Health Lesson 2

Health Proffesionals

THEY ARE INDIVIDUALS ACCREDITED BY A PROFESSIONAL BODY UPON COMPLETING A COURSE OF STUDY AND ARE USUALLY LICENSED BY A GOVERNMENT AGENCY.

Health Proffesionals

THESE ARE PERSONS WHO PRACTICE A HEALTH-RELATED PROFESSIONS

DENTISTRY
NURSING
PHYSICAL THERAPY
MEDICINE
OCCUPATIONAL HEALTH

example of these type of proffesions

Health Service Providers

THEY ARE PEOPLE WHO PROVIDE PREVENTIVE, CURATIVE, PROMOTIVE, AND REHABILITATIVE HEALTH CARE SERVICE TO PEOPLE, FAMILIES, OR COMMUNITIES.

Health Service Providers

THEY ARE HIGHLY SKILLED WORKERS ENGAGED IN PROFESSIONS THAT REQUIRE EXTENSIVE KNOWLEDGE.

Health Service Providers

- can be defined as any institutions or professionals who are accredited or licensed to practice health care under existing laws.

REGISTERED NURSES, PHARMACISTS, DENTIST PHYSICIAN

Examples of service providers

Health Service Providers

is a trained professional who provides people with healthcare

Occupational Hazard

___ STRESS AND ___ BURNOUT ARE HIGHLY PREVALENT AMONG HEALTH PROFESSIONALS.

Occupational Hazard

SOME STUDIES SUGGEST THAT WORKPLACE STRESS IS PERVASIVE IN THE HEALTH CARE INDUSTRY BECAUSE OF INADEQUATE STAFFING LEVELS, LONG WORK HOURS, EXPOSURE TO INFECTIOUS DISEASES, AND HAZARDOUS SUBSTANCES LEADING TO ILLNESS OR DEATH

INADEQUATE STAFFING LEVELS, LONG WORK HOURS, EXPOSURE TO INFECTIOUS DISEASES, AND HAZARDOUS SUBSTANCES

WORKPLACE STRESS IS PERVASIVE IN THE HEALTH CARE INDUSTRY BECAUSE OF

Occupational Hazard

ANOTHER EXAMPLE IS THE EXPOSURE TO DANGEROUS CHEMICALS AND DISEASES CONTRACTED THROUGH EXTENDED CONTACT WITH A PATIENT, INCLUDING SCABIES AS WELL AS CONTRACTING BLOOD BORNE DISEASES LIKE HEPATITIS B, HEPATITIS C, AND HIV/AIDS.

PPE (personal protective equipment)

THE MODE OF PROTECTION FOR HEALTHCARE WORKERS FROM INFECTIOUS DISEASES.

Occupation Hazard

HEALTH CARE PROFESSIONALS ALSO EXPERIENCE SLEEP DEPRIVATION DUE TO THEIR JOBS' SHIFT WORK SCHEDULE. SLEEP DEPRIVATION PREDISPOSES HEALTHCARE PROFESSIONALS TO MAKE MISTAKES THAT MAY POTENTIALLY ENDANGER A PATIENT

Sleep Deprivation/

PREDISPOSES HEALTHCARE PROFESSIONALS TO MAKE MISTAKES THAT MAY POTENTIALLY ENDANGER A PATIENT

Health Facilities

A MEDICAL FACILITY IS ANY LOCATION AT WHICH MEDICINE IS PRACTICED REGULARLY.

Health Facilities

places that provide health care

HOSPITAL
AMBULATORY SURGERY CENTER
DOCTOR'S OFFICE
URGENT CARE CLINIC
NURSING HOME

TYPES OF Health CARE Facilities

HOSPITALS, CLINICS, OUTPATIENT CARE CENTERS, AS WELL AS SPECIALIZED CARE CENTERS, SUCH AS BIRTHING CENTERS AND PSYCHIATRIC CARE CENTERS THAT PROVIDE HEALTH CARE

HEALTH FACILITIES ARE PLACES THAT PROVIDE HEALTH CARE WHICH INCLUDE

HOW CLOSE IS IT TO WHERE YOU LIVE OR WORK
WHETHER YOUR HEALTH INSURANCE WILL PAY FOR SERVICES THERE
WHETHER YOUR HEALTH CARE PROVIDER CAN TREAT YOU THERE
THE QUALITY OF THE FACILITY

FACTORS TO CONSIDER WHEN CHOOSING A HEALTH FACILITY

hmo obligation

ASSIGN A CASE MANAGER TO THE PATIENT OR A GROUP OF PATIENTS TO ENSURE THAT NO TWO PROVIDERS GIVE OVERLAPPING CARE.

Heath Management Organization

HMO means?

PRIMARY CARE PHYSICIANS

PATIENTS NEED A REFERRAL FORM FROM THEM IN ORDER TO SEE A SPECIALIST OR OTHER DOCTORS. THEY CANNOT AUTHORIZE THE REFERRAL UNLESS THE HMO GUIDELINES DEEM IT NECESSARY

PRIMARY CARE PHYSICIANS

ARE INTERNIST, PEDIATRICIANS, FAMILY DOCTORS OR GENERAL PRACTITIONERS.

HMO

IT IS AN ORGANIZATION THAT PROVIDES OR ARRANGES MANAGED HEALTH CARE COVERAGE WITH PROVIDERS AND HEALTH INSURANCE SUBSCRIBERS OF SELF-FUNDED HEALTHCARE BENEFIT PLANS UNDER CONTRACT.

HMO ACT OF 1973

WHAT ACT REQUIRED EMPLOYERS WITH 25 OR MORE EMPLOYEES TO OFFER CERTIFIED HMO OPTIONS IF THE EMPLOYER OFFERS TRADITION HEALTH CARE OPTIONS.

HMO

___ REQUIRE MEMBERS TO SELECT A PRIMARY CARE PHYSICIAN, A DOCTOR WHO ACTS AS A "GATEKEEPER" TO DIRECT ACCESS TO MEDICAL CARE SERVICES.

primary care physician

A DOCTOR WHO ACTS AS A "GATEKEEPER" TO DIRECT ACCESS TO MEDICAL CARE SERVICES.

ASSIGN A CASE MANAGER TO THE PATIENT OR A GROUP OF PATIENTS TO ENSURE THAT NO TWO PROVIDERS GIVE OVERLAPPING CARE.

ENSURE THAT THE PATIENT IS RECEIVING APPROPRIATE TREATMENT SO THAT THE CONDITIONS DOES NOT WORSEN.

what is the hmo obliged to do?