Hit 104 chapter 1

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Hit 104 chapter 1

  1. 1. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Chapter 1 Health Care Delivery Systems
  2. 2. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. History of Medicine • History of medicine • Prehistoric medicine • Ancient medicine • Medieval medicine • Renaissance medicine
  3. 3. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. History of Medicine and Evolution of Health Care Delivery in the U.S. • Modern medicine • Early hospitals • Early quality of care initiatives • Federal initiatives
  4. 4. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Continuum of Care • Primary care • Secondary care • Tertiary care • Quaternary care
  5. 5. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Health Care Facility Ownership • Government (not-for-profit) • Proprietary (for-profit) • Voluntary (not-for-profit)
  6. 6. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Health Care Facility Organizational Structure • Governing board • Administration • Medical staff • Hospital departments, services, and committees • Successful meetings
  7. 7. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Health Information Department • Cancer registry • Coding and abstracting • Image processing • Incomplete record processing • Medical transcription • Record circulation • Release of information processing
  8. 8. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Licensure, Regulation, and Accreditation • Code of Federal Regulations (CFR) • Federal Register • Accreditation standards and surveys
  9. 9. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Accrediting Organizations • Accreditation Association for Ambulatory Health Care (AAAHC) • American Osteopathic Association (AOA) • Commission on Accreditation of Rehabilitation Facilities (CARF) • Community Health Accreditation Program (CHAP)
  10. 10. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Accrediting Organizations (Continued) • Joint Commission - formerly known as Joint Commission on Accreditation of Health Care Organizations • National Committee for Quality Assurance (NCQA) • National Commission on Correctional Health Care (NCCHC)
  11. 11. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Joint Commission • Deemed Status • ORYX Initiative • Shared Visions - New Pathways • Periodic Performance Review • National Patient Safety Goals
  12. 12. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Recent Legislation • Deficit Reduction Act of 2005 • Patient Safety and Quality Improvement Act of 2005 • Tax Relief and Health Care Act of 2006 • Genetic Information Nondiscrimination Act • American Recovery and Reinvestment Act • HITECH Act
  13. 13. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Review of Relevant Key Terms • Continuum of care • Licensure • Regulation • Accreditation • Standards

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