types of health care providers general hospital short hospitalization run diagnostic tests provide...
TRANSCRIPT
Types of Health Care ProvidersGeneral Hospital
• Short hospitalization• Run diagnostic tests• Provide medical care• Perform surgery• Emergency Room (ER)
Specialty Hospitals
Care for a specific illnessIllinois Cancer Care - Cancer
Diagnosis and TreatmentPsychiatric Hospitals and Me
dical Centers - The Agape Center
Children's Hospital of Illinois: Welcome To
Convalescent Care
Nursing HomesPhysically ill or injured people of all ages
Ambulatory care/clinics
Where a variety of physicians work to combine practices
Springfield Clinic - SpringfieldClinic.com
Physician and Dental facilities
Promote wellness and diagnosis of illness
Rehabilitation Centers
Patients who need physical therapy or hydrotherapy
Patients who have lost a limb or organ function
Health Maintenance organizations (HMO)Preventative health careAvoid unnecessary hospitalization
Home Health Care Agencies
For patients who need health services but not hospitalization
Senior Day Care
They live at home but need a place to be cared for during the day.
Provide meals
Administer medication
World Health organization
Agency founded by the United Nations
Concerned with world health problems
Compiles stats
Investigates serious health problems
Publishes health information
Hospice
They care for terminally ill patients
Their clients are nearing the end of life
Provide care in the home or a hospice facility
Government Agencies
Federal, state and local governments provide health services.
Funded by taxesDirect Health CareSafeguard our food and water supplyPromote health education
Veterans Administration Hospital
Federally supported hospitals for all veterans who served in the armed forces
US Public Health Department
Research on diseases that kill, handicap, or cripple
Preventative, and treat alcohol and drug abuse
Preventing and controlling diseases that are transmitted by insects, animals, air, water, and people
Check the safety of the food and drugs we purchased
Effective ways to deliver health services
Provide quality care that is affordable by encouraging providers to work in underserved areas.
State Psychiatric Hospitals
Serve the mentally ill
State University Medical Centers
Provide training for health care workers
Provide medical careMedical research
State Public Health Services
Health Education materials
Responsible for water and food purity
Communicable disease control
Alcohol and drug abuse
Maternal health
Licensing of various health agencies
County Hospitals
Provide care for the ill and injured
Patients who require financial help
Local Public Health Department
Focus on reporting of communicable diseases
Public health nursing
Health education
Environmental sanitation
Maternal education
Child health services
Ch 1-2Types of Health Care Providers.pptx
Seniors Centers
Provide care geriatric patients
Volunteer Agencies
Donations
Gifts
Membership fees
Fundraisers
Endowments – gift of property or money
No government support
Many workers are volunteer
Raise funds for medical research
Public education
Various health problems
Volunteer Agencies
American Cancer Society
March of Dimes
American Red Cross
American Heart Association
American Diabetes Association
National Association of Mental Health
Managed Care: Quality Care at Reasonable Costs
Preventative Care – care that helps keep a patient healthyRoutine physicalsWell baby careImmunizationsWellness education-good nutrition, exercise, weight control
Managed Care: Quality Care at Reasonable Costs
Primary Care Providers- care for all routine medical problems and refer patients to specialistsFamily and general practice
physiciansInternistsNurse practitioners, and physician’s
assistance
Managed Care: Quality Care at Reasonable Costs
Specialty Care- given by a provider trained in one special area
Surgery-repair or remove a body part by cutting the body open
Podiatry – care of feet
Audiology -hearing
Obstetrics- pregnancy, childbirth, post partum
Orthopedics - care of the bones
Chiropractic - specializing in the diagnosis, treatment and prevention of disorders of the neuromusculoskeletal system and the effects of these disorders on general health.[
Urology –specializes in the male and female urinary tract and male reproductive organs
Managed Care: Quality Care at Reasonable Costs
Emergency Care (ER) – life-threatening conditions that require hospitalization (costs are high)
Urgent care- non-emergencies that require prompt treatment (costs lower)
Managed Care: Quality Care at Reasonable Costs
Preadmission authorization requirement for hospitalization – allows for necessary and prevents for unnecessary
Good quality outpatient care is encouraged
Ambulatory Care
Want to keep patients home for care whenever possible
Hospitalize only the very ill and severely injured
Send patients to facilities that provide ambulatory care.
Rehabilitation
Outpatient surgery
Outpatient clinics
Physicians offices
Day Care
Home health care
Health Plan Employer Data Information
National Committee for Quality Assurance
Health Plan Employer Data and Information
Set guidelines and give a report card that
Measures health performance
Identifies physicians who give high quality medical care
Identifies physicians who do not meet quality care guidelines
Diagnostic Related Groupings
1983 Federal government passed legislation regulate medical care.
Group medical conditions, reasonable cost, standard treatment
Diagnostic related groupings DRG’s Reduce unnecessary procedures and
promote more self care
Health Insurance
Medical care is expensive Pay fee for insurance coverage and in return
agree to pay for specific medical care. Each company decides what it will and will
not pay and how much it will pay. Patient pays the fees the insurance does not
pay.
Health Maintenance Organizations (HMOs)
Members have to pay a co-pay Must go to the doctors, hospitals, labs,
etc. that the insurance company has an agreement with.
If you get care outside of the plan then patient has to pay.
Preferred Provider Organizations
Physicians and hospitals work with an insurance carrier to provide health care at reduced cost.
Agree to only see providers on that list.
Medicaid
Health Insurance provided by the federal and state government.
People who are blind, disabled or of low income qualify
Medicare
Health insurance is provided to those over the age of 65
Some health care providers will accept Medicare as full payment
Most do not accept as full payment so those on Medicare usually require additional insurance.
