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Chapter 2 (Lecture 1 (Healthcare Delivery System) (long term care…
Chapter 2
Lecture 1 (Healthcare Delivery System)
Healthcare Delivery System
10% of jobs are in health care
will employ over 22.1 million workers by 2020
Hospitals
Can be private or public and profit or non-profit
General Hospitals treat a wide range of conditions and age groups
Joint Commission on the Accreditation of Healthcare Organizations (JCAHO)
long term care facilities
care for people with disabilities, handicaps, or chronic illnesses
Specialty Hospitals
For specific ages or conditions
Cancer hospitals
burn hospitals
Pediatric hospitals
Rehabilitation
long term care facilitates
Mainly care for the elderly
people with disabilities
Long term illness or handicap treatment
assisted living
little help needed
EX. cooking and cleaning
patient can mostly care for themselves
Ex. Stonegate and Suncrest
Clinics or satellite centers
provide minor surgeries
Urgent care
Surgicenters, Rehabilitation clinics, Substance abuse clinics, specialty clinics
University or College Medical centers
Provide services as well as do research and learn
Can be funded privately or governmentally
Ex. University of Michigan
Lecture 2 (Healthcare Systems)
Optical centers
proscribe glasses or contacts
Emergency Care Centers
Provide care for victims of accidents or sudden ilnesses
Private or public owned
Ambulance Services, Rescue Squads, Emergency care clinics, Emergency departments, and Survival flight
At home heath care
less expensive
comfortable at home
offered by private agencies
Laboratories
Part of hospital or are stand alone
Dental Laboratories - Dentures
Medical Laboratories - perform diagnostic tests
Like blood, urine, saliva, Etc.
Genetic counseling
screenings to see odds of diesese and illnesses
Hospice
Provide care for terminally ill people
Palliative care
care in patient's home or in a facility
Provides emotional support for family
Mental Health
Provide counciling
Wide range of centers, clinics, and hospitals
rehab, counseling, and so on
Lecture 4 Managing care
Rising cost of health care
Patients must have a purpose
Preventative care
Expansion of medicaid
Age limit was raised to 26
Income up to 133 % of the poverty level
Patient Protection and Affordable Care Act
Guaranteed Issue
Expanded Medicaid eligibility
creates affordable insurance
mandates
Lecture 3 (Healthcare Systems)
Governmental Agencies
CDC-
Centers of disease control and prevention
FDA-
Food and drug administration act
NIH- National Institute of Health. Research disease
AHRQ-
Agency for health care research and quality
OSHA-
Occupational safety and health administration
Health Department- provide services needed at state and local levels
USDHHS- U.S Department of Health and Human Services. Deals with problems in the US
WHO- World Health Organization. Sponsored by the United Nations
Helps with public health
All the government agencies
study
fund
protect
educate
provide services
Health insurance plans
Premium
Deductible
Co-Insurance
Co-payment
Types of plans
HMO
PPO
Medicare
Medicaid
Medigap
CHIP
TRIPCARE
Worker's Compensations
Voluntary and nonprofit organizations are supported through donations, grants, and fundraisers
Structure and organization
Lines of authority or chain of command must be indicated clearly
Give area of responsibility
Workers must take problems, reports, and questions to their immediate supervisor, who are responsible for providing necessary assistance
Determined by size and needs of organization
HIPPA
Health Insurance Portability and Accountability Act
Health Care Access
provides special rights to those who lost coverage
Preventing Health care fraud/abuse
Tax related health provisions
Application and enforcement of group health plan requirements
Revenue offsets
provides changes to the internal revenue code for HIPPA expenses.