1. Copyright © 2004 by Thomsom Delmar Learning. ALL RIGHTS RESERVED.
Bell Work
Name 3 types of health care facilities and what their main purposes are
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2. Today’s Objectives/Agenda
Introduce types of health care facilities
Review government and non-profit agencies
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3. Health Care Systems

4. Health Care Facilities
Hospitals – immediate care
Long-term care facilities – nursing homes
Dental offices
Clinics – Walk-in
Emergency care services – ER room
School health services
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5. Health Care Facilities (continued)
Laboratories – disease testing
Home health care
Mental health facilities
Rehabilitation facilities – Physical therapy
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Government agencies
World Health Organization -
U.S. Dept. of Health and Human Services
OSHA – Occupational Safety and Health Administration
CDC:
FDA – Food and Drug Administration
State and local departments
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7. Volunteer and Non Profit Agencies
American Cancer Society – cancer prevention and research
American Heart Association
March of Dimes – protect health of mothers and young children; founded by FDR
American Red Cross – Clara Barton
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8. Copyright © 2004 by Thomsom Delmar Learning. ALL RIGHTS RESERVED.
Of the 4 volunteer and non-profit agencies that we discussed yesterday, which one would you be most likely to volunteer with? Why?
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9. Copyright © 2004 by Thomsom Delmar Learning. ALL RIGHTS RESERVED.
Today’s Objectives
Health Insurance Plans
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10. Health Insurance Plans
Health care costs are rising faster than other costs of living
Most people rely on health insurance plans to pay for health care
Without insurance, the cost of an illness can become a financial disaster
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Types of Plans
Health insurance plans
Health maintenance organizations (HMO)
Deal mainly with one primary care physician (PCP)
Need a referral to see a specialist
Less paperwork, lower costs
Preferred provider organizations (PPO)
More flexibility
Referral not needed by PCP
Can be more expensive
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Types of Plans
Medicare – for the elderly 65+
Medicaid – for the disadvantaged( short-term or long term)
Worker’s Compensation – people who are disabled on the job
U.S. government plans – veterans
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13. The Affordable Care Act
Passed in 2010; also known as Obamacare
Original intention: lower healthcare costs, provide EVERYONE with health insurance
Positives:
More people have health insurance
Negatives:
Forces everyone to have insurance either through Obamacare or private insurance (if not, you pay a penalty fee)
Problems with the Obamacare website/customer service
Many private practice doctors going out of business
May have to wait longer for procedures.
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14. Insurance Terminology
Deductible - the amount of expenses that must be paid out of pocket before an insurer will pay any expenses
Co-insurance – the insured person agrees to pay a % of medical costs even after the deductible is met
Example: 80%/20% plan
Let’s say a surgery costs $2,000, but the deductible is already met. How much would the insurance company pay? How much would you have to pay?
Co-payment – the insured person pays a small amount for medical visits/prescriptions each time, with the insurance company paying the rest.
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15. What is the difference between a HMO and a PPO insurance
What is the difference between a HMO and a PPO insurance? What is the difference between Medicare and Medicaid?

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Today’s Objectives
Finish insurance terminology
Worksheet
Introduction into type of healthcare
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17. Insurance Terminology
Preferred provider, or PPO – a network or group of healthcare providers agree to be a member of a network
Premium – the cost of the insurance per year or month
Managed care – a healthcare system that requires pre-authorization prior to specialist visits
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18. Copyright © 2004 by Thomsom Delmar Learning. ALL RIGHTS RESERVED.
Worksheet
With your desk partner or on your own, work through the health insurance worksheet t
Please raise your hand if you need help.
This WILL be on your test!
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19. Copyright © 2004 by Thomsom Delmar Learning. ALL RIGHTS RESERVED.
Your Homework
Go home tonight and ask your parent or guardian what kind of health insurance plan (PPO, HMO, medicaid) you have. Nobody will see this information except for me and you!
If you have reservations about this assignment, please see me after class.
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20. Copyright © 2004 by Thomsom Delmar Learning. ALL RIGHTS RESERVED.
Summary
Health insurance plans do not solve all the problems of health care costs
Do help many people pay for all or part of cost
Important for individuals to understand what plan covers
Also need understanding of co-insurance and other restrictions plan may have
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21. Alternate Types of Health Care

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Home Health Care
Industry grew rapidly due to Medicare
Services provided in patient’s home
Visits must be pre-authorized by insurance agency (unless private pay)
Often necessary to teach family members to perform care
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Geriatric Care
Care for the elderly
Percentage of elderly population growing rapidly
Need for more facilities
Omnibus Budget Reconciliation Act (OBRA) of provides screening for persons seeking admission to nursing homes
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24. Copyright © 2004 by Thomsom Delmar Learning. ALL RIGHTS RESERVED.
Today’s Objectives
Review the notes we have taken so far
Continue covering “Alternative Healthcare”
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Telemedicine
Use of audio, video, and computers to provide health care from a distance
The future is now
Increases accessibility to information
Decreases need for trip to medical center
Decreases need for Home Health visits
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Wellness
State of “optimal health”
Increase awareness of maintaining health and preventing disease
Emphasis on preventative measures rather than waiting until illness arrives
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Promoting Wellness
Physical wellness – exercising/diet
Emotional wellness – stress relievers
Social wellness – healthy human contact
Mental/intellectual wellness – “staying sharp”
Spiritual wellness – being in touch with core beliefs
**What do you do for yourself in these areas?
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Holistic Health
Treat the whole body, mind, and spirit
Each person is unique with different needs; patient makes their own choice
Alternate methods of diagnosis and treatment
Emphasis on protection and restoration
Promote body’s natural healing processes
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29. Alternative Methods of Treatment
Used to replace or supplement traditional treatment
Holistic approach: belief that the effect on one part effects the whole person
Based on belief that the person has a life force or energy that can be used in the healing process
May vary by cultural values or beliefs
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Announcement
Your test over this chapter of notes will be on Monday!
I will give you a review sheet on Monday
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31. Types of Practitioners
Chinese medicine – naturalistic treatment of the body as an “energy system”
Chiropractors – spinal adjustments :
Homeopaths – body has the ability to heal itself
Hypnotists – usually for relaxation:
Naturopaths- combine nature with modern science
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32. Office of Alternative Medicine (OAM)
Established in 1992 at the National Institutes of Health (federal government)
Purpose: research therapies and establish standards of quality care
Many states have passed laws
Know your state’s law regarding the legal requirements of alternative therapies
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