Comp3 Unit13b Lecture Slides

Terminology in Healthcare and
Public Health Settings

Public Health and Healthcare
System Terminology
Lecture b Healthcare System Terminology
This material Comp3_Unit13 was developed by The University of Alabama at Birmingham, funded by the Department of Health
and Human Services, Office of the National Coordinator for Health Information Technology under Award Number
1U24OC000023
System Terminology
Learning Objectives
2
Define frequently used healthcare systems terms
Identify and define types of patients in various healthcare
settings
Identify and define the healthcare professions
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Terminology in Healthcare and Public Health Settings
Public Health and Healthcare System Terminology
Lecture b
Healthcare System Terms
Patient
Person, including one who is deceased, who
receives or is receiving healthcare services
Inpatient
Person admitted to a hospital for bed
occupancy to receive inpatient hospital
services

Source: (AHIMA, 2006)
3
Lecture b
Outpatient
Person receiving healthcare services at a
hospital without being hospitalized,
institutionalized or admitted as an inpatient
Ambulatory settings
Outpatient settings
Resident
Patient who resides in a long term care facility

Source: (AHIMA, 2006)
4
Lecture b
Admission
Process of admitting a patient for healthcare services
Discharge
Process of preparing patient to leave the hospital
Involves discharge instructions for the patient

Source: (Encyclopedia of Surgery)
5
Lecture b
Healthcare Services
Ambulatory care
Care provided in any outpatient setting
Long term care
Medical and nonmedical care provided for chronic,
debilitating conditions
Example: dementia care
Home health care
Care that is provided in the home or in an assisted
living facility
Goal
To promote, maintain or restore health
Source: (Encyclopedia of Surgery)
6
Lecture b
Healthcare Services
Subacute care
Care that is provided after an acute phase of
a disease or injury
Requires technically complex care
Occurs in hospitals, long term care hospitals
or nursing homes
Transitional care or extended care units

Sources: (NJHA, 2002)
(Shi & Singh, 2008)
7
Lecture b
Healthcare Professionals
Physical therapists
Use heat, cold, exercises, electricity, manipulation or ultraviolet
radiation
Goal
Restore function, prevent disability or manage musculoskeletal pain after
injury
Occupational therapists
Assess and design interventions
Goal
Minimize physical, developmental or psychological deficits that affect daily
living and employment activities
8
Lecture b
Nursing
Single largest health care profession
Employed in hospitals, schools, physician
offices, public health facilities
Practice of nursing includes
Clinical practice
Administration and management
Education
Research
Source: (DHHS, 2010)
9
Lecture b
ANA defines nursing as the protection, promotion, and
optimization of health and abilities, prevention of illness
and injury, alleviation of suffering through the diagnosis
and treatment of human response, and advocacy in the
care of individuals, families, communities, and
populations.

Source: (ANA)
10
Lecture b
Healthare Professionals
Registered nurse (RN)
Nurses who complete formal training and
pass a state board examination to be licensed
Licensure is state specific
RNs must be licensed to practice

Source: (www.dictionary.com)
11
Lecture b
Healthcare Services Terms
Various types of nurses
Doctoral-prepared nurses work in research,
education, clinical setting & administration
Nurses with masters degrees work as nurse
practitioners, clinical nurse specialist, administrator,
director
Nurses with baccalaureate degrees work as
supervisors, head nurses, charge nurses, nurse
managers
Licensed practical nurses work as staff nurses, nurse
managers, work under RN, physician or other
professional authorized by law
12
Lecture b
Healthcare Services Terms
Respiratory therapist
Trained to assess, treat and care for patients
with breathing, heart or respiratory disorders
Work under the direction of a physician
Physician assistant (PA)
Trained to assist physicians in evaluating,
monitoring and diagnosing patients
13
Lecture b
Healthcare Service Terms
Affordable Care Act (ACA)
Also known as Patient Protection and Affordable Care
Act (PPACA)
Passed in March, 2010
Patient centered medical home (PCMH)
Care model for providing care that is coordinated by a
personal physician and other team members
Goal
To provide good quality care that is cost effective and accessible
and supports patient self-management of care

Sources: (Healthcare.gov, Accountable care, 2012)
(Healthcare.gov, Roadmap, 2012)
14
Lecture b
Accountable Care Organization (ACO)
Included in the Affordable Care Act
Health care providers and organizations who agree
to coordinate overall care for Medicare beneficiaries
that improves quality and safety and is more
affordable care
Ties the type of reimbursement to quality measures
Patient centered care
Offers incentives

Source: (Healthcare.gov, Accountable care, 2012)
15
Lecture b
Patient Centered Outcomes Research Institute (PCORI)
Provides funding for research on studies on
Prevention
Diagnosis
Treatment
Focuses on impact on the patient
Considers patients perspectives, interests and
values

Source: (PCORI, 2012)
16
Lecture b
Physician Quality Reporting System
Formerly called Physician Quality Reporting Initiative
(PQRI)
CMS program for Medicare, Medicaid and SCHIP
providers
Encourages physicians to report data on covered
professional services (quality measures)
Provides incentives if physicians satisfactorily meet the
CMS criteria for reporting
Group Practice Reporting Option (GPRO)
Mechanism that allows group practices to participate in the
physician quality reporting system

Source: (CMS, 2011)
17
Lecture b
System Terminology
Summary
Public health and healthcare system terms
are important in understanding the US
healthcare system
Knowledge of healthcare services, patient
types and healthcare settings is important
in understanding the healthcare system
18
Lecture b
System Terminology
References
References
American Health Information Management Association (AHIMA). 2006 Pocket glossary health information
management and technology. Chicago (IL): AHIMA, 2006.
American Nursing Association (ANA). Frequently asked questions [Internet]. 2012. Available from:
http://nursingworld.org/FunctionalMenuCategories/FAQs#def
Centers for Medicare & Medicaid Services (CMS) [Internet]. Overview; Physician Quality Reporting System.
Baltimore (MD); CMS.gov; 2011 [updated 2011 Oct 17]. Available from:
http://www.cms.gov/pqrs/01_overview.asp?
Department of Health and Human Services (DHHS). Registered nurse population; initial findings from the 2008
national sample survey of registered nurses. Health Resources and Services Administration [Internet]. 2010 Sep.
Available from: http://bhpr.hrsa.gov/healthworkforce/rnsurvey2008.html
Dictionary.com [Internet]. Oakland (CA): Dictionary.com; 2012. Registered nurse. Available from:
http://dictionary.reference.com/browse/registered+nurse
Encyclopedia of Surgery. Discharge from the hospital. Advameg, Inc. [Internet]. Available from:
http://www.surgeryencyclopedia.com/Ce-Fi/Discharge-from-the-Hospital.html
Healthcare.gov [Internet]. Accountable care organizations: improving care coordination for people with Medicare.
Washington (DC): Healthcare.gov; c2012 [updated 2011 Nov 16]. Available from:
http://www.healthcare.gov/news/factsheets/2011/03/accountablecare03312011a.html

19
Lecture b
System Terminology
References
References
Healthcare.gov [Internet]. Roadmap to better care transitions and fewer readmissions. Washington (DC):
Healthcare.gov; c2012 [updated 2011 Jun 23]. Available from: http://www.healthcare.gov/compare/partnership-for-
patients/safety/transitions.html
New Jersey Hospital Association. Glossary of healthcare terms & abbreviations [Internet]. Princeton (NJ): NJHA,
2002. Available from: http://www.njha.com/publications/pubcatalog/glossary.pdf
Patient Centered Outcomes Research Institute (PCORI) [Internet]. About us. Washington (DC): PCORI, 2012.
Available from: http://www.pcori.org/
Shi L, Singh DA. Delivering health care in America: a systems approach. Boston (MA): Jones and Bartlett
Publishers; 2008.

20
Lecture b

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Terminology in Healthcare and

Public Health Settings

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