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Maryland Health Care Commission

Consumer Guide to Long Term Care

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Definitions for Business Types

  • Corporation A group of two or more persons formed and authorized by law to act as a single person. Each person in the corporation is legally endowed with various rights and duties. A corporation may be for-profit or non-profit.
  • Limited Liability Company (LLC) Partnership (for profit) A Limited Liability Company (LLC) is a business structure allowed by state statute that provides limited personal liability to its owners for the debts and actions of the LLC. An LLC may be for-profit or non-profit.
  • Partnership is a business relationship existing between two or more persons who join to carry on a trade or business.
  • Sole Proprietorship (for profit) an unincorporated business owned by one individual.
  • Veteran's Administration The US Department of Veterans Affairs (VA) provides patient care and federal benefits to veterans and their dependents.

Other Definitions

  • ACHC - The Accreditation Commission for Health Care, Inc a national health care accrediting organization for home health care.
  • ADL - activities of daily living. These are skills an individual uses in everyday life such as eating, bathing, dressing, grooming, toileting, and moving around. An individual's ability to perform ADLs is important for determining what type of long-term care may be needed.
  • CARF - The Commission on the Accreditation of Rehabilitation Facilities, an independent, not-for-profit organization that accredits programs and services in adult day services, assisted living, behavioral health, employment and community services, and medical rehabilitation.
  • CHAP - The Community Health Accreditation Program, Inc. an independent, non-profit accrediting body for community-based health care organizations in the United States (for example Home Health Agencies and Hospices).
  • CMS - Centers for Medicare and Medicaid Services, the federal agency which provides funds and administers the Medicare and Medicaid programs. Among other responsibilities, CMS establishes standards for the operation of nursing facilities that receive funds from these programs.
  • Complaint survey - To be part of the Medicare and Medicaid programs, nursing homes have to meet certain requirements set by Congress. The Centers for Medicare and Medicaid Services (CMS) has entered into an agreement with state governments to do health inspections and fire safety inspections of these nursing homes and investigate complaints about nursing home care. Complaint surveys can occur at any time and are conducted in addition to the regular health surveys. The Maryland Department of Health, Office of Health Care Quality conducts compliant surveys.
  • Deficiency - the finding of a survey done to determine compliance with state or federal regulations (generally applies to nursing homes). A deficiency is a finding of non-compliance.
  • Experience of care survey an annual survey used to measure the experience and satisfaction of the families/responsible parties or residents in nursing homes. A series of questions are designed to ask about important aspects of care in the nursing home. The results, when compared among nursing homes in the state, can provide comparisons on the experience and satisfaction measures.
  • Health & Safety Inspection - To be part of the Medicare and Medicaid programs, nursing homes have to meet certain requirements set by Congress. The Centers for Medicare and Medicaid Services (CMS) has entered into an agreement with state governments to do health inspections and fire safety inspections of these nursing homes and investigate complaints about nursing home care.

    Inspections of nursing homes are completed by the Maryland Department of Health, Office of Health Care Quality using a standardized health survey process to monitor nursing home compliance with regulations. Each nursing home has both a health inspection and a fire safety inspection at least every 12-15 months. All inspections are done to ensure nursing home residents receive quality care and services in a safe and comfortable environment in accordance with rules established by Centers for Medicare and Medicaid Services (CMS). The inspections measure whether the nursing home meets certain "minimum" standards.
  • JCAHO - The Joint Commission on Accreditation of Healthcare Agencies (JCAHO) - An independent, not-for-profit organization that evaluates and accredits health care organizations and programs in the United States including hospitals, nursing homes and home health agencies.
  • Level of care - In Maryland assisted living residences are licensed to provide care to residents based on a level of care. There are three levels of care: low, moderate, and high.
    • Level 1 (low) refers to a resident needing occasional assistance or support in one or more personal care or health related areas. For example: help getting to physician or clinic visits, reminders to take medications, some assistance with activities of daily living (bathing, dressing, moving around), performing simple medical treatments, managing occasional behavioral changes, or assistance engaging in social or recreational activities.
    • Level 2 (moderate) refers to a resident needing a great (substantial) assistance or support in one or more personal care or health related areas. For example: getting to physician or clinic visits, reminders to take medications, performing activities of daily living (bathing, dressing, moving around), performing needed medical treatments, managing behavioral changes, or engaging in social or recreational activities.
    • Level 3 (high) refers to a resident needing extensive and frequent help to ensure that several personal or health related areas are maintained. For example: ensuring physician or clinic visits, administering medications, performing activities of daily living (bathing, dressing, moving around), performing needed medical treatments, managing frequent behavioral changes, or ensuring social or recreational activities.
  • Long Stay nursing home residents who are expected to remain in the facility for an extended period of time (months to years)
  • Medicaid - A joint Federal and State program that helps with medical costs for some people with low incomes and limited resources. Medicaid programs vary from state to state.
  • Medicare - A national, federally-administered health insurance program authorized in 1965 to cover the cost of hospitalization, medical care, and some related health services for seniors over age 65 and certain other eligible individuals.
  • OHCQ- Office of Health Care Quality, a division of the Maryland Department of Health with the authority to license and inspect heath facilities in Maryland.
  • Quality Indicators are not direct measures of the quality of care a facility provides. Instead, they are measures of important results or activities that can alert the facility and others to possible differences in the quality of care between one facility and another. QIs identify residents who either have or are at risk for specific problems.
  • Quality Measures are specific quantitative (numerical) results that identify whether the care provided conforms to established standards for a particular condition.
  • Short stay nursing home residents need short-term skilled nursing care or services following an illness or hospital stay who are expected to return home after usually a stay of 90 days or less.
  • Single point of entry is a single point through which consumers in the state are able to use to access the care they need. A single point of entry generally provides one place for information and referral, one place to find out about services and one place to apply for services.
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