CCMC WITH COMPLETE SOLUTIONS 100% 2023/2024
Community Alternatives
Agencies, outside an institutional setting, which provide care, support and/or services to people with
disabilities.
Community Skills
Those abilities needed to function independently in the community. They may include telephone
skills, money management, pedestrian skills, use of public transportation, meal planning and cooking.
Community-Based Programs
Support programs which are located in a community environment, as opposed to an institutional
setting.
Accessible
A term used to denote building facilities that are barrier-free thus enabling all members of society
safe access, including persons with physical disabilities.
Activity Limitations
Difficulties an individual may have in executing activities. An activity limitation may range from a slight
to a severe deviation in terms of quality or quantity in executing the activity in a manner or to the
extent that is expected of people without the health condition.
Barrier-Free
A physical, manmade environment or arrangement of structures that is safe and accessible to persons
with disabilities
Developmental Disability
any mental and/or physical disability that has an onset before age 22 and may continue indefinitely. It
can limit major life activities.
Disability
A physical or neurological deviation in an individual makeup. it can be physical mental or sensory
condition.
Disability Case Management
A process of managing occupational and nonoccupational diseases with aim of returning the disabled
employee to a productive work schedule and employment.
Disability Income insurance
a form of health insurance that provides periodic payments to replace income when an insured
person is unable to work as a result of illness, injury or disease.
handicap
the functional disadvantage and limitation of potentials based on a physical or mental impairment or
disability that limits the fulfillment of one or more major life activities.
,Handicapped
refers to the disadvantage of an individual with a physical or mental impairment resulting in a
handicap
learning disability
a lack of achievement or ability in a specific learning area within the range of achievement of
individuals with comparable mental ability.
SSDI
Social Security Disability Income. Federal benefit program sponsored by SSA. Primary factor: disability
and/or benefits received from deceased or disabled parent
Total Disability
an illness or injury that prevents an insured person from continuously performing every duty
pertaining to his/her occupation or engaging in any other type of work.
Adverse Events
Any untoward occurrences which under most conditions are not natural consequences of the patients
disease process or treatment outcomes.
affect
the observable emotional condition of an individual at any given time
algorithm
the chronological delineation of the steps in or activities of patient care to be applied in the care of
patients as they relate to specific conditions/situations.
alternate level of care
a level of care that can safely be used in place of the current level and determined based on the acuity
and complexity of the patients condition and the type of needed services and resources.
ancillary services
other diagnostic and therapeutic services that may be involved in the care of patients other than
nursing or medicine ie: respiratory, laboratory, radiology, nutrition, physical and occupational therapy
and pastoral services.
appropriateness of setting
used to determine if the level of care needed is being delivered in the most appropriate and cost-
effective setting possible.
assessment
the process of collecting in depth info about a persons situation and functioning to identity individual
needs in order to develop a comprehensive case management plan that will address those needs.
care management
,a healthcare delivery process that helps achieve better health outcomes by anticipating and linking
clients with the services they need more quickly. It also helps avoid unnecessary services by
preventing medical problems from escalating.
case management
a collaborative process that assesses, plans, implements, coordinates, monitors and evaluates the
options and services required to meet an individuals health needs, using communication and available
resources to promote quality, cost-effective outcomes.
Case Management Plan
a timeline of patient care activities and expected outcomes of care that address the plan of care of
each discipline involved in the care of a particular patient, It is usually developed prospectively by an
interdisciplinary healthcare team in relation to a patient's diagnosis, health problems or surgical
procedure.
case manager
a health care professional who is responsible for coordinating the care delivered to an assigned group
of patients based on diagnosis or need.
case based review
the process of evaluating the quality an appropriateness of care based on the review of individual
medical records to determine whether the care delivered is acceptable. It is performed by an outside
entity, IPRO
caseload
the total number of patients followed by a case manager at any point in time.
clinical pathway
see case management plan
coding
a mechanism of identifying and defining patient care services/activities as primary and secondary
diagnoses and procedures. The process is guided by the ICD-9-CM coding manual, which lists the
various codes and their respective descriptions. Coding is usually done in preparation for
reimbursement for services provided
communication skills
refers to the many ways or transferring thought from one person to another through the commonly
used media of speech, written words, or bodily gestures
consensus
agreement in opinion of experts. Buildings consensus is a method used when developing case
management plans
continuous quality improvement (CQI)
, a key component of total quality management that uses rigorous, systematic, organization-wide
processes to achieve ongoing improvement in the quality of healthcare services and operation. It
focuses on both outcomes and processes of care
continuum of care
the continuum of care matches ongoing needs of the individuals being served by the case
management process with the appropriate level and type of health, medical, financial legal and
psychosocial care for services within a setting or across multiple settings
coordination
the process of organizing, securing, integrating, and modifying the resources necessary to accomplish
the goals set forth in the case management plan
custodial care
care provided primarily to assist a patient in meeting the activities of daily living but not requiring
skilled nursing care
delay in service
used to identify delays in the delivery of needed services and to facilitate and expedite such services
when necessary
discharge outcomes (criteria)
clinical criteria to be met before or at the time of the patient's discharge they are the expected/
projected outcomes of care that indicate a safe discharge
discharge planning
the process of assessing the patient's need or care after discharge from a healthcare facility and
ensuring that the necessary services are in place before discharge. This process ensures a patient's
timely, appropriate, and safe discharge to the next level of care or setting including appropriate use of
resources necessary for ongoing care
discharge status
disposition of the patient at discharge (e.g., left against medical advice, expired discharge home,
transferred to a nursing home).
disease management
a system of coordinated healthcare intervenrtions and communication for population with chronic
conditions in which patients self-care efforts are significant. it supports the physician or
practitioner/patient relationship. The disease management plan of care emphasize prevention of
exacerbations and complications utilizing evidence-based practice guidelines and patient
empowerment strategies, and evaluates clinical, humanistic, and economic outcomes on an ongoing
basic with the goal of improving overall health
effectiveness of care
the extent to which care is provided correctly (i.e., to meet the patient's needs, improve quality of
care and resolve the patient;s problems), given the current state of knowledge , and the desired
outcomes is achieved
Community Alternatives
Agencies, outside an institutional setting, which provide care, support and/or services to people with
disabilities.
Community Skills
Those abilities needed to function independently in the community. They may include telephone
skills, money management, pedestrian skills, use of public transportation, meal planning and cooking.
Community-Based Programs
Support programs which are located in a community environment, as opposed to an institutional
setting.
Accessible
A term used to denote building facilities that are barrier-free thus enabling all members of society
safe access, including persons with physical disabilities.
Activity Limitations
Difficulties an individual may have in executing activities. An activity limitation may range from a slight
to a severe deviation in terms of quality or quantity in executing the activity in a manner or to the
extent that is expected of people without the health condition.
Barrier-Free
A physical, manmade environment or arrangement of structures that is safe and accessible to persons
with disabilities
Developmental Disability
any mental and/or physical disability that has an onset before age 22 and may continue indefinitely. It
can limit major life activities.
Disability
A physical or neurological deviation in an individual makeup. it can be physical mental or sensory
condition.
Disability Case Management
A process of managing occupational and nonoccupational diseases with aim of returning the disabled
employee to a productive work schedule and employment.
Disability Income insurance
a form of health insurance that provides periodic payments to replace income when an insured
person is unable to work as a result of illness, injury or disease.
handicap
the functional disadvantage and limitation of potentials based on a physical or mental impairment or
disability that limits the fulfillment of one or more major life activities.
,Handicapped
refers to the disadvantage of an individual with a physical or mental impairment resulting in a
handicap
learning disability
a lack of achievement or ability in a specific learning area within the range of achievement of
individuals with comparable mental ability.
SSDI
Social Security Disability Income. Federal benefit program sponsored by SSA. Primary factor: disability
and/or benefits received from deceased or disabled parent
Total Disability
an illness or injury that prevents an insured person from continuously performing every duty
pertaining to his/her occupation or engaging in any other type of work.
Adverse Events
Any untoward occurrences which under most conditions are not natural consequences of the patients
disease process or treatment outcomes.
affect
the observable emotional condition of an individual at any given time
algorithm
the chronological delineation of the steps in or activities of patient care to be applied in the care of
patients as they relate to specific conditions/situations.
alternate level of care
a level of care that can safely be used in place of the current level and determined based on the acuity
and complexity of the patients condition and the type of needed services and resources.
ancillary services
other diagnostic and therapeutic services that may be involved in the care of patients other than
nursing or medicine ie: respiratory, laboratory, radiology, nutrition, physical and occupational therapy
and pastoral services.
appropriateness of setting
used to determine if the level of care needed is being delivered in the most appropriate and cost-
effective setting possible.
assessment
the process of collecting in depth info about a persons situation and functioning to identity individual
needs in order to develop a comprehensive case management plan that will address those needs.
care management
,a healthcare delivery process that helps achieve better health outcomes by anticipating and linking
clients with the services they need more quickly. It also helps avoid unnecessary services by
preventing medical problems from escalating.
case management
a collaborative process that assesses, plans, implements, coordinates, monitors and evaluates the
options and services required to meet an individuals health needs, using communication and available
resources to promote quality, cost-effective outcomes.
Case Management Plan
a timeline of patient care activities and expected outcomes of care that address the plan of care of
each discipline involved in the care of a particular patient, It is usually developed prospectively by an
interdisciplinary healthcare team in relation to a patient's diagnosis, health problems or surgical
procedure.
case manager
a health care professional who is responsible for coordinating the care delivered to an assigned group
of patients based on diagnosis or need.
case based review
the process of evaluating the quality an appropriateness of care based on the review of individual
medical records to determine whether the care delivered is acceptable. It is performed by an outside
entity, IPRO
caseload
the total number of patients followed by a case manager at any point in time.
clinical pathway
see case management plan
coding
a mechanism of identifying and defining patient care services/activities as primary and secondary
diagnoses and procedures. The process is guided by the ICD-9-CM coding manual, which lists the
various codes and their respective descriptions. Coding is usually done in preparation for
reimbursement for services provided
communication skills
refers to the many ways or transferring thought from one person to another through the commonly
used media of speech, written words, or bodily gestures
consensus
agreement in opinion of experts. Buildings consensus is a method used when developing case
management plans
continuous quality improvement (CQI)
, a key component of total quality management that uses rigorous, systematic, organization-wide
processes to achieve ongoing improvement in the quality of healthcare services and operation. It
focuses on both outcomes and processes of care
continuum of care
the continuum of care matches ongoing needs of the individuals being served by the case
management process with the appropriate level and type of health, medical, financial legal and
psychosocial care for services within a setting or across multiple settings
coordination
the process of organizing, securing, integrating, and modifying the resources necessary to accomplish
the goals set forth in the case management plan
custodial care
care provided primarily to assist a patient in meeting the activities of daily living but not requiring
skilled nursing care
delay in service
used to identify delays in the delivery of needed services and to facilitate and expedite such services
when necessary
discharge outcomes (criteria)
clinical criteria to be met before or at the time of the patient's discharge they are the expected/
projected outcomes of care that indicate a safe discharge
discharge planning
the process of assessing the patient's need or care after discharge from a healthcare facility and
ensuring that the necessary services are in place before discharge. This process ensures a patient's
timely, appropriate, and safe discharge to the next level of care or setting including appropriate use of
resources necessary for ongoing care
discharge status
disposition of the patient at discharge (e.g., left against medical advice, expired discharge home,
transferred to a nursing home).
disease management
a system of coordinated healthcare intervenrtions and communication for population with chronic
conditions in which patients self-care efforts are significant. it supports the physician or
practitioner/patient relationship. The disease management plan of care emphasize prevention of
exacerbations and complications utilizing evidence-based practice guidelines and patient
empowerment strategies, and evaluates clinical, humanistic, and economic outcomes on an ongoing
basic with the goal of improving overall health
effectiveness of care
the extent to which care is provided correctly (i.e., to meet the patient's needs, improve quality of
care and resolve the patient;s problems), given the current state of knowledge , and the desired
outcomes is achieved
