Health Care

General Hospital -

treat a wide range of conditions and age groups; ER, surgery

Speciality Hospital -

provides care for special conditions; burns, oncology, peds, psych, ortho

Government Hospital -

operated by federal state and local government, veterans administration

University/College Hospital -

provide hospital services along with research and education

Long-Term Care -

provide assistance and care for disabled and elderly patients

Residential Care (nursing home) -

provide basic physical and emotional care for those who can’t care for themselves

Extended Care (skilled facilities) -

provide skilled nursing care or residents to return home

Independent Living -

allows individuals who can care for themselves to rent or purchase an apartment in the facility

Medical Offices -

privately owned by one physician to large complexes that operate as corporations and employ many physicians and other health care professionals

Dental Offices

privately owned by one or more dentists

Clinics -

also called satellite clinics or ambulatory centers

DHEC is now….

DPH

Optical Center -

individually owned by an ophthalmologist or optometrist, provide vision examinations, prescribe eyeglasses or contact lenses

Laboratories -

perform special diagnostic tests such as blood or urine, repair or replace teeth

Home health -

designed to provide care in a patient’s home, nursing care, personal care, therapy, and home making

Hospice -

terminally ill, home or facility, palliative care or support and comfort

Behavioral and Mental Health -

treat patients with mental disorder and diseases

Genetic counseling -

work with couples or individuals who are pregnant or considering a pregnancy

Rehabilitation -

provide care to help patients with physical or mental disabilities obtain maximum self care and function

School Health Services -

found in school or colleges, provide emergency care for victims of accidents and sudden illness

Concierge Medicine -

called a retainer medicine, in exchange for an annual/monthly fee paid by the patient, an enhanced level of care is provided by a primary care physician

Emergency Care Services -

provides special care for victims of accidents or sudden illness

Cosmetic Service -

a branch of plastic surgery, focused on reshaping or improving the appearance of body part

Orthodontists Service -

the treatment of irregularities in the teeth and jaws (braces)

Pulmonology Services -

the medical specialty focused on the diagnosis, treatment, and prevention of disease of the respiratory system

Surgical Services -

refers to medical produces that involve the use of surgical techniques to diagnose, treat, or repair medical conditions

Pharmaceutical Services -

also called pharmacies, chemists, or drug stores, prepare and dispenses meds

(WHO) World Health Organization -

international agency, compiles statistics and information on serious disease throughout the world

(USDHHS) U.S Department of Health and Human Services -

national agency that deals with the health problems in the US

(NIH) National Institute of Health -

involved in research in the disease and conducting scientific studies

(CDC) Centers for Disease Control and Prevention -

concerned with causes, spread, and control of disease in population

(FDA) Food and Drug Administration -

responsible for regulating food and drug products sold to the public

(OSHA) Occupational Safety and Health Administration -

enforces standards that protect workers from job related injuries and illnesses

(VA) Department of Veterans Affairs -

a federal agency that provides health care for veterans and their families

(USPHS) U.S Public Health Services -

manages public health, a collection of agencies of USDHHS

(CMS) Centers for Medicare & Medicaid Services -

provides health coverage for millions through medicare and medicaid

Joint Commission -

a non profit, US based organization that was created to ensure that patients receive the safest, highest quality care in any health care setting

Medicare -

for individuals 65+ or end-stage kidney failure, pays 80% and individual covers rest (20%)

Medicare TYPE A -

hospital insurance

Medicare TYPE B -

doctors services

Medicare TYPE C -

private insurance to help cover that Medicare does not

Medicare TYPE D -

medication expenses

Medigap -

helps pay expenses not covered by Medicare

Medicaid -

assist individuals with low income, covers hospital, physician, and long term care as well as dental and eye care

Tricare -

formally called (CHAMPUS) Civil Health and Medical Programs for the Uniform Services, for all military personnel

Worker’s compensation

provide treatment for workers injured on the job and reimburses for their loss wages

HMO -

directed toward preventative care for a fix or prepaid fee

PPO -

contract with a certain hospitals, doctors, or dentist to provide care at a lower rate, requires a deductible and co-payment

IPA -

a business entity owned by a network of independent physician practices

The Affordable Care Act -

formally known as Patient Protection and Affordable Care Act and informally known as Obamacare

Deductible -

amount that must be paid by the patient before the policy begins to pay

Co-insurance -

specific percentage of expenses shared by the patient and the insurance company

Co-payment -

a specific amount of money a patient pays for service

Claim -

a formal request from a healthcare provider or patient to an insurance company for payment of medical services rendered

Organizational Structure -

all healthcare facilities must have some type of organizational structure, lines of authority, and indicates responsibility

3 services provided by health department

Vaccines, STI testing/treatments, and family planning

3 non profit agencies

Feeding America, Direct Relief, and ST Judes

What is the purpose of organizational structure?

to define how job tasks are formally divided, grouped, coordinated, and supervised so a company can efficiently achieve its goals.

If mrs jones hospital bill is $300.00, what percent will medicare pay and what percent will she have to pay

• Medicare will pay 80% of the bill ($240.00)

• Mrs. Jones will pay 20% of the bill ($60.00)