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hospitals
largest industries
Purposefully designed, structured social system developed for the delivery of health care services by specialized workforces to defined communities, populations, or markets
Offer large range of services provided by highly educated and trained professionals using sophisticated equipment and technology
mission statement
Organizations defining and guiding force that outlines the reason for its existence
vision statement
An aspirational statement made by an organization that articulates what they would like to achieve.
organizational chart
Demonstrates how managers and employees carry out the functions within the institution or facility in an organized and logical fashion; demonstrates who reports to who within the organization
Board of Directors (governing board/ trustees)
Authorized by law to operate a hospital, Responsible for policies and operations
Chief Executive Officer (CEO)
President employed by the board of directors ◦ Defines how the operation of a hospital is maintained and conducted
Interacts with medical staff to ensure coordination and quality of patient care and services
Chief operating officer(COO)
Oversees day-to-day operations
Considered second in chain of command
Chief financial officer(CFO)
Supervises finances
Financial spokesperson for the organization
vice presidents
Oversee specific groups or departments within an organization
Chief medical officer/director
physician in charge
staff physicians
provide care to patients within the hospital
specialists
Contracted or employed by the institution
medical residents
Completed 4 years of undergraduate school and 4 years of medical school
Residency in specialty areas (3-5yrs)
head of the radiologists
Communicates with the administrative manager and ensures coordination of medical staff with the activities, policies, and procedures of the department
oversees quality of patient care and approves policies and procedures
radiologists
Section Leaders for Nuclear Medicine, Interventional Radiology, Radiation Oncology & Diagnostic Radiology
radiologists position
A medical doctor who specializes in diagnosing and treating injuries and diseases by interpreting medical imaging procedures and images.
radiologists schooling
Bachelors Degree
4-year Medical School – M.D. or D.O.
4-year residency in diagnostic radiology
Optional – 1-to-2-year fellowship
radiologist assistants
Assist Radiologists in performing fluoroscopy procedures
radiation safety officer
Oversees employee radiation badge readings and radiation safety program
Masters of Science Degree in Radiation Physics
general imaging
Diagnostic Manager
Diagnostic Clinical Coordinators
Fluoro/Diagnostic Lead Technologist
QC Lead Technologist
administration director
Reports to senior hospital administration Responsible for purchasing, personnel management, budget preparation, decision making, and planning Radiologic expertise, management training and experience
Minimum Bachelor’s Degree
Image library
Keeps organization of patient imaging files once studies are performed, assists in calling reports, etc
Administrative Office Manager (Patient Access Supervise)
Oversees scheduling and intake specialists
intake specialists
Scheduling Interview patients, place patient's information in the EPIC system, obtain insurance information
hospitals
One of the nation’s largest industries, offers a broad range of services provided by increasingly expansive personnel, equipment, and technology
veterans hospital
Cater to those who are actively or have been in military, naval or air service; any condition OTHER than dishonorable discharge
not for profit hospital
Board of trustees makes decisions
Not for “private” profit
No private one person or corporation makes a profit All income above expenses is used to improve the health of the community
Full range of service
Do pay some taxes, but are exempt from some others such as sales tax
for profit hospital
Assets belong to investors/owners
Major decisions made by individuals trying to create outside profit for stockholders
Profits often leave community
Provides full range of care that benefits community served, with focus placed on how to best serve investors
clinics
Primarily focused on the care of outpatients
Can be operated publicly, privately, or by the government
Often offer no or low-cost care
You can go to a medical clinic for the following types of health related services:
Routine medical care
Preventive care
Medical attention when you’re sick
physician offices
Organized as the home base of a single physician or group of physicians
Can also offer their own radiology services or refer patients to other facilities for exams
outpatient surgical centers
Facilities that offer surgical procedures outside of the hospital setting
Procedures that do not require an overnight stay
imaging centers
Primary function: Provides diagnostic imaging
Some provide basic laboratory tests, electrocardiograms and other diagnostic testing
where imaging centers are located
Owned by hospitals, radiologists, other physicians or non medical investors or corporations
May be free standing, may be associated with a clinic, physicians’ office or other medical center
what urgent care centers treat(1980s)
Cold or flu
Sinus infections
Allergies
Sore throat
Insect bites
Minor lacerations
Pink eye
Minor sprains or strain
mobile imaging
Provides better access to care in remote areas
what imaging can be mobile
Diagnostic x-ray-On call for nursing homes, hospitals, retirement communities, correctional facilities, private residence, etc
MRI and PET mobile units, Mammography-decrease back-logged appointments
independent living
Enjoy amenities and other benefits while living unassisted at their choice of residence
assisted living
Can cater to specific age groups, most often geriatric patients
Most do not have imaging services on location Offers 24/7 access to medical and custodial care
nursing homes
Provided skilled nursing, rehabilitation
Offers 24/7 licensed medical care
memory care
For individuals with memory loss due to Dementia, Alzheimer’s, or other cognitive impairment
Specially trained staff focus on keeping residents comfortable, safe, and engaged
mental health facilities
Provide care for those living with mental illness Mentally impaired, learning disabilities, neurological disorders, behavioral problems, etc..
hospice
Provides comfort and support to patients and their families when a life-threatening illness no longer responds to cure-oriented treatments
goal of hospice
to improve the quality of a patient’s last days by offering comfort and dignity
telehealth/telemedicine
is using technology(interactive video, satellite and wireless communication) which allows physicians and specialists to diagnose and treat patients over distances
private health insurance
Any coverage offered by a private entity
self pay-no insurance
Problems concerning access to medical care have grown worse over the last decade
Medicare
65 and older or Disabled
Medicaid
Coverage to the nation’s poor, disabled and impoverished elderly
Children’s health insurance program(CHIP)
Based on family size and income, children or teens may be eligible if they meet the following requirements: Under 19 years of age. A U.S. citizen, U.S. national or qualified alien. A resident of Pennsylvania.
technician
Individual who performs procedures that require attention to technical detail Health Care Team Cont. Works under the direction of another provider
technologist
Individual skilled in a particular art
Applying knowledge and theory to problems
physicians
Primary care providers who promote the optimal health of patients and who provide for care during an illness by ordering tests and medicines
medical doctor(MD)
Practice allopathic medicine which is focused on the diagnosis and treatment of human diseases by using remedies such as medications or surgeries
doctor of osteopathy(DO)
takes a holistic approach to medicine and is taught to perform different manipulations of muscles and bones
physician assistant(PA-C)
Mid-level medical professional who works as part of a team with a doctor
education of physician assistant
2 years of college courses in basic and behavioral sciences, most have BS and 3 years of health care experience prior to entering a program(usually 27 months)Graduate of an accredited PA education program must be certified nationally and have state-licensure
physician assistant jobs
physical examinations
Diagnose and treat illnesses
Performs tasks usually conducted by the physician but that do not require such a level of expertise Order and interpret lab tests
Perform procedures
Assist in surgery
Provide patient education and counseling
Make round in hospitals and nursing homes
nursing
The protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations
nursing assistant
Limited training, usually on the job
Licensed practical nurse(LPN)
One year program and can legally administer drugs except by IV route
registered nurse(RN)
Completion of 2–4-year program of study followed by successful completion of a national licensing examination
nurse midwife
Provides perinatal care and can deliver infants under supervision of an Obstetrician
nurse anesthetist
Provides anesthesia under the supervision of Anesthesiologist
nurse practioner
Assess, diagnose and treat patients without the direct supervision of a physician
diagnostic services
Perform tests and evaluations that aid the physician in determining the presence or absence of a disease or condition
cardiovascular technologist
Record electrical impulses of the heart
electroneurodiagnostic technologist
Record electrical impulses of the brain
medical technologist
Performs tests and analyzes lab results within a laboratory setting
therapeutic services
Provide services designed to help patients in recovery process to overcome some form of physical or psychological disability.
respiratory therapist
Treat patients with breathing difficulties
Perform aerosol therapy, airway management, pulmonary function testing
physical therapist
Restore muscle strength and coordination
Maintain and restore maximum movement and functional ability
occupational therapist
Assist people who have difficulty in achieving occupationally balanced lives
speech language pathologist
Treat many types of communication and swallowing problem
EMT/paramedic
Care for the sick or injured in emergency medical settings
Respond to emergency calls, performing medical services and transporting patients to medical facilities.
pharmacology
Science that deals with the origin, nature, effects, and uses of drugs
pharmacologist
Investigate how potential medicines interact with biological systems. Doctoral degree
pharmacist
Dispenses drugs as ordered by a patient’s physician. Doctoral degree
nutritionists and dietitians
Experts in food and nutrition
They advise people on what to eat in order to lead a healthy lifestyle or achieve a specific health-related goal
Health Insurance Portability and Accountability Act of 1996 (HIPAA)
responsible for management of health records
Educational Requirements vary but may include 2-4 years of education beyond high school
Does not require direct patient care but are essential to the efficient operation of any health care facility
social services
Provide individuals, families, and groups with the psychosocial support needed to cope with chronic, acute, or terminal illnesses
Advise family care givers, provide patient education and counseling, and make referrals for other services.
patient advocates
Aid the patient in better understanding processes of their care. •
Ensure MD and staff are acting in the best interest of the patient. Often act as a “go-between”
central Transporation
Assist in transferring patients to a change in their room location, transport patients to and from tests or treatments, transport patients at end of life (to morgue)
admissions and registrations
Aid in inputting patient information and data into our system so what we have is accurate not only with demographics but health history and insurance information
security
Encourage safe environment within the healthcare setting both inside the building and around the hospital campus
billing and fiscal
Financial department that focuses on billing for patient accounts and can discuss with patients' treatment cost. Often times patients do not have insurance and are very conscious about what tests are being performed and the cost. If there is ever a question with how much a test/exam is going to cost the patient can be directed to this department.
information management system(IMS)
Ensure that our computer systems/network are running smoothly
human resources
Oversee employee administrative affairs in an organization (Job Description, Job Posting, Interviews, Pay/Vacation Balances, Benefits, etc.
pastoral care
Care for the spiritual needs of patients, families and staff. Assist patients, families and staff as they face the emotional and spiritual situations of illness and crisis within the healthcare setting and transitioning out of the healthcare setting.
engineering
Structural maintenance (heat, lighting, electrical, etc.)
risk management
To manage and control the amount of legal and financial risk to the organization and ensure that a hospital continues to remain in good standing with its reputation within the community; Keep the organization, employees and patients free from any risks that may hinder the quality of care and to guarantee the safety of all its customers
preventative care
Encourage patients to work towards leading healthy lifestyle or taking steps to minimize health risks
procurement
Ordering/purchasing supplies, equipment