The Health Care Environment: Past, Present, and Future Chapter 2 The Health Care Environment: Past, Present, and Future

Objectives Review the learning and performance objectives for this chapter By the end of this chapter, demonstrate the procedures in the textbook and the job skills in the workbook

Heart of the Health Care Professional Service With cheerfulness and patience, you will be helping the medical practice and serving patients at the same time.

Changes in Health Care Medicine/religion connection Ancient Egypt Imhotep Seen as god of healing Physician to the Pharaohs First written medical record First prescription Tomb of Egyptian Pharaoh

Changes in Health Care Medicine/religion connection Ancient Greece Aesculapius Greek legend God of healing Caduceus See Figure 2-2

Changes in Health Care Hippocrates Highlights of Medical History “The Father of Medicine” First to describe diseases The Oath of Hippocrates Highlights of Medical History See Table 2-1

Changes in Health Care Physicians traded services for goods Families paid for services monthly Insurance companies emerge Third-party system of reimbursement

Changes in Health Care Cost of medical education increased Medicine advanced Life expectancy increased

Changes in Health Care Lawsuits increased Malpractice insurance soared Healthcare facilities compete Utilization and review process

Today’s Health Care Delivery System Traditional care Fee-for-service Choice of physician, specialist, and facility Managed care Capitation Primary care physician

Today’s Health Care Delivery System Types of managed care organizations Health Maintenance Organization (HMO) Preferred Provider Organization (PPO) Independent Practice Association (IPA) Exclusive Provider Organization (EPO) Point-of-Service (POS) Plan

The Medical Practice Setting Solo physician practice Associate practice Group practice Partnership

The Medical Practice Setting

The Medical Practice Setting Professional corporation Urgent care center Clinic In-store clinic

The Medical Practice Setting Hospital Categories Government owned Federal VA Hospital State facility for the developmentally disabled

The Medical Practice Setting Hospital Categories Nongovernment owned For profit Nonprofit

The Medical Practice Setting Hospital Types Acute care hospital Specialty hospital Mental health hospital Substance abuse hospital Convalescent hospital Rehabilitation hospital

The Medical Practice Setting Hospital Administrative Departments (Figure 2-5A) Adjunct Departments (Figure 2-5B) Organization Chart (Figure 2-6)

The Medical Practice Setting Medical center Specialized care center Laboratory Managed care organization Holistic health environment

Physician Specialists See Table 2-3 Variety of specialty practices Variety of job responsibilities Variety of patient types

Physician Specialists What practice would you choose? What patients do you want to work with? Which job responsibilities interest you?

Administrative Duties Handle numerous referrals Schedule appointments efficiently Prioritize walk-in patients Prioritize multiple and frequent calls

Administrative Duties Schedule surgical procedures Handle patient consents Schedule pre- and post-op appointments Discern emergencies and complications Remain calm if an emergency arises

Administrative Duties Know medical terminology Possess excellent keyboarding skills Perform bookkeeping procedures Possess good transcription skills Maintain equipment in working order

Health Care Professional Abbreviations See Table 2-4 Understand that professionals you communicate with have specific education and credentialing

Stop and Think Traditional versus managed care Review the scenario What type of Medicare plan is Granny on? What type of Medicare plan is Nana on? What type of MCO does the physician belong to that enables him or her to see both of these types of patients?

Stop and Think Types of medical practice settings Review the five scenarios at the end of Chapter 2 What type of practice setting would you look for? Why would you make that choice?