1. ASN 180 Transition to Professional Nursing Objective 3

2. Objective 3. Describe types of services and health care settings in the U. S. health care delivery system

3. Healthcare Delivery in the U. S Public Sector –Government Agencies Private Sector –Non-governmental sources

4. Public Sector Governmental –Federal, State, Local Voluntary –ANA –AMA NonprofitACSAHA

5. Governmental Agencies Federal –U.S. Department of Health and Human Services U. S. Public Health Service – NIH, CDC, FDA State –Department of Health Local –Health Units – ex. Communicable Disease Conrol

6. Private Sector Healthcare facilities –for-profit –not-for-profit Health insurance Pharmaceutical companies Suppliers of healthcare technology and equipment

7. Healthcare Team NursingMedicine Pharmacist (RPh) Dietician (RD) Social Worker (SW) Respiratory Therapist (RT) Physical Therapist (PT) Occupational Therapist (OT) Chaplain Unlicensed Assistive Personnel (UAP)

8. Nursing Nursing functions Nursing Health Care Providers

9. Nursing Nursing functions –Independent –Dependent –Interdependent (collaborative)

10. Nursing Health Care Providers Registered Nurse Advanced Practice Registered Nurses (APRN, APN) –Nurse Practitioner (NP) –Clinical Nurse Specialist (CNS) –Certified Nurse Midwives (CNM)

11. Reimbursement Methods Fee-for-service –Recipient directly pays the provider Single-payer system – government is only entity to reimburse health care costs (Canada)

12. Reimbursement Methods, cont. U. S. System –Private –Managed Care Health Maintenance Organizations (HMO) Preferred Provider Organizations (PPO) –Government Plans Medicare –Diagnostic Related Groups (DRG) Medicaid State Children’s Health Insurance Program (SCHIP)

13. Continuum of Care Levels of Care –Primary – Health Promotion and Illness Prevention –Secondary – Diagnosis and Treatment –Tertiary - Rehabilitation

14. Health Care Settings Hospitals Extended Care – LTC, LTAC, SNF Home Health Agencies Hospices Outpatient Settings – practitioner offices, clinics, ambulatory treatment centers

15. Health Care Settings, cont. Schools Industrial Clinics Managed Care Organizations Community Nursing Centers Rural Primary Care Hospitals (RPCHs) Critical Access Hospitals (CAHs)

16. Objective 3. Describe types of services and health care settings in the U. S. health care delivery system