Improving the Quality of Care in Nursing Homes (1986) / Chapter Skim
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Glossary
Pages 389-404
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From page 389... ...
Acute care usually refers to physician and/or hospital services whose duration is less than 3 months. Adult Day-Care: social and health services provided for physically or mentally impaired individuals in a nonresidential, day-care setting.
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From page 390... ...
In long-term care, instruments or procedures used to measure the physical, mental, and social functioning of individuals. Assistive Device: a tool, prosthesis, or adaptive equipment that helps an individual compensate for certain functional impairments, such as a hearing aid for hearing loss, glasses for vision loss, a cane to aid walking, or a universal cuff for difficulty in eating.
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From page 391... ...
establishes a rate for each patient which is determined at each assessment. Categorically Needy: under Medicaid, categorically needy cases are aged, blind, or disabled individuals or families and children who are otherwise eligible for Medicaid and who meet financial eligibility requirements for Aid to Families with Dependent Children (AFDC)
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From page 392... ...
Complaint Visit: a brief visit made by the state survey agency to a health care facility in response to a complaint made about the facility to the agency. Conditions of Participation: the regulatory criteria, as outlined in 42 CFR 405.1122 and the following, by which a state survey agency determines whether a skilled nursing facility is eligible to participate in the
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From page 393... ...
Cost: actual expenses incurred for inputs. For example, the cost of nursing home care includes direct costs such as staff salary, facility, equipment, supplies, and indirect costs such as mortgage, general and administrative fees, and cost of capital.
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From page 394... ...
has a baccalaureate degree with major studies in food and nutrition, dietetics, or food service management, has 1 year of supervisory experience in the dietetic service of a health care institution, and participates annually in continuing dietetic education. Director of Nursing Services: a registered nurse who is licensed by the state in which practicing, and has 1 year of additional education or experience in such areas as rehabilitative or geriatric nursing, and participates annually in continuing nursing education.
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Extended Care Services: items and services furnished to an inpatient of a skilled nursing facility including (1) nursing care provided by or under the supervision of a registered professional nurse; (2)
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From page 396... ...
Facility-Specific Reimbursement Rates: rates set for each facility based on that facility's cost history. Follow-up Visit: a brief return visit made by the state survey agency to a health care facility within 90 days of an annual survey in order to determine a facility's progress on correcting violations found by the survey agency during the annual survey.
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From page 397... ...
Intermediate Care Facility (ICE) : an institution furnishing health-related care and services to individuals who do not require the degree of care provided by hospitals or skilled nursing facilities as defined under Title XIX (Medicaid)
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From page 398... ...
Services can be provided in an institution, the home, or the community, and include informal services provided by family or friends as well as formal services provided by professionals or agencies. Long-Term-Care Facility: any skilled nursing facility, intermediate care facility, nursing home, adult care home, or similar institution regulated by a state.
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From page 399... ...
Medicare Medicaid Automated Certification System (MMACS) : a data base system operated by the Health Care Financing Administration to collect data from state survey agencies on certification activities.
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From page 400... ...
Nursing Services: services provided under the direction or supervision of one or more registered nurses or licensed practical or vocational nurses. Ombudsman: a state representative or a representative of a public agency or a private nonprofit organization (which is not responsible for licensing or certifying long-term care services)
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From page 401... ...
Physicians' Services: professional services performed by physicians, including surgery, consultation, and home office and institutional calls. Plan of Correction: the form by which a facility documents its procedures and time frame for correcting violations of certification regulations cited by the state survey agency.
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From page 402... ...
: defined by the federal government as an institution that has a transfer agreement with one or more participating hospitals, and that is primarily engaged in providing to inpatients skilled nursing care and rehabilitative services, and that meets specific regulatory certification requirements. Social Worker: a person who is licensed, if applicable, by the state in which practicing, is a graduate of a school of social work accredited or approved by the Council on Social Work Education, and has 1 year of social work experience in a health care setting.
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From page 403... ...
State Survey Agency: the state health agency or other appropriate state or local agency that performs survey and review functions for Medicare and Medicaid. Substate Ombudsman: a representative of the state ombudsman who performs ombudsman responsibilities in a given area of the state.
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From page 404... ...
It is made by either a staff committee of the institution composed of two or more physicians with or without participation of other professional personnel, or by a group outside the institution that is similarly composed and that is established by the local medical society and some or all of the hospitals and skilled nursing facilities in the locality, or (if there has not been established such a group serving such institution) that is established in such other manner as may be approved by the state's Secretary of Health.
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