Types of Health Care Organizations and Delivery Models
This type of health care organization provides a wide range of services, including preventive, diagnostic, and therapeutic care, often in a single location
What is a community health center?
This term refers to the systematic collection of patient information, including medical history and current medications, typically conducted during the initial visit.
What is patient intake?
This method of health record management focuses on the use of cloud-based systems, allowing for remote access to patient data and facilitating collaboration among providers.
What is cloud-based electronic health records (EHR)?
This process involves submitting healthcare claims electronically to insurance payers, streamlining billing and reducing the time it takes to receive payment for services rendered.
What is electronic claim submission?
This anatomical term describes a position that is closer to the head or upper part of the body.
What is superior?
This model of health care delivery emphasizes coordinated care and is often associated with a primary care physician managing a patient's overall health.
What is the Patient-Centered Medical Home (PCMH)?
This process involves verifying a patient's insurance coverage and eligibility before their appointment to ensure that services will be covered.
What is insurance verification?
This component of an EMR or EHR includes essential details about a patient, such as their name, date of birth, gender, address, and contact information, which are crucial for identification and communication.
What is the demographic information section?
This fixed amount that a patient is required to pay at the time of service is often specified in their health insurance plan and varies depending on the type of service received.
What is a copayment (or copay)?
This suffix indicates a surgical procedure to remove a body part or tissue.
What is "-ectomy"?
This type of health care organization primarily provides services that do not require an overnight stay, focusing on preventive care, diagnosis, and minor procedures.
What is an outpatient clinic?
This front office procedure involves scheduling appointments, managing cancellations, and ensuring that the provider's calendar is optimized for patient flow.
What is appointment scheduling?
This type of record documents the ongoing care and treatment of a patient, including progress notes, treatment plans, and responses to interventions, and is essential for continuity of care.
What is a clinical record?
This critical process involves confirming a patient's insurance coverage and benefits before services are rendered, ensuring that the provider will be reimbursed for the care provided.
What is patient eligibility verification?
This list, established by the Joint Commission, identifies abbreviations and symbols that should be avoided in medical documentation to prevent misinterpretation and errors in patient care.
What is the "Do Not Use" list?
This type of health care organization aims to improve patient care and reduce costs by coordinating services among providers, with a focus on quality and outcomes rather than volume.
What is an Accountable Care Organization (ACO)?
This procedure involves the documentation of patient encounters, including diagnoses, treatment plans, and follow-up instructions, often using electronic health records (EHR).
What is medical documentation?
This type of digital record is primarily used by healthcare providers to document and manage patient care within a single practice, focusing on clinical data and treatment history.
What is an Electronic Medical Record (EMR)?
This process involves monitoring and managing incoming payments from patients and insurance companies to ensure that all accounts are settled accurately and in a timely manner.
What is payment tracking?
This abbreviation, often used to indicate "units," is specifically listed on the "Do Not Use" list due to the risk of misinterpretation as "0" or "4," potentially leading to medication errors.
What is "U"?
This model emphasizes a team-based approach to care, integrating various health professionals to address the comprehensive needs of patients, often used for managing chronic conditions.
What is the Collaborative Care Model?
This clinical process is used to assess a patient's health status and may include vital signs, physical examinations, and laboratory tests.
What is a clinical assessment?
This comprehensive digital record contains a patient's complete health history and is designed to be shared across different healthcare settings, facilitating coordinated care among multiple providers
What is an Electronic Health Record (EHR)?
This method allows for the opportunity for facilities to analyze trends of reimbursements, identify rejections and reasons
What is billing management?
This highly contagious condition causing redness, itching, and discharge from the eye, and can be caused by bacteria, viruses, or allergens.
What is Pink eye (conjunctivitis)