1. The Health Care Environment: Past, Present, and Future
Chapter 2
The Health Care Environment:
Past, Present, and Future

2. Objectives
Review the learning and performance objectives for this chapter
By the end of this chapter, demonstrate the procedures in the textbook and the job skills in the workbook

3. Heart of the Health Care Professional
Service
With cheerfulness and patience, you will be helping the medical practice and serving patients at the same time.

4. Changes in Health Care Medicine/religion connection Ancient Egypt
Imhotep
Seen as god of healing
Physician to the Pharaohs
First written medical record
First prescription
Tomb of Egyptian Pharaoh

5. Changes in Health Care Medicine/religion connection Ancient Greece
Aesculapius
Greek legend
God of healing
Caduceus
See Figure 2-2

6. Changes in Health Care Hippocrates Highlights of Medical History
“The Father of Medicine”
First to describe diseases
The Oath of Hippocrates
Highlights of Medical History
See Table 2-1

7. Changes in Health Care Physicians traded services for goods
Families paid for services monthly
Insurance companies emerge
Third-party system of reimbursement

8. Changes in Health Care Cost of medical education increased
Medicine advanced
Life expectancy increased

9. Changes in Health Care Lawsuits increased Malpractice insurance soared
Healthcare facilities compete
Utilization and review process

10. Today’s Health Care Delivery System
Traditional care
Fee-for-service
Choice of physician, specialist, and facility
Managed care
Capitation
Primary care physician

11. Today’s Health Care Delivery System
Types of managed care organizations
Health Maintenance Organization (HMO)
Preferred Provider Organization (PPO)
Independent Practice Association (IPA)
Exclusive Provider Organization (EPO)
Point-of-Service (POS) Plan

12. The Medical Practice Setting
Solo physician practice
Associate practice
Group practice
Partnership

13. The Medical Practice Setting

14. The Medical Practice Setting
Professional corporation
Urgent care center
Clinic
In-store clinic

15. The Medical Practice Setting
Hospital
Categories
Government owned
Federal VA Hospital
State facility for the developmentally disabled

16. The Medical Practice Setting
Hospital
Categories
Nongovernment owned
For profit
Nonprofit

17. The Medical Practice Setting
Hospital
Types
Acute care hospital
Specialty hospital
Mental health hospital
Substance abuse hospital
Convalescent hospital
Rehabilitation hospital

18. The Medical Practice Setting
Hospital
Administrative Departments (Figure 2-5A)
Adjunct Departments (Figure 2-5B)
Organization Chart (Figure 2-6)

19. The Medical Practice Setting
Medical center
Specialized care center
Laboratory
Managed care organization
Holistic health environment

20. Physician Specialists
See Table 2-3
Variety of specialty practices
Variety of job responsibilities
Variety of patient types

21. Physician Specialists
What practice would you choose?
What patients do you want to work with?
Which job responsibilities interest you?

22. Administrative Duties
Handle numerous referrals
Schedule appointments efficiently
Prioritize walk-in patients
Prioritize multiple and frequent calls

23. Administrative Duties
Schedule surgical procedures
Handle patient consents
Schedule pre- and post-op appointments
Discern emergencies and complications
Remain calm if an emergency arises

24. Administrative Duties
Know medical terminology
Possess excellent keyboarding skills
Perform bookkeeping procedures
Possess good transcription skills
Maintain equipment in working order

25. Health Care Professional Abbreviations
See Table 2-4
Understand that professionals you communicate with have specific education and credentialing

26. Stop and Think Traditional versus managed care Review the scenario
What type of Medicare plan is Granny on?
What type of Medicare plan is Nana on?
What type of MCO does the physician belong to that enables him or her to see both of these types of patients?

27. Stop and Think Types of medical practice settings
Review the five scenarios at the end of Chapter 2
What type of practice setting would you look for?
Why would you make that choice?