Transcript Healthcare systems

HEALTHCARE DELIVERY
SYSTEMS
STANDARD-IHS-3
• HS-IHS-3: The student will analyze healthcare delivery
system models and the role of health professionals
within each given model.
• a. Explain systems theory.
• c. Analyze current trends in delivery
systems.
• d. Define, compare and contrast services
performed in healthcare delivery systems to
ensure the delivery of quality healthcare.
HOW WILL I KNOW I HAVE
LEARNED THIS
INFORMATION?
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TAKE NOTES ON POWER POINT
COMPLETE WORKSHEETS
FORMATIVE ASSESSMENTS
TEST
WHAT IS A SYSTEM?
• System (from Latin systēma, in turn from
Greek '''' systēma) is a set of interacting or
interdependent entities forming an
integrated whole.
Organization of functionally interactive
units for the achievement of a common
goal.
HEALTHCARE: Is it a system??
Interesting Facts Healthcare About Healthcare
•It is one of the largest and fastest growing industries
In the United States
•The field employs over 9.8 million workers in over
200 different careers
•It is a two billion dollar a day industry
HEALTHCARE FACILITIES
PLACES THAT PROVIDE HEALTHCARE
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Many different kinds of facilities & services
Can be private or public
Can be non-profit of for profit
All have specific accountability and
standards
HOSPITALS
The largest systems in healthcare
EMORY
GRADY
PIEDMONT
KENNESTONE
NORTHSIDE
How do hospitals support
themselves?
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Private – owned by
individuals or
corporations
Collect patient fees
Insurance payments
Donations
Grants
Can be for profit or
non-profit
Public/Government –
owned by
government
• Patient Fees
• Insurance payments
• Taxes/government
funding
GENERAL HOSPITALS
•Diagnose and treat a wide range of conditions
•Educate patients
•Some train medical students and new doctors
•Some perform research
•Can be private or public
• Can be profit or non-profit
•EXAMPLES: Kennestone,Emory,
Piedmont, and Northside Hospitals
SPECALTY HOSPITALS
•Diagnose and treat only special conditions or age groups
•Educate patients
•Some train medical students and new doctors
•Some perform research
•Can be private or public/ profit or non-profit
•Non-profit hospitals are supported by patient fees and
donations
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Examples: Children’s Healthcare of Atlanta
St. Judes Hospital
Cancer Centers of America
What kind of hospital would treat only
children
A.) specialty hospital
B.) general hospital
Long-term Care Facilities (LTCs)
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Provide assistance and care for those with disabilities
or those with chronic (long-term) illnesses
•
Prepare residents or patients to return to the home
environment or to another LTC
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Some LTCs are called nursing homes,
extended care facilities or skilled care facilities.
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Provide physical and emotional care to individuals who
can’t care for themselves.
Assisted Living Facility
•Rents or sells apartments to individuals who can take care of
themselves but need services such as
• meals,
• housekeeping,
• laundry,
• transportation,
• social events, or
• very basic medical care (such as assisting
with medications).
•Most are associated with nursing homes, allowing residents
to move from one level of care to the next when health
needs change.
Medical Offices
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Range from offices that are privately owned by one doctor
to large complexes that employ many doctors and
healthcare professionals.
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Services: Diagnosis, treatment, examinations, basic lab
tests, minor surgery
•
Some treat a wide variety of illnesses and ages, while
others specialize
Dental Offices
•Vary in size from offices that are privately owned by one or
more dentists to dental clinics that employ a number of
dentists.
•May be located in major retail centers
•May be located in dental schools
•Some provide general dental care to all age groups.
•Others specialize in treating specific age groups or specific
dental conditions.
Clinics
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Some are composed of a group of doctors who share the
facility and the personnel (staff or employees). For example,
a general dentist may share a clinic facility and clinic staff
with an oral surgeon and an endodontist.
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Some clinics are operated by private groups who provide
specialized care.
For example: Surgical clinics, urgent care clinics
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Many hospitals operate clinics for outpatients (patients who
are not admitted to the hospital)
•
Government health departments offer clinics for
immunizations or treatment of sexually transmitted diseases
(STDs).
Medical, dental, out patient and
surgical are examples of clinics
A.) True
B.) False
Optical Centers
•Provide vision examinations
•Prescribe eyeglasses or contact lenses
•Check for the presence of eye diseases
Emergency Care Services
•Provide care for victims of accidents or sudden illness
•Includes:
Ambulances
Rescue squads
Emergency care clinics and centers
Emergency rooms operated by hospitals
Helicopter or airplane emergency services
Medical Laboratories
•Can operate as part of another healthcare facility or can be a
stand-alone facility
•Perform diagnostic tests on blood, urine, sputum, cerebrospinal
fluid, and other bodily fluids or body parts.
Dental Laboratories
Prepare dentures (false teeth) and dental
appliances to repair or replace teeth.
Home Health Care Agencies
Provide care in a patient’s home, including:
Nursing care
Physical Therapy
Occupational Therapy
Respiratory Therapy
Homemaking (food preparation, cleaning)
Personal care (dressing, toileting, feeding)
Hospices
•Provide care for terminally ill patients with life expectancies
of 6 months or less
•Need doctor’s order to be admitted
•Care can be provided in patient’s home or in a hospice
facility
•Care is directed toward allowing the person to die with
dignity and in comfort.
•Psychological, spiritual, social, and financial counseling are
provided for both the patient and the family.
Mental Health Facilities
Treat patients with mental disorders and diseases.
Examples include:
•Counseling Centers
•Psychiatric hospitals and clinics
•Substance abuse treatment centers (dealing with alcohol
and drug abuse)
•Physical abuse treatment centers (dealing with child abuse,
spousal abuse)
Genetic Counseling Centers
•Perform prenatal screening tests and check for genetic
(inherited) abnormalities
•Identify medical options when a birth defect is present
•Help individuals cope with the psychological issues caused
by a genetic disorder
•Counsel couples prior to pregnancy when a woman is in her
late childbearing years, has a family history of genetic
disease, or is of a specific race or nationality with a high risk of
a genetic disease, e.g., African Americans have a higher rate
of sickle cell anemia; Ashkenazi Jews have a higher rate of
Tay-Sachs disease
Rehabilitation Facilities
Help patients with physical or mental disabilities learn to
care for and function for themselves as much as
possible.
Services may include:
Physical therapy
Occupational therapy
Recreational therapy
Speech therapy
Industrial Health Care Centers or Occupational Health Clinics
•Found in large companies or industries
•Provide healthcare for employees of the company (and
sometimes, the employees’ family members)
•Teach accident prevention and safety
•Provide emergency care
BONUS Question…
You apply at a hospital for a job.
What should you wear to your
interview?
School Health Services
•Found in schools and colleges
•Provide emergency care for victims of accidents and sudden
illnesses
•Perform screening tests for speech, vision, and hearing
•Promote health education
•Maintain a safe and sanitary school environment
•Some also provide counseling, especially at the college level
This is not on your notes…Hint you may want to write in 
Ambulatory Facilities…
These facilities provide diagnostic
and treatment services that were
previously performed in hospitals…
For example: Central Urgent Care
Center.
Government Agencies
Offer health services at the international, national, state, and
local levels. Examples:
•World Health Organization (WHO) is an international
agency sponsored by the United Nations. WHO compiles
statistics and information on diseases, publishes health
information, and investigates serious health problems around
the world.
•Centers for Disease Control and Prevention (CDC) is part
of the U.S. Dept. of Health and Human Services. CDC deals
with causes, spread, and control of diseases in populations.
Its headquarters are in Atlanta.
•The Food and Drug Administration (FDA) is a federal
agency responsible for regulating food and drugs sold to the
A. Voluntary or Non-profit Agencies
•B. Supported by donations, membership fees, fundraisers,
and grants.
•C. Examples include American Heart Association, Red
Cross, March of Dimes, American Cancer Society, and
many more.
•D. Focus on one specific disease or group of diseases.
•E. Provide funding to encourage research directed at curing
or treating the disease.
•Promote public education about the disease.
•Provide special services to victims of the disease, such as
purchasing special medical equipment or supplies.
Is Healthcare a System?
A.) No
B.) Yes
Healthcare employs over 9.8 million
workers & is a 2 billion dollar a day
industry
A.) True
B.) False
Kennestone Hospital is not an
example of a general hospital
A.) True
B.) False
How do Private Hospitals support
themselves?
A.) Taxes
B.) Patient fees
C.) Donations & grants
D.) B & C