3 pp healthcare delivery system


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3 pp healthcare delivery system

  1. 1. Healthcare DeliverySystemFoundation Standard 33.11 Understand the healthcare delivery system (public, private, government and non-profit)
  2. 2. The Healthcare Delivery System• 10% of all jobs in America are in health care• More than 200 differenthealth careers• Medical model (Westernmedicine) assumes thatillness and disease requiretreatment• Recently, some movement toward wellnessmodel – the prevention of disease andmaintenance of well-being
  3. 3. HOSPITALS• Can be public or private• Private hospitals can be for profit or non-profit• Many different types and classifications• General hospitals treat a wide variety of illnessesand ages• Joint Commission on theAccreditation of Healthcare Organizations(JCAHO) – helps hospitals maintain quality ofcare, establishes guidelines for the operation ofhospitals, conducts inspections to ensure thatstandards are being met.
  4. 4. Specialty Hospitals• Specific conditions, age groups, or other ways ofgrouping patients• For example:– Cancer hospitals– Pediatric hospitals– Psychiatric hospitals– Rehabilitation centers
  5. 5. Ambulatory Facilities• Also called “outpatient services” – they oftenprovide diagnostic and treatment services that werepreviously performed in hospitals• Surgical clinics (surgicenters) outpatient surgery• Urgent care centers• Outpatient clinics• Optical centers• Genetic counseling centers(fertility clinics)
  6. 6. Long Term Care Facilities• Mainly care for elderlypatients (residents)• May also care for individualswith disabilities or handicaps• Residential care (nursing homes) – basic physicalcare• Extended care (skilled nursing) facilities – provideskilled nursing care and rehabilitation services• Assisted (independent) living facilities – providebasic services (meals, housekeeping, etc.) andbasic medical care.
  7. 7. Home Health Care• Became more common in late 1980s – now an areaof tremendous growth• Nurse or other skilled professional visits patient inhis/her home to provide treatment/education• Less expensive than admission to hospital or longterm care facility• States require licensing of home health agencies toassure the quality of care
  8. 8. Medical and Dental Offices• Vary from small (one doctor) to large complexeswith multiple specialties and other healthcareprofessionals• Some treat a wide variety of illnesses andconditions, others specialize
  9. 9. Mental Health Services• Counseling centers• Psychiatric clinics and hospitals• Chemical (drug and alcohol) abuse treatmentcenters• Physical abuse treatment centers, dealing withchild abuse, spouse abuse and elderly abuse
  10. 10. GOVERNMENT AGENCIES• Can be at local, state, national and internationallevels• Services are tax supportedVeterans Administration Hospital
  11. 11. Centers for Disease Control and Prevention(CDC)• U.S. Department of Health and Human Services• Concerned with cause, spread and control ofdisease, and other health and safety issues, inpopulations• www.cdc.gov
  12. 12. Food and Drug Administration (FDA)• Federal agency• Responsible for regulating food and drug productssold to the public• www.fda.gov
  13. 13. World Health Organization (WHO)• International agency• Sponsored by United Nations• Compiles disease statistics, promotes healthyliving, and investigates serious health problemsthroughout the world• www.who.int
  14. 14. Occupational Safety and Health Administration(OSHA)• Part of the U.S. Department of Labor• Establishes and enforces standards that protectworkers from job-related injuries and illnesses• www.osha.gov
  15. 15. Public Health System (Health Departments)• Part of the U.S. Department of Health and HumanServices• Provide services to states and local communities• Examples of services– Immunizations– Environmental health and sanitation– Collection of health statistics and records– Health education– Clinics for health care and prevention
  16. 16. Veterans Administration• Federallysupported• Hospitals andother services• Care forveterans whoserved in thearmed forces• www.va.gov
  17. 17. NON-PROFITS• Also called voluntary agencies• Most deal with specific diseases or groups ofdiseases• They provide funding for research, promoteeducation, and services for victims of disease.• They also influence laws, create standards, andeducate health professionals
  18. 18. March of Dimes• Founded by President Franklin D.Roosevelt in 1938• He was a victim of paralytic poliomyelitis• Initial goal of March of Dimes – care of poliovictims, carry out research, develop vaccine• Today – focus on preventing birth defects andreducing infant mortality• www.marchofdimes.com
  19. 19. American Heart Association (AHA)• Founded in 1915 by a group of cardiologists• Mission is to reduce disability and death fromcardiovascular disease and stroke• Research, education and community programs• www.americanheart.org
  20. 20. HOSA• Non-profit student organization• Promotes career opportunities in health care• Over 120,000 members in 47 states and PuertoRico• www.hosa.org
  21. 21. Hospice• Hospice movement began inEngland, rapidly growing in UnitedStates• Provides palliative care (relieves butdoes not cure) to dying patients andtheir families• Involves healthcare professionalsand volunteers• Emphasis is to make patient’s lastdays as pain-free and meaningful aspossible