Module 8 lecture, part 2 Flashcards
In the past, what type of practices were the norm?
Solo
What happened to the percentage of physician office visits among ambulatory care visits between 1992 and 2011?
Declined
What happened to the percentage of hospital outpatient visits between 1992 and 2011?
Increased
What are the 5 main types of hospital-based outpt care svcs?
Clinical svcs: special consultation
Surgical svcs
Emergency svcs for acute conditions
Home health care
Women’s health center
Status of levels for emergency svcs
Emergent conditions require immediate attention
Urgent conditions require attention within a few hrs
Non-urgent, non-emergency: used by mostly uninsured as a substitute for primary care
Details about women’s health centers
Women are major users of HC due to a female majority
Change in culture towards women’s equality
A national priority
Types of free-standing facilities
Walk-in clinics
Urgent care centers
Surgi-centers
Other outpt facilities
Aspects of walk-in clinics
Ambulatory care from basic primary to urgent care
Non-routine episodic basis
Convenient
Aspects of urgent care centers
Usually open 24/7
Wide range of routine svcs
1st come 1st serve basis
Non-comparable to ED
Aspects of surgi-centers
Freestanding, independent of hospitals
Full range of svcs for surgeries
Outpt, no overnight
Types of other outpt facilities
Outpt rehab centers
Optometric centers
Dental clinics
What does home HC do?
Services brought into the home
What is an alternative to home HC?
Institutionalization
What does home health care include?
Nursing care
Medication monitoring
Bathing
Short-term rehab (PT, OT,ST)
Homemaker service (meal prep, shopping, transportation, medical equipment, chores)
Durable medical equipment (DME): wheelchairs, oxygen, beds, walkers, commodes
What are the demographic characteristics of home HC pts?
Tend to be 65 or older, female, and white
Definition of hospice
Comprehensive svcs for the terminally ill with a medically determined life expectancy of 6 mos or less
Aspects of hopsice
Staffing on 24 hr basis
Medical and nursing care
Access to inpt care
Social svcs and support
Therapy and access to supplies
What are two areas of emphasis of hospice svcs?
Palliation (pain management)
Psychosocial and spiritual support
What are the two main types of ambulatory LTC svcs?
Case management
Adult day care
Aspects of case management
Coordination and referral
To find the most appropriate care
Aspects of adult day care
Complements informal care at home
Svcs during the nl work day
Definition of a hospital
An institution with at least 6 beds whose function is to deliver pt svcs that include diagnostics and tx
Requirements of hospitals
Must be licensed
Have an organized physician staff
Provide continuous nursing svcs supervised by RNs
What are construction and operations of a hospital governed by?
Federal laws
State health regs
City ordinances
Joint commission standards
Fire codes
Sanitation standards
