hospitals acute care facilities inpatient vs. outpatient provide care for: severely ill or injured...

Hospitals

Acute care facilities Inpatient vs. outpatient Provide care for:

Severely ill or injured Those needing surgery Women delivering babies

Trend: decrease in average length of stay Public vs. private, for-profit vs. nonprofit

Types of hospitals• General Hospitals

shorter length of stay, acute care, wide range of services

• Specialty Hospitalsfor specific illnesses or disorders, longer length of stay

• Government Hospitalsprovide care for government service personnel and their families i.e. VA hospitals

• University or college medical centersadditionally provide research and educational services

Subacute Care Facilities

Fill the gap between hospitalization & rehabilitation

Provide: Extensive monitoring & IV therapy Around-the-clock supervision

Typically 20% to 50% less expensive than Often an area within an extended care facility less aggressive rehab, nursing care needs, intent

for patient to return home

Extended Care Facilities

Provide: Health care Help with activities of daily living Basic physical and emotional care to individuals who

can no longer care for themselves Social interactions in a safe & secure environment

Types Nursing homes Independent-living facilities Residential institutions for mentally or physically

disabled

•Senior Day Care Centersactivities and personal care during day hours only, patient returnshome at night, on weekends

•Assisted Living Facilitiesrented or purchased apartment in a facility with services available such as housekeeping transportation, laundry, meals, social events, and minimal medical assistance (example assist with medications)

Rehabilitation Centers

Provide: Physical or emotional rehabilitation Treatment of chemical dependency

Goal: return healthy patients to community

Acute physical rehab requires patients toparticipate in a minimum of 3 hours / dayof therapy

Home Health Care Agencies

Provide care in a patient’s home Care managed by:

Community health departments Hospital case managers Home health agencies

Increasing in popularity due to: Increase in early discharge from hospital Elderly living longer with chronic diseases Technology

other

other Ambulatory or Outpatient Care Centers

several physicians w/different specialties combine practices, same day care Elderly living longer with chronic diseases

Urgent or Emergency Care Clinics Municipal Health Departments Outpatient or specialty clinics (ex.

Diabetes education, Dialysis center)

other Laboratories Mental Health Facilities School Health Facilities Hospice Care

inpatient or in home care…for patients no longer pursuing curative treatment for their conditions

Expanded list here

OUTPATIENT – discharged within 23 hours, but may require ongoing care of some kind

INPATIENT – remains in facility for more than 24 hours

Levels allow efficient management of hospital departments.

The structure helps one understand the hospital’s chain of command.

Large hospitals have complex organizational structures.

Smaller hospitals tend to have much simpler organizational structures.

Hospital departments are grouped in order to promote efficiency of facility.

Grouping is generally done according to similarity of duties.

Organizational Structure Organizational Structure refers to levels of refers to levels of management within a hospital. management within a hospital.

Administrative Services

Informational Services Therapeutic Services Diagnostic Services Support Services

Those who “run the hospital” Oversee budgeting and finance Establish hospital policies and

procedures Often perform public relation

duties Hospital Administrators

CEO, CFO, COO, Vice President(s), Directors, Executive Assistants, Department Heads

Document and process information:

Admissions Billing & Collection Medical Records Computer Information Systems Health Education Human Resources

Provide treatment to patients: Physical Therapy - treatment to

improve large muscle mobility Occupational Therapy - treatment

goal is to help patient regain fine motor skills

Speech/Language Pathology - identify, evaluate, treat speech/language disorders

Medical Psychology - concerned with mental well-being of patients

Social Services – counsels, connect patients with community resources (financial aid, etc.)

Pharmacy - dispense medications Respiratory Therapy - treat patients

with heart & lung disease Sports Medicine - provide

rehabilitative services to athletes Nursing - provide care for patients Dietary - maintain nutritionally

sound diets for patients

Determines the cause(s) of illness or injury:

Medical Laboratory - studies body tissues

Medical Imaging - radiology, MRI, CT, Ultra Sound

Emergency Medicine -provides emergency diagnoses & treatment

Provide support for entire hospital:

Central Supply - orders, receives, stocks & distributes equipment & supplies

Biomedical Technology - design, build repair, medical equipment

Housekeeping & Maintenance - maintain safe, clean environment

Board

Administration

Therapeutic

Services

Information

Services

Diagnostic

Services

Support

Services

Admissions Billing, etc.

Med. Records

Computer Info. Health Ed. Human

Resour.

PT, OT Speech/Lang

. Resp. Therapy Pharmacy Nursing Dietary

Med. Lab Radiology Nuclear Med ER

Cardiology Neurology

Central Supply

Biomedical Housekeepi

ng Maintenance Dietary

Transportation

Traditional

Organizational Chart

Admin. Services

Information Services

Therapeutic Services

Diagnostic Services

Support Services

Board

Pyramid demonstrates a symbolic organizational structure of hospital.

Stethoscope : DIAGNOSTIC SERVICES - diaphragm determines cause of illness

Earpieces: THERAPEUTIC SERVICES - hears/interprets and decides course of treatment

Tubing: SUPPORT SERVICES - supports structure of stethoscope (thus hospital departments)

Head: ADMINISTRATIVE SERVICES - runs everything

This is a “symbolic” organizational structure of a hospital as planned After each group completes their drawing, they present it to the class and explain the symbolism as depicted in their picture. This drawing was rationalized as such: 1. Stethoscope : DIAGNOSTIC SERVICES - diaphragm determines cause of illness

2. Earpieces: THERAPEUTIC SERVICES - hears/interprets and decides course of treatment

3. Tubing: SUPPORT SERVICES - supports structure of stethoscope (thus hospital departments)

4. Head: ADMINISTRATIVE SERVICES - runs everything

Be as creative (but logical) as possible. Other examples : roller coaster, totem pole, hamburger, tennis shoe, ice cream cone, etc.