Memory Healthcare Delivery SystemsVersión en línea Review of Healthcare Delivery Systems for HLTH 1101 por Renee Cavezza Care rendered to patients who come to physicians’ offices, outpatient dept of hospitals, and health centers; outpatient services to the community; some services that are transported to the patient. Most complex care for uncommon conditions at large teaching hospitals. Highly specialized, technology-driven. May include long-term care like trauma, burns, NICU, transplants, heart surgery. Essential Care A freestanding, ambulatory surgery center that per- forms various types of surgical procedures on an outpatient basis. Cluster of special services for the dying, that blends medical, spiritual, legal, financial, and family-support services. Venue varies specialized facility to a nursing home to the patient’s own home. Secondary Care Tertiary Care used interchangeably with outpatient services. Walk-in Clinic Comprehensive, coordinated, and continuous. This type of care… Usually short-term Sporadic consultation from a specialist Includes hospitalization Routine surgery Rehabilitation Coordinates patient care across the system, refers to specialists, advises on diagnoses/therapies, ensures continuity and comprehensiveness, discusses treatment options, manages chronic conditions. Surgicenter Outpatient Services Ambulatory Care Integrated Care Optimizes population health. Improves health outcomes. Lowers health care delivery costs. Characterized by convenience and accessibility. Must be basic, routine, and inexpensive in order to be widely available to urban, suburban, and rural communities. Point of Entry Community-Based Incorporates the elements of good primary care delivery and adds a population-based approach to identifying and addressing community health problems. The first contact a patient makes with the delivery system, primarily through access to primary care. A freestanding, ambulatory clinic in which patients are seen without appointments on a first come, first served basis. Community-Oriented Primary Care Urgent Care Center Hospice A walk-in clinic that is generally open to see patients after normal business hours in the evenings and week- ends without having to make an appointment. Coordination of Care A hospital owned by the federal, state, or local government. An overnight stay in a health care facility when the patient is formally admitted with a physician’s order. A hospital that treats only certain specified illnesses or serves only certain types of patients. Hospital Also referred to as investor-owned hospitals; Are owned by individuals, partnerships, or corporations for profit; Operated for financial benefit of stockholders Provide intensive therapeutic services to restore maximum function. Teaching Hospitals Psychiatric Hospitals Rehabilitation Hospitals Public Hospital Specialty Hospitals Also known as Private nonprofit hospitals. A nonfederal, short-stay hospital whose services are available to the general public. A hospital that provides a variety of services and treats a variety of acute conditions. Medical Center Total number of inpatient days incurred by a population over a given period of time X= discharges × ALOS General Hospitals Provide diagnostic and treatment services for patients who have mental illnesses. Voluntary Hospitals Community Hospital An institution with at least six beds and that delivers diagnostic and therapeutic services for medical conditions. A hospital that has achieved specialization and offers a wide scope of services Often engages in teaching and research Census Percentage of capacity used over a given period of time. Discharges Occupancy Rate Osteopathic Hospitals Average Length of Stay (ALOS) A night spent in the hospital by a patient. Number of patients in an inpatient facility on a given day. Services provided when the patient is not lodged in a health care institution. Inpatient Children’s Hospitals Outpatient The average number of days a patient spends in the hospital. A hospital that offers graduate residency programs approved by the American Medical Association. Number of patients released from hospital beds (including deaths). Inpatient Day A hospital that is located outside a metropolitan statistical area. Community hospitals that treat chronic, congenital cardiac, and orthopedic pediatric problems. Private for-Profit Hospitals Community general hospitals; Holistic approach to treatment, in addition to traditional allopathic approach. Rural Hospitals Days of Care Skilled Nursing Care Services provided by small, family-run homes to non-related adults who are unable to care for themselves. Activities of Daily Living (ADLs) Assessment of the patient’s physical, mental, and emotional condition and past medical and social history are used to develop a plan of care. Senior Centers Any long-term care service that enables family caregivers to get temporary relief from caregiving responsibilities. Critical task of daily living: eating, bathing, dressing, toileting, bowel and bladder control, transferring. A daytime, community-based group program that is designed to meet the needs of functionally and/or cognitively impaired adults and to provide partial respite to family caregivers. Case Management Respite Care Individualized Services Activities necessary for living independently in the community. Adult Day Care Local community centers where older adults can congregate, socialize, and often have a meal. Adult Foster Care A blend of intensive medical, nursing, and other services that are technically complex and provided in an LTC setting. Medically oriented care that is authorized by a physician and provided by a licensed nurse. Hospice Instrumental Activities of Daily Living (IADLs) End-of-life care that includes a cluster of services for the terminally ill. A method of linking, managing, and coordinating services to meet the varied and changing needs of long- term care clients. Therapeutic interventions designed to help patients regain or improve function. Subacute Care Restorative Care
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