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  • 1. Chapter 1 Introduction to Health Care Agencies Slide 0Copyright © 2004 Mosby, Inc. All rights reserved.
  • 2. Copyright © 2004 Mosby, Inc. All rights reserved. Slide 1 1. Purposes of Health Care  Health promotion • Holistic: Includes mental and physical  Disease prevention  Detection and treatment of disease  Rehabilitation and restorative care • Goal is always to restore to fullest functioning
  • 3. Copyright © 2004 Mosby, Inc. All rights reserved. Slide 2 2. Types of Agencies  Hospitals (Acute, Chronic, Terminal)  Rehabilitation and subacute care agencies  Assisted living facilities  Long-term care centers  Mental health centers  Home care agencies  Hospices  Health care systems
  • 4. Copyright © 2004 Mosby, Inc. All rights reserved. Slide 3 3. Organization  Governing body called the board of trustees • The board makes policies. • Local, State, and Federal standards  Administrator who manages the agency  Directors or department heads who manage certain areas  Interdisciplinary Team
  • 5. Copyright © 2004 Mosby, Inc. All rights reserved. Slide 4 Organization  Health team The goal is to provide quality care. • The focus of care is the person.  Social workers work with the entire family • Coordinated care is important.
  • 6. Copyright © 2004 Mosby, Inc. All rights reserved. Slide 5 Nursing Team  Nursing service • Director of nursing • Registered nurse (RN) managers • Staff RNs • Licensed practical nurses (LPNs) and licensed vocational nurses (LVNs) • Nursing Assisstants
  • 7. Copyright © 2004 Mosby, Inc. All rights reserved. Slide 6 Nursing Team  RNs (Diploma, ADN, BSN, MSN) • 4-6 years • Nursing process What are the 5 steps??  LPNs/LVNs • 10 – 18 months training  Nursing assistants • Do not report to other nursing assistants • May report to RNs, LPNs/LVNs, and primary nurse
  • 8. Copyright © 2004 Mosby, Inc. All rights reserved. Slide 7 Nursing Care Patterns  Functional nursing • Job or task focused  Team nursing  Primary nursing • Total care  Case management • Admission -> DC -> Rehab  Patient-focused care • Care coordination
  • 9. Copyright © 2004 Mosby, Inc. All rights reserved. Slide 8 Patient-focused care • Care coordination • Moving care toward the beside • Caring starts with showing concern for the resident • Respect  Starts with treating other with dignity Nursing Care Patterns
  • 10. Copyright © 2004 Mosby, Inc. All rights reserved. Slide 9 Paying for Health Care  No Coverage – Pay for HC??  Private insurance  Group insurance  Medicare (A and B)  Medicaid • Sponsored by State and Federal governments • For persons aged 65 years and older  Prospective payment systems • Diagnostic-related groups (DRGs) • Resource-utilization groups (RUGs) • Case mix groups (CMGs)  Managed care
  • 11. Copyright © 2004 Mosby, Inc. All rights reserved. Slide 10 Meeting Standards  Licensure • Offered by the State, Must have a license to operate or practice  Certification • Medicare and Medicaid  Accreditation • Quality and excellence  Survey/Audit process • Standards • Policies • Records
  • 12. Copyright © 2004 Mosby, Inc. All rights reserved. Slide 11 Apau