RSC101_Health Care Environment and Hospital Organization (w/ Trends in Healthcare)

Hospital

It is a COMPLEX ORGANIZATION utilizing a combination of intricate, specialized scientific equipment, and functioning through a corps of trained people educated in the PROBLEM OF MODERN MEDICAL SCIENCE. These are all welded together in the common purpose of the MAINTENANCE OF GOOD HEALTH.

Hospile

Latin word of Hospital

Hospitale

French word of Hospital

Length of stay of patient

[accepted criteria for modern hospitals] Inpatient or Long term; how long does the patient intend to stay?

Clinical basis

[accepted criteria for modern hospitals] Licensed and has an ability to treat diseases; how did you study the disease? how do you treat the patient? through oral, IV, etc.

Ownership or control basis

[accepted criteria for modern hospitals] public, voluntary, private, or corporate; who owns the hospital or clinic? is it an incorporation?

Objectives

[accepted criteria for modern hospitals] what is the mission and vision of the hospital/clinic? is it to give holistic care? (e.g. "nurturing life")

General Hospitals

[under 'objectives'] Offer treatment for common diseases; The main objective is to provide medical care, whereas teaching is secondary

Special Hospital

[under 'objectives'] Concentrate on giving medical and nursing care in a specific area, e.g. ophthalmic hospital, heart hospital, etc.

Teacher cum Research Hospital

[under 'objectives'] The primary objective is training of doctors and research. Healthcare is secondary. For example, Medical Colleges

Size

[accepted criteria for modern hospitals] Varies from hospital to hospital according to bed capacities and floors available.

Small hospital

[under 'size'] Bed capacity of 100 or less.

Medium size hospital

[under 'size'] Bed capacity of 101 to 300 beds

Large hospital

[under 'size'] Bed capacity of 301 to 1000 beds

Management

[accepted criteria for modern hospitals] based on the individuals who runs the hospital; what type of management does it have? government or private owned

System of Medicine

[accepted criteria for modern hospitals] health technologies? naturopathic? acupuncture? ayuverdic? campor? juice?

Homeopathic Hospital

[under 'System of medicine'] a medical system based on the belief that the body can cure itself

Specialty Hospital

type of hospital that offers FOCUSED SERVICES to treat medical conditions that require a PARTICULAR subset of skills and technology.

Government Hospital

type of hospital also known as a PUBLIC hospital; hospital which is owned by a government and receives government funding.

Private Hospital

type of hospital that is not owned by the government, including for-profits and nonprofits. Funding is by PATIENTS themselves ("self-pay"), by INSURERS, or by FOREIGN embassies.

Clinic

A place, as in connection with a medical school or a hospital, for the treatment of nonresident patients, sometimes at LOW COST OR WITHOUT CHARGE; substitute for hospitals

Mental Health Facilities

PSYCHIATRIC PATIENTS traditionally have been cared for in long-stay mental health facilities; formerly called ASYLUMS or MENTAL HOSPITALS

Long Term Residential Facilities

LONG-TERM CARE FACILITIES which provide SUPERVISION and ASSISTANCE in activities of daily living with medical and nursing services when required; has to be 6 MONTHS or LONGER to be considered

Hospice

The provision of PALLIATIVE CARE for terminally ill patients, either at a SPECIALIZED FACILITY or at a RESIDENCE, and support for the family, typically refraining from taking EXTRAORDINARY MEASURES to prolong life; gives EMOTIONAL and SPIRITUAL GUIDANCE

Outpatient or Ambulatory

personal health care consultation, treatment or intervention using advanced medical technology or procedures DELIVERED ON AN OUTPATIENT BASIS; can WALK

Preventive Care

Routine health care that includes SCREENINGS, CHECK-UPS, and PATIENT COUNSELING to prevent illnesses, disease, or other health problems; DOCTORS' VISIT; includes IMMUNINATION, DAILY MEDICATION, etc.

Home Healthcare

Professional support services that allow a person to LIVE SAFELY IN THEIR HOME; there is HEALTHCARE PROVIDER; there is MEDICAL SETUP AT HOME

Telemedicine

started around 1970s; The delivery of health care services, where DISTANCE IS CRITICAL FACTOR, by all health care professionals using information and communication technologies for the exchange of valid information for diagnosis, treatment and prevention of disease and injuries, research and evaluation, and for the continuing education of health care providers, all in the interests of advancing the health of individuals and their communities”

Hospital Organization

without ______, you won't know the FUNCTION or RELATIONSHIP in the hospital

Organizational Structure of a Hospital

the staff needs TO WORK PRECISELY and understand the HOSPITAL'S CHAIN OF COMMAND (boss-subordinate relationship); Hospital departments are grouped in ORDER to promote the EFFICIENCY of the facility.

Administrative Services

Those who “run the hospital”; Oversee BUDGETING and FINANCE; Establish hospital POLICIES and PROCEDURES; Often perform PUBLIC RELATION DUTIES

EXECUTIVE

[under 'Administrative Services'] What does the E stand for in CEO

FINANCIAL

[under 'Administrative Services'] What does the F stand for in CFO

OPERATING

[under 'Administrative Services'] What does the O stand for in COO

Informational Service

They DOCUMENT and PROCESS INFORMATION

Admissions

[under 'Informational Service'] ACCEPT PATIENT and GIVE INFORMATION

Billing and Collection

[under 'Informational Service'] MEDICAL BILLS, DEMOGRAPHICS, etc.

Medical Records

[under 'Informational Service'] REPOSITORY of patients record

Hospital Information Systems

[under 'Informational Service'] This includes financial, managerial, administrative, etc.; accessed only by people with PASS/PASSWORDTANGINAMO

Health Education

[under 'Informational Service'] process the information for PUBLIC

Human Resources

[under 'Informational Service'] hiring, workforce, etc.

Therapeutic Services

for TREATMENT; has the ability to "cure"

Physical Therapy

[under 'Therapeutic Services'] treatment to improve LARGE MUSCLE MOBILITY

Occupational Therapy

[under 'Therapeutic Services'] treatment goal is to help the patient REGAIN FINE MOTOR SKILLS

Speech and Language Pathology

[under 'Therapeutic Services'] identify, evaluate, treat speech/language disorders

Medical Psychology

[under 'Therapeutic Services'] concerned with the MENTAL WELL-BEING of the patient

Social Services

[under 'Therapeutic Services'] counsels, connect patients with community resources (financial aid, etc.)

Pharmacy

[under 'Therapeutic Services'] dispense medications

Respiratory Therapy

[under 'Therapeutic Services'] treat patients with heart & lung disease

Sports Medicine

[under 'Therapeutic Services'] provide rehabilitative services to ATHLETES

Nursing

[under 'Therapeutic Services'] provide care for patients

Dietary

[under 'Therapeutic Services'] maintain nutritionally sound diets for patients

Diagnostic Services

Determines the CAUSE(S) of illness or injury; for DIAGNOSIS only

Medical Laboratory

[under 'Diagnostic Services'] studies BODY TISSUES

Medical Imaging

[under 'Diagnostic Services'] radiology, MRI, CT, Ultrasound

Emergency Medicine

[under 'Diagnostic Services'] provides EMERGENCY diagnoses & treatment

Support Services

Provide SUPPORT for the ENTIRE HOSPITAL

Central Supply

[under 'Support Services'] SUPPLY for the department

Biomedical Technology

[under 'Support Services'] application of TECHNOLOGY to the solution; troubleshooting bengbeng

Housekeeping and Maintenance

[under 'Support Services'] janitorial service; engineering department

Cost Containment

Controlling the rising cost of health care

Technological advances; Aging population (Rx); Lawsuits (malpractice)

[under 'Cost Containment'] What are the reason for high costs?

Diagnostic Related Groups

[under 'Cost Containment'] _____ place a limit on the cost of health care; Combination of Services: health care facilities shop for services (laboratory, x-ray, etc.) to save prices...

Outpatient Services

[under 'Cost Containment'] Patients receive care and are discharged home without being admitted to the hospital

Energy Conservation

[under 'Cost Containment'] Energy is a large expense for health care facilities.

Energy-Efficient Bulbs; Consolidating Work Areas; Recycling

[under 'Cost Containment'] Examples of Energy Conservation sht eme

Summary

[under 'Cost Containment'] The quality of health care should not be lowered simply to control costs; *Personal responsibility: take preventative measures to avoid or limit injury, illness & disease

Home Healthcare

Created mainly as a result of DRG’s. History shows that this is not a new concept

Nursing care; Physical/occupational therapies; Respiratory therapy; Social services; Nutrition & food services

[under 'Home Healthcare'] Services of Home Healthcare includes:

Geriatric Care

[under 'Home Healthcare'] Care of the elderly. People are living longer.

Adult daycare centers; Retirement communities; Assisted living care centers; Long-term care centers

[under 'Home Healthcare'] Types of facilities in Geriatric Care:

Telemedicine

[under 'Home Healthcare'] Involves using technology to provide care

Computerized (EKG’s); Remote (robotics); Video (surgery); Phone/Fax (Reports)

[under 'Home Healthcare'] Methods of Telemedicine:

Wellness

[under 'Home Healthcare'] A state of being in optimum health as it relates to physical, mental, and social health.

diet, exercise, rest, stress reduction, habit cessation

[under 'Home Healthcare'] Preventive measures in Wellness:

Alternative And Complementary Methods Of Health Care

Involves evaluating and treating illness and disease in ways that may differ from current, modern medical treatment; or enhance medical treatment being used.

Ayurvedic

[under 'Alternative And Complementary Methods Of Health Care'] Harmonizing body and mind

Chinese

[under 'Alternative And Complementary Methods Of Health Care'] Acupressure Acupuncture; Life Energy (Chi)

Chiropractors

[under 'Alternative And Complementary Methods Of Health Care'] Energy through nerves; spinal alignment

Homeopaths

[under 'Alternative And Complementary Methods Of Health Care'] The body can heal itself with the immune system

Hypnotist

[under 'Alternative And Complementary Methods Of Health Care'] Trance-like state; verbal suggestions; follow

Naturopaths

[under 'Alternative And Complementary Methods Of Health Care'] Natural therapies only; fasting, diets, lifestyle changes

National Health Care Plan

Nationalizing health care is being considered as a result of rising health costs.

Government Health Care

[under 'National Health Care Plan'] Taxes to help pay

Health Care Co-op

[under 'National Health Care Plan'] Grouping of health care providers which provide care at lower costs

Managed Care

[under 'National Health Care Plan'] Employers provide ins. & government helps pay for poor

State-run Health Care

[under 'National Health Care Plan'] Each state develops a plan

Health Care For All

[under 'National Health Care Plan'] Goal of National Health Care Plan

Insured paying for uninsured, Limited choices of providers, Limited care

[under 'National Health Care Plan'] Goal of Potential Drawbacks