Chapter 1: Health Care Delivery Systems

Copyright ©2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.1-3 History of Medicine & Health Care Delivery  History of medicine  Evolution of health care delivery in the United States

Copyright ©2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.1-4 Continuum of Care  Primary care  Secondary care  Tertiary care

Copyright ©2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.1-5 Health Care Facility Ownership  Government (not-for-profit)  Proprietary (for-profit)  Voluntary (not-for-profit)

Copyright ©2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.1-6 Health Care Facility Organizational Structure  Governing board  Administration  Medical staff  Hospital departments, services, and committees  Successful meetings

Copyright ©2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.1-7 Health Information Department  Cancer registry  Coding and abstracting  Image processing  Incomplete record processing  Medical transcription  Record circulation  Release of information processing

Copyright ©2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.1-8 Licensure, Regulation and Accreditation  Code of Federal Regulations (CFR)  Federal Register  Accreditation Standards and Surveys

Copyright ©2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.1-9 Accrediting Organizations  Accreditation Association for Ambulatory Health Care (AAAHC)  American Osteopathic Association (AOA)  Commission on Accreditation of Rehabilitation Facilities (CARF)  Community Health Accreditation Program (CHAP)

Copyright ©2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.1-10 Accrediting Organizations  Joint Commission on Accreditation of Health Care Organizations (JCAHO)  National Committee for Quality Assurance (NCQA)  National Commission on Correctional Health Care (NCCHC)