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Health Maintenance Organizations (HMO’S)
-fixed fee with copay
-Managed care: promoting regular physical exams, immunizations, weight control, treatment for HBP, preventative care
Preferred provider organizations (PPO’s)
-similar to HMO’s
-Reduced rates with an established network of providers
Federal Health Insurance
-Affordable care act: mandating that everyone received health insurance
-medicare and Medicaid
Medicare
Covers portion of the medical costs for those 65 years and older
Medicaid
funds to assist the indigent, each state sets guidelines for services and eligibility
Health care settings besides hospitals
-Clinics
-primary physician office
-specialty physicians
-imaging centers
-mobile
-emergency care centers/urgent care
-outpatient surgical centers
-Industry and research
Health care team
Physicians, nurses, allied health professionals
Hospital organization chart
-board of directors
-chief of executive officer (CEO)
-medical staff (physicians)
-Departments: nursing, support, operations/ancillary (radiology is here), administration, finance, education
-human resources department
Imaging services administration
-Similar to hospital structure: administrative director, medical director, department chair, radiologists
-specialty modalities (sonography, MRI) may have their own departments
-responsible to adhere to hospital mission
Profession defined
A paid occupation, especially one that involves prolonged training and a formal qualification
-organized to govern itself
-set standards for professional behavior and education
-qualification to practice and enforces standards
-publishes peer reviewed scholarship
Role of professional organizations
A group of people in a learned occupation who are entrusted with maintaining control or oversight of legitimate practice of the occupation
ASRT
-our principle professional organization
-nationally recognized professional society representing all radiologic technologists in US
-defines curriculum, sets practice standards, pushes code of ethics
ARRT
Recognizes and attests to the qualifications of individuals in MI, interventional procedures, radiation therapy
-adopts and upholds standards for educational prep for profession
-provides a way to recognize individuals who continue to demonstrate their qualifications by continuing education requirements
Accreditation
A process that a health care institution, provider, program, undergoes to demonstrate compliance with standards developed by an official agency
-middle states association, JCERT, TJC
JCERT: Joint Committee on Education in Radiologic Technology
Accredits educational programs within the United States and its territories: radiography, radiation therapy, magnetic resonance, medical dosimetry
-sets the standards for programs, based on the curriculum established by the ASRT
In general, need for RT’s would increase because
-increasing age of baby boomers (age is increasing)
-increasing age of currently employed RT’s (retiring RT will be more numerous than RT graduates)
-continued improvements in technology will create more opportunities for specialization
-expanding healthcare facilities
Career ladder
-Lead technologist or team leader
-Radiology manager
-radiology director
-educator
-commercial jobs