Chapter 3 Health Care Settings Copyright 2011 Delmar

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Chapter 3 Health Care Settings Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Chapter 3 Health Care Settings Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Acute Care Facilities • Single hospitals • Multi-hospital systems • Ancillary services – Diagnostic

Acute Care Facilities • Single hospitals • Multi-hospital systems • Ancillary services – Diagnostic – Therapeutic • Acute care/short-term care • Long-term care Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Hospital Bed Count or Bed Size The hospital bed count or bed size is

Hospital Bed Count or Bed Size The hospital bed count or bed size is the total number of inpatient beds for which the facility is licensed by the state. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

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

Hospital Categories • • • Critical access hospitals (CAH) General hospitals Specialty hospitals Rehabilitation hospitals Behavioral health care hospitals Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Hospitalists are physicians who spend most of their time in a hospital setting admitting

Hospitalists are physicians who spend most of their time in a hospital setting admitting patients to their inpatient services from local primary care providers. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Hospital Patients • • Ambulatory patients (outpatients) Ambulatory surgery patients Emergency care patients Inpatients

Hospital Patients • • Ambulatory patients (outpatients) Ambulatory surgery patients Emergency care patients Inpatients Newborn Observation patients Subacute Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Ambulatory and Outpatient Care • • Ambulatory surgical centers (freestanding) Hospital-based outpatient department Hospital-based

Ambulatory and Outpatient Care • • Ambulatory surgical centers (freestanding) Hospital-based outpatient department Hospital-based emergency department Hospital-based ambulatory surgery Hospital-based partial hospitalization Public health departments Satellite clinics Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Ambulatory and Outpatient Care (Continued) • • Staff model health maintenance organizations Urgent care

Ambulatory and Outpatient Care (Continued) • • Staff model health maintenance organizations Urgent care centers Hospital-based physician practices Hospital-owned satellite clinics Industrial health clinics Neighborhood health clinics Physician offices Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

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

Alternate Care Facilities • • Behavioral health care facilities Home care and hospice Long-term care Managed care Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Behavioral Health Care Settings • • Chemical dependency program Crisis service Day treatment program

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 Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Behavioral Health Care Settings (Continued) • • Hospital treatment Intensive case management Outpatient clinic

Behavioral Health Care Settings (Continued) • • Hospital treatment Intensive case management Outpatient clinic Partial hospitalization program Residential treatment facility Respite care Therapeutic group home Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Hospice Care • Hospice care’s primary goal is to provide palliative care rather than

Hospice Care • Hospice care’s primary goal is to provide palliative care rather than curative care. • Most hospice care is provided in a patient’s home. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Long-Term Care • Long-term care includes a range of nursing, social, and rehabilitative persons

Long-Term Care • Long-term care includes a range of nursing, social, and rehabilitative persons for people who need on-going assistance. • Types include: – – – Adult day care Assisted living facilities Intermediate care facilities Long-term hospitals Residential care facilities Skilled nursing facilities Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Federal, State, and Local Health Care • • Correctional facilities Military Health System (MHS)

Federal, State, and Local Health Care • • Correctional facilities Military Health System (MHS) Veterans Health Administration (VHA) U. S. Public Health Service (PHS) Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Regions of Military Health System Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Regions of Military Health System Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.