Home Health Aide Exam Review Questions with 100% Complete Solutions, Rated A+

Providers - Are people or organizations that provide health care, including doctors, nurses, clinics, and agencies. facilities - are places where care is delivered or administered, including, hospitals, long-term care facilities or nursing homes, and treatment centers. Payers - people or organizations paying for healthcare services long term care (LTC) - facilities, also called "nursing homes," "skilled nursing facilities," and "extended care facilities" are for people who need 24-hour skilled care. Skilled care - is medically necessary care given by a skilled nurse or therapist. Lo0ng-term care assists those with on-going conditions Assisted living - facilities are residences for people who need some help with daily care, such as showers, meals, and dressing (HHA typically work here) Adult day services - are for people who need some help and supervision during certain hours, but who do not live in the facility where care is provided Acute care - 24-hour skilled care given in hospitals and ambulatory surgical centers for people who require short-term, immediate care for illnesses or injuries Subacute care - Is care given in a hospital or in a long term care facility. It is used for people who need less care than acute (sudden onset short-term) illness, but more care than for a chronic (long-term) illness. Rehabilitation - is care given by specialists. Physical, occupational, and speech therapists help restore or improve function after an illness or injury. Hospice Care - is given in facilities or homes for people who have approximately six months or less to live traditional insurance companies - offer plans that pay for the heath care of plan members. Most people covered by traditional insurance are part of plan at their place of work. The costs are paid for by the employer, the employee, or shared by both. Health Maintenance Organization (HMO) - Alternative means of health care in which people or their employers are charged a set amount and the HMO provides health care and covers hospital costs. You must use a particular doctor or group of doctors except in the case of an emergency. Preferred Provider Organization (PPO) - a group of doctors and hospitals that agree to provide health care at rates approved by the insurer Managed care - Cost-control strategies for health care (HMOs and PPOs). They replace traditional insurance plans. Medicare - A program added to the Social Security system in 1965 that provides hospitalization insurance for the elderly and permits older Americans to purchase inexpensive coverage for doctor fees and other health expenses. (4 Parts) A: Helps pay for care in hospital or skilled nursing facility or for care from a home health agency or hospice. B: Helps pay for doctor services and other medical services and equipment C: Allows private health insurance companies to provide medicare benefits. D: Helps pay for medications prescribed for treatment. -Covers more than 43 million people -Pays for 37% of all home care -Only pays for services if medically necessary -Usually people that just got home from the hospital Medicaid - Is a medical assistance program for low income people. It is funded by both the federal government and each state. People must qualify for this program.