2. Inpatient Services
• Inpatient services are services that involve an overnight stay of a patient.
• Historically, the U.S. healthcare industry was based on the provision of inpatient services
provided by hospitals and outpatient services provided by physicians.
• Hospital Types by Ownership
• Public hospitals are the oldest type of hospital and are owned by the federal, state,
or local government.
• Federal hospitals generally do not serve the general public but operate for federal
beneficiaries such as military personnel, veterans, and Native Americans.
• Voluntary hospitals are not government owned, private, and not-for-profit.
• Proprietary or investor-owned hospitals are for-profit institutions and are owned by
corporations, individuals, or partnerships.
3. Outpatient Services
• Outpatient services that are provided that do not require an overnight stay.
• The basic form of an outpatient service is a patient seeing his or her physician in the
physician’s office.
• Hospital emergency medical services are an integral part of the American healthcare
system.
• Emergency departments provide care for patients with emergency healthcare needs.
• There were 160 million emergency department visits in 2013, accounting for about 5% of
all healthcare spending in the United States part of the American healthcare system.
4. Other Health Services
Respite Care Hospice
Adult Day Service
Centers
Senior Centers
Women’s Health
Centers
Meals on Wheels
Association of
America
Planned
Parenthood
Federation of
America
American Red
Cross
Doctors Without
Borders
Remote Area
Medical Volunteer
Corps
Telehealth
6. Overview
• Long-term care services include a broad range
of health, personal care, and supportive
services to meet the needs of older people
and other adults whose capacity for self care is
limited because of a chronic illness; injury;
physical, cognitive, or mental disability; or
other health related condition.
• Long-term care assistance can include
• ADLs
• IADLs
7. Types of Long-Term
Care Services
• Home Care
• Community Services
• Independent Living
• Congregate Care Facilities
• Assisted-Living Facilities
• Skilled Nursing Facilities
8. How to Pay
for Long-
Term Care
Services
• Long-term care services can be very expensive
• Most individuals that require long-term care
services must first pay out of pocket until their
funds are depleted and then rely on Medicaid
or Medicare to pay for them.
• Ways to pay for long-term care services
include:
• Medicare/Medicaid
• Long-term care insurance
• Older Americans Act Programs
• Annuities
• Life Insurance