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1.03 PP1 Healthcare Agencies. Public H ealthcare Systems. Public Healthcare Systems. AKA: National Healthcare Plan Provide healthcare to all citizens Often seen in other countries Canada Europe No cost to the patient Residents pay high taxes. Private Healthcare Systems.
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Public Healthcare Systems 1.03 Understand healthcare agencies, finances, and trends
Public Healthcare Systems • AKA: National Healthcare Plan • Provide healthcare to all citizens • Often seen in other countries • Canada • Europe • No cost to the patient • Residents pay high taxes 1.03 Understand healthcare agencies, finances, and trends
Private Healthcare Systems 1.03 Understand healthcare agencies, finances, and trends
Private Healthcare Systems • Individuals purchase a health insurance plan and/or pay out-of-pocket. • Predominate system in the United States • Systems in the United States are a combination of public and private funding. 1.03 Understand healthcare agencies, finances, and trends
Healthcare Agencies national non-profit in-patient out-patient government state local international for-profit 1.03 Understand healthcare agencies, finances, and trends
NIH CDC OSHA Government Healthcare Agencies AHCPR/AHRP FDA 1.03 Understand healthcare agencies, finances, and trends
GHAInternational World Health Organization (WHO) • founded in 1948 • assess health trends • compile statistics related to disease • investigate health problems worldwide • publish health information http://www.who.int/en/ 1.03 Understand healthcare agencies, finances, and trends
GHANational U. S. Department of Health and Human Services (USDHHS) • investigate health problems in the United States • prevent disease by immunizations • provide comprehensive health services • publish health information • compile statistics related to disease http://www.hhs.gov/ 1.03 Understand healthcare agencies, finances, and trends
GHANational National Institutes of Health (NIH) World’s leading research organization • Research includes AIDS cancer Alzheimer’s diabetes arthritis heart disease http://www.nih.gov/ 1.03 Understand healthcare agencies, finances, and trends
GHANational - Centers for Disease Control and Prevention (CDC) • disease control • disease prevention http://www.cdc.gov/ 1.03 Understand healthcare agencies, finances, and trends
GHANational - (USDHHS) Food and Drug Administration(FDA) - regulates safety of food and cosmetics - regulates safety and efficacy of drugs, biological products and medical devices http://www.fda.gov/ 1.03 Understand healthcare agencies, finances, and trends
GHA National - (USDHHS) Agency for Healthcare Research and Quality (AHRQ) • Formerly called: Agency for Healthcare Policy and Research (AHCPR) • investigate quality of healthcare delivery • establish standards for healthcare treatment http://www.ahrq.gov/ 1.03 Understand healthcare agencies, finances, and trends
GHANational ABC Occupational Safety and Health Administration(OSHA) Division of the US Department of Labor - create job safety standards - implement job safety standards http://www.osha.gov/ 1.03 Understand healthcare agencies, finances, and trends
OSHA ABC OSHA standards specific to healthcare include: - personal protective equipment - blood borne pathogens - hazard communication - ergonomics http://www.osha.gov/ 1.03 Understand healthcare agencies, finances, and trends
Government Healthcare Agencies - State-(USDHHS) N. C.Department of Health and Human Services (NCDHHS) Functions to provide many services: Adoption Medicaid Deaf/blind services Mental health services Emergency services Pregnancy services Food and nutrition services Senior centers In-Homes Aides Vital records http://www.dhhs.state.nc.us/index.htm 1.03 Understand healthcare agencies, finances, and trends
GHAState- (USDHHS) N. C.Department of Health and Human Services - (NCDHHS) Functions to provide information: • Disease and health information Safety • End of life issues Teen issues • Environmental health Wellness • Minority health www.dhhs.state.nc.us/index.htm 1.03 Understand healthcare agencies, finances, and trends
GHALocal - (USDHHS, NCDHHS) County Health Department Services provided: Communicable disease control Laboratory services Health inspections Oral health Immunizations Woman and child health Provides information Health education Statistics related to health, birth and death 1.03 Understand healthcare agencies, finances, and trends
Private Healthcare Agencies 1.03 Understand healthcare agencies, finances, and trends
Private Healthcare AgenciesNon-Profit • Supported by • donations • fees • fundraisers • grants • Usual focus: • one disease or condition • related group of disorders • Examples 1.03 Understand healthcare agencies, finances, and trends
Private Healthcare AgenciesNon-Profit Participate in: services education research 1.03 Understand healthcare agencies, finances, and trends
Day 2 HCA 1.03 Understand healthcare agencies, finances, and trends
Private Healthcare Agencies For-Profit 1.03 Understand healthcare agencies, finances, and trends
Private Healthcare AgenciesFor-Profit • Provide patient services • Expect monetary profit • Use profit for agency growth and to increase services 1.03 Understand healthcare agencies, finances, and trends
PHCA - For-Profit - Inpatient- A facility where patients stay overnight to receive medical care and treatment. 1.03 Understand healthcare agencies, finances, and trends
PHCA - For-Profit - Inpatient- Hospital Mostly inpatient services with some outpatient services Type is determined by size, ownership, and services offered. • General • Specialty • Government • University or college medical centers 1.03 Understand healthcare agencies, finances, and trends
General hospitals • treat wide variety of conditions and age groups • Pts are hospitalized a short time (few days to a few weeks) • Provide a range of diagnostic, medical, surgical, and emergency services Diagnostic = pertaining to the determination of the nature of a disease or injury by examining (e.g. using x-rays and laboratory tests)
Specialty hospitals • Provides care for specific illnesses, such as chronic diseases, tuberculosis, and psychiatric problems. Chronic = continuing over many years or a long time • Patients/clients are usually hospitalized in these facilities for a long time. • St. Jude’s Hospitalfor children is an example of a specialty hospital. It is known for its cancer treatments and treatments of burns.
University/College Medical Centers • Provide services, research and education • Can be funded by private or govt. sources
Veterans Health Administration • Federally supported • Provide care for veteran who served in the armed forces
CONVALESCENT CARE • For elderly people needing nursing services and personal care. • For physically ill or injured people who require extended care for recovery. • Examples: • nursing homes • long-term care facilities.
PHCA - For-Profit - Inpatient- Long Term Care Facilities Care provided to patients who: - have chronic conditions or disabilities that require assistance with daily activities - are adults over the age of 18 - need long term or short term care 1.03 Understand healthcare agencies, finances, and trends
PHCA - For-Profit - Inpatient- • Types of long term care facilities • Adult care homes • Assisted living facilities • Continuing care retirement communities • Nursing homes 1.03 Understand healthcare agencies, finances, and trends
Nursing/Geriatric homes • Provide physical and emotional care • For individuals who cannot care for themselves • Help with ADLs, provide safe and secure environment and promote social interaction.
Extended care facilitiesSkilled care facilities • skilled nursing and rehabilitative care • Prepare residents for return to home or long term facility. • Examples: • dialysis • tx for CA pts
Independent living Assisted living facilities • Person rents or purchases unit in facility • Provides meals, laundry, housekeeping, transportation, social events and basic medical care.
PHCA - For-Profit - outpatient • Patient receives ambulatory care. • Patient does not stay overnight in the facility. 1.03 Understand healthcare agencies, finances, and trends
AMBULATORY CARE CLINIC • Facilities where several physicians with different specialties combine their practices. • Specialties = fields of study or professional work. Ex: pediatrics & orthopedics • Allows the patient to have immediate care for many different illnesses
Adult Day Care PHCA - For-Profit - Outpatient • Care for elderly people who are able to live at home with their families but need care when the family is away. • Provides activities, rehabilitation, and contact with other people • medications given • aided in mobility
PHCA - For-Profit - OutpatientDoctors’ Offices • Provide Services such as diagnosis, exams, treatment, lab testing, minor surgery, etc. • Specialize (Ex: Cardiology & Obstetrics) • Privately owned establishments • Employs variety of HCPs
PHCA - For-Profit - Inpatient- Emergency Care • Provide special care for accidents or sudden illnesses • Examples: • Ambulance services: private and govt. • Rescue squads: frequently operated by fire departments. 1.03 Understand healthcare agencies, finances, and trends
PHCA - For-Profit - Inpatient- Emergency Care • ER – operated by hospitals • Helicopter or airplane – fly clients so that they receive care asap.
PHCA - For-Profit - Outpatient- Home Health Meds. Homemaking Nursing Care Therapy 1.03 Understand healthcare agencies, finances, and trends
PHCA - For-Profit -OutpatientHospice Care Life expectancy is less than 6 months Familycare Patient care 1.03 Understand healthcare agencies, finances, and trends
PHCA - For-Profit – OutpatientIndustrial Healthcare 1.03 Understand healthcare agencies, finances, and trends
PHC - For-Profit- Outpatient Laboratory Services 1.03 Understand healthcare agencies, finances, and trends
Mental Health Services Counseling Abuse Tx Chemical/Physical Clinics / Hospitals 1.03 Understand healthcare agencies, finances, and trends
PHC - For-Profit- OutpatientSchool Health Services Health Education Counseling Screenings Vision, Hearing, dental Emergency Care 1.03 Understand healthcare agencies, finances, and trends