1. Warm-Up: On a sheet of notebook paper, answer the following questions using complete sentences. You will TURN IN for a grade.
What do you think that some of the differences in healthcare would be between a city (like Austin) and a small rural town (like Elgin)?
What are some of the different needs of people living in the rural area (the country) when compared with the needs of people in the urban area (the city)?
Time Limit: 5 minutes

2. What are some differences in Healthcare between urban and rural settings
House Bill 7 (77th Legislature) created the Office of Rural Community Affairs (ORCA) and set forth the following requirement: “The office shall…compile an annual report describing and evaluating the condition of rural communities.”
Policy goals and statements from participants include:
-Ensure access to primary healthcare
-Provide more incentives to attract healthcare providers and services to rural areas.

3. Introduction to Health Care Systems and Trends

4. Health Care Industry
The Health care Industry is the largest service industry in the United States.
American’s spent $1.1 trillion on health care in 1997.
American’s spent $2.26 trillion on health care in 2007; more than any other country in the world.
3 million new jobs will be created in a 10 year period ( ) to meet growing health care needs.
This industry employs over 13 million workers in more than 200 different health careers.

5. Health Care Facilities and Services
What is a health care facility?
List some examples of health care facilities:

6. Health Care Facilities
Hospitals - come in various sizes and types of service given
Small Hospitals – provide basic needs of the community. Treat infections and broken bones.
Large hospitals - provide highest levels of treatment, patient education, and research Ex: Diabetes education classes
General Hospitals - treat a wide range of conditions, which could include serious injuries from accidents and serious illness

7. Health Care Facilities
Specialty Hospitals – offer specialized care for certain populations, such as surgery, cancer, pediatrics, psychiatrics and orthopedics (bone, joint and muscle disease), and burns.
Ex: Dell Children’s Medical Center, Shriner’s Hospital for Children, Veterans Administration Hospitals, University Medical Centers

8. Review…. Which one is not a specialty hospital?
Dell Children’s Hospital
M.D. Anderson Cancer Hospital
St David’s Hospital
Heart Hospital of Austin

9. Hospitals Goal of Hospital Care
To help control costs of hospital care, patient care initiatives have been developed to decrease the number and length of patient stays.
Also to provide and maintain the level of care and staff needed to care for the community.
The hospital must still maintain a certain occupancy rate in order to meet its operating costs.

10. Inpatient vs. Outpatient Services
Inpatient - treatment to a patient in the hospital that requires an overnight stay
Outpatient - treatment or services give to someone that does not require an overnight stay
60% of surgeries do NOT require an overnight stay
Ex: rehabilitation, X-ray, day surgeries, physical therapy services

11. Review….. All of the following are considered outpatient services except:
Round Rock Dialysis Center
Austin Radiological Association Clinic
HEB RediClinic
Medical/Surgical Unit inside Round Rock Hospital

12. Long Term Care Facilities
Long Term Care Facilities (LTCFs) - a nursing home or geriatric home for people who do not require hospitalization, but are not able to live at home
This is a fast growing area in health care and provides multiple job opportunities for health care workers.

13. Two types of Nursing Homes
Skilled Nursing Facility (SNF) - provides nursing and rehabilitation services around the clock. Clients need care due to illness or recovering from illness, injury, or surgery

14. Two Types of Nursing Homes
Assisted Living Residence
Provides housing, meals and personal care to individuals who need help with activities of daily living (ADLs), but do not need daily nursing care. May also be called Independent Living.
ADL’s –
Personal hygiene
Dressing
Grooming
Eating
Toileting

15. Home Health Care Providers
Reasons to need Home Health:
To meet the needs of aging population
To save money
To help the patient have a better quality of life in the comfort of their own home.
Advanced equipment can be used in a home.

16. Home Health Care Providers
There is a wide range of professionals who deliver health care to patients at home:
Respiratory therapy, physical therapy, occupational therapy, speech therapy, nursing, home health aide and many others
Home health agencies are licensed and regulated by the state to ensure patient care safety.

17. Health Care Facilities
What services are provided in the following facilities?
Dental offices
Optical Centers
Clinics
Laboratories
Mental health
Rehabilitation
Diagnostic Centers
School Health Services

18. Review A person could receive immunizations at all of the following except:
School Nurse office
Health Clinic
Clinical Laboratory Pathology (CPL)
Medical Clinic (family practice)

19. Hospice
This refers to palliative care and support provided to dying, terminally ill patients (with a life expectancy of 6 months or less) and their families
The goal of hospice is to make the patient’s last days as comfortable and pain-free as possible
“Patient to die with dignity and in comfort.”
Services provided: medical, emotional and spiritual

20. Government Health Services
Agencies developed to protect the health of the American public
Examples:
National Institute of Health (NIH)
conducts research on all types of diseases
Center for Disease Control and Prevention (CDC)
Provide information and tools that people and communities need to protect their health
health promotion, disease prevention, and preparedness for new health threats.

21. Government Health Services cont’d
Occupational Safety and Health Administration (OSHA)
enforce safety and health laws that protects workers from job-related injuries and illnesses
Consolidated Omnibus Budget Reconciliation Act (COBRA)
gives workers and their families who lose their health insurance benefits the right to choose to continue those benefits despite job loss

22. Food and Drug Administration (FDA)
Ensures that foods are safe, pure, and wholesome
Enforces that therapeutic drugs are safe and effective
Enforces that cosmetics are safe.

23. Government Health Services
What services do these agencies provide?
World Health Organization (WHO) - sets global health standards and monitors and assesses health trends.
US Department of Health and Human Services (DHHS) - health services for all ages, fund the CDC, FDA, and NIH
State Health Department - Medicaid, WIC, food stamps (Lone Star)
Local Health Department - vaccination clinics, services for the deaf, emergency services for basic household needs, veterans assistance
In addition to serving the public, all of these agencies provide opportunity for employment as a health care worker.

24. Non-profit Agencies ACS - American Cancer Society
AHA - American Heart Association
ADA – American Diabetic Association
NBCF - National Breast Cancer Foundation
All are supported by contributions
These agencies provide opportunity for employment to health care workers.

25. Healthcare Trends Group Activity!
Discuss your trend
Look over the section in your textbook that apply to your topic (p )
Brainstorm how to illustrate and what important facts/information to include on your poster
Create your healthcare trends poster
Be prepared to share with the class