Medical Imaging Unit 2

What are the purposes of Healthcare Organizations?

Offers a large range of services provided by highly educated and trained professionals using sophisticated equipment and technology

What is a Mission Statement?

An organization’s defining and guiding force that outlines the reason for its existence

What does a Mission Statement comprise of?

Services it offers + Intended Recipients of service + Description of the level of cost

What is a Vision Statement?

An aspirational statement made by an organization that articulates what they would like to achieve

What is an Organizational Chart?

Demonstrates how managers and employees carry out functions within the institution or facility in an organized and logical fashion; demonstrates who reports to whom within the organization

Who is at the top of the Organizational Chart

CEO

Who are the Board of Directors?

Authorized by law to operate a hospital

What are the Board of Directors responsible for?

Policies and operations

Who is the Chief Executive Officer (CEO)?

President employed by the board of directors

What are the responsibilities of the CEO?

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

Who is the Chief Operating Officer (COO)?

Oversees day-today operations

Who is considered the second in chain of command?

Chief Operating Officer (COO)

Who is the Chief Financial Officer (CFO)?

Supervises finances, is the financial spokesperson for the organization

Who are the Vice Presidents?

Oversee specific groups or departments within an organization

What is the definition of Medical Staff Organization?

Formal organization of physicians within a hospital

Who is the Chief Medical Officer / Director?

Physician in charge

What is a Staff Physician?

Provides care to patients within the hospital

What is a Specialist?

Contracted or employed by the institution

Who are the Medical Residents?

Completed 4 years of undergraduate school + 4 years of medical school

What are the responsibilities for the Head of the Radiologists?

Communicates with the administrative manager and ensures coordination of medical staff with the activities, policies, and procedures of the department

Who oversees quality of patient care and approves policies and procedures?

Head of the Radiologists

Who are Radiologists within the Radiologist Organization?

Section leaders for NM, IR, Radiology Oncology, & Diagnostic Radiology

What are the 4 parts of the Radiologist Organization?

Head of the Radiologists, Radiologists, Interventional Radiologists, Radiation Oncologists

What is the definition for a Radiologist?

A medical doctor who specializes in diagnosing and treating injuries and diseases by interpreting medical imaging procedures and images

What is the typical schooling for a Radiologist?

Bachelor’s Degree
4-year Medical School - MD or DO
4-year residency in diagnostic radiology
Optional 1-2 year fellowship
Certified by the American Board of Radiology

What are Radiologist Assistants?

Assist Radiologists in performing fluoroscopy procedures

What are Radiation Safety Officers?

Oversees employee radiation badge readings and radiation safety program
Has Masters of Science Degree in Radiation Physics

What is the 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

What categories are apart of the other Radiology Staff?

Imaging Informatics/PACS
Clerical Staff
Records Management

What is the definition of ‘Hospital’?

One of the nation’s largest industries offers a broad range of services provided by increasingly expansive personnel, equipment, and technology

What has a direct relationship to the community in which they reside?

Hospitals

What type of hospitals are there?

Federal government (VA), not-for-profit, for-profit

What are Veterans Hospitals?

Cater to those who are actively or have been in military, naval, or air service; any condition OTHER than dishonorable discharge

What are some key points of a Not-for-Profit Hospital?

• Assets stay in the community

• Board of trustees makes decisions

• All income above expenses is used to improve health of the community

• Full range of service

• Do pay some taxes, but are exempt from some others such as sales tax

What are some key points of a 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

What are Clinics?

Primarily focused on the care of outpatients that can be operated publicly, privately, or by the government

What can you go to the medical clinic for in terms of health-related services?

Routine medical care, preventive care, medical attention when you’re sick

What type of facility offers no or low-cost care?

Clinics

What are Physician Offices?

Organized as the home base of a single physician or group of physicians

What are Outpatient Surgical Centers?

Facilities that offer surgical procedures outside of the hospital setting that do not require an overnight stay

What is the primary function of Imaging Centers?

Provides diagnostic imaging

What are some key points about Imaging Centers?

• Owned by hospitals/radiologists/other physicians/non-medical investors/corporations

• May be free standing, associated with a clinic, physicians’ office or other medical center

What are Urgent Care Centers?

A variety of free standing emergency care centers that provide quick access in emergencies that also provide general diagnostic radiographic procedures

What are some commonly treated conditions at Urgent Cares?

• Cold/flu

• Sinus infections

• Allergies

• Sore Throat

• Insect Bites

• Minor Lacerations

• Pink eye

• Minor sprains/strains

What is Mobile Imaging?

Provides better access to care in remote areas

What is the definition for an Independent Living Facility?

Enjoy amenities and other benefits while living unassisted at their choice of residence

What is the definition of an Assisted Living Facility?

• Can cater to specific age groups, often geriatric patients

• Most don’t have imaging services

• 24/7 access to medical/custodial care

What is the definition of a Nursing Home Facility?

• Provided skilled nursing, rehabilitation

• Offers 24/7 licensed medical care

What is the definition of a Memory Care Facility?

• For individuals with memory loss due to Dementia, Alzheimer’s, or other cognitive impairment

What are Mental Health Facilities?

Provides care for those living with mental illness

What are some key points for Mental Health Facilities?

• Mentally impaired, learning disabilities, neurological disorders, behavioral problems

• Inpatient or outpatient

• Most don’t have imaging services

• Knowledge of equipment, immobilization, and communication techniques

What is Hospice?

Provides comfort + support to patients/families when a life-threatening illness no longer responds to cure-oriented treatments

What is the goal of Hospice?

To improve the quality of a patient’s last days by offering comfort and dignity

What is Telehealth/Telemedicine?

Using technology allowing physicians/specialists to diagnose and treat patients over distances

What is the definition of Private Health insurance?

Any coverage offered by a private entity

What is Self-Pay?

Marked as no-insurance coverage

What is the difference between Medicare, Medicaid, and CHIP?

• Medicare - 65+, Disabled, Certain disease processes (ESRD)

• Medicaid - coverage for the nation’s poor, disabled, and impoverished elderly

• CHIP- children/teens’ health insurance for people under 19 years old, US national/qualified alien, resident of PA

What is the definition of Team Based Care?

A model of collective healthcare delivery that enables patients and providers to achieve high-quality care. Employing team-based care improves clinical outcomes, support for complex patients, patient access and experience, and staff experience and retention

What is the definition of a Technican?

Individual who performs procedures that require attention to technical detail and works under the direction of another provider

What is the definition of a Technologist?

Individual skilled in a particular art, applying knowledge and theory to problems

What is the definition for a Physician?

Primary care providers who promote the optimal health of patients and who provide care during an illness by ordering tests and medicine

What is the definition of a 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

What is the definition of a Doctor of Osteopathy (DO)?

Takes a holistic approach to medicine and is taught to perform different manipulations of muscles and bones as a part of treatment

What are Physician Assistants (PA-C)?

A mid-level medical professional who works as part of a team with a doctor

• 2 years of college courses/BH sciences

• Accredited programs 27 months

• Classroom + clinical rotations

What tasks are usually conducted by the physician that can also be done by a PA-C?

Physical exams, diagnose + treat illnesses, order + interpret labs, perform procedures, assist in surgery, provide patient education + counseling, round in hospitals/nursing homes

What is the definition of nursing?

Protection, promotion, optimization of health and abilities, prevention of illness/injury, advocacy

What are some responsibilities of nurses?

Direct patient care, perform exams/history, provide health education, administer medications/wound care, interpret patient info, coordinate care, conduct research

What are the nursing opportunities that require direct supervision?

• Nursing assistants - limited on the job training

• Licensed Practical Nurse - 1 yr program + can legally administer drugs EXCEPT IV

• Registered Nurse - 2-4 yr program followed by completion of NCLEX

• Nurse Midwife - Provides prenatal care + can deliver infants under supervision

• Nurse Anesthetist - Provides anesthesia under supervision of Anesthesiologist

What are the nursing opportunities that do NOT require direct supervision?

Nurse Practitioner - Assess, diagnose + treat patients without direct supervision of a physician

What is the definition of Diagnostic Services?

Perform test and evaluations that aid the physician in determining the presence or absence of a disease or condition

What is a Cardiovascular Technologist?

Record electrical impulses of the heart

What is an Electroneurodiagnostic Technologist?

Record electrical impulses of the brain

What is a Medical Technologist?

Performs tests and analyzes lab results within a lab setting

What are Therapeutic Services?

Provide services designed to help patients in recovery process to overcome some form of physical or psychological disability

What are the primary responsibilities of a Respiratory Therapist?

Treat patients with breathing difficulties; perform aerosol therapy, airway management, pulmonary function testing

What are the primary responsibilities of a Physical therapist?

Restore muscle strength and coordination; maintains and restore maximum movement and functional ability

What are the primary responsibilities of an Occupational therapist?

Assist people who have difficulty in achieving occupationally balanced lives

What are the primary responsibilities of Speech-language Pathologists?

Treat many types of communication and swallowing problems

What are the primary responsibilities of EMT/Paramedics?

• Care for the sick/injured in emergency medical settings

• Respond to emergency calls, performing medical services, and transporting patients to medical facilities

• Under the direct supervision of a physician
  

What is Pharmacology?

Science that deals with the origin, nature, effects, and uses of drugs

What is a Pharmacologist?

Investigates how potential medicines interact with biological systems
* Doctoral degree

What is a Pharmacist?

Dispenses drugs as ordered by a patient’s physician

*Doctoral Degree

Who are Nutritionists and Dietitians?

Experts in food + nutrition that advise people on what to eat to lead a healthy lifestyle/achieve health-related goal

What are the responsibilities of Health Information Systems?

Responsible for the management of health records, 2-4 years of school beyond HS, does not require direct patient care

What is HIPAA?

Health Insurance Portability and Accountability Act of 1996

What role does Social Services play in a hospital setting?

Provide individuals, families, and groups with psychosocial support needed to copy with chronic, acute, or terminal illnesses

What are the responsibilities of 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

What is the responsibility of Central Transportation?

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 (morgue)

What are the responsibilities of Admissions and Registrations?

Aid in inputting patient info and data into our system so that what we have is accurate, not only with demographics but also with health history and insurance information

What are the responsibilities of Security?

Encourage a safe environment within the healthcare setting, both inside the building and around the hospital campus

• Strong security in ED

• Ensure everyone has ID badge in building

What is the main responsibility of Housekeeping?

Maintain a clean environment throughout the hospital setting

What are the responsibilities of IMS (Information Management System)?

Ensure that our computer systems/networks are running smoothly

What is the purpose of Human Resources (HR)?

Oversee employee administrative affairs in an organization

What is the responsibility of Risk Management?

Manages and controls the amount of legal and financial risk to the organization and ensures that a hospital continues to remain in good standing within reputation in community

What is Procurement (purchasing)?

Ordering or purchasing supplies + equipment

How does radiology collaborate with Physicians?

X-rays are ordered by physicians and may have to call to clarify an order/change an order

How does radiology collaborate with Nurses?

Take care of inpatients; may need to talk to them about an order, patients ra’s range of movement, and when is the best time to bring them down for their study

How does radiology collaborate with Central Transportation?

Collaborate with nursing to bring the patient to appropriate mode of transport and what time

How does radiology collaborate with Security?

May be needed for patient escort of Code Orange/unruly patient

How does radiology collaborate with Housekeeping?

Empties trash cans and cleans department daily, may need them to clean a bathroom after an isolation patient was in