Leadership Week 3

Delivery of Nursing Care

100

Divide client assignments based on tasks

Functional Nursing

200

Total patient care 1:1 or 1:2

Total Patient Care (Case Method)

300

RN team leader with small teams assigned to small groups of patients 

Team Nursing (team method)

400

Usually only RNs provide care 1:4 or 1:6

Primary Nursing (primary care method)

500

Uses clinical pathways using the interdisciplinary healthcare team to achieve outcomes 

Nursing Case Management (case management method)

Community Based Care

100

Providing health services in client's home

Home Health Nursing

200

Public education and screening outside acute care settings 

Community Health Nursing Services

300

Provides temporary supervision for individuals who are not candidates for nursing homes. Usually no nurse on duty.

Adult Day Care Centers

400

Residential care for a small number of adults with non-healthcare supervision 

Board and Care Home

500

Allows residents to move from one level of care to another all on one campus (independent living - assisted living - skilled nursing)

Continuing Care Retirement Community

Types of Care

100

Facility that provides medical services to chronic or disabled patients promoting independence and maintaining funtion

Long Term Care (LTC) Facility 

200

Facility that provides medical services that are considered medically necessary to improve quality of life. Includes therapy

Skilled Nursing Facility (SNF)

300

Smaller Long Term Care units mirroring a typical home environment 

Innovative Elder Living Models

400

Subacute or transitional care 

Short-term care

500

Services that help clients regain function or optimal functioning 

Rehabilitation

Health Insurance

100

Monthly fee for health insurance coverage

Premium

200

A fixed copayment and can only use Dr's in network and those referred

HMO (health maintenance organization)

300

Health insurance for low-income and disabled individuals

Medicaid

400

Health coverage for military and their families

TRICARE

500

The yearly amount due out of pocket for healthcare before insurance kicks in

Deductible 

Health Insurance Cont.

100

The % due by the insured after the deductible has been met

Coinsurance

200

Prescription drug coverage for Americans 65 or older or disabled

Medicare Part D

300

Hospital insurance for Americans 65 or older or disabled

Medicare Part A

400

A set amount of money up front to cover predicted costs for a service.

Capitation

500

A math formula (prospective payment system) used to arrive at the amount the government pays hospitals for a length of stay

Diagnosis-related groups (DRGs)