Adult Congregate Living Facility (ACLF) – Assisted living facilities with an extended congregate care license offer limited nursing services and assessments and also includes educating residents about health, tracking vital signs and weight, helping residents with mental impairments, providing or arranging for rehabilitation services and escorting residents to medical appointments. Medical care at an ACLF generally includes inpatient care, supervision, 24-hour skilled nursing and supportive care, pharmacy, dietary, social and recreational components.
Adult day care center is a non-residential facility providing activities for seniors and/or handicapped individuals. Most centers operate ten to twelve hours per day and provide meals, social/recreational outings and general supervision. Adult daycare centers operate under a social model and/or a health care model. Daycare centers may focus on providing care only for persons with Alzheimer’s and related dementia or their services may be available for any disabled adult. Some daycare centers may maintain an on-site nurse. They may also provide transportation and personal care as well as counseling for caretakers. Participation in adult day care often prevents re-hospitalizations and may delay admission to residential long term care. The social stimulation and recreational activities provided may improve or maintain physical and cognitive function. For caregivers, adult day care centers provide respite care, enabling caregivers to work or to have a break from their caregiving responsibilities.
Ambulatory Surgery Center (ASC), also known as an outpatient surgery center or same day surgery center, is a health care facility where surgical procedures not requiring an overnight hospital stay is performed. Outpatient surgery is generally less complicated than those requiring hospitalization and can result in cost savings to the party responsible for paying for the patient’s health care.
Assisted Living Facilities offer a combination of housing, support services and a basic level of on-site health care. Seniors in assisted living facilities are offered choices regarding the respective levels of assistance that they desire. Most provide at least two daily meals for their residents, maintain a daily resident check-in system, provide regular housekeeping services plus assistance with daily living activities. Assisted living facilities also offer streamlined health related services including medication administration. Some assisted living facilities also offer a companion on-site acute care facility designed for residents who become ill or experience injuries requiring a higher level of medical care.
Clinic – Also referred to as an outpatient clinic or ambulatory care clinic, a clinic is a health care facility primarily devoted to the care of patients who come in for treatment and return home that same day. Clinics can be privately operated or publicly managed/funded, and typically cover primary health care needs in contrast to larger hospitals which offer specialized treatments and admit inpatients for overnight stays.
Hospice – A hospice provides services in a patient’s residence or in a hospice facility for patients diagnosed with a terminal illness. Coordinated programs of professional services are generally provided, including pain management and counseling for patients, nursing, physician, therapy and social work services, counseling and support for family members and friends of the patient and other types of support services.
Hospital – A large comprehensive health care institution providing patient treatment by specialized staff and equipment and offering accommodations and staffing for overnight stays. Some patients visit hospitals for diagnosis, treatment or therapy and then leave without staying overnight. Others are admitted and stay overnight or for several days, weeks or months. Hospitals are generally distinguished from other types of medical facilities by their ability to admit and care for inpatients. The most common type of hospital is general medical-surgical hospital, which addresses many different types of diseases and injuries. Most larger Med-Surg hospitals have an emergency department designed to provide immediate and urgent care.
Long Term Care Facility – A hospital with an average inpatient length of stay of greater than 25 days used to treat medically complex patients requiring specialized acute care services who would potentially stay in a short term acute care hospital for an extended length of time.
Nursing homes provide around the clock, longer term medical and nursing care to patients with chronic conditions and physical disabilities who can’t be cared for at home but do not require the higher level of acute care that a hospital provides. Nursing and allied staff provide medical care as well as physical, speech and occupational therapy. Some attempt to be more like home with a residential feel. Some nursing homes may offer special care for people with serious memory problems such as Alzheimer’s disease.
Psychiatric Hospital – Provides comprehensive specialized diagnosis, care, treatment and rehabilitation where applicable on an in-patient basis for patients with primary psychiatric diagnoses.
Rehabilitation Hospital – Provides comprehensive rehabilitation services to patients for the alleviation of the disabling effects of illness. Comprehensive rehabilitation services are characterized by the coordinated delivery of multidisciplinary care intended to achieve the goal of maximizing the self-sufficiency of the patient. Focus is on an integrated intensive care approach to services provided by a coordinated multidisciplinary team for patients who have severe physical disabilities including stroke, spinal cord injury, congenital deformity, amputation, major multiple trauma, hip fractures, brain injury, polyarthritis (including rheumatoid arthritis), neurological disorders (including multiple sclerosis, motor neuron diseases, polyneuropathy, muscular dystrophy, and Parkinson’s disease) and burns.
Urgent care facility – Provides ambulatory medical care in a facility outside of a hospital emergency department, usually on an unscheduled walk-in basis. Urgent care centers are primarily accessed by patients with injuries or illnesses requiring immediate care which is not deemed serious enough to warrant a visit to an emergency room. Many urgent care centers are not open around the clock, unlike a hospital emergency department which is open 24/7.