This document summarizes various health care settings. It describes acute care facilities like hospitals that provide short-term care and ancillary services. Hospitals are categorized based on factors like bed size and specialty. The document also outlines ambulatory and outpatient care settings, alternate care facilities like behavioral health and long-term care, and federal, state, and local health care providers.

1. Chapter 3
Health Care Settings

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Acute Care Facilities
• Single hospitals
• Multi-hospital systems
• Ancillary services
– Diagnostic
– Therapeutic
• Acute care/short-term care
• Long-term care

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Hospital Bed Count or Bed Size
Total number of inpatient beds for which the
facility is licensed by the state

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Hospital Categories
• Critical access hospitals (CAH)
• General hospitals
• Specialty hospitals
• Rehabilitation hospitals
• Behavioral health care hospitals

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Hospitalists
Physicians who spend most of their time in a
hospital setting admitting patients to inpatient
services from local primary care providers

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Hospital Patients
• Ambulatory patients (outpatients)
• Ambulatory surgery patients (day surgery)
• Emergency care patients
• Inpatients
• Newborn patients
• Observation patients
• Subacute care patients

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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

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Ambulatory & Outpatient Care
(Continued)
• Urgent care center
• Hospital-based physician practice
• Hospital-owned satellite clinic
• Industrial health clinic
• Neighborhood health clinic
• Physician office

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Alternate Care Facilities
• Behavioral health care facility
• Home care and hospice
• Long-term care facility

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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

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Behavioral Health Care Settings
(Continued)
• Hospital treatment
• Intensive case management
• Outpatient clinic
• Partial hospitalization program
• Residential treatment facility
• Respite care
• Therapeutic group home

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• Primary goal is to provide palliative care rather
than curative care
• Most hospice care is provided in a patient’s
home
Hospice Care

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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

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Federal, State, & Local Health Care
• Correctional facilities
• Military Health System (MHS)
• Veterans Health Administration (VHA)
• U.S. Public Health Service (PHS)

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publicly accessible website, in whole or in part
Regions of Military Health System
(Permission to reuse in accordance with www.tricare.mil Web site policy.)