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