1. Individual, Family and Community Health
IV/ V
Community Health

2. Official & Non-Official Agencies
Official agencies (non-voluntary)
Funded by tax dollars
Run by federal, state, local (city/county) governments
Federal – United States Public Health Service
Investigate/control of infectious disease
Protection from disease
Interstate sanitation
Health information
Bureau of statistics
An arm of Department of Health and Human Services

3. Official Agencies USPHS
NIH … research (cancer, arthritis, childhood diseases, AIDS)
FDA … protects public from harmful drugs; approves drugs for the market,
HSA (Health Service Administration) … migrant, Indian health services; treatment of specific diseases (TB)

4. Official Agencies USPHS
HSA (Health Service Administration) … health planning for the future
CDC (Center For Disease Control and Prevention) … study/prevention of communicable disease; poison control center

5. Official Agencies
Social Security Administration … administered by Health and Human Services
Social Security … financial assistance, healthcare assistance, financial assistance for disabilities
Medicare … national health insurance
Medicaid … joint federal/state; disabled or AFDC

6. Agency Funding Federal … tax dollars State … legislature
Local … city and/or county
OCHD
Vital statistics Immunization
Family planning VD
Pediatrics AIDS testing

7. Agency Funding Local … city and/or county Migrant Clinic
Farm Worker Clinic
Family Health Clinic

8. Non-official Agencies
Also called voluntary
Not regulated by government
Private sector funding (United Way)
Some paid employees, but many are volunteers
American Red Cross Easter Seals
American Cancer Society March of Dimes
American Heart Association
Cystic Fibrosis Foundation

9. What is Primary Care?
The point at which the individual enters the health care system …
Doctor’s office
Hospital/emergency room
Community health centers
Urgent care centers

10. Functions of a Hospital
Care of the sick/injured
Prevention of disease
Promotion of individual/community health
Education
Research

11. Classification of Hospitals Extended Care Facilities
Classified by …
Ownership
Special services
Length of stay

12. Classification … Ownership Public Private Federal (VA, military)
State (University hospitals; Shands)
Local (County/city; non in the area)
Private
For profit (ORHS, Florida Hospital)
Non-profit

13. Classification … Special Services May be public or private
Public … VA, Military, NIH
Private non-profit … Shriner’s Burn Hospital
Private for profit … Humana, HCA

14. Classification … Length of stay Acute care Long-term care
Extended care

15. DRG’s Diagnostic Related Groups
A math formula is used to arrive at a fee the government will pay for hospitalization
Facility receives flat fee for length of stay
DRG category (illness)

16. Methods of Payment For Health Care
Personal Payment (private pay)
Health Insurance
Private Group
Individual Health Plans
Government-Sponsored Health Insurance
Medicare (Social Security
Medicaid (Medical Assistance)

17. Functions of Home Health Care
Due to DRGs
Patients are being discharged sooner and sicker
Require follow-up care/nursing skills in home
Care that is given includes
ADLs VS
Treatments/procedures Patient education
Medication/Ivs

18. Functions of Extended Care Facilities
Provide continuous skilled patient care following hospital discharge
Can be short or long term
Often used for rehabilitation
Expected outcome is discharge home

19. Functions of Rehabilitation Services
Can be done in ECF, special rehab facility, or a private setting
Can be done in hospital on a special unit (BIRC – ORHS Lucerne)
Rehabilitation can include physical, speech, hearing