1. MO 270 SEMINAR 8 HEALTHCARE FACILITIES

2. HOSPITALS GENERAL HOSPITALS: treat everyone, those without insurance, costs go to those who have insurance. Scholarships/grants/donors. SPECIALTY HOSPITAL: Only takes those who can pay. Specified care, like Cancer hospital, City of Hope etc. AMBULATORY CARE: out patient, like colonoscopy/ D&C etc. ASSITED LIVING: retirees, need help with daily things, but not critical care. Nursing home has critical care and 70% are for profit. HOSPICE: terminally ill---Palliative care Hospital components include the board, management, medical staff, and operational staff, with each group operating interdependently to provide continuous quality care.

3. Ambulatory Care What is ambulatory care? The delivery of outpatient services in a wide variety of settings, including: Preventive care Primary care Secondary care

4. How much does it cost? The costs for hospital care have increased substantially from $9 billion in 1960 to over $400 billion 40 years later. WHY so much? sophisticated advancements in technology have led to better diagnostic and therapeutic care, but with very high costs for its development, production, distribution, and maintenance The cost of prescription drugs has also escalated for the individual consumers, the hospitals, and other health care facilities. In addition, a larger number of elderly patients are utilizing hospital services, as well as patients with poor health due to risky lifestyles.

5. Hospitals three categories for classifying hospitals:length of stay, type of service, and ownership. Give an example of a Government owned hospital……… Example of non profit……… Example of privately owned, for profit.

6. Hospital Accreditation Major accrediting body for hospitals is the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Develops standards and provides advice on meeting standards

7. Other forms of care What type of facilities are for people who don’t need skilled nursing but do need help with ADLs? Assisted living What determines use of ambulatory care services? Insurance What are student health centers? Found at Universities etc. Lower costs Who is responsible for day to day operations in a hospital? Management, Administrator. There is more out patient care now, so primary care Dr’s don’t often remain involved in pt care. During the year 2000, each person in the US visited physicians an average of 3 times.

8. Health care provider in an ambulatory settings can be: Dr., nurse, Physician Assistant, Nurse practitioner. Reason for the growing reliance on ambulatory care? Advances in technology, financial incentives by insurance companies, demands for patient convenience. Know hospital development? More competition, places consolidated, changes in ways payments were made. Physician workshop stage? Since hospitals were already in place they tried to improve their clinical effectiveness. They gained more control on infections and made patients in hospitals less prone to other diseases. They also made surgeries safer and more effective.

9. MANAGED CARE Now that you have learned about different types of hospitals and ambulatory care centers, what is managed care? Comprehensive care: so you can be seen for anything, and even have surgery. Primary point is to control costs. places limits on which doctors and what kind of therapy and treatment a member may have and receive coverage……..not that you can’t be seen. Usually need one PCP. Have to have referral to specialists.

10. Managed Care Advantages: costs are controlled. They can’t charge whatever they want. You pay not out of pocket. Disadvantages: You are restricted to a certain network of providers. This limits your options to a certain extent. If you decide to go out of network, you will be dinged with huge medical bills. You'll pay for everything out of pocket and your HMO will not even consider helping.

11. Multiple Choice The accrediting body for a hospital is: A. AHA B. JCAHO AMA VHA

12. ANSWER B. JCAHO

13. Multiple Choice A strep test is what type of test? A. Preadmission B. Monitoring C. Screening D. Confirmatory

14. Answer D. Screening

15. True or False A proprietary hospital is a private, for-profit hospital

16. Answer TRUE

17. Next Unit! In Unit #9, you have a Final Exam for the class. I will post a review on Wednesday night, and send out an email that it is posted in DOC SHARING. Please be sure to take the exam on time!