care (LTC)
need 24 hr skilled care
Skilled care
medically-necessary care given by a skilled nurse or therapist, availabe 24 hrs a day
home health care
care provided in a persons "clients" home
assisted living
residences for people who need some help w/ daily care, such as showers, meals, and dressing
dementia
serious loss of mental abilities such as thinking, remembering, reasoning & communication
adult day services
for people who need some assistance and supervision during certain hrs, but who do not live in the facility where care is provided
acute care
24 hr skilled care given in hospitals and ambulatory surgical centers for people who require short term, immediate care for illnesses/injuries, short stays for sx
subacute care
used for people who need less care than for an acute illness but more care than for a chronic illness
outpatient care
given for less than 24 hrs, for people who have had tx or sx and need short-term care
rehabilitaion
given by specialists, restore/improve function after an illness/injury
hospice care
for people who have approximately 6 months or less to live
Health Maintenance Organizations (HMOs)
require that participants use a PARTICULAR doctor or group of doctors except in case of emergency
Preferred Provider Organizations (PPOs)
network of providers that contract to provide health services to a group of people
managed care
cost controlling agencies
catheters
thin tubes inserted into the body to drain fluids or inject fluids
policy
course of action that should be taken every time a certain situation occurs
procedure
method or way of doing something
cite
find a problem through a survey
Joint Commission
independent, not-for-profit organization that evaluates and accredits healthcare organizations , its goal is to improve the safety & quality of care of pts
Centers for Medicare & Medicaid Services (CMS)
federal agency within the US Dept. of Health and Human Services
Eden Alternative
focus is to improve the lives of elders and their caregivers by creating environments that support growth & development while trying to eliminate problems of loneliness, helplessness, and boredom
NA/CNA
performs assigned tasks, VS, provides/assists with routine personal care, at least 75 hrs training, observing/reporting pt changes
RN
in ltc coordinates, manages, and provides skilled care, assigns tasks and supervises, administer meds, 2-4 nursing program, degree, pass license exam
LPN or LVN
adminsters meds and gives tx, licensed professional, complete 1-2 yrs of education and has passed license exam
MD or DO ( doctor of osteopathy)
diagnose & prescribe tx, 4 yr medical schools
PT
evaluates a person and develops a tx plan to increase movement, improve circulation, promote healing, reduce pain, prevent disability, and help resident regain or maintain mobility, pass national & state license exam
OT
helps pt learn to adapt to disabilities, ADLs, min masters degree, pass national certification exam and must be licensed within their state
Speech-Language Pathologist (SLP)
identifies communication disorders, addresses factors involved in recovery, and develops plan to recover, ability to swallow/drink, masters degree, licensed or certified
Registered Dietitian (RTD)
creates diets, bachelor's degree, postgraduate [Show Less]