Advocate (supporter) for nursing home and assisted living facility residents who investigate and work to resolve problems between residents and nursing homes or assisted living facilities. This individual monitors federal and state regulations that pertain to long-term care facilities, provide information to the public about the elderly in facilities, and train volunteers to help with this program. Also called ombudsman . See ombudsman .

Program that is federally authorized by Title III of the Older Americans Act. See long-term care ombudsman .

Condition in which an insured employee suffers a nonoccupational accident or illness and is not able to perform the duties of his or her occupation for an extended period of time.

Type of disability income insurance that has a provision to pay benefits to a covered disabled person as long as he or she remains disabled, up to a specified period exceeding 2 years. This kind of insurance may be purchased by an employer or an individual. Also called long-term disability income insurance .

Core set of screening and assessment elements of the Resident Assessment Instrument (RAI). This assessment system provides a comprehensive, accurate, standardized, reproducible assessment of each long-term care facility resident’s functional capabilities and helps staff to identify health problems. This assessment is performed on every resident in a Medicare and/or Medicaid-certified long-term care facility including private pay.

Medical record, electronic or paper, that contains the patient’s lifetime health care history, diagnoses, treatments, medications, and tests.

Federal act that provides benefits for private and public employees who perform maritime work nationwide.

The automated diagnosis-related group (DRG) grouper process (computer software program that assigns DRGs) that searches all listed diagnoses for the presence of any comorbid condition or complication or searching all procedures for operating room procedures or other specific procedures.