Complete Solutions
Triage - The evaluation of patient conditions for urgency and seriousness and the establishment of
a priority list to direct care and ensure the efficient use of medical and nursing staff and facilities
Urgent Care - Care for injury, illness, or another type of condition (usually not life threatening) that
should be treated within 24 hours; also refers to after hours care and to a health plan's
classification of hospital admissions as urgent, semiurgent, or elective.
Academic health center - An institution that encompasses all of the health-related components of a
university, including its health professions school, patient care operations, and research enterprise.
Acute care hospital - A hospital (typically a community hospital) that delivers services designed to
meet the needs of patients who require short-term care for a period of less than 30 days.
Ambulatory care - Medical care provided on an outpatient basis.
Value-based purchasing - Linking financial incentives to the quality of care provided.
US Department of Health and Human Services - A department of the US federal government that
aims to protect the health and well-being of all Americans.
Ancillary Services - Services that relate to a patient's care, such as lab work, X-rays, and anesthesia.
Average length of stay (ALOS) - The average number of days each patient stays in the hospital;
varies by type of admission, age, and sex and is calculated by dividing the total number of bed days
by the number of discharges for a specified period.
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, Bundled pricing - The act of placing several products or services together in a single package and
selling for a lower price than would be charged if the items were sold separately; in healthcare,
usually means one price for all of the services provided for a given diagnosis or procedure, such as
total joint replacement.
Centers for Medicare and Medicaid Services (CMS) - the federal government agency that
administers Medicare, Medicaid, and the State Children's Health Insurance Program.
Community benefit - Charitable care, educational services, and other benefits that a healthcare
organization provides to its community to qualify as a tax-exempt charity under section 501(c)(3)
of the Internal Revenue Code.
Community-acquired infection rates - The measure of infections acquired from a community, in
contrast to those acquired in a hospital.
Continuum of care - The full spectrum of healthcare, including preventive, ambulatory, acute, post-
acute, long-term, palliative, and hospice
Critical access hospital - A rural community hospital that receives cost-based reimbursement.
Disproportionate share hospital - A hospital that receives Medicare funding for treating a higher
proportion of indigent patients (calculated by a formula); the Affordable Care Act would decrease
this funding over time.
Epidemiological planning model - A statistical analysis and forecast of the health needs of the
community a healthcare organization serves.
evidence-based management - A management approach that relies heavily on performance
measurement, identification of best practices, and formal process specification.
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