health care facilities health care facilities are places that provide care or make it possible for...
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Health Care FacilitiesHealth Care Facilities
Health care facilities are places that Health care facilities are places that provide care or make it possible for some provide care or make it possible for some type of care to be delivered to clients.type of care to be delivered to clients.
Care provided ranges from short Care provided ranges from short appointments to long-term residential care.appointments to long-term residential care.
Types of FacilitiesTypes of Facilities
Long-Term CareLong-Term Care Practitioners’ OfficesPractitioners’ Offices ClinicsClinics LaboratoriesLaboratories Emergency Medical ServicesEmergency Medical Services Home Health CareHome Health Care RehabilitationRehabilitation HospiceHospice HospitalsHospitals
Long Term CareLong Term Care
Residents may be frail, elderly, Residents may be frail, elderly, handicapped, or disabled.handicapped, or disabled.
Some residents are able to perform Some residents are able to perform many of their own activities of daily many of their own activities of daily living (ADL).living (ADL).
Practitioners’ OfficesPractitioners’ Offices
Many offer testing and minor surgery.Many offer testing and minor surgery. Dentists and dental hygienists are Dentists and dental hygienists are
included in this group.included in this group. May be an individual or a group May be an individual or a group
practicepractice
ClinicsClinics
Practitioners have separate clients, but Practitioners have separate clients, but share billing, reception, and record-share billing, reception, and record-keeping staff.keeping staff.
Clinic may specialize or offer a wide Clinic may specialize or offer a wide variety of services.variety of services.
““Clinic” may refer to a type of care Clinic” may refer to a type of care provided on a specific day and may provided on a specific day and may move from location to location.move from location to location.
LaboratoriesLaboratories
May perform tests on blood or body May perform tests on blood or body tissues.tissues.
Can be part of a clinic or hospital.Can be part of a clinic or hospital. Some are supported by public money.Some are supported by public money.
Emergency Medical ServicesEmergency Medical Services
Developed to provide care to ill and Developed to provide care to ill and injured as quickly as possible.injured as quickly as possible.
May be part of the 911 phone systemMay be part of the 911 phone system..
Home Health CareHome Health Care
Care is provided in the home for Care is provided in the home for short-term periods after short-term periods after hospitalizations or longer periods for hospitalizations or longer periods for clients who have chronic diseases or clients who have chronic diseases or disabilities disabilities
RehabilitationRehabilitation
Designed to help clients regain Designed to help clients regain physical or mental abilities or to help physical or mental abilities or to help them live with disabilities.them live with disabilities.
May be part of a hospital, clinic, or May be part of a hospital, clinic, or privately owned.privately owned.
HospiceHospice
Services are provided to the terminally Services are provided to the terminally ill.ill.
Includes treatment from doctors, Includes treatment from doctors, nurses, therapists, dieticians, social nurses, therapists, dieticians, social workers, clergy, and volunteersworkers, clergy, and volunteers
HOSPITALSHOSPITALS
Hospitals vary in ownership and operation:Hospitals vary in ownership and operation:
Operated by a religious organizationOperated by a religious organization PrivatePrivate NonprofitNonprofit Operated by government organizationsOperated by government organizations SpecializedSpecialized
Hospitals Run by Religious Hospitals Run by Religious OrganizationsOrganizations
Many churches or religious groups set up Many churches or religious groups set up hospitals that provide care to the public.hospitals that provide care to the public.
A person need not be a member of that A person need not be a member of that religion to receive care.religion to receive care.
Private HospitalsPrivate Hospitals
A private hospital has shareholders –A private hospital has shareholders –people who invest money and expect a people who invest money and expect a profit or return on their investment.profit or return on their investment.
Often a group of physicians or business Often a group of physicians or business professionals own stock in a private professionals own stock in a private hospitalhospital
Nonprofit HospitalsNonprofit Hospitals
Nonprofit hospitals do not have Nonprofit hospitals do not have shareholders.shareholders.
Any profit is returned to the institution to Any profit is returned to the institution to pay for improvements, equipment updates, pay for improvements, equipment updates, or expansion of servicesor expansion of services
Government HospitalsGovernment Hospitals
Provide care for military personnel and Provide care for military personnel and their dependents as well as for veteranstheir dependents as well as for veterans
Military hospitals are funded by federal Military hospitals are funded by federal taxes.taxes.
State or county hospitals are funded by State or county hospitals are funded by state and county taxes – they serve clients state and county taxes – they serve clients who have little or no money and receive who have little or no money and receive health care free or at a reduced cost.health care free or at a reduced cost.
Organizational Organizational Structure of a HospitalStructure of a Hospital
Levels allow efficient management of Levels allow efficient management of hospital departments. hospital departments.
The structure helps one understand The structure helps one understand the hospital’s chain of command.the hospital’s chain of command.
OrganizationalOrganizational StructureStructure refers to refers to levels of management within a hospital. levels of management within a hospital.
Large hospitals have complex Large hospitals have complex organizational structures.organizational structures.
Smaller hospitals tend to have much Smaller hospitals tend to have much simpler organizational structures.simpler organizational structures.
Organizational structure varies Organizational structure varies from hospital to hospital.from hospital to hospital.
Grouping of Hospital Departments Grouping of Hospital Departments Within the Structure:Within the Structure:
Hospital departments are grouped in Hospital departments are grouped in order to promote efficiency of facility.order to promote efficiency of facility.
Grouping is generally done according Grouping is generally done according to similarity of duties.to similarity of duties.
Common Categorical Common Categorical Grouping:Grouping:
Administrative ServicesAdministrative Services Informational ServicesInformational Services Therapeutic ServicesTherapeutic Services Diagnostic ServicesDiagnostic Services Support ServicesSupport Services
Administrative ServicesAdministrative Services
Hospital AdministratorsHospital Administrators
CEO, Vice President(s), Executive CEO, Vice President(s), Executive Assistants, Department HeadsAssistants, Department Heads
Business people who “run the hospital”Business people who “run the hospital” Oversee budgeting and financeOversee budgeting and finance Establish hospital policies and Establish hospital policies and
proceduresprocedures Often perform public relation dutiesOften perform public relation duties
Informational ServicesInformational Services
Document and process informationDocument and process informationIncludes:Includes:
1.1. AdmissionsAdmissions2.2. Billing & CollectionBilling & Collection3.3. Medical RecordsMedical Records4.4. Computer Information SystemsComputer Information Systems5.5. Health EducationHealth Education6.6. Human ResourcesHuman Resources
Provides treatment to patientsProvides treatment to patientsIncludes following departments:Includes following departments:
1.1. Physical Therapy - treatment to improve Physical Therapy - treatment to improve large muscle mobilitylarge muscle mobility
2.2. Occupational Therapy - treatment goal is Occupational Therapy - treatment goal is to help patient regain fine motor skillsto help patient regain fine motor skills
3.3. Speech/Language Pathology - identify, Speech/Language Pathology - identify, evaluate, treat speech/language evaluate, treat speech/language disordersdisorders
5. Medical Psychology - concerned with 5. Medical Psychology - concerned with mental well-being of patientsmental well-being of patients
6. Social Services - connect patients with 6. Social Services - connect patients with community resources (financial aid, etc.)community resources (financial aid, etc.)
7. Pharmacy - dispense medications7. Pharmacy - dispense medications
4.4.Respiratory Therapy - treat patients with Respiratory Therapy - treat patients with heart & lung diseaseheart & lung disease
9.9. Sports Medicine - provide rehabilitative Sports Medicine - provide rehabilitative services to athletesservices to athletes
10.10.Nursing - provide care for patientsNursing - provide care for patients
8.8.Dietary - maintain nutritionally sound Dietary - maintain nutritionally sound
diets for patientsdiets for patients
Diagnostic ServicesDiagnostic Services Determines the cause(s) of Determines the cause(s) of
illness or injuryillness or injury
Includes:Includes:1.1. Medical Laboratory Medical Laboratory - studies body - studies body
tissuestissues
2.2. Medical Imaging Medical Imaging - radiology, MRI, CT, - radiology, MRI, CT, Ultra SoundUltra Sound
3.3. Emergency MedicineEmergency Medicine -provides -provides emergency diagnoses & treatmentemergency diagnoses & treatment
Support ServicesSupport Services
Provides support for entire hospitalProvides support for entire hospital
IncludesIncludes::1.1. Central Supply - Central Supply - orders, receives, stocks & orders, receives, stocks &
distributes equipment & suppliesdistributes equipment & supplies
2.2. Biomedical Technology - Biomedical Technology - design, build design, build repair, medical equipmentrepair, medical equipment
3.3. Housekeeping & Maintenance - Housekeeping & Maintenance - maintain maintain safe, clean environmentsafe, clean environment
Traditional Organizational Traditional Organizational ChartChart
Board
Administration
Therapeutic
Services
Information
Services
Diagnostic
Services
Support
Services
Admissions Billing, etc.
Med. Records Computer Info.
Health Ed. Human Resour.
PT, OT Speech/Lang. Resp. Therapy
Pharmacy Nursing Dietary
Med. Lab Radiology
Nuclear Med ER
Cardiology Neurology
Central Supply Biomedical
Housekeeping Maintenance
Dietary Transportation
Pyramid demonstrates a Pyramid demonstrates a symbolic organizational symbolic organizational
structure of a hospital.structure of a hospital.
Admin. Services
Information Services
Therapeutic Services
Diagnostic Services
Support Services
Board
Example of “symbolic Example of “symbolic representation” of representation” of
organizational structureorganizational structure