1. Health Care Systems
Chapter 2
Intro HST

2. Private Health Care Facilities-Unit 1
Hospitals
Vary in size and services
Classifications (based on funding)
Private or proprietary
Religious
Nonprofit or voluntary
Government
Types
General
Specialty
University or college medical centers

3. Long-Term Care Facilities
Provide care for elderly, people with mental or physical disabilities, chronic illness
Residents
Types of facilities
Nursing (geriatric) homes
Extended care
Skilled care
Independent or assisted living

4. Clinics / Satellite Centers
Medical Offices
May be privately owned
Variety of services
Specialties (pediatrics, cardiology, obstetrics)
Dental Offices
Clinics / Satellite Centers
Shared facility
Types
Surgical
Urgent / emergency care
Rehabilitation
Outpatient
Health department
Medical center

5. Emergency Care Services Laboratories Home Health Care
Optical Centers
Emergency Care Services
Laboratories
Home Health Care
Nursing
Therapy
Personal & Homemaking
Hospice
Care for terminally ill
Services include medical, psychological, social, spiritual, legal/financial counseling

6. Mental Health Facilities
Counseling
Psychiatric clinics/hospitals
Chemical abuse treatment
Physical abuse treatment
Genetic Counseling Centers
Rehabilitation Facilities
Health Maintenance Organizations
Health care directed toward preventative care
Industrial Health Care Centers
School Health Services

7. Government Agencies – Unit 2
World Health Organization (WHO)
International – United Nations
Statistics
Investigates serious health problems
US Department of Health and Human Services (USDHHS)
National
National Institutes of Health (NIH)
Centers for Disease Control (CDC)

8. Food & Drug Administration (FDA)
Regulation of food and drugs
Agency for Health Care Policy and Research (AHCPR)
Quality of health care
Occupational Safety & Health Administration (OSHA)
Regulations to protect workers
Health Departments
State/local

9. Voluntary or Nonprofit Agencies – Unit 3
Supported by:
Donations
Membership fees
Fundraisers
Federal / state grants
Examples
American Cancer Society
American Heart Association
American Red Cross

10. Health Insurance Plans – Unit 4
Premium paid to company
Insurance pays for services (coverage varies)
Deductibles
Co-insurance
Co-payment
Health Maintenance Organization (HMO)
Monthly premium
Preventative care

11. Preferred Provider Organization (PPO)
Provided by large industry/company
Lower rates
Network
Medicare
Federal program
65+ or disability for 2 years
Types
A – hospital coverage, LTC
B – additional coverage

12. Workers’ Compensation
Medicaid
State
Benefits vary from state to state
Low income, physically disabled or blind
SCHIP (1997) – uninsured children of working families
Workers’ Compensation
Treatment for workers injured on job
Health care & lost wages

13. TRICARE Managed Care Formerly CHAMPUS Military, families, veterans
Funded by VA
Managed Care
Developed due to rising cost of HC
All care must have a purpose
Second opinions PRN
Preventative care & early diagnosis
Network, limited choice

14. Organizational Structure – Unit 5
“Line of authority” or “chain of command”
Clearly indicates rank and immediate supervisor
Areas of responsibility
Hospital
Figure 2-10 (p. 35)
Medical office
Figure 2-11 (p. 36)