2. 1.03 Healthcare Agencies

3. 1.03 Understand healthcare agencies, finances, and trends Public Healthcare Systems 2

4. 1.03 Understand healthcare agencies, finances, and trends Public Healthcare Systems Also known as National Healthcare Plan Provide healthcare to all citizens Often seen in other countries –Canada –Europe No cost to the patient Residents pay high taxes 3

5. 1.03 Understand healthcare agencies, finances, and trends Private Healthcare Systems Individuals purchase a health insurance plan and/or pay out-of-pocket. Predominate system in the United States Systems in the United States are a combination of public and private funding. 4

6. 1.03 Understand healthcare agencies, finances, and trends Government Healthcare Agencies - International - W orld H ealth O rganization (WHO) Functions: –assess health trends –compile statistics related to disease –investigate health problems worldwide –publish health information http://www.who.int/en/ 5

7. 1.03 Understand healthcare agencies, finances, and trends Government Healthcare Agencies - National - U. S. D epartment of H ealth and H uman S ervices (USDHHS) Functions: – compile statistics related to disease –investigate health problems in the United States –prevent disease by immunizations –provide comprehensive health services –publish health information http://www.hhs.gov/ 6

8. 1.03 Understand healthcare agencies, finances, and trends N ational I nstitutes of H ealth (NIH) Functions: – World’s leading research organization –Research includes AIDScancer Alzheimer’s diabetes arthritisheart disease http://www.nih.gov/ 7

9. 1.03 Understand healthcare agencies, finances, and trends C enters for D isease C ontrol and Prevention (CDC) Functions: disease control disease prevention http://www.cdc.gov/ 8 Government Healthcare Agencies - National -

10. 1.03 Understand healthcare agencies, finances, and trends Government Healthcare Agencies - National - (USDHHS) F ood and D rug A dministration (FDA) Functions: - regulates safety of food and cosmetics - regulates safety and efficacy of drugs, biological products and medical devices http://www.fda.gov/ 9

11. 1.03 Understand healthcare agencies, finances, and trends Government Healthcare Agencies - National - (USDHHS) A gency for H ealthcare R esearch and Q uality (AHRQ) Formerly called Agency for Healthcare Policy and Research (AHCPR) Functions: - investigate quality of healthcare delivery - establish standards for healthcare treatment http://www.ahrq.gov/ 10

12. 1.03 Understand healthcare agencies, finances, and trends Government Healthcare Agencies - National - O ccupational S afety and H ealth A dministration (OSHA) Division of the US Department of Labor Functions: - create job safety standards - implement job safety standards ABC http://www.osha.gov/ 11

13. 1.03 Understand healthcare agencies, finances, and trends Government Healthcare Agencies - National - O ccupational S afety and H ealth A dministration (OSHA) OSHA standards specific to healthcare include: - personal protective equipment - blood borne pathogens - hazard communication - ergonomics http://www.osha.gov/ ABC 12

14. 1.03 Understand healthcare agencies, finances, and trends Government Healthcare Agencies - State - (USDHHS) N. C.DHHS N. C. D epartment of H ealth and H uman S ervices (NCDHHS) Functions to provide many services: AdoptionMedicaid Deaf/blind servicesMental health services Emergency servicesPregnancy services Food and nutrition servicesSenior centers In-Homes AidesVital records http://www.dhhs.state.nc.us/index.htm 13

15. 1.03 Understand healthcare agencies, finances, and trends Government Healthcare Agencies - State - (USDHHS) N. C.DHHS N. C. D epartment of H ealth and H uman S ervices (NCDHHS) Functions to provide information: Disease and health informationSafety End of life issuesTeen issues Environmental healthWellness Minority health www.dhhs.state.nc.us/index.htm 14

16. 1.03 Understand healthcare agencies, finances, and trends Government Healthcare Agencies - Local - (USDHHS, NCDHHS) County Health Department Functions: Provides services Communicable disease control Laboratory services Health inspections Oral health Immunizations Woman and child health Provides information Health education Statistics related to health, birth and death 15

17. Private Healthcare Agencies 1.03 Understand healthcare agencies, finances, and trends 16

18. 1.03 Understand healthcare agencies, finances, and trends Private Healthcare Agencies Non-Profit Supported by –donations –fees –fundraisers –grants Usual focus: –one disease or condition –related group of disorders Examples….JDRF, CF Foundation 17

19. 1.03 Understand healthcare agencies, finances, and trends Private Healthcare Agencies Non-Profit Participate in: research services education 18

20. Private Healthcare Agencies For-Profit 1.03 Understand healthcare agencies, finances, and trends 19

21. 1.03 Understand healthcare agencies, finances, and trends Private Healthcare Agencies For-Profit Provide patient services Expect monetary profit Use profit for agency growth and to increase services 20

22. 1.03 Understand healthcare agencies, finances, and trends Private Healthcare Agencies For-Profit -Inpatient- An inpatient facility is where patients stay overnight to receive medical care and treatment. 21

23. 1.03 Understand healthcare agencies, finances, and trends Private Healthcare Agencies For-Profit -Inpatient- Hospital Mostly inpatient services with some outpatient services Type is determined by size, ownership, and services offered. –General –Specialty –Government –University or college medical centers 22

24. 1.03 Understand healthcare agencies, finances, and trends Private Healthcare Agencies For-Profit -Inpatient- Long Term Care Facilities Care provided to patients who: - have chronic conditions or disabilities that require assistance with daily activities - are adults over the age of 18 - need long term or short term care 23

25. 1.03 Understand healthcare agencies, finances, and trends Private Healthcare Agencies For-Profit -Inpatient- Types of long term care facilities –Adult care homes –Assisted living facilities –Continuing care retirement communities –Nursing homes 24

26. 1.03 Understand healthcare agencies, finances, and trends Private Healthcare Agencies For-Profit Outpatient Patient receives ambulatory care. Patient does not stay overnight in the facility. 25

27. 1.03 Understand healthcare agencies, finances, and trends Private Healthcare Agencies For-Profit Outpatient Adult Day Care 26

28. 1.03 Understand healthcare agencies, finances, and trends Private Healthcare Agencies For-Profit Outpatient Doctors’ Offices 27

29. 1.03 Understand healthcare agencies, finances, and trends Private Healthcare Agencies For-Profit Outpatient Emergency Care 28

30. 1.03 Understand healthcare agencies, finances, and trends Private Healthcare Agencies For-Profit Outpatient Home Health 29

31. 1.03 Understand healthcare agencies, finances, and trends Private Healthcare Agencies For-Profit Outpatient Hospice Care Life expectancy is less than 6 months Patient care Family care 30

32. 1.03 Understand healthcare agencies, finances, and trends Private Healthcare Agencies For-Profit Outpatient Industrial Healthcare 31

33. 1.03 Understand healthcare agencies, finances, and trends Private Healthcare Agencies For-Profit Outpatient Laboratory Services 32

34. 1.03 Understand healthcare agencies, finances, and trends Private Healthcare Agencies For-Profit Outpatient Mental Health Services 33

35. 1.03 Understand healthcare agencies, finances, and trends Private Healthcare Agencies For-Profit Outpatient Outpatient Clinics 34

36. 1.03 Understand healthcare agencies, finances, and trends Private Healthcare Agencies For-Profit Outpatient School Health Services 35