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