1. Unit 2 Environment of the Profession

2. Chapter 8 Health Services in the United States

3. What Shapes the Health Care System in the United States? Changing demographics Health insurance or lack of it Managed care

4. What Shapes the Health Care System in the United States? Shortages in health care personnel –Nurses and medical assistants Medical technological advances Information technology Legal concerns

5. Health Care Settings Inpatient –Hospitals Ownership? –Long-term care –Hospice care –Specialty hospitals

6. Health Care Settings Outpatient –Emergency care –Community-based patient care –Ambulatory centers

7. Types of Services Primary Secondary Tertiary

8. Team Members RNs –Advanced practice nurses MDs –Also DOs, Chiropractors –Physician Assistants Pharmacists, social workers, technicians

9. Health Care Financing

10. Health Care Financing: Medicare 1965 –Title XVIII of the Social Security Act –Federally funded health insurance program

11. Health Care Financing: Medicare Persons over age 65 1973 –Extended to younger persons with chronic illnesses and entitled to Social Security –Those with end stage renal disease

12. Medicare Part A Part B Part D

13. Health Care Financing: Medicaid Federally and state funded program specifically for aged poor Blind and disabled who have limited income

14. Health Care Financing: Medicaid Families with dependent children who have only one parent who is unemployed or unable to work Low income pregnant women

15. Managed Care HMO PPO Other care systems Uninsured

16. Issues that Affect Health Care Delivery in the United States Demographics Technology Genetics Natural Disasters Terrorism Lifestyles

17. Issues that Affect Health Care Delivery in the United States