1. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Chapter 3 Health Care Settings

2. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Acute Care Facilities Single hospitals Multi-hospital systems Ancillary services –Diagnostic –Therapeutic Acute care/short-term care Long-term care

3. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Hospital Bed Count or Bed Size The hospital bed count or bed size is the total number of inpatient beds for which the facility is licensed by the state.

4. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Hospital Categories Critical access hospitals (CAH) General hospitals Specialty hospitals Rehabilitation hospitals Behavioral health care hospitals

5. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Hospitalists Hospitalists are physicians who spend most of their time in a hospital setting admitting patients to their inpatient services from local primary care providers.

6. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Hospital Patients Ambulatory patients (outpatients) Ambulatory surgery patients Emergency care patients Inpatients Newborn Observation patients Subacute

7. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Ambulatory and Outpatient Care Ambulatory surgical centers (freestanding) Hospital-based outpatient department Hospital-based emergency department Hospital-based ambulatory surgery Hospital-based partial hospitalization Public health departments Satellite clinics

8. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Ambulatory and Outpatient Care (Continued) Staff model health maintenance organizations Urgent care centers Hospital-based physician practices Hospital-owned satellite clinics Industrial health clinics Neighborhood health clinics Physician offices

9. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Alternate Care Facilities Behavioral health care facilities Home care and hospice Long-term care Managed care

10. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Behavioral Health Care Settings Chemical dependency program Crisis service Day treatment program Developmentally disabled/mentally retarded facilities Emergency care facilities Family support services Home health care

11. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Behavioral Health Care Settings (Continued) Hospital treatment Intensive case management Outpatient clinic Partial hospitalization program Residential treatment facility Respite care Therapeutic group home

12. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Hospice care’s primary goal is to provide palliative care rather than curative care. Most hospice care is provided in a patient’s home. Hospice Care

13. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Long-Term Care Long-term care includes a range of nursing, social, and rehabilitative persons for people who need on-going assistance. Types include: –Adult day care –Assisted living facilities –Intermediate care facilities –Long-term hospitals –Residential care facilities –Skilled nursing facilities

14. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Federal, State, and Local Health Care Correctional facilities Military Health System (MHS) Veterans Health Administration (VHA) U.S. Public Health Service (PHS)

15. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Regions of Military Health System