1. Health Care Facilities

2.  Many different health care facilities deliver health care.  ___ is one of the fastest and largest growing industries in the US.  Employs over ___ workers in more than ___ careers.  It is a ___ dollar per day business.

3.  Vary in size and type of services provided: General hospitals: Treat a wide range of conditions (___ and ___ ) and age groups. Examples Specialty hospitals: care for certain conditions or age groups. Examples Government hospitals: operated by ___, ___, and ___ government agencies; worldwide facilities for service personnel. Examples University or college medical centers: provide services, ___, and ___

4.  Classifications based on funding received Private or proprietary (operated for profit): usually by pt ___ and/or ___ that provide financial support. Religious: religious support and patient fees Nonprofit or voluntary: patient fees and ___ Government: ___ monies and/or patient fees Assignment: call a hospital in the area and find out how what they are classified as…

5.  Provide care for ___, people with ___ or ___ disabilities, and individuals with ___ or long-term illness  Individuals receiving care are usually called ___ instead of patients

6.  Nursing Homes or Geriatric Homes Provide basic ___ and ___ care Usually for individuals who cannot care for themselves Help individuals with ADLs, provide a ___ and secure environment, and promote opportunities for ___ interaction

7.  Extended Care or Skilled Care Facilities Provide ___ nursing and ___ care Prepare resident for return to ___ environment or other LTCF Some have ___ units: provide rehab services for major illness or surgery, treatment for CA, or treatments such as HD or heart monitoring

8.  Independent or Assisted Living Facilities Individuals purchase or ___ units Receive services such as ___, ___, laundry, ___, ___ events, and basic medical care. Most assisted or independent living facilities are associated with nursing homes, extended care facilities, and/or skilled care facilities to allow an individual to move readily from one level of care to the next when health needs change.

9.  Special services of long-term care facilitates Delivery of ___ to homes Senior citizen or adult ___ centers ___ activities for elderly Assignment: What are some long-term care options in the area?

10.  ___ owned offices to large complexes operating as corporations and employing many ___ and other health care professions  Services: ___, treatment, examinations, basic ___ tests, minor ___, and other similar care.  Some treat wide variety of illness/ages; others specialize and deal with only certain age groups and conditions Assignment: What medical offices are in our local area?

11.  Private offices employing a group of ___  Dental clinics now found in major ___ stores  Can provide general or specialized dental care  Often coincide with spas and ___ surgeons  Assignment: What are some options in the area?

12.  Found in many types of health care  Can refer to group of medical/dental doctors who share a facility and other personnel

13.  Other clinics operated by corporation or private groups and provide specialty care (outpatient) Surgicenters (one-day/same-day sx) Emergency care clinics (urgent care) Rehab Clinics (PT, OT, ST) Specialty Clinics (DM, WC, HD, infusion clinics)  Health Departments (STD, immunization, WIC, sanitations, etc)  Medical Centers and Colleges/Universities (med students)

14.  Assignment: What are some options in our area?

15.  Can be individually owned by an ___ or ___ or part of a large chain of stores  Provide vision exams, prescribe eye glasses or contact lenses, and check for the presence of eye disease Assignment: What are some options in our area?

16.  Provide special care for accident or sudden illness  Examples: Ambulance services (private and gov’t) Rescue squads (first responders) Emergency care clinics (private) and centers (hospitals) Helicopter or airplane emergency services Assignment: What are some options in our area?

17.  Can be part of a facility or operate as a separate health care service  Medical Labs: Perform diagnostic tests  Dental Labs: Prepare dentures and other devices Assignment: What are some options in our area?

18.  Provide care in patient’s homes- called ___  Examples of care: Nursing Personal Care Homemaking Therapy  Can be offered by ___, hospitals, ___ agencies, ___ agencies, ___ agencies, etc Assignment: What are some options in our area?

19.  Provide care for terminally ill pts that have a life expectancy of ___ or less.  Provided in a person’s home or a ___.  Palliative care is offered, while allowing the person to die with dignity.  Provides psychological, spiritual, emotional, and financial assistance for ___ and ___.  Also provides support to the family ___. Assignment: What are some options in our area?

20.  Deal with mental diseases and disorders  Examples: Guidance and counseling centers Psychiatric clinics and hospitals Chemical abuse treatment centers for ____ abuse Physical abuse treatment centers (___, ___, and ___ are examples) Assignment: What are some options in our area?

21.  Can be independent or in another facility (hospital, clinic, MD office)  Work with couples/individuals who are or are considering pregnancy  Test and counsel on genetic disorders (ex: CF, Down’s Syndrome)

22.  provide care directed t helping pt with physical or mental disabilities reach maximum ___ potential or function  Hospitals, clinics, private centers  Examples: Assignment: What are some options in our area?

23.  serve as health care delivery systems and offer types of health insurance  Provide total health care directed toward ___ care for a fee that is usually ___ and ___  Some are operated by large industries or corporations; others are operated by small private agencies  They use services of other health care facilities including:

24.  Located in large industries or companies  Provide health care for ___ of the company  Services: Assignment: What are some options in our area?

25.  found in ___ and ___  Emergency care for ___ illness  Test for health conditions, such as:  Monitor chronic health conditions  Promote health education  Maintain safe and sanitary school environment  Counseling

26.  offered at international, national, state, and local levels  Most are tax-supported  WHO  USDHHS NIH CDC

27.  FDA  AJCPR  OSHA  State and Local Health Departments

28.  Supported by donations, membership fees, fundraisers, and federal or state grants  Provide health services at national, state, and local levels  Examples ACS, AHA, ADA, AA, MOD, ARC  Many deal with one specific disease or group Study disease, provide funding for research, promote public awareness/education, provide tx centers, etc

30.  Health care ___ is a major concern of everyone who needs health services.  This is increasing much faster than other costs of living.  Most individuals rely on ___ to pay for health care costs; w/o this a medical situation could cause financial disaster

31.  Offered by thousands of insurance agencies.  Common example is BCBS. BCBS-LA  Many individuals have health insurance through ___. (paid in full or shared)  Private policies can also be purchased.

32.  Premium  Deductible  Coinsurance  Copayment  HMO  PPO

33.  ___ government health care plan  Provides health care for the following individuals:  Three types of coverage A B D

34.  Health insurance plan that helps pay for expenses not covered by Medicare  Policies are offered by private insurance companies and require payment of a ____  Provides options that allow enrollees to choose how much coverage they want to purchase

35.  Medical assistance program that is jointly funded by the ___ and ___ government but operated by individual states.  Benefits and individuals covered vary by state  Usually covers individuals with ___, children who qualify for public assistance, and individuals who are physically disabled or blind

36.  Provide treatment for workers injured on the job  Administered by the state  Payments made by employers and the state  Provides for health care and lost wage

37.  Provide care for all active ___ personnel and their ___ or survivors of personnel and retired members  TRICARE

38.  Developed d/t rising costs of health care  “health care with a purpose”, ie preapproval  ___ care and ___ diagnosis is key  Examples of preventive care:  Agencies work together to provide care at the most reasonable cost (in-network)

39.  5 main components Health care access, portability, and renewability Preventing health care fraud and abuse, administrative simplification, and medical liability reform. Tax-related health provisions