Fall class 2 - Health Information Technology and Privacy...

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Health Information Technology and Privacy Class #2 Dave Wanser, Ph.D. [email protected] 512-471-2567
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Starting off Where is healthcare provided? What are the roles in healthcare? How is healthcare paid for?
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10/8/10 The Challenge What is/should our healthcare system be designed to do? What does it do? What is the history…how did we get here? Priorities: Access, Cost, Quality What are the components? Role of HIT
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10/8/10 Structural Components of the health care system – the Resources Facilities Personnel Technology
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10/8/10 The health care System – 5 Functional Components – the 1. Education and Research : professional schools 2. Suppliers : drugs, equipment 3. Insurers : Government (Medicare, Medicaid, CHIP, VA) Commercial, self-insured employers, Blue Cross/Blue Shield (BC/BS) 4. Payers : State agencies, BC/BS, commercial insurers, “self-pay” 5. Providers : Steinwachs, D. The American Health Care System: Introduction to Health Policy . 2002.
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10/8/10 Types of Care Acute Care Inpatient vs. Outpatient care Episodic vs. chronic condition care Preventive vs. sickness care Long-term Care
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10/8/10 Facilities: Hospitals Length of Stay (LOS) Short-term Long-term Service: children’s, specialties (e.g. eye, cancer, orthopedics) Ownership Government Federal: Veterans Health Administration (VHA, Dept of Defense (DoD), Indian Health Service (IHS) State: mental health, tuberculosis Local Without ability to pay (usually with medical school) Separate taxing authority Not-for-profit For-profit
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10/8/10 Facilities: Outpatient Private clinics Primary care clinics Specialty care clinics Specialty providers Ambulatory surgery Radiology Laboratory Public clinics Community Health Centers Federally Qualified Health Centers FQHC look-alikes Locally funded City, county Charitable care
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10/8/10 Long-term care Long-term care (LTC) is defined as a continuum of medical and/or social services designed to help people who have disabilities or chronic care needs. LTC services include traditional medical services, social services, and housing. In contrast to acute care, LTC is
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10/8/10 The health care System – Acute Care – Hospitals, “Urgent Care” Auxiliary Services – Lab, pharmacists Rehabilitation Services – Home Health Nursing, Nursing Homes Long-Term Care – Nursing Home, Assisted living Integrated Care – Managed care organizations Complementary/Alternative Medicine Steinwachs, D. The American Health Care System: Introduction to Health Policy . 2002.
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10/8/10 The health care System – Preventive Care : Primary Care Providers (PCPs), state/city health departments Primary Care : M.D./D.O., P.A., C.R.N.P Generalist-specialist continuum § some specialists provide primary care, some generalists provide advanced services - OB, colonoscopy
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Fall class 2 - Health Information Technology and Privacy...

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