Fundamental CH 8 Learning Objectives/ Key Terms

Health care settings located in areas that are convenient for people to walk into and receive care; may be provided in hospitals, clinics, or centers

Health care that is provided to people who live within a defined geographical region or who have common needs; designed to meet the needs of the people as they move between and among health care settings

The person who uses health care services (the patient)

Classification of patients by major medical diagnosis for the purpose of standardizing health care costs

Proposed legislation making changes in entitlement benefits, such as Medicare and Medicaid, paid by the government to citizens, with the goal of improving the nation's budget

System in which a bill is generated and a fee is paid every time a provider does something for a patient

Federal and state system designed to help people more easily find health insurance that fits their budget and needs with a plan offering comprehensive coverage, from doctors to medications to hospital visits; insurance options can be compared based on price, benefits, quality, and other features described inplain language

Pre-paid, group-managed care plan that allows subscribers to receive all the medical services they require through a group of affiliated providers; there may be no additional out- of -pocket costs, or subscribers may pay only a small fee, called a co-payment

A type of end-of-life care for persons who are terminally ill, characterized by the following:1.) Patients are kept as free of pain as possible so that they may die comfortably and with dignity 2.)Patients receive continuity of care, are not abandoned, and do not lose personal identity3.) Patients retain as much control as possible over decisions regarding their care and are allowed to refuse further life-prolonging technologic interventions4.) Patients are viewed as individuals with personal fears, thoughts, feelings, values, and hopes

A person who enters a health care setting for a stay ranging from 24 hours to many years

An organized, high-quality, cost-effective system of health care that influences the selection and use of health care services of a population

Title XIX (Social Security Act, 1965) to make health care available to those people with less than minimum income who do not qualify for Medicare

An enhanced model of primary care that provides whole-person, accessible, comprehensive, ongoing, and coordinated patient-centered care

A patient-centered medical home and the constellation of other clinicians providing health care services to patients within it, along with community and social service organizations and state and local public health agencies

Title XVIII (Social Security Act, 1965) to provide a measurable of health coverage

A health care sysytem in which care is paid for by both private insurance companies and the government

Organization of physicians from different specialties joined to share income, expenses, facilities, equipment, and support staff; the group practice can better provide comprehensive care

Person who requires health care services but does not need to stay in an institution for those services

Hospice care; taking care of the whole person - body, mind, spirit, heart, and soul- with the goal of giving patients with life-threatening illness the best quality of life they can have through the aggressive management of symptoms

2010 federal legislation designed for comprehensive health reform, with an intent to expand coverage, control health care costs, and improve the health care delivery system

A strategy using financial incentives to reward providers for achieving a range of payer objectives, including delivery efficiencies, submission of data and measures to the payer, and improved quality and patient safety

A type of care provided for caregivers of homebound ill, disabled, or elderly patients

21 st Century the Institute of Medicine *6 Outcomes*SafeEffectiveEfficientPatient-CenteredTimelyEquitable

Common Health Problems and preventive measures that account for 80% to 90% of visits to clinicians

Problems that require more specialized clinical expertise

Management of rare and complex disorders

*Physicians and Hospitals *Multispecialty Practice Groups *Community Health Centers*Prepaid Group Practices *Accountable Care Organizations*Medical Homes*Medial Neighborhoods