Hospitals and Providers

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  • Number of beds…<100 small >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

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

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