Transcript 1.03 PP 1

1.03 PP1
Healthcare Agencies
Public Healthcare
Systems
1.03 Understand healthcare agencies,
finances, and trends
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Public Healthcare Systems
AKA: National Healthcare Plan
– Provide healthcare to all citizens
Often seen in other countries
– Canada
– Europe
No cost to the patient
Residents pay high taxes
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finances, and trends
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Private Healthcare
Systems
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finances, and trends
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Private Healthcare
Systems
Individuals purchase a health insurance
plan and/or pay out-of-pocket.
Predominate system in the United States
Systems in the United States are a
combination of public and private funding.
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finances, and trends
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Healthcare Agencies
national
in-patient
state
local
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finances, and trends
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OSHA
Government Healthcare
Agencies
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finances, and trends
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GHA International
World Health Organization (WHO)
founded in 1948
assess health trends
compile statistics related to disease
investigate health problems worldwide
publish health information
http://www.who.int/en/
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GHA National
U. S. Department of Health and Human Services (USDHHS)
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investigate health problems in the United States
prevent disease by immunizations
provide comprehensive health services
publish health information
compile statistics related to disease
http://www.hhs.gov/
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finances, and trends
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GHA National
National Institutes of Health (NIH)
World’s leading research organization
–
Research includes
AIDS
Alzheimer’s
arthritis
cancer
diabetes
heart disease
http://www.nih.gov/
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finances, and trends
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GHA National
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Centers for Disease Control and Prevention (CDC)
disease control
disease prevention
http://www.cdc.gov/
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GHA National
- (USDHHS)
Food and Drug Administration (FDA)
- regulates safety of food and cosmetics
- regulates safety and efficacy of drugs, biological
products and medical devices
http://www.fda.gov/
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finances, and trends
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GHA National - (USDHHS)
Agency for Healthcare Research and Quality (AHRQ)
Formerly called: Agency for Healthcare Policy
and Research (AHCPR)
investigate quality of healthcare delivery
establish standards for healthcare treatment
http://www.ahrq.gov/
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ABC
GHA National
Occupational Safety and Health Administration (OSHA)
Division of the US Department of Labor
- create job safety standards
- implement job safety standards
http://www.osha.gov/
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ABC
OSHA
OSHA standards specific to healthcare include:
- personal protective equipment
- blood borne pathogens
- hazard communication
- ergonomics
http://www.osha.gov/
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finances, and trends
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Government Healthcare
Agencies
- State (USDHHS)
N. C. Department of Health and Human Services
(NCDHHS)
Functions to provide many services:
Adoption
Deaf/blind services
Emergency services
Food and nutrition services
In-Homes Aides
Medicaid
Mental health services
Pregnancy services
Senior centers
Vital records
http://www.dhhs.state.nc.us/index.htm
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GHA State - (USDHHS)
N. C. Department of Health and Human Services (NCDHHS)
Functions to provide information:
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Disease and health information
End of life issues
Environmental health
Minority health
Safety
Teen issues
Wellness
www.dhhs.state.nc.us/index.htm
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GHA Local
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(USDHHS, NCDHHS)
County Health Department
Services provided:
Communicable disease control
Health inspections
Immunizations
Laboratory services
Oral health
Woman and child health
Provides information
Health education
Statistics related to health, birth and death
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Private Healthcare Agencies
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finances, and trends
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Private Healthcare Agencies
Non-Profit
Supported by
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donations
fees
fundraisers
grants
Usual focus:
– one disease or condition
– related group of disorders
Examples
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Private Healthcare Agencies
Non-Profit
Participate in:
services
research
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education
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Day 2
HCA
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finances, and trends
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Private Healthcare Agencies
For-Profit
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finances, and trends
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Private Healthcare Agencies
For-Profit
Provide patient services
Expect monetary profit
Use profit for agency growth and to
increase services
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PHCA
- For-Profit - Inpatient-
A facility where patients stay
overnight to receive medical
care and treatment.
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PHCA - For-Profit - Inpatient-
Hospital
Mostly inpatient services with some outpatient
services
Type is determined by size, ownership, and
services offered.
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General
Specialty
Government
University or college medical centers
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General hospitals
1.
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treat wide variety of conditions
and age groups
Pts are hospitalized a short
time (few days to a few weeks)
Provide a range of diagnostic,
medical, surgical, and
emergency services
Diagnostic = pertaining to the
determination of the nature
of a disease or injury by
examining (e.g. using x-rays
and laboratory tests)
Specialty hospitals
1. Provides care for specific illnesses, such as chronic
diseases, tuberculosis, and psychiatric problems.
Chronic = continuing over many years or a long time
2. Patients/clients are usually hospitalized in these
facilities for a long time.
3. St. Jude’s Hospital for children is an example of a
specialty hospital. It is known for its cancer
treatments and treatments of burns.
University/College Medical Centers
1. Provide services,
research and
education
2. Can be funded by
private or govt.
sources
Veterans Health Administration
Federally supported
Provide care for
veteran who served in
the armed forces
CONVALESCENT CARE
For elderly people needing nursing
services and personal care.
For physically ill or injured people who
require extended care for recovery.
Examples:
– nursing homes
– long-term care facilities.
PHCA - For-Profit - Inpatient-
Long Term Care Facilities
Care provided to patients who:
- have chronic conditions or disabilities that
require assistance with daily activities
- are adults over the age of 18
- need long term or short term care
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PHCA - For-Profit - Inpatient-
Types of long term care facilities
– Adult care homes
– Assisted living facilities
– Continuing care retirement communities
– Nursing homes
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Nursing/Geriatric homes
– Provide physical and
emotional care
– For individuals who
cannot care for
themselves
– Help with ADLs,
provide safe and
secure environment
and promote social
interaction.
Extended care facilities
Skilled care facilities
– skilled nursing and
rehabilitative care
– Prepare residents for
return to home or long
term facility.
– Examples:
dialysis
tx for CA pts
Independent living
Assisted living facilities
– Person rents or
purchases unit in facility
– Provides meals, laundry,
housekeeping,
transportation, social
events and basic medical
care.
PHCA - For-Profit - outpatient
Patient receives
ambulatory care.
Patient does not
stay overnight in
the facility.
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AMBULATORY CARE CLINIC
Facilities where several
physicians with different
specialties combine their
practices.
– Specialties = fields of study or
professional work. Ex:
pediatrics & orthopedics
Allows the patient to have
immediate care for many
different illnesses
PHCA - For-Profit - Outpatient
Adult Day Care
Care for elderly people
who are able to live at
home with their families
but need care when the
family is away.
Provides activities,
rehabilitation, and
contact with other
people
– medications given
– aided in mobility
PHCA - For-Profit - Outpatient
Doctors’ Offices
Provide Services such as
diagnosis, exams, treatment, lab
testing, minor surgery, etc.
Specialize (Ex: Cardiology &
Obstetrics)
Privately owned establishments
Employs variety of HCPs
PHCA - For-Profit - Inpatient- Emergency
Care
Provide special care for
accidents or sudden
illnesses
Examples:
Ambulance services: private
and govt.
Rescue squads: frequently
operated by fire departments.
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PHCA - For-Profit - Inpatient- Emergency
Care
1. ER – operated by
hospitals
2. Helicopter or airplane
– fly clients so that
they receive care
asap.
PHCA - For-Profit - Outpatient-
Home Health
Meds.
Homemaking
Nursing Care
Therapy
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PHCA - For-Profit -Outpatient
Hospice Care
Life expectancy
is less than 6
months
Family care
Patient care
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PHCA - For-Profit – Outpatient
Industrial Healthcare
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PHC - For-Profit- Outpatient
Laboratory Services
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Mental Health Services
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PHC - For-Profit- Outpatient
School Health Services
Health Education
Screenings
Vision, Hearing, dental
Emergency Care
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