FUNDAMENTALS OF NURSING (POTTER AND PERRY): CHAPTER 2
Length of Stay (LOS) - CORRECT ANSWER-The number of days a person stays in
a healthcare facility.
Review the quality and cost of hospital care - CORRECT ANSWER-Professional
Standards Review Organizations
Grouped inpatient hospital services for Medicare patients into diagnosis
related groups (GRDs) - CORRECT ANSWER-Prospective Payment System
Review admissions and identify and eliminate overuse of diagnostic and
treatment services ordered by physicians caring for patients on Medicare -
CORRECT ANSWER-Utilization Review Committee
IOM - CORRECT ANSWER-Institute of Medicine
each group has fixed reimbursement amount based on case severity,
rural/urban/regional costs, and teaching costs. - CORRECT ANSWER-Diagnostic
Related Groups
Capitation - CORRECT ANSWER-Fixed premium
Managed Care Organization - CORRECT ANSWER-Prepaid health plans that
provide comprehensive health care to members. Focus is prevention, early
intervention, and outpatient care.
, PPACA - CORRECT ANSWER-Patient Protection and Affordable Care Act,
"Obamacare"
Limits enrollee's choice to a list of "preferred" hospitals, physicians, and
providers. - CORRECT ANSWER-Preferred Provider Organization
Medicare - CORRECT ANSWER-A federal program of health insurance for
persons 65 years of age and older
Medicaid - CORRECT ANSWER-extended health insurance to welfare recipients
Primary Care (Health Promotion) - CORRECT ANSWER-Prenatal and well-baby
care, Nutrition Counseling, Family Planning, Exercise, Yoga and meditation
Classes
Preventive Care - CORRECT ANSWER-Blood Pressure and cancer screenings,
Immunizations, Mental Health counseling and crisis prevention, Community
Legislation (seat belts, air bags, helmets, etc.)
Secondary Acute Care - CORRECT ANSWER-Emergency Care, acute medical-
surgical care, radiological procedures for acute programs (XRays, CT scans)
Tertiary Care - CORRECT ANSWER-complex, institution based, highly
specialized; Intensive Care, Subacute Care
Restorative Care - CORRECT ANSWER-care used after rehabilitation to maintain
a person's function and increase independence; Cardiovascular and Pulmonary
Rehab, Orthopedic Rehab, Sports MEdicine, spinal cord injury programs, home
care
Length of Stay (LOS) - CORRECT ANSWER-The number of days a person stays in
a healthcare facility.
Review the quality and cost of hospital care - CORRECT ANSWER-Professional
Standards Review Organizations
Grouped inpatient hospital services for Medicare patients into diagnosis
related groups (GRDs) - CORRECT ANSWER-Prospective Payment System
Review admissions and identify and eliminate overuse of diagnostic and
treatment services ordered by physicians caring for patients on Medicare -
CORRECT ANSWER-Utilization Review Committee
IOM - CORRECT ANSWER-Institute of Medicine
each group has fixed reimbursement amount based on case severity,
rural/urban/regional costs, and teaching costs. - CORRECT ANSWER-Diagnostic
Related Groups
Capitation - CORRECT ANSWER-Fixed premium
Managed Care Organization - CORRECT ANSWER-Prepaid health plans that
provide comprehensive health care to members. Focus is prevention, early
intervention, and outpatient care.
, PPACA - CORRECT ANSWER-Patient Protection and Affordable Care Act,
"Obamacare"
Limits enrollee's choice to a list of "preferred" hospitals, physicians, and
providers. - CORRECT ANSWER-Preferred Provider Organization
Medicare - CORRECT ANSWER-A federal program of health insurance for
persons 65 years of age and older
Medicaid - CORRECT ANSWER-extended health insurance to welfare recipients
Primary Care (Health Promotion) - CORRECT ANSWER-Prenatal and well-baby
care, Nutrition Counseling, Family Planning, Exercise, Yoga and meditation
Classes
Preventive Care - CORRECT ANSWER-Blood Pressure and cancer screenings,
Immunizations, Mental Health counseling and crisis prevention, Community
Legislation (seat belts, air bags, helmets, etc.)
Secondary Acute Care - CORRECT ANSWER-Emergency Care, acute medical-
surgical care, radiological procedures for acute programs (XRays, CT scans)
Tertiary Care - CORRECT ANSWER-complex, institution based, highly
specialized; Intensive Care, Subacute Care
Restorative Care - CORRECT ANSWER-care used after rehabilitation to maintain
a person's function and increase independence; Cardiovascular and Pulmonary
Rehab, Orthopedic Rehab, Sports MEdicine, spinal cord injury programs, home
care
