1. Trends in Health Care Health Team Relations
History and Trends of Health Care Unit
Objective 4
Explore current trends in health care.

2. Cost Containment Reasons for high health care cost
a. Technological advances
b. Aging population
c. Health-related lawsuits

3. Cost Containment Methods of cost containment
a. Diagnostic related groups
(DRG)
b. Combination of services
c. Outpatient services
d. Mass or bulk purchasing
e. Early intervention and
preventative services

4. Can you think of another way to reduce health care cost that was not addressed in the previous list?
Another way to contain rising cost of
Health care is to put a cap on malpractice
lawsuit awards.

5. How do the DRG rules benefit patients financially?
If a patient has insurance that pays by
the DRG rules the patient does not
have to pay for any of the bill that the
health care provider charged over the
DRG limit.

6. Additional information about
Cost Containment in Health
Care can be found in the
Health Science Fundamentals
text book on Pages

7. Do you know what the trend is?
A trend that has been practiced for hundreds of years will be discussed next.
Because it has always proved to be a more cost effective way to deliver health care it experienced a dramatic increase (400%) when DRG’S were introduced in the 1980s.
Do you know what the trend is?

8. Home Health Care Current Trend
Definition:
Care that is provided in the home
for patients who need health service but
not hospitalization.
Health Science Fundamentals text book on Page 29

9. What kind of care can be provided by home health care professionals?
Nursing
Physical Therapy Respiratory Therapy, Occupational Therapy, etc.
Dieticians
Personal care assistance (bathing, dressing, etc.)
Homemaking (housecleaning, food shopping, and cooking)

10. Is home health care new? Is it here to stay?
Home health care began in the United States in the1880s.
Today, it is estimated that well over 7.6 million people currently receive care from home health care providers.
Data from:
Home Health Care:
An Essential Solution to
America’s Health Care
Challenges

11. Reasons for the Growth in Home Health Care
Medical advances allow better management of chronic and incurable diseases, including pathologies related to HIV and AIDS.
Medicare's diagnosis-related groups promote earlier discharge of hospitalized patients, reducing the length of hospital stays.
Patients (or caregivers) often desire to avoid prolonged expensive care at the end of life.
Patients choose to receive care in the home.

12. Geriatric Care Current Trend
As the population of the
U.S. continues to
age the need for more
specialized care of
the aging has become
apparent.
Geriatric Care is care
delivered to elderly
people.

13. Types of Geriatric Care Facilities
Nursing Homes
Extended Care Facilities
Independent Living Facilities
Assisted Living Facilities
Adult Day Care Centers
Health Science Fundamentals text book on Pages 27-28

14. OBRA Ominbus Budget Reconcilliation Act
OBRA is an act that was passed in 1987 to implement certain basic
rights and guidelines for nursing home care facilities. It’s intent was to
ensure that the residents of the nursing home received the best care
possible.
An example of one the OBRA regulations is:
All nursing home management is required to check and
make sure every person applying for a nursing assistant
job has a current certificate to practice as a nurse assistant
Go Health Science Fundamentals text book on Page 132 for remainder of OBRA
regulations.

15. Telemedicine Current Trend
Includes consultative, diagnostic and treatment services.
An example of treatment services:
A doctor being able to perform surgery
on a patient that is hundreds of miles
away.
Health Science Fundamentals text book on Page 11

16. Wellness Current Trend
Why is wellness a current trend?
What are the different types of wellness?
Physical Wellness
Emotional Wellness
Social Wellness
Mental and Intellectual Wellness
Spiritual Wellness
Holistic Health
Health Science Fundamentals text book on Pages

17. Alternative and Complementary Methods of Health Care Current Trend
What are these methods all about?
Ayurvedic Practitioners
Chinese medicine practitioners
Chiropractors
Homeopaths
Hypnotists
Naturopaths
Health Science Fundamentals text book on Pages