Chapter 1 Health Care Delivery Systems History of

Chapter 1 Health Care Delivery Systems

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

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

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

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

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 © 2019 Cengage®. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 7

Licensure, Regulation, & Accreditation • Code of Federal Regulations (CFR) • Federal Register • Accreditation standards and surveys © 2019 Cengage®. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 8

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

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) © 2019 Cengage®. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 10

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

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) © 2019 Cengage®. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 12

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