HITT 401

  1. Governing Board
    Membership serves without pay and is represented by professionals from the business community; has ultimate legal authority and responsibility for the hospital's operation and is responsible for the quality of care administered to patients; also called board of trustees, board of governors, or board of directors.
  2. Centers for Medicare & Medicaid Services (CMS)
    New name for the Health Care Financing Administration (HCFA), effective in 2001. U.S. Department of Health and Human Services (DHHS) agency that administers Medicare, Medicaid, and the Children's Health Insurance Program (CHIP).
  3. Hippocrates
    First physician to consider medicine a science and an art separate from the practice of religion.
  4. Honorary
    Retired medical staff member who is honored with emeritus status; also includes outstanding practitioners whom the medical staff wish to honor.
  5. Medicaid (Title 19)
    Joint federal and state program that helps with medical costs for some people with low incomes and limited resources. Medicaid programs vary from state to state, but most health care costs are covered for those who qualify for both Medicare and Medicaid.
  6. Medicare (Title 18)
    Health program for people 65 years of age or older; certain younger people with disabilities; and people with end-stage renal disease (ESRD), which is permanent kidney failure treated with dialysis or a transplant.
  7. Patient Self-Determination Act of 1990
    Requires consumers to be provided with informed consent, information about their right to make advance health care decisions (called advance directives), and information about state laws that impact legal choices in making health care decisions.
  8. Secondary Care
    Services provided by medical specialists or hospital staff members to a patient whose primary care was provided by a general practitioner who first diagnosed or treated the patient (the primary care provider refers the patient to the specialists)
  9. Tertiary Care
    Services provided by specialized hospitals equipped with diagnostic and treatment facilities not generally available at hospitals other than primary teaching hospitals or Level I, II, III, or IV trauma centers.
  10. Active
    Medical staff member who delivers most hospital medical services and performs significant organizational and administrative medical staff duties.
  11. Associate
    Medical staff member whose advancement to the active category is being considered.
  12. Cancer Registrar
    Collects cancer data from a variety of sources and reports cancer statistics to government and health care agencies (e.g., state cancer registries); also called tumor registrar.
  13. Health Insurance Specialist
    Reviews health-related claims to determine whether the costs are reasonable and medically necessary based on the patient's diagnosis; also called claims examiner.
  14. Medical Assistant
    Performs routine administrative and clinical tasks to keep the offices and clinics of physicians, podiatrists, chiropractors, and optometrists running smoothly. Do not confuse medical assistants with physician assistants, who examine, diagnose, and treat patients under the direct supervision of a physician.
  15. Privacy Officer
    Oversees all ongoing activities related to the development of, implementation of, maintenance of, and adherence to the organization's policies and procedures covering the privacy of and access to patient health information in compliance with federal and state laws and the health care organization's information privacy practices.
  16. Quality Manager
    Coordinates a health care facility's quality improvement program to ensure quality patient care, improve patient outcomes, confirm accreditation/regulatory compliance, and prepare for surveys.
  17. Risk Manager
    Responsible for gathering information and recommending settlements concerning professional and general liability incidents, claims, and lawsuits.
  18. Utilization/Case Manager
    Responsible for coordinating patient care to ensure the appropriate utilization of resources, delivery of health care services, and timely discharge or transfer; also called case manager.
  19. Bed Count/Bed Size
    Total number of inpatient beds for which a facility is licensed by the state.
  20. Behavioral health crisis service
    Provides short-term (usually fewer than 15 days) crisis intervention and treatment; patients receive 24-hour-per-day supervision.
  21. Critical access hospital (CAH)
    Located more than 35 miles from any other hospital or another CAH, or it is state certified as being a necessary provider of health care to area residents.
  22. Diagnosis-related groups (DRG's)
    Classify inpatient hospital cases into groups that are expected to consume similar hospital resources. Hospital inpatients are discharged once the acute phase of illness has passed, and they are often transferred to other types of health care, such as outpatient care, skilled care facilities, rehabilitation hospitals, home health care, and so on.
  23. Health Maintenance Oraganizations (HMO's)
    An alternative to traditional health insurance coverage; provide comprehensive health care services to members on a prepaid basis.
  24. Hospice Care
    Provides comprehensive medical and supportive social, emotional, and spiritual care to terminally ill patients and their families. Goal is palliative rather than curative.
  25. Pallative Care
    Comfort management
  26. Respite Care
    Care provided by specially trained individuals at a setting other than the patient's home to offer relief and rest to the patient's primary caregivers.
  27. Skilled care
    Includes services that are ordered by a physician and provided under the supervision of a registered nurse or a physical, occupational, or speech therapist.
  28. Utilization Manager
    Controls health care costs and the quality of health care by reviewing cases for appropriateness and medical necessity.
  29. Veterans Health Administration (VHA)
    An agency in the Department of Veterans Affairs that provides medical, surgical, and rehabilitative care to veterans of the armed services.
  30. American College of Surgeons (ACS)
    Was founded to improve the quality of care for surgical patients by establishing standards for surgical education and practice. Id adopted the "end result system of hospital standarization"
  31. Joint Commission on Accreditation of Healthcare Organization(JCAHO)
    independent, non-profit organization whose primary purpose is to provide voluntary accreditation.
  32. Health Care Financing Administraion
    It's now callled Centers for medicare & medicaid Services, was created separately from Social Security Administration to manage Medicaid and Medicare.
  33. Curative care
  34. Consulting
    includes highly qualified practitioners available as consultants needed.
  35. Courtesy
    Admits an oocasional patient to the hospital.
  36. Primary Care
    Services that include preventive and acute care provided by a general practitioner, services are annual physical exams, family planning.
  37. Quartery Care
    extension of tertiary care and includes advanced levels of medicine that are highly specialized, not widely used and ver costly.
Card Set
HITT 401