Health & Health Delivery Systems

Objectives and ReadingsDefine the vocabulary in the curriculum and textbookIdentify Factors affecting healthcare today.Explain four types of healthcare services.Differentiate primary, secondary and tertiary care delivery and services.Classify different health care services based on levels of care.Name at least ten health care provider and their responsibilities.Name at least ten health care professionals.Discuss health care as a right and how it is in the Patient's Bill of Rights.Identify at least seven methods of healthcare funding Pages 47-50

Goals of Health Care are:Health Promotion

Illness Prevention

Diagnosis and treatment

Rehabilitation

Health Promotion Is the least costly Is the highest impact on health Examples: a. teaching dental health b. exercise program c. stress reduction d. healthy diet

Illness PreventionControl of the environment: EX: pollution, immunizations

Safety in the workplace: EX: OSHA

Safety regulations: EX: Seat belts, helmets

Diagnosis and TreatmentThe responsibility of the Physician (Diagnosis and Treatment),

The responsibility of the Nurse is to carrying out the orders and provide holistic care and monitoring the human response

RehabilitationIt begins with the earliest patient contact

Refers to the process and education that allows a disabled and/or chronically ill individual attain maximum function within limitations of condition.

All goals continue until the patient has reached wellness or maximum point of health

Health Care Delivery SystemsHospitals

Physicians Offices

Extended care facilities

Rehabilitation facilities

Delivery Systems cont.Community Health Clinics

Out-Patient facilities: 1. Ambulatory Care Centers 2. Adult Day Care centers 3. Hospices

LEVELS OF HEALTH CAREPrimary (health Promotion)

Secondary (Acute Care)

Tertiary (Intensive and Subacute care)

p16-17 - Box 2-1 Fig 2-1

PRIMARYFocus: those who are not currently experiencing health problems

AIM: maintain, improve health; prevent illness, decrease health care cost Examples: Teaching, lifestyle modification for health, health education, family planning immunizations. Page 17

Locations of Primary CareAmbulatory Care Centers

Health Care Clinics

HMO / PPOEmergency Room

Crisis Centers

U.S. Public Health Service

SECONDARY & Tertiary CareIntermediate level of careDiagnosis & treatmentAvoid complications / worsening condition

SECONDARY & Tertiary CareThese two levels of care are consider the most traditional and common services used to day. Also, Known as disease management services.Although some of theses services are shifting to primary care, these services are the most costly.

Hospital care Tertiary care Provided in hospital, specialized equipment

Ex. Surgery I.C.U. Med-Surg

Locations for Secondary CareHospitals (acute care)

Birthing Centers

TERTIARY CAREHighly specialized care

Focus: Minimize effects & permanent disability of chronic or irreversible condition (treatment, care, teaching).

GOAL: Adapt to limitations, if any.

Cont. (p20-21)Restorative Care ( Recovering from and acute or chronic illness)Home Health Care ( Health maintenance at home)Rehabilitation ( Restore patient to the fullest level of health)Extended Care Facility (long term care and assisted living faculties)Continuing Care ( clients with prolong disabilities)Nursing Care facility ( provides 24 hours Intermediate an custodial careAssisted Living ( Provides a combination of long-term care with clients that are that are more independent)Hospice

Health InsuranceGroup Health Plans: H.M.O. P.P.O. Long Term care Private Insurance Medicare Medicaid

$ Health Insurance $American Nurses Association

United States Congress

Insurance (p.15)PHO: Physician hospital OrganizationIPS: Independent practicePPS: Prospective paymentsPPO: Preferred provider organizationDRG Diagnostic related groupManaged CareCapitation

**Physician have also specialize GIExtended care facilities have grow a lot and they have a combination of services(Long-term care facilities include nursing homes, rehabilitation facilities, inpatient behavioral health facilities, and long-term chronic care hospitals.)Rehabilitation is to bring the patient to maximum level of functioning*Community health clinics are big since we shifted to preventive care. Out patient facilities *