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Advanced Terms Ch. 18

Terms in this set (17)

admitting diagnosis
The patient's condition determined by a physician at admission to an inpatient facility
ambulatory care
All types of health services that do not require an overnight stay.
ambulatory surgical center
A place other than a hospital that does outpatient surgery. You may stay for only a few hours and no more than one night.
attending physician
Medical staff member who is legally responsible for the care and treatment given to a patient.
charge master
CDM, A computer program that is linked to various hospital departments and includes procedure codes, procedure descriptions, service descriptions, fees, and revenue codes; also know as charge master
comorbidities
Admitted patient's coexisting condition that affects the length of the hospital stay or the course of treatment.
complications
new problems or illnesses that make treatment of a previous one more complicated or difficult
emergency
a sudden unforeseen crisis (usually involving danger) that requires immediate action
grouper
The computer software program that assigns DRGs of discharged patients using the following information: patient's age, sex, principal diagnosis, complications/comorbid conditions, principal procedure, and discharge status.
health information management
hospital department that organizes and maintains patient medical records; also profession devoted to managing, analyzing, and utilizing data vital for patient care, making it accessible to healthcare providers
home health care
provides nursing, therapy, personal care or housekeeping services in the patient's own home
hospice care
a philosophy of end-of-life care that is committed to maintaining quality of life for terminally ill patients by keeping them as alert, pain free, and engaged with their families as possible.
inpatient
A term used when a patient is admitted to the hospital for overnight stay.
master patient index
Identifies all patients who have been treated in a facility or hospital and lists the medical record or identification number associated with each patient.
never events
serious adverse events during an inpatient stay that should never occur or are reasonably preventable through adherence to evidence-based practice guidelines
present on admission
an indicator required by Medicare that identifies whether a coded condition was present at the time of hospital admission
principal diagnosis
the condition determined after study which resulted in the patient's admission to the hospital
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