1. 2
Types of Facilities and Services

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Learning Objectives
After this lecture, you should be able to complete the following Learning Objectives:
2.1 - Define commonly used terms, abbreviations, and acronyms.
2.2 - Identify the different types of health care facilities.
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Learning Objectives
After this lecture, you should be able to complete the following Learning Objectives:
2.3 - Enumerate the various types of services offered.
2.4 - Compare the types of services provided to various segments of the population.
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4. Learning Objectives
After this lecture, you should be able to complete the following Learning Objectives:
2.5 - Describe the types of services offered in different types of facilities.
2.6 - Evaluate the personnel requirements for the different types of services.

5. 2.1 - Define commonly used terms, abbreviations, and acronyms.
Key Terms
2.1 - Define commonly used terms, abbreviations, and acronyms.

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Key Terms
acute care hospital
ambulatory surgical center (ASC)
assisted living facility
board-certified physician
certified nurse midwife (CNM)
certified registered nurse anesthetist (CRNA)
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Key Terms
clinic
demographics
dietetic technician, registered (DTR)
domiciliary
economics
home health agency
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Key Terms
hospice
inpatient facility
not-for-profit (non-profit) facility
nurse practitioner (NP)
outpatient facility
physicians' office
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9. Key Terms proprietary facility rehabilitation center
registered dietitian (RD)
skilled nursing facility (SNF)

10. Introduction

11. Health Care Administrators
Evaluate goals of individual facility
Evaluate capabilities of individual facility
Determine scope of services needed to serve patient population and facility's financial health

12. 2.2 - Identify the different types of health care facilities.
Types of Facilities
2.2 - Identify the different types of health care facilities.

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Types of Facilities
Proprietary facilities
Not-for-profit (non-profit) facilities
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14. Types of Facilities
Inpatient facilities
Outpatient facilities

15. 2.3 - Enumerate the various types of services offered.

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Types of Services
Acute care, or general, hospital
Emergency or trauma centers
Community or regional hospital
Critical access hospitals (CAH)
Specialty (acute care) hospitals
Teaching hospitals
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Types of Services
Veterans Affairs (VA) hospitals
Research hospitals
Ambulatory Surgical Centers (ASC)
Clinics (walk-in clinics)
Physicians' offices
Home health agencies
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18. Types of Services Rehabilitation hospitals/centers Domiciliaries
Skilled nursing facilities (SNF)
Assisted living facilities
Intermediate care facilities for individuals with mental retardation (ICF/MR)
Hospice

19. Place of Service Codes Used by Medicare and other third-party payers
Two-digit code
Used to report the type of facility providing service to patient
Examples:
04 = Homeless shelter
11 = Office

20. Type of Service Indicators
Used by Medicare and other third-party payers
One character code
Used to report the type of service provided service to patient
Examples:
2 = Surgery
D = Ambulance

21. General Practice or Specialized Services
2.4 - Compare the types of services provided to various segments of the population.

22. Health Care Administrators
Must determine what types of services your patient population needs and will need from your facility
Services must bring in revenue

23. Evaluation of Patient Population
Demographics
Age
Gender
Culture/ethnicity
Economics
Education
Employment

24. Gathering Data Evaluate credibility of website
What can you tell from the URL?
Specifically who created the site?
When was the site last updated or when was the data collected?
Is the data clearly labeled, organized, and cited?

25. Using the Data National and state data Facility data Diagnosis reports
Procedure reports
Age reports
Referral reports

26. Facility Specializations
2.5 - Describe the types of services offered in different types of facilities.

27. Facility Specializations
Acute care specialty hospitals
Women and babies
Children
Oncology (cancer)
Short-term care rehabilitation
Alcohol rehabilitation
Mental health facilities
Stroke centers (post-CVA)
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28. Facility Specializations
Home health agencies
Activities of daily living (ADL)
Dialysis
Respiratory therapy
Stoma maintenance
Intravenous (IV) medication administration

29. Clinician Specialties
2.6 - Evaluate the personnel requirements for the different types of services.

30. Clinician Specializations
Board-certified physicians, accredited by the American Board of Medical Specialties (ABMS)
Examples:
Allergy and Immunology
Family Medicine – Sports Medicine
Internal Medicine – Sleep Medicine
Neurological Surgery
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31. Clinician Specializations
Nurse Practitioner (NP)
Certified Nurse Midwife (CNM)
Certified Registered Nurse Anesthetist (CRNA)
Registered Dietitian (RD)
Dietetic Technician, Registered (DTR)

32. Clinician Sub-Specializations
Nurse practitioner (NP)
Acute Care NP
Adult-Gerontology Acute Care NP
Family NP
Pediatric NP

33. Ancillary Clinician Specializations
Physical therapists
Occupational therapists
Speech-language pathologists

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Summary
Build a successful health care organization by getting a clear picture of what type of facility it is and what services are being provided.
Determine if the facility is providing maximum selection of services needed by its patient population.
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35. Summary
Gather statistics for analysis as to the demographics and economics of the primary and secondary service areas.
Once the population is identified and described, analyze the value of how to provide care for community's current and future health care needs.