1 / 16

Chapter 2

Chapter 2. Health Care Systems. 2:1 Private Health Care Facilities. Growth—one of the largest and fastest growing industries in the United States Employment opportunities—employs over 13 million workers in over 200 careers Expenditures—it is a four-billion-dollar- per-day business and growing.

grant
Download Presentation

Chapter 2

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Chapter 2 Health Care Systems

  2. 2:1 Private Health Care Facilities • Growth—one of the largest and fastest growing industries in the United States • Employment opportunities—employs over 13 million workers in over 200 careers • Expenditures—it is a four-billion-dollar-per-day business and growing (continues)

  3. Private Health Care Facilities(continued) • Hospitals • Long-term care facilities (LTC or LTCF) • Independent living and assisted living • Medical offices • Dental offices • Clinics or satellite centers • Optical centers

  4. Private Health Care Facilities(continued) • Emergency care services • Laboratories • Home health care • Hospice agencies • Mental health facilities • Genetic counseling centers • Rehabilitation facilities (continues)

  5. Private Health Care Facilities(continued) • Health maintenance organizations (HMOs) • Industrial health care centers or occupational health clinics • School health services

  6. 2:2 Government Agencies • Government services are tax supported • World Health Organization (WHO) • U.S. Department of Health and Human Services (USDHHS) • National Institutes of Health (NIH) • Centers for Disease Control and Prevention (CDC) (continues)

  7. Government Agencies(continued) • Food and Drug Administration (FDA) • Agency for Health Care Policy and Research (AHCPR) • Occupational Safety and Health Administration (OSHA) • Health Departments

  8. 2:3 Voluntary or Nonprofit Agencies • Supported by donations, membership fees, fundraisers and grants • Health services are provided at national, state, and local levels • Examples include the American Cancer Society, March of Dimes, American Red Cross and many more (continues)

  9. Voluntary or Nonprofit Agencies(continued) • Organizations focus on specific diseases • Educate the public • Provide special services • Purchase medical equipment • Staffed by many health care workers and volunteers

  10. 2:4 Health Insurance Plans • Health care costs are rising faster than other costs of living • Most people rely on health insurance plans to pay for health care costs • Without insurance, the cost of an illness can become a financial disaster

  11. Insurance Terminology • Deductible • Co-insurance • Co-payment

  12. Types of Plans • Health insurance plans • Health maintenance organization (HMO) • Preferred provider organization (PPO) • Medicare • Medigap (continues)

  13. Types of Plans(continued) • Medicaid • The State Children’s Health Insurance Program (SCHIP) • Worker’s Compensation • U.S. government plans for all military personnel and their families • Managed care plans

  14. HIPAA • Five components • Health care access • Preventing health care fraud • Tax-related health provisions • Application and enforcement of group health plan requirements • Revenue offsets

  15. 2:5 Organizational Structure • Line of authority or chain of command • Indicates areas of responsibility • Goal: most efficient operation of facility • Complex or simple structure determined by size and needs of organization • Sample organizational charts (See Figure 2-4 and 2-5 in text) (continues)

  16. Organizational Structure(continued) • The line of authority must be clearly indicated in any organizational structure • Workers must identify and understand their position in the structure • To follow proper channels of communication, workers must take problems, reports, and questions to their immediate supervisor

More Related