Glossary Tuesday, November 13, 2018
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Activities of Daily Living (ADLs)
Activities that people do independently every day—eating, toileting, transferring, bathing, dressing, and maintaining continence.

Acute Care
Medical care that is required for a short period of time to cure a certain illness and/or condition.

Adult Care Facility
A residential facility providing ongoing care and related services for persons needing assistance in the activities of daily living.

Adult Day Care
Health support and rehabilitation services provided in the community to people who are unable to care for themselves independently during the day, but are able to live at home at night.

Alternate Level of Care
Care received in a hospital inpatient setting for those persons waiting to be placed in a nursing home or while arrangements are being made for home care.

Assisted Living
Services provided to support an individual in the performance of activities of daily living (ADLs) or severe mental impairment, usually in a community-based residence. Assisted living facilities are now licensed in New York State and are identified as an Adult Care Facility or an Assisted Living Residence.

Assisted Living Residence
A residential facility providing ongoing care and related services for persons needing assistance in the activities of daily living.

Care/Case Management
The giving advice and planning services provided by a professional, typically a licensed nurse or social worker, to assess, coordinate and monitor the overall medical, personal and social services needed by a person requiring long term care.

Chronically Ill Person
A person who is unable to perform without substantial assistance from another person, at least 2 ADLs (Activities of Daily Living) for a period of at least 90 days due to a loss of functional capacity, or a person requiring substantial supervision to protect the person from threats to health and safety due to severe mental impairment.

Community Based Services
Care services that are rendered generally at home, but include services rendered in a group setting, such as an adult day care center, or where human assistance is required to aid in necessary travel, such as to a physician's office.

The person served by the long term care system regardless of age, income or disability.

Copayment or Coinsurance
The amount you must pay for each medical service, outpatient hospital service or hospital stay.

Custodial Care
Non-medical care that helps a person with daily living, and is available to a chronically ill person that does not require constant attention of medical personnel

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Impairment of mental capacity due to a disorder of the brain.

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Home Care Services
A wide range of long term health care services, from skilled care and physical therapy to personal care delivered at home or in a residential setting.

Hospice Care
A program of care and treatment for persons who are terminally ill and have a life expectancy of six months or less.

Informal Supports
Unpaid care and support provided to the consumer by family, friends, neighbors and others in the community.

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Licensed Health Care Practitioner
A person trained, qualified, and licensed to practice medicine such as a medical doctor or nurse.

Long Term Care
Necessary diagnostic, preventative, therapeutic, curing, treating, mitigating, rehabilitative services and maintenance and personal care services, required by a chronically ill person based on a plan of care prescribed by a licensed health care practitioner. These services are not limited to a facility and may be performed in the home.

Long Term Care Insurance
Insurance available through private insurance companies as a means for a person to pay for needed care and protect themselves against the high costs of long term care. This is the most comprehensive level of coverage for long term care services under insurance regulations in New York State.

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Means - Tested Programs
Refers to the process undertaken to determine whether or not a person or family is eligible to receive certain types of benefits from the government. The "test" can consits of qualifying the party's income or assets, or a combination of both.

A means-tested program supported by federal, state and local funds, and administered by each state to provide health care for eligible individuals.

A federal government insurance program to assist those 65 and older and the disabled with medical and hospital expenses. Medicare covers only skilled nursing care in a skilled nursing home and limited nursing care at home. It does not usually provide benefits for personal or custodial care, and for this reason provides limited assistance in a program of long term care. Medicare requires co-payments and deductibles.

Medicare Supplement "Medigap"
Private insurance policies that supplement Medicare benefits by covering co-payments and deductibles for medical and hospital expenses. Similar to Medicare, these policies do not provide coverage for personal or custodial care, and for this reason provide limited assistance in long term care situations.

Mental Impairment
The loss or deterioration of mental capacity in people suffering from conditions, such as Alzheimer's disease or similar forms of irreversible dementia, characterized by such symptoms as: short- or long term memory loss; loss of orientation as to people, places or time; and loss of ability for deductive or abstract reasoning.

A consumer-centered entry point for information about and linkages to services that assist individuals of all ages with long term care needs. Comprehensive and objective information and support (as necessary) for individuals and their caregivers/families about all medical, non-medical (e.g. housing) and other community services; institutional services; eligibility criteria, etc. to link them with the opportunities, services and resources that may be available to help meet their particular needs.

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Personal Care
Assistance provided by another person to help with walking, bathing, eating and other routine activities of daily living. It is provided by a person qualified to help with these tasks.

Individual, organization or group rendering long term care services for a fee.

Residential Care Facility
A facility that provides 24-hour care and services sufficient to assist a minimum of three residents with personal needs that result from the inability to perform ADLs (Activities of Daily Living) or from severe mental impairment, provides at least two meals per day, has formal arrangements for emergency medical care, and has appropriate procedures in place for the administration of prescribed drugs where allowed by law. All residential care facilities (also known as assisted living facilities, adult care facilities, assisted living residences) that are licensed or certified and legally operating within the appropriate locations are deemed to be eligible for benefit payments.

The ability and means available through personal, governmental and community sources to meet an identified need.

Respite Care
Nursing home or home care that temporarily replaces the existing level of support received from an informal, unpaid caregiver for the purpose of providing care and supervision to the patient while relieving the caregiver.

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Severe Mental Impairment
The loss or deterioration of mental capacity in people suffering from conditions, such as Alzheimer's disease or similar forms of irreversible dementia. Severe mental impairment must be measured by clinical evidence and standardized tests that reliably measure impairment in the individual's short-term or long term memory, orientation as to people, places or time, and deductive or abstract reasoning.

Skilled Nursing Care
Nursing and rehabilitative care provided by, or under the direction of skilled medical personnel.

Skilled Nursing Home
A facility that provides room and board and a planned, continuous medical treatment program, including 24-hour-per-day skilled nursing, personal and custodial care. All nursing homes that are licensed or certified and legally operating within the appropriate locations are deemed to be eligible for benefit payments.

Social Adult Day Services
Social adult day services are structured, comprehensive programs that provide older people with personal care, nutrition, socialization, supervision and monitoring in a protective setting during part of a day, but for less than a 24-hour period.

Depleting almost all income/assets to meet usual eligibility requirements for Medicaid.

Those served by the long term care system, as well as the individuals, groups, organizations and government agencies that provide services, funding, advocacy or hold a shared interest in the long term care system.

Technology Dependent Children
Children who require medical devices and technology to sustain life and/or to interact and have an effect on their environment.

Traumatic Brain Injury (TBI)
Damage to living brain tissue caused by an external, mechanical force. The term does not include brain injuries that are caused by insufficient blood supply, toxic substances, malignancy, disease-producing organisms, congenital disorders, birth trauma or degenerative processes.

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