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1.03 PP1 Healthcare Agencies. Public H ealthcare Systems. Public Healthcare Systems. AKA: National Healthcare Plan Provide healthcare to all citizens Often seen in other countries Canada Europe No cost to the patient Residents pay high taxes. Private Healthcare Systems. - PowerPoint PPT Presentation
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1.03 PP11.03 PP1Healthcare AgenciesHealthcare Agencies
1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends
Public Healthcare Public Healthcare SystemsSystems
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1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends
Public Healthcare SystemsPublic Healthcare Systems
AKA: National Healthcare PlanAKA: National Healthcare Plan– Provide healthcare to all citizensProvide healthcare to all citizens
Often seen in other countriesOften seen in other countries– CanadaCanada– EuropeEurope
No cost to the patientNo cost to the patient
Residents pay high taxesResidents pay high taxes
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1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends
Private Healthcare Private Healthcare SystemsSystems
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1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends
Private Healthcare Private Healthcare SystemsSystems
Individuals purchase a health insurance Individuals purchase a health insurance plan and/or pay out-of-pocket. plan and/or pay out-of-pocket.
Predominate system in the United StatesPredominate system in the United States
Systems in the United States are a Systems in the United States are a combination of public and private funding.combination of public and private funding.
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1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends
Healthcare AgenciesHealthcare Agencies
government
non-profit
for-profitinternational
national
state
local
in-patient
out-patient
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Government Healthcare Government Healthcare AgenciesAgencies
1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends 77
NIHCDC
FDA
AHCPR/AHRP
OSHA
1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends
GHAGHA InternationalInternational
WWorld orld HHealth ealth OOrganization (WHO)rganization (WHO)founded in 1948founded in 1948assess health trendsassess health trendscompile statistics related to diseasecompile statistics related to diseaseinvestigate health problems worldwideinvestigate health problems worldwidepublish health informationpublish health information
http://www.who.int/en/
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1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends
GHAGHA NationalNational
UU. . SS. . DDepartment of epartment of HHealth and ealth and HHuman uman SServices ervices (USDHHS)(USDHHS)
– investigate health problems in the United investigate health problems in the United StatesStates
– prevent disease by immunizationsprevent disease by immunizations
– provide comprehensive health services provide comprehensive health services
– publish health informationpublish health information
– compile statistics related to diseasecompile statistics related to disease
http://www.hhs.gov/
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1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends
NNational ational IInstitutes of nstitutes of HHealth ealth (NIH)(NIH)
World’s leading research organizationWorld’s leading research organization– Research includesResearch includes
AIDSAIDS cancercancerAlzheimer’s Alzheimer’s diabetesdiabetesarthritisarthritis heart diseaseheart disease
http://www.nih.gov/
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GHA National
1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends
CCenters for enters for DDisease isease CControl and Prevention ontrol and Prevention (CDC)(CDC)
disease controldisease controldisease preventiondisease prevention
http://www.cdc.gov/1111
GHAGHA NationalNational - -
1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends
GHAGHA NationalNational - - (USDHHS)(USDHHS)
FFood and ood and DDrug rug AAdministrationdministration ((FDAFDA))
- regulates safety of food and cosmetics - regulates safety of food and cosmetics
- regulates safety and efficacy of drugs, biological - regulates safety and efficacy of drugs, biological
products and medical devicesproducts and medical devices
http://www.fda.gov/
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GHA National - (USDHHSGHA National - (USDHHS))
AAgency for gency for HHealthcare ealthcare RResearch and esearch and QQuality uality (AHRQ)(AHRQ)
Formerly called: Agency for Healthcare Formerly called: Agency for Healthcare Policy and Research (AHCPR)Policy and Research (AHCPR)
investigate quality of healthcare deliveryinvestigate quality of healthcare delivery
establish standards for healthcare establish standards for healthcare treatment treatment
1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends 1313
http://www.ahrq.gov/
1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends
GHAGHA NationalNational
OOccupational ccupational SSafety and afety and HHealth ealth AAdministrationdministration (OSHA)(OSHA)
Division of the US Department of LaborDivision of the US Department of Labor
- create job safety standards- create job safety standards
- implement job safety standards- implement job safety standards
ABC
http://www.osha.gov/1414
1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends
OSHAOSHA
OSHA standards specific to healthcare include:OSHA standards specific to healthcare include:- personal protective equipment- personal protective equipment
- blood borne pathogens- blood borne pathogens
- hazard communication- hazard communication
- ergonomics- ergonomics
http://www.osha.gov/
ABC
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1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends
Government Healthcare Government Healthcare AgenciesAgencies - - StateState - -
(USDHHS)(USDHHS)
NN. . CC.. DDepartment of HHealth and HHuman SServices(NCDHHS)
Functions to provide many services:Adoption MedicaidDeaf/blind services Mental health servicesEmergency services Pregnancy servicesFood and nutrition services Senior centersIn-Homes Aides Vital records
http://www.dhhs.state.nc.us/index.htm
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1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends
GHAGHA StateState - (USDHHS)- (USDHHS)
NN. . CC.. DDepartment of HHealth and HHuman SServices - (NCDHHS)
Functions to provide information:– Disease and health information Safety– End of life issues Teen issues– Environmental health Wellness– Minority health
www.dhhs.state.nc.us/index.htm
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1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends
GHAGHA LocalLocal - - ((USDHHSUSDHHS,, NCDHHS NCDHHS))
County Health Department
Services provided:Communicable disease control Laboratory services
Health inspections Oral healthImmunizations Woman and child health
Provides information Health education
Statistics related to health, birth and death
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Private Healthcare AgenciesPrivate Healthcare Agencies
1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends 1919
1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends
Private Healthcare AgenciesPrivate Healthcare AgenciesNon-ProfitNon-Profit
Supported by Supported by – donations donations – fees fees – fundraisers fundraisers – grantsgrants
Usual focus:Usual focus:– one disease or conditionone disease or condition– related group of disordersrelated group of disorders
ExamplesExamples
2020
1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends
Private Healthcare AgenciesPrivate Healthcare AgenciesNon-ProfitNon-Profit
Participate in:Participate in:
research
serviceseducati
on2121
Day 2Day 2
HCA HCA
1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends 2222
Private Healthcare AgenciesPrivate Healthcare Agencies
For-ProfitFor-Profit
1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends 2323
1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends
Private Healthcare AgenciesPrivate Healthcare AgenciesFor-ProfitFor-Profit
Provide patient servicesProvide patient services
Expect monetary profitExpect monetary profit
Use profit for agency growth and to Use profit for agency growth and to increase servicesincrease services
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1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends
PHCAPHCA - For-Profit - - For-Profit - Inpatient- Inpatient-
A facility where patients stayA facility where patients stay
overnight to receive medicalovernight to receive medical
care and treatment.care and treatment.
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1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends
PHCA - For-Profit PHCA - For-Profit - Inpatient- - Inpatient-
HospitalHospitalMostly inpatient services with some outpatientMostly inpatient services with some outpatientservicesservicesType is determined by size, ownership, andType is determined by size, ownership, andservices offered.services offered.
– GeneralGeneral– SpecialtySpecialty– GovernmentGovernment– University or college medical centersUniversity or college medical centers
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General hospitals
1. treat wide variety of conditions and age groups
2. Pts are hospitalized a short time (few days to a few weeks)
3. Provide a range of diagnostic, medical, surgical, and emergency services
Diagnostic = pertaining to the determination of the nature of a disease or injury by examining (e.g. using x-rays and laboratory tests)
Specialty hospitals1. Provides care for specific illnesses, such as chronic
diseases, tuberculosis, and psychiatric problems.
Chronic = continuing over many years or a long time
2. Patients/clients are usually hospitalized in these
facilities for a long time.
3. St. Jude’s Hospital for children is an example of a specialty hospital. It is known for its cancer treatments and treatments of burns.
University/College Medical Centers
1. Provide services, research and education
2. Can be funded by private or govt. sources
Veterans Health Administration
Federally supported
Provide care for veteran who served in the armed forces
CONVALESCENT CARE
For elderly people needing nursing services and personal care.
For physically ill or injured people who require extended care for recovery.
Examples: – nursing homes – long-term care facilities.
1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends
PHCA - For-Profit PHCA - For-Profit - Inpatient- - Inpatient-
Long Term Care FacilitiesLong Term Care FacilitiesCare provided to patients who:Care provided to patients who:
- have chronic conditions or disabilities that - have chronic conditions or disabilities that require assistance with daily activitiesrequire assistance with daily activities
- are adults over the age of 18 - are adults over the age of 18
- need long term or short term care- need long term or short term care
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1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends
PHCA - For-Profit PHCA - For-Profit - Inpatient- - Inpatient-
Types of long term care facilitiesTypes of long term care facilities– Adult care homesAdult care homes– Assisted living facilitiesAssisted living facilities– Continuing care retirement communitiesContinuing care retirement communities– Nursing homesNursing homes
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Nursing/Geriatric homes– Provide physical and
emotional care– For individuals who
cannot care for themselves
– Help with ADLs, provide safe and secure environment and promote social interaction.
Extended care facilitiesSkilled care facilities
– skilled nursing and rehabilitative care
– Prepare residents for return to home or long
term facility.– Examples:
dialysis
tx for CA pts
Independent living Assisted living facilities
– Person rents or purchases unit in facility
– Provides meals, laundry, housekeeping, transportation, social events and basic medical care.
1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends
PHCA - For-Profit PHCA - For-Profit - outpatient- outpatient
Patient receives Patient receives ambulatory care.ambulatory care.
Patient does not Patient does not stay overnight in stay overnight in the facility.the facility.
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AMBULATORY CARE CLINIC
Facilities where several physicians with different specialties combine their practices. – Specialties = fields of study or
professional work. Ex: pediatrics & orthopedics
Allows the patient to have immediate care for many different illnesses
Adult Day Care
Care for elderly people who are able to live at home with their families but need care when the family is away.
Provides activities, rehabilitation, and contact with other people– medications given – aided in mobility
PHCA - For-Profit - OutpatientPHCA - For-Profit - Outpatient
PHCA - For-Profit - OutpatientPHCA - For-Profit - Outpatient Doctors’ Offices
Provide Services such as diagnosis, exams, treatment, lab testing, minor surgery, etc.
Specialize (Ex: Cardiology & Obstetrics)
Privately owned establishments
Employs variety of HCPs
1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends
PHCA - For-Profit - Inpatient- PHCA - For-Profit - Inpatient-
Emergency CareEmergency Care
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Provide special care for accidents or sudden illnesses
Examples:Ambulance services: private and govt.Rescue squads: frequently operated by fire departments.
PHCA - For-Profit - Inpatient- PHCA - For-Profit - Inpatient-
Emergency CareEmergency Care
1. ER – operated by hospitals
2. Helicopter or airplane – fly clients so that they receive care asap.
1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends
PHCA - For-Profit - Outpatient- PHCA - For-Profit - Outpatient-
Home HealthHome Health
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Nursing Care
Therapy
HomemakingMeds.
1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends
PHCA - For-Profit -OutpatientPHCA - For-Profit -Outpatient
Hospice CareHospice Care
Life expectancy is less than 6
months
Patient care
Family care
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1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends
PHCA - For-Profit PHCA - For-Profit – – OutpatientOutpatient
Industrial HealthcareIndustrial Healthcare
4545
1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends
PHC - PHC - For-Profit- Outpatient For-Profit- Outpatient
Laboratory ServicesLaboratory Services
4646
1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends
Mental Health ServicesMental Health Services
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Counseling Abuse Tx
Chemical/Physical
Clinics / H
ospitals
1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends
PHC - PHC - For-Profit- OutpatientFor-Profit- Outpatient
School Health ServicesSchool Health Services
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Counseling
Emergency Care
Screenings
Vision, Hearing, dental
Health Education
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