Health Care Systems Chapter 2 Intro HST

Private Health Care Facilities-Unit 1 Hospitals Vary in size and services Classifications (based on funding) Private or proprietary Religious Nonprofit or voluntary Government Types General Specialty University or college medical centers

Long-Term Care Facilities Provide care for elderly, people with mental or physical disabilities, chronic illness Residents Types of facilities Nursing (geriatric) homes Extended care Skilled care Independent or assisted living

Clinics / Satellite Centers Medical Offices May be privately owned Variety of services Specialties (pediatrics, cardiology, obstetrics) Dental Offices Clinics / Satellite Centers Shared facility Types Surgical Urgent / emergency care Rehabilitation Outpatient Health department Medical center

Emergency Care Services Laboratories Home Health Care Optical Centers Emergency Care Services Laboratories Home Health Care Nursing Therapy Personal & Homemaking Hospice Care for terminally ill Services include medical, psychological, social, spiritual, legal/financial counseling

Mental Health Facilities Counseling Psychiatric clinics/hospitals Chemical abuse treatment Physical abuse treatment Genetic Counseling Centers Rehabilitation Facilities Health Maintenance Organizations Health care directed toward preventative care Industrial Health Care Centers School Health Services

Government Agencies – Unit 2 World Health Organization (WHO) International – United Nations Statistics Investigates serious health problems US Department of Health and Human Services (USDHHS) National National Institutes of Health (NIH) Centers for Disease Control (CDC)

Food & Drug Administration (FDA) Regulation of food and drugs Agency for Health Care Policy and Research (AHCPR) Quality of health care Occupational Safety & Health Administration (OSHA) Regulations to protect workers Health Departments State/local

Voluntary or Nonprofit Agencies – Unit 3 Supported by: Donations Membership fees Fundraisers Federal / state grants Examples American Cancer Society American Heart Association American Red Cross

Health Insurance Plans – Unit 4 Premium paid to company Insurance pays for services (coverage varies) Deductibles Co-insurance Co-payment Health Maintenance Organization (HMO) Monthly premium Preventative care

Preferred Provider Organization (PPO) Provided by large industry/company Lower rates Network Medicare Federal program 65+ or disability for 2 years Types A – hospital coverage, LTC B – additional coverage

Workers’ Compensation Medicaid State Benefits vary from state to state Low income, physically disabled or blind SCHIP (1997) – uninsured children of working families Workers’ Compensation Treatment for workers injured on job Health care & lost wages

TRICARE Managed Care Formerly CHAMPUS Military, families, veterans Funded by VA Managed Care Developed due to rising cost of HC All care must have a purpose Second opinions PRN Preventative care & early diagnosis Network, limited choice

Organizational Structure – Unit 5 “Line of authority” or “chain of command” Clearly indicates rank and immediate supervisor Areas of responsibility Hospital Figure 2-10 (p. 35) Medical office Figure 2-11 (p. 36)