HITT 401

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.

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).

First physician to consider medicine a science and an art separate from the practice of religion.

Retired medical staff member who is honored with emeritus status; also includes outstanding practitioners whom the medical staff wish to honor.

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.

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.

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.

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)

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.

Medical staff member who delivers most hospital medical services and performs significant organizational and administrative medical staff duties.

Medical staff member whose advancement to the active category is being considered.

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.

Reviews health-related claims to determine whether the costs are reasonable and medically necessary based on the patient's diagnosis; also called claims examiner.

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.

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.

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.

Responsible for gathering information and recommending settlements concerning professional and general liability incidents, claims, and lawsuits.

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.

Total number of inpatient beds for which a facility is licensed by the state.

Provides short-term (usually fewer than 15 days) crisis intervention and treatment; patients receive 24-hour-per-day supervision.

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.

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.

An alternative to traditional health insurance coverage; provide comprehensive health care services to members on a prepaid basis.

Provides comprehensive medical and supportive social, emotional, and spiritual care to terminally ill patients and their families. Goal is palliative rather than curative.

Comfort management

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.

Includes services that are ordered by a physician and provided under the supervision of a registered nurse or a physical, occupational, or speech therapist.

Controls health care costs and the quality of health care by reviewing cases for appropriateness and medical necessity.

An agency in the Department of Veterans Affairs that provides medical, surgical, and rehabilitative care to veterans of the armed services.

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"

independent, non-profit organization whose primary purpose is to provide voluntary accreditation.

It's now callled Centers for medicare & medicaid Services, was created separately from Social Security Administration to manage Medicaid and Medicare.

therapeutic

includes highly qualified practitioners available as consultants needed.

Admits an oocasional patient to the hospital.

Services that include preventive and acute care provided by a general practitioner, services are annual physical exams, family planning.

extension of tertiary care and includes advanced levels of medicine that are highly specialized, not widely used and ver costly.