Definition
I am a licensed provider.
What is a healthcare provider?
This eliminated cost reimbursement.
What is the Prospective Payment System (PPS)?
What is home care?
What is medicare?
This role includes speaking up for the client.
What is an advocate?
This is defined as an organization of people, institutions, and resources who come together to meet the healthcare needs of the public.
In this system, there is a set fee for reimbursement for hospitalization. Case be based upon case severity
What is a Diagnosis Related Group (DRG)?
This setting provides a "homier" alternative to long term care. Each client has their own room.
What is an assisted living facility (ALF)?
This health plan is offered to those in families who are from low income. Each state has its own eligibility criteria which can be differed from one to the other.
What is medicaid?
This role includes the initiation of independent nursing interventions without medical orders. Indicates that a person is reasonably independent and self-governing in decision making.
What is Automomy?
This is an entity where services are provided to clients.
What is a healthcare facility?
In this system, the provider receives a fixed amount per month, per patient or enrollee in the healthcare plan.
What is Capitation?
This setting provides a variety of health and social services to specific clients who need supervision due to physical or safety needs but are not eligible for a nursing home.
What is an adult day care center?
This is a centralized and multidisciplinary process which coordinates care after the client is discharged home. This begins when the client is admitted.
What is discharge planning?
What is Healthy People 2020?
What is a healthcare service?
This limits an enrollee's choice of hospitals, providers, and physicians.
What is a PPO?
This setting allows the client to use multiple therapies such as (PT, OT, & SLP) to help restore the client to the fullest physical, mental, social, vocational, and economic usefulness as possible.
What is rehabilitation?
This includes preparing for nuclear, chemical, and biological disasters.
What is emergency preparedness?
This regulates the scope of practice for the state in which the nurse is working and protects the general welfare of the public.
What is the Nurse Practice Act (NPA)?
An enrollee needs to have a PCP, referral is needed to access a specialist.
What is a HMO?
This is a service that provides short term relief or time off to those who are providing care to an ill, disabled, or frail older adult.
What is respite care?
This term refers to care provided at the end of life for the terminally ill. Can be done at home or in the hospital. The goal is to maintain comfort as death approaches.
What is hospice care?
This regulates the nursing scope of practice.