Hospitals and Providers
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Hospitals and Providers



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  • Number of beds…500 large Services provided: rehab, psychiatric, general, specialty (ie burns, cancer) Types of patients: ie children’s hospital For profit – privately owned; funds go to shareholders Not for profit – funds go back into the HCO Types of ownership: govt – Vets; proprietary = investor owned; voluntary: not for profit owned by universities, churches, charities, religious orders, unions, etc.

Hospitals and Providers Hospitals and Providers Presentation Transcript

  • Modern Hospitals Organization and Operation
  • Healthcare Providers
    • Primary Care
    • Nursing Care
    • Drug Therapy
    • Specialty Care
  • Primary Care
    • Physician(s)
      • MD – medical doctor
        • Medical physician
        • Surgeon
      • DO –doctor of osteopathy
        • internal medicine, family practice, or pediatrics
    • PA – physician assistant
    • NP – nurse practitioner
    View slide
  • Physician Scope of Practice
    • Includes the diagnosis, treatment, correction, advisement, or prescription for any human disease, ailment, injury, infirmity, deformity, pain, or other condition, physical or mental, real or imaginary.
    View slide
  • Physician Practice Settings
    • MDs may be found within a wide range of practice settings:
      • private practices
      • group practices
      • hospitals
      • health maintenance organizations
      • teaching facilities
      • public health organizations
  • Physician Regulation
    • Two levels
      • Licensure is a process that takes place at the state level in accordance with specific state laws
      • Certification is established through national organizations with requirements for minimal professional practice standards being consistent nationally
  • Physician Assistant (PA)
    • Numerous studies have noted that PAs can provide high-quality health care
    • Comparable to that of a doctor (MD,DO)
    • For about 80% of the conditions seen in primary care settings
  • Nurse Practitioner (NP)
    • Nurses with graduate training
    • Can serve as a primary care provider in:
      • family medicine (FNP)
      • pediatrics (PNP)
      • adult care (ANP)
      • geriatrics (GNP)
      • women's health care
    • In some states NPs can prescribe medications
  • Nursing Care
    • Registered nurses (RNs) have graduated from a nursing program
      • passed a state board examination
      • licensed by the state
    • Licensed practical nurses (LPNs) are state-licensed caregivers who have been trained to care for the sick
  • Drug Therapy
    • Licensed pharmacists have graduate training from a college of pharmacy
      • prepares and processes drug prescriptions that were written by your primary or specialty care provider
      • provides information to patients about medications
      • consults with health care providers about dosages, interactions, and side effects of medicines
  • Specialty Care
    • Anesthesiologist
    • Cardiologist
    • Dermatologist
    • Endocrinologist
    • Gastroenterologist
    • OB/Gynecologist
    • Pulmonologist
    • Radiologist
    • Rheumatologist
    • Urologist
    • Hematologist
    • Oncologist
    • Psychologist
    • Orthopedist
    • Physiatrist
    • Opthamologist
  • Organization and Operation of Hospitals in the United States
    • Hospitals are healthcare facilities that have:
      • Organized medical staff
      • Permanent inpatient beds
      • Around-the-clock nursing
      • Diagnostic and therapeutic services
  • Organized Medical Staff
    • Physican
    • Nurse
    • A small community hospital may not have a large medical staff
    • A large university teaching hospital may have a very large medical staff
  • Permanent Inpatient Beds
    • Set up at all times
    • Ready to receive patients
    • Temporary beds may also be used when an emergency arises, but to be a hospital you must have “some” permanent beds
  • Around-the-Clock Nursing
    • There must be at least one nurse available to patients 24 hours a day
    • Small facilities will have a small nursing staff
    • Large facilities will have a large nursing staff
  • Diagnostic and Therapeutic Services
    • Diagnostic Service: What is the nature of the illness or injury?
      • Example: X-rays / Laboratory
    • Therapeutic Service: What is provided once a diagnosis is determined
      • Example: Medication / Treatment
  • Types of Healthcare Facilities
    • Acute Care Facilities ( Inpatient )
      • Requires an overnight stay (24 hours)
        • community, teaching, and public hospitals
        • services provided within them aim to help resolve pressing problems or medical conditions, such as a heart attack
    • Ambulatory Care Facilities ( Outpatient )
      • Does not require an overnight stay
      • Free-standing surgery centers
      • Diagnostic and therapeutic facilities
  • Additional Healthcare Facilities
    • Emergency Department ( outpatient )
      • Considered ambulatory because patients are not inpatients
      • If a patient is admitted to the ER, then the patient becomes an inpatient
    • Subacute Care Facilities ( inpatient )
      • Patient nursing needs are less frequent and less intensive than acute care
      • Rehabilitation
    • Long-Term Care Facilities ( resident )
      • For patients with less intensive care for more than 30 days
  • Classification of Hospitals
    • Classified by
      • Number of beds
      • Types of services/patients
      • Proprietary or Voluntary
        • Proprietary: businesses owned either by corporations or individuals (such as the physicians on staff)
        • Voluntary: owned by not-for-profit corporations, religious organizations, or operated by federal, state, or city governments
  • Organization of Hospital
    • Board of Directors
    • Medical Staff
    • Administrative Staff
    • Patient Care Services
    • Diagnostic/Therapeutic Services
    • Ancillary Support
      • Clinical: nutrition, HIM, social work
      • Administrative: HIM, admissions, billing, HR, marketing