Transcript Introduction to US Health Care

Introduction to US Health Care
• HS230 Health Care Administration
• Unit 2: Health Care Professionals
• Chapter 2 & Chapter 5
• Kaplan University
• Kathy L. Lantz, MHS, MBA
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Introduction to US Health Care
Chapter 2
Boards and
Governance
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Core Responsibilities
1. Determine mission,
vision and values
2. Ensure a high level
of management
performance
3. Ensure the quality
and safety of patent
care
4. Ensure the
organization’s
financial health
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Mission Statement
• Purpose
• Characteristics and values of
organization
• Identify target market
• Organizational philosophy and values
Serves all stakeholders!
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Ensuring Management Performance
Board
•Recruit and select CEO
•Specify CEO
expectations
•Assess CEO
•Adjust CEO
•If needed, terminate
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CEO
•CEO is responsible to
institutes policies and
strategies to carry out
mission
Board of Directors
Ensuring Quality of Care
• Appoint member of the medical staff
• Ensure quality, utilization, and risk
measurement systems are in place
• Assess the quality and safety of care for
patients employees and services delivers
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Ensuring Financial Health
Approve budget
Budget aligned
with plans?
Financial objectives
Financial Health
Monitor outcomes
vs. budget
Protect Assets
Financial controls
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Board of Directors
Key Components:
• Board Structure
• Board Composition
• Board Infrastructure
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Standing Committees
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Executive
Finance
Planning or
strategy
Quality
Credentialing
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Nominating
Audit
Compensation
Quality /
Performance /
Process
Improvement
Financial Status of Hospitals
•More complex health systems
•Rising cost of health care
•Changing regulations regarding
board composition & accounting
In 2003, nearly 1/3
hospitals lost money
overall… (AHA)
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Laws: Protecting Investors, Governing
Boards and Healthcare Organizations
• Sarbanes-Oxley Act
• Health Care Quality Improvement Act
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Sarbanes-Oxley Act
• Passed in 2002
• Intended to protect investors by improving
the accuracy and reliability of financial
statement and establishing harsher
penalties for those who violate the law.
• Key components include, mandates
regarding board composition and financial
and auditing responsibilities.
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Current Issues Facing Boards
• Liability of Board
Members
• Health Care Quality
Improvement Act of
1986 (HCQIA)
• Reporting and
Disclosure of
Accounting Information
• Conflict of Interest
• Board Performance
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Health Care Quality Improvement Act of 1986
• HCQIA
• Act established primarily to protect
individuals and hospitals conducting
medical peer review against legal
action by physicians whose practice
privileges were revoked.
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Critical Thinking Application
Why is a mission statement important for
the effective operation of governing board?
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Mission Statement
• The purpose of the organization is determined by
mission, vision and value statements.
• The mission statement may include:
1) the purpose of the organization
2) characteristics and values of the organization
3) identification of target customers and markets
4) organizational philosophy and values
5) types of services delivered
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Chapter 2: Vocabulary Quiz
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Board of directors
Chief executive officer (CEO)
Compensation committee
Credentialing committee
Executive committee
Finance committee
Governing board
Health Care Quality Improvement Act of 1986
Mission statement
Sarbanes-Oxley Act
Introduction to US Health Care
Chapter 5
The Health Care
Workforce
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Health Care Industry: Statistics
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12 million working in
health care
By 2010,
employment is
expected to increase
25%
Between 2000-2010,
health care will
account for 13% of
new jobs created
Health Care Workers
Hospitals
21%
43%
6%
15%
15%
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Nursing and
Personal Care
Physician Offices
and Clinics
Dentist Offices and
Clinics
Other
Health Care Occupations
• Professional
– Physicians, nurses,
pharmacists…
• Service Worker
– Patient assistants, aids…
• Administrative Personnel
– Support staff, managers…
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Physicians
Doctors of
(MDs)
•Treating disease
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Doctors of
Osteopathy (DOs)
•Emphasis on
neuromusculoskeletal
•Preventative care
•Holistic care
Physicians
Generalists
• Family Doctors
• Comprehensive
Healthcare
• Referral to
Specialists
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Specialists
• Residency
Program
• Medical Specialty
Exam
• Higher Income
Becoming a Physician
• Undergraduate
• Medical School
– Preclinical
– Clinical
• Residency
Board Certified
• Subspecialty
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Ensuring Financial Health
Registered Nurse
(RNs)
Graduate Trained
Administer Medications
Supervise Personnel
Assist Physicians
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Licensed Practical
Nurses (LPNs)
Take Vital Signs
Keep Records
Assist in Patient
Critical Thinking Application
Discuss the profile of nurses in the U.S.
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Nursing Profile
• There are many levels of nursing based on
education level.
• There are 2.7 million registered nurses.
• In 2000, there were 816 nurses per 100,000
people.
• The average age of a nurse is 45.
• 94% of nurses are female and married.
• 86% are white.
• 59% of nurses are employed in hospitals.
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Health Care Professionals
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Dentists
Optometrists
Chiropractors
Podiatrists
Pharmacists
Physical Therapists
• Musculoskeletal focus
• Restore functioning and
improve mobility
• Non-drug, non-surgical
therapy
• Graduate training
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Physician Assistants (PAs)
• Conduct histories and
exams
• Interpret tests
• Make diagnoses
• Perform procedures
• Supervised by physician
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Chapter 5: Vocabulary Quiz
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Allopathic physicians (M.D.)
Chiropractors
Hospitalist
Nurse midwife
Nurse practitioner
Optometrists
Osteopathic physicians (D.O.)
Pharmacists
Physician assistants (P.A.s) .
Podiatrists
Registered nurse (R.N)
Unit 2: Assignment
• Create a mission statement for your
hospital or practice.
• Think about what types of patients you will
be seeing, what types of care you will
provide, and the members of the team that
you have assembled.
• Remember that a mission statement
provides the purpose of your business
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Unit 2: Assignment
• NOTE: There are (2) parts to the
Mission Statement Assignment
• Part 1: Describe your hospital or
practice in detail.
• Part 2: Create a mission statement
for your hospital or practice.
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Unit 2: Assignment
• Expectations: Two (2) paragraphs in APA
format, with a word count of at least 150.
• Grading criteria will be based upon APA
guidelines, spelling and grammar, as well
as how well your mission statement
reflects the goals of the practice you have
set up.
• This assignment is worth 75 points.
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