Presentation on theme: "Nursing Assistant Program Bradwell Institute"— Presentation transcript:
1 Nursing Assistant Program Bradwell Institute Community Health CareNursing Assistant ProgramBradwell Institute
2 Health Care Facility Functions Provide services for the ill and injuredPrevent diseasePromote individual and community healthEducate health care workersPromote research in medicine and nursing
3 Health Care Today Patient Focused Care Each patient is an individual and has different needsMust give attention to the physical, mental and emotional aspects of each person’s lifePreserving quality of life is viewed as more important than living longer
4 Health Care Today Many changes are occurring. Why? People are living longerMany ethical questions are coming up that must be answered by health care workers and consumersCost of health care is increasingDemand for services and advanced technologyMore lives are saved by advanced technologyThey will need continuing health care
5 Health Care Today What are we doing to help reduce cost? Discharging patients earlierUsing skilled care facilities and home health careUsing outpatient facilitiesUsing managed careApproving certain procedures and testNegotiating for a lower costUsing DRG’sHaving procedures done as an outpatient
6 Community Needs Preventative care Emergency care Surgery Prenatal, well-baby checkups, routine physicalsEmergency careSurgeryRehabilitationLong-term careHospice
7 Who Do We Take Care Of? Resident Client Patient People in long-term care facilitiesClientPersons receiving care in their own homesPatientPersons in an acute care facility
8 Health Care Facilities Short-Term CareCare for acute illnessHospitalsUrgent care facilitiesSurgicentersOutpatient clinicsPsychiatric hospitalsDoctor’s officesLong-Term CareCare for chronic illnessSkilled care facilitiesAdult day careAssisted livingRehabilitation centersPsychiatric hospitalsRespite careHome care
9 Hospitals Care for persons of all ages and problems May care for certain age groups onlyPediatric (birth to 18 yrs)Psychiatric (mental illness)Rehabilitation (restorative services to return patients to their highest level of functioning)
11 How Do We Pay Insurance Out-of-pocket payments DRG’s HMO (preventative care) or PPOOut-of-pocket paymentsDRG’sUses average length of stay and will only pay for that period of time or that particular fixed set amount*Medicare (federal)Persons over 65 yrs and who are permanently disabled (getting social security for 2 yrs)Medicaid (state and federal)Covers persons with low incomes, physically disabled and blind
12 How Are Facilities Regulated? Joint Commission for Accreditation of Healthcare Organizations (JCAHO)Accredits most health care agenciesFacilities are not eligible for Medicare payments if they are not accreditedSets high standardsPatient needs and care giver qualifications must be looked at when making assignmentsReviews caregiver qualifications (age-related care)Evaluate staff competence andOffer educational programs for staffReviews policies and procedures (best practice)Makes sure employees know and follow these procedures
13 How Are Facilities Regulated? Occupational Safety and Health Administration (OSHA)Interviews employees and tours the facilityProtects the health and safety of employeesReviews infection control practices, isolation practicesRequires PPD testingRequires MSDS sheetsAsks about health and safety practicesMakes recommendations for correctionsIssues citations (written notice) or fines or both
14 Quality Assurance (QA or CQI) Conducts internal reviews to identify problems and find solutionsMeet periodically to evaluate care provided and practices in the facilityWill conduct auditsMay find areas needing improvement internally before an OSHA or JCAHO inspectionRestraint use, infection rate, pressure ulcer rate, fall rate, infection control practices, blood administration practices
15 Nursing Assistant Challenge Mrs. Hernandez is pregnant with her first child. She wants to do everything she can to make sure that she has a safe and uncomplicated pregnancy, labor and delivery, and that her baby is healthy. Consider how Mrs. Hernandez will move through the health care system to achieve this goal.
16 Nursing Assistant Challenge What is the first type of care that Mrs. Hernandez needs to help her meet her goal of an uncomplicated pregnancy?In your community, where is this type of care provided?From which hospital departments do you think Mrs. Hernandez will receive services when delivers her baby?After the baby is born, what health care will the baby need?