Component 1: Introduction to Health Care and Public Health in the U.S. Unit 2: Delivering Healthcare Government Health Care Services

State Health Care State health care is managed by each state and, as a result, has as many different structures as there are states. Most states have a main office—some states call it a Bureau, others call it a Department In addition to the main state office, the state may have county or city offices to help deliver healthcare services to state residents. Component 1/Unit 2b Health IT Workforce Curriculum Version 1.0/Fall 20102

Local Health Care Local health care agencies are those that operate in your community. These are mostly likely privately run and can be non-profit, not-for-profit, for-profit or coporate These include multi-hospital systems, community hospitals, clinics, and independent healthcare providers. Component 1/Unit 2b Health IT Workforce Curriculum Version 1.0/Fall 20103

The Veterans Administration and Military Health Care Systems This section will describe the mission, organization, and facilities that compose each one of these systems. Active duty military personnel and their families are treated by the military health care systems. Retirees and their dependents are treated military treatment facilities. Veterans (military personnel who have separated from the military) can be treated at a VA facility. Component 1/Unit 2b Health IT Workforce Curriculum Version 1.0/Fall 20104

The Veterans Health Administration Mission Statement- To fulfill President Lincoln's promise “To care for him who shall have borne the battle, and for his widow, and his orphan” by serving and honoring the men and women who are America’s veterans. Component 1/Unit 2b Health IT Workforce Curriculum Version 1.0/Fall 20105

The Veterans Health Administration (cont’d) Vision- To provide veterans the world- class benefits and services they have earned - and to do so by adhering to the highest standards of compassion, commitment, excellence, professionalism, integrity, accountability, and stewardship. Component 1/Unit 2b Health IT Workforce Curriculum Version 1.0/Fall 20106

The Veterans Health Administration (cont’d) Established in 1930 ◦54 Hospitals in 1930 ◦Today- 171 medical centers, more than 350 outpatient, community, and outreach clinics, 126 nursing homes, and 35 domiciliaries. ◦These facilities provide veterans with a broad spectrum of medical, surgical, and rehabilitative care. ◦Provide care to over 5.5 million veterans each year. Component 1/Unit 2b Health IT Workforce Curriculum Version 1.0/Fall 20107

The Veterans Health Administration (cont’d) VA Medical Center’s services for veterans- ◦Inpatient services such as Surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. ◦Additional specialty services include audiology and speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Component 1/Unit 2b Health IT Workforce Curriculum Version 1.0/Fall 20108

The Military Health System The Military Health System (MHS) is a global medical network within the Department of Defense that provides health care to U.S. military personnel worldwide. Equipped with 59 hospitals, 364 health clinics and a $50 billion budget, the MHS delivers the high quality health care to a beneficiary population of 9.6 million service members, veterans, and family members. Component 1/Unit 2b Health IT Workforce Curriculum Version 1.0/Fall 20109

The Military Health System Yet the MHS is more than a large network of health care providers; it is an elegant synergy of Army, Navy, and Air Force capabilities that serve, protect and treat the service members who defend our country. Proposal to combine Army, Navy, and Air Force into the Military Health Service Component 1/Unit 2b Health IT Workforce Curriculum Version 1.0/Fall

The Military Health System (cont’d) Organizations in the Military Health System ◦The Service Surgeons General- Army Medicine, Navy Medicine, Air Force Medicine, Coast Guard Medicine ◦Military Health System Offices and Programs ◦Defense Center of Excellence for Psychological Health and Traumatic Brain Injury Component 1/Unit 2b Health IT Workforce Curriculum Version 1.0/Fall

The Military Health System (cont’d) Organizations in the Military Health System ◦Force, Health Protection and Readiness ◦Office of the Chief Information Officer ◦TRICARE ◦Uniformed Services University ◦Vision Center of Excellence Component 1/Unit 2b Health IT Workforce Curriculum Version 1.0/Fall

The Military Health System (cont’d) Health Care in the MHS ◦TRICARE ◦Deployable Medical Capability ◦Disaster Response ◦Innovations in Medical Mission Support Component 1/Unit 2b Health IT Workforce Curriculum Version 1.0/Fall

The Military Health System (cont’d) Health Care in the MHS ◦Medical Readiness ◦Quality Patient Car ◦Transition to VA ◦Wounded Warrior Care Component 1/Unit 2b Health IT Workforce Curriculum Version 1.0/Fall