HI 205 Chapter3.4ed rev6 6-18

1. Chapter 3
Health Care
Settings

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accessible website, in whole or in part. 2
Acute Care Facilities
• Single hospitals
• Multi-hospital systems
• Ancillary services
– Diagnostic
– Therapeutic
• Acute care/short-term care
• Long-term care

3. © 2019 Cengage®. May not be scanned, copied or duplicated, or posted to a publicly
accessible website, in whole or in part. 3
Hospital Bed Count or Bed Size
Total number of inpatient beds for which the
facility is licensed by the state

4. © 2019 Cengage®. May not be scanned, copied or duplicated, or posted to a publicly
accessible website, in whole or in part. 4
Hospital Categories
• Critical access hospitals (CAH)
• General hospitals
• Specialty hospitals
• Rehabilitation hospitals
• Behavioral health care hospitals

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accessible website, in whole or in part. 5
Hospitalists
Physicians who spend most of their time in a
hospital setting admitting patients to inpatient
services from local primary care providers

6. © 2019 Cengage®. May not be scanned, copied or duplicated, or posted to a publicly
accessible website, in whole or in part. 6
Hospital Patients
• Ambulatory patients (outpatients)
• Ambulatory surgery patients (day surgery)
• Emergency care patients
• Inpatients
• Newborn patients
• Observation patients
• Subacute care patients

7. © 2019 Cengage®. May not be scanned, copied or duplicated, or posted to a publicly
accessible website, in whole or in part. 7
Ambulatory & Outpatient Care
• Ambulatory surgical center (freestanding)
• Hospital-based outpatient department
• Hospital-based emergency department
• Hospital-based ambulatory surgery program
• Hospital-based partial hospitalization program
• Public health department
• Satellite clinic
(Continues)

8. © 2019 Cengage®. May not be scanned, copied or duplicated, or posted to a publicly
accessible website, in whole or in part. 8
Ambulatory & Outpatient Care
(Continued)
• Urgent care center
• Hospital-based physician practice
• Hospital-owned satellite clinic
• Industrial health clinic
• Neighborhood health clinic
• Physician office

9. © 2019 Cengage®. May not be scanned, copied or duplicated, or posted to a publicly
accessible website, in whole or in part. 9
Alternate Care Facilities
• Behavioral health care facility
• Home care and hospice
• Long-term care facility

10. © 2019 Cengage®. May not be scanned, copied or duplicated, or posted to a publicly
accessible website, in whole or in part. 10
Behavioral Health Care Settings
• Chemical dependency program
• Crisis service
• Day treatment program
• Developmentally disabled/mentally
retarded facilities
• Emergency care facilities
• Family support services
• Home health care
(Continues)

11. © 2019 Cengage®. May not be scanned, copied or duplicated, or posted to a publicly
accessible website, in whole or in part. 11
Behavioral Health Care Settings
(Continued)
• Hospital treatment
• Intensive case management
• Outpatient clinic
• Partial hospitalization program
• Residential treatment facility
• Respite care
• Therapeutic group home

12. © 2019 Cengage®. May not be scanned, copied or duplicated, or posted to a publicly
accessible website, in whole or in part. 12
Hospice Care
• Primary goal is to provide palliative care rather
than curative care
• Most hospice care is provided in a patient’s
home

13. © 2019 Cengage®. May not be scanned, copied or duplicated, or posted to a publicly
accessible website, in whole or in part. 13
Long-Term Care
• Includes a range of nursing, social, and rehabilitative
services for people who need on-going assistance
• Types include
– Adult day care
– Assisted living facilities
– Continuing care retirement communities
– Intermediate care facilities
– Long-term hospitals
– Residential care facilities
– Skilled nursing facilities

14. © 2019 Cengage®. May not be scanned, copied or duplicated, or posted to a publicly
accessible website, in whole or in part. 14
Federal, State, & Local Health Care
• Correctional facilities
• Military Health System (MHS)
• Veterans Health Administration (VHA)
• U.S. Public Health Service (PHS)

15. © 2019 Cengage®. May not be scanned, copied or duplicated, or posted to a publicly
accessible website, in whole or in part. 15
Regions of Military Health System

16. © 2019 Cengage®. May not be scanned, copied or duplicated, or posted to a publicly
accessible website, in whole or in part. 16
Review of Selected Key Terms
• Activities of Daily Living
• Curative Care
• Palliative Care
• Respite Care
• Skilled Care
• Subacute Care
• Total Parenteral Nutrition