HI 205 Chapter1.4ed

1. Chapter 1
Health Care
Delivery
Systems

2. © 2019 Cengage®. May not be scanned, copied or duplicated, or posted to a publicly
accessible website, in whole or in part. 2
History of Medicine
• Prehistoric medicine
• Ancient medicine
• Medieval medicine
• Renaissance medicine

3. © 2019 Cengage®. May not be scanned, copied or duplicated, or posted to a publicly
accessible website, in whole or in part. 3
Evolution of Health Care Delivery
in the U.S.
• Modern medicine
• Early hospitals
• Early quality of care initiatives
• Federal initiatives

4. © 2019 Cengage®. May not be scanned, copied or duplicated, or posted to a publicly
accessible website, in whole or in part. 4
Continuum of Care
• Primary care
• Secondary care
• Tertiary care
• Quaternary care

5. © 2019 Cengage®. May not be scanned, copied or duplicated, or posted to a publicly
accessible website, in whole or in part. 5
Health Care Facility Ownership
• Government (not-for-profit)
• Proprietary (for-profit)
• Voluntary (not-for-profit)

6. © 2019 Cengage®. May not be scanned, copied or duplicated, or posted to a publicly
accessible website, in whole or in part. 6
Health Care Facility Organization
Structure & Operation
• Governing board
• Administration
• Medical staff
• Hospital departments, services, and committees
• Successful meetings

7. © 2019 Cengage®. May not be scanned, copied or duplicated, or posted to a publicly
accessible website, in whole or in part. 7
Health Information Department
• Department Administration
• Cancer registry
• Coding and abstracting
• Image processing
• Incomplete record processing
• Medical transcription
• Record circulation
• Release of information processing
• Contract Services

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accessible website, in whole or in part. 8
Licensure, Regulation,
& Accreditation
• Code of Federal Regulations (CFR)
• Federal Register
• Accreditation standards and surveys

9. © 2019 Cengage®. May not be scanned, copied or duplicated, or posted to a publicly
accessible website, in whole or in part. 9
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)
(Continues)

10. © 2019 Cengage®. May not be scanned, copied or duplicated, or posted to a publicly
accessible website, in whole or in part. 10
Accrediting Organizations (Continued)
• The 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)
• National Integrated Accreditation for Healthcare
Organizations (NIAHO)

11. © 2019 Cengage®. May not be scanned, copied or duplicated, or posted to a publicly
accessible website, in whole or in part. 11
The Joint Commission
• Deemed status
• ORYX® Initiative
• Shared Visions - New Pathways™
• Periodic Performance Review (PPR)
• National Patient Safety Goals

12. © 2019 Cengage®. May not be scanned, copied or duplicated, or posted to a publicly
accessible website, in whole or in part. 12
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
• Patient Protection and Affordable Care Act
• Medicare Access and CHIP Reauthorization
Act of 2015 (MACRA)

13. © 2019 Cengage®. May not be scanned, copied or duplicated, or posted to a publicly
accessible website, in whole or in part. 13
Review of Relevant Key Terms
• Continuum of care
• Licensure
• Regulation
• Accreditation
• Standards
• Board of Directors
• Governing Board