Ch.2

a set of providers and services organized to deliver a continuum of care to a population of clients at a capitated cost in a particular setting

offers extensive supportive skilled care from a licensed nursing staff until cllients are able to move back into the community or residential care

service that provides short term relief or time off for persons providing home care to an ill, disabled or frail older adult

eliminated cost based reimbursement using DRGs

a resource for determining the best type of interventions To support the health care needs of the long term care population

• Provides comprehensive preventive and treatment services to a specific group of voluntarily enrolled persons
• Staff model
• Group model
• Network model
• Independent practice association(IPA)

• begins the moment a client is admitted to a health care facility
• plan of care that moves the client from the hospital to another level of health care
• ensures the client has a plan for continuing care after leaving health care facility

• inpatient hospital services for Medicare clients
• fixed reimbursement amount with adjustments based on case severity, rural/urban/regional costs and teaching costs

a multidisciplinary treatment plan that outlines the treatments or interventions clients need to have while in the hospital for a specific condition or procedure

providers received a fixed amount per client or enrollee of a health care plan

• Competency- nurses responsibility for continuing
• Evidence based practice- always changing
• Nursing sensitive outcomes

• Assisted living
• Psychiatric and alder adult day care

• Cardiovascular and pulminary rehabilitation
• Sports medicine
• Spinal cord injury programs
• Home care

• Intensive care
• Subacute

• Emergency
• Acute medical-surgical
• Radiological procedures

• BP and cancer screening
• Immunization
• Poison control information
• Mental health counseling and crisis prevention

• Prenatal
• Well baby
• Nutrition counseling
• Family planning
• Exercise classes

• Primary Care (Health Promotion)
• Preventive Care
• Secondary Acute Care
• Tertiary Care
• Restorative Care
• Continuing Care