HC Delivery System

What are the traditional levels of health care?

Preventative, Primary, Secondary, Tertiary, Restorative, Continuing health care.

What is preventative health care?

Care that prevents illness before it happens. Example: Vaccinations.

What is primary health care?

Your first point of contact for health care. Example: Family doctor.

What is secondary health care?

Specialized medical care. Example: Cardiologist.

What is tertiary health care?

Advanced treatment for complex conditions. Example: Heart surgery.

What is restorative health care?

Helping patients regain lost abilities. Example: Physical therapy after a stroke.

What is continuing health care?

Ongoing care for long-term needs. Example: Nursing home.

What is the main focus of secondary and tertiary care?

Diagnosing and treating illnesses when primary care is not enough.

How does a patient usually receive secondary care?

Through a referral from a primary care provider (PCP) to a specialist.

What care do hospitals provide to acutely ill patients?

Comprehensive secondary and tertiary care.

What other facilities provide specialized health care?

Mental health facilities and rural hospitals, including Critical Access Hospitals.

What is discharge planning, and when does it begin?

Planning the patient's continuing care, needs, and destination after hospitalization. It begins while the patient is still hospitalized.

What is the main purpose of restorative services?

Help patients recovering from acute or chronic illness/disability regain maximum function and improve quality of life.

What are the 3 types of restorative services?

Home care, rehabilitation, and extended care facilities.

What is the main goal of rehabilitation?

Help patients achieve and maintain their best physical, sensory, mental, emotional, and social functioning.

What services are included in rehabilitation?

Physical therapy, occupational therapy, speech therapy, and social services.

Where can rehabilitation take place?

Inpatient rehabilitation centers, outpatient facilities, or at home.

What is an extended care facility?

A facility providing medical, nursing, or custodial care for patients recovering from illness or disability.

For the ER department, which traditional level of healthcare would this be according to the lecture?

Secondary

For the ICU department, which traditional level of healthcare would this be according to the lecture?

Tertiary

What are the 5 types of continuing care?

Nursing centers/facilities, assisted living, respite care, adult day care, and palliative/hospice care.

What law regulates standards for nursing homes?

Omnibus Budget Reconciliation Act of 1987 (OBRA).

What is the Resident Assessment Instrument (RAI)?

A standardized system used to assess nursing home residents and guide care planning. Includes the Minimum Data Set (MDS), Care Area Assessments, and RAI utilization guidelines.

What is assisted living?

A long-term, home-like setting that helps residents with daily activities while allowing greater independence.

What is respite care?

Temporary care that gives family caregivers a break. Can be provided at home, adult day care, or a facility.

What is adult day care?

Daytime health and social services for adults who live at home or with family.

What is palliative care?

Care focused on relieving symptoms and improving quality of life for patients with serious illnesses and their families. Can occur alongside curative treatment.