1 Welcome to Unit 8 Health Professionals and Health Welfare & Health Care Institutions

2 Unit 8 Required Reading Chapter 9: Health Professionals and Health Workforce – pages Chapter 10: Healthcare Institutions pages:

3 Clinical Health Professionals Physicians Nurses Dentists Pharmacists Optometrists Psychologists Podiatrists Chiropractors

4 Health Education and Training Accreditation Credentialing Certification Licensure

5 Selected Specialties of Medicine Anesthesiology Emergency medicine Family Practice Internal Medicine Obstetrics and Gynecology Orthopedic Pathology Pediatrics

6 Selected Specialties of Medicine Continued Plastic Surgery Preventive Medicine Radiology Vascular Surgery Urology

7 Organization of Clinical Care Primary Care Secondary Care Tertiary Care

8 The 6C’s of Primary Care Contact Comprehensive Coordinated Continuity Caring Community

9 Financial Compensation Fee-for-service Capitation Episode of care Salary Pay for performance – “P4P”

10 Health Institutions Inpatient Outpatient

11 Common Features of Hospitals Licensed by state & JCAHO Organized physician staff 24/7 Nursing care staff Governing board

12 Other Inpatient Health Servicers Long-term care Short-term care

13 Outpatient Facilities Group physician practices Physical therapy Nurse practitioners Audiologists Optometrists Clinical psychologists Dentists

14 Characteristics of Healthcare Quality Access and services Qualified providers Staying healthy Getting better Living with illness

15 IOM: Potential Roles for an Electronic Health Information System Health information and data Results management Decision support Electronic communication and connectivity Patient support Administrative processes Reporting and population health

16 Benefits of Electronic Health Records Improve patient safety Support the delivery of effective patient care Facilitate management of chronic conditions Improve efficiency

17 Medical Malpractice Patient must establish A duty was owed A duty was breached The breach caused an injury Damages occurred

18 Question for Discussion Shelly has been addicted to narcotics for the past 10 years. She has developed a system that allows her to get all the narcotics she needs to feed her addiction from health care providers. Shelly goes to 6 different doctors, and is a regular patient at several local emergency rooms. Each doctor prescribes a narcotic for Shelly’s chronic pain, not knowing that she is also receiving narcotics from other area physicians. What might be done to assist Shelly, and to alert her physicians of how they are contributing to her addiction?

19 Question for Discussion Mary and George have been married for 52 years. They have vowed throughout their marriage that they would always take care of one another. Yet, for the past couple of years George has become more dependent on Mary for his daily care and Mary is no longer in the best of health. What community health services might Mary access that can assist both she and George? What if George deteriorates to the point where he cannot be maintained in the home?

20 Question for Discussion Which of the following do you believe meets the requirements for malpractice? Why? The suicide of a patient on an inpatient psychiatric unit. Amputating the wrong person’s leg. Extended recover period for a patient who was initially prescribed the incorrect antibiotic for his pneumonia. The need for a young woman to have a hysterectomy as a result of infection she developed afer the delivery of her first child.

21 Unit 8 To-Do-List Complete original response to the DB and IMB by midnight Saturday Respond to a minimum of 2 classmates’ post by midnight Sunday (both forums) Keep working on course project Begin preparing for final exam (to be taken by the end of Unit 10).