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Health System Organization

Health System Organization. Session 8 – February 24, 2011 Health Care Processes, Service Delivery & the Continuum of Care Organization, Integration and New Strategies for Improving the System Group presentation #5: Race Against Time. Ambulatory/Outpatient Services: Scope and Definition.

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Health System Organization

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  1. Health System Organization Session 8 – February 24, 2011 Health Care Processes, Service Delivery & the Continuum of Care Organization, Integration and New Strategies for Improving the System Group presentation #5: Race Against Time

  2. Ambulatory/Outpatient Services:Scope and Definition • By service: • preventive, diagnostic, therapeutic, emergent • By location: • community, hospital • By discipline: • medicine, dental, vision, complementary • By setting: • surgi-centers, clinics, dialysis, psychiatric • By level: • primary, secondary, tertiary

  3. Why the Growth in Outpatient Care? • Outpatient Surgery • New Diagnostic Tests • Technology • Reimbursement • Specialized Treatment Centers/Physician Office Practices • Social Factors • Settings and Overall Increase in Demand

  4. Growth in Outpatient Services:The Issue of Access • E.D. Use by Patient Flow • E.D. Use by Frequency and Payer

  5. Reasons for Seeking Care in the ED • Medical • 33% - fever, flu, cough, etc. • 19% - pain • 11% - injury • 8% - gastro-intestinal • 28% - other • Duration of Medical Problem • 21% - a few hours • 23% - one day • 21% - two or three days • 19% - four to seven days • 9% - more than a week • 7% - more than a month • Contact with Medical Personnel Prior to Coming to ED • 35% - yes • 63% - no • 2% - Tried, but unable • Reason for Not Going to Usual Source of Care* • 51% - Prefer ED because no appointment required, don’t have to wait • 31% - Office/clinic closed • 14% - Told to go to ED • 4% - Financial/insurance reasons *Does not include those without a usual source of care.

  6. Inpatient Care and Institutions • Social Welfare Role • Care for the Sick • Institutions for Medical Practice • Institutions for Medical Training and Research • Expansions, Consolidation & Expansion of Complex Health Systems

  7. Inpatient Concepts • Discharges, • (In)patient days • Average length of stay • Capacity • Average Daily Census • Occupancy Rate

  8. Does Ownership Matter? • Public • Non-Profit • Investor Owned/Proprietary • Rural • Critical Access • Teaching • Religious Affiliation • Osteopathic

  9. Other Considerations • Ownership & Governance • Licensure, Certification & Accreditation • Ethical & Legal Issues

  10. Break When You Return: Group 5 Presentation

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