1. Integrated Delivery Networks (IDNs)
    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
  2. Skilled Nursing Facillity
    offers extensive supportive skilled care from a licensed nursing staff until cllients are able to move back into the community or residential care
  3. Respite Care
    service that provides short term relief or time off for persons providing home care to an ill, disabled or frail older adult
  4. Prospective Payment System (PPS)
    eliminated cost based reimbursement using DRGs
  5. Minimum Data Set (MDS)
    a resource for determining the best type of interventions To support the health care needs of the long term care population
  6. Managed care organization (MCO)
    • Provides comprehensive preventive and treatment services to a specific group of voluntarily enrolled persons
    • Staff model
    • Group model
    • Network model
    • Independent practice association(IPA)
  7. Discharge Planning
    • 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
  8. Diagnosis-related groups (DRGs)
    • inpatient hospital services for Medicare clients
    • fixed reimbursement amount with adjustments based on case severity, rural/urban/regional costs and teaching costs
  9. Critical Pathway
    a multidisciplinary treatment plan that outlines the treatments or interventions clients need to have while in the hospital for a specific condition or procedure
  10. Capitation
    providers received a fixed amount per client or enrollee of a health care plan
  11. Health care issues with implications for nursing
    • Competency- nurses responsibility for continuing
    • Evidence based practice- always changing
    • Nursing sensitive outcomes
  12. Continuing Care
    • Assisted living
    • Psychiatric and alder adult day care
  13. Testorative Care
    • Cardiovascular and pulminary rehabilitation
    • Sports medicine
    • Spinal cord injury programs
    • Home care
  14. Tertiary Care
    • Intensive care
    • Subacute
  15. Secondary Acute Care
    • Emergency
    • Acute medical-surgical
    • Radiological procedures
  16. Preventive Care
    • BP and cancer screening
    • Immunization
    • Poison control information
    • Mental health counseling and crisis prevention
  17. Primary Care
    • Prenatal
    • Well baby
    • Nutrition counseling
    • Family planning
    • Exercise classes
  18. Six levels of health care in the U.S.
    • Primary Care (Health Promotion)
    • Preventive Care
    • Secondary Acute Care
    • Tertiary Care
    • Restorative Care
    • Continuing Care
Card Set
The Health Care Delivery System