chapter-3-health-care-settings3971

chapter-3-health-care-settings3971 - Chapter 3 Health Care...

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Chapter 3: Health Care Settings Feipei Lai National Taiwan University
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2 Objectives Define hospital categories Identify types of hospital patients Differentiate among freestanding, hospital-based, and hospital-owned ambulatory care settings Distinguish among various types of behavioral health care facilities
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3 Journal http://www.intl.elsevierhealth.com/jour nals/ijmi/
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4 Diagnosis-related groups (DRGs) Classify inpatient hospital cases into groups that are expected to consume similar hospital resources.
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5 Australian National Diagnosis Related Groups (AN-DRGs) To ensure the clinical coherence of AN-DRGs, every effort is made to assign each episode of care to one of 23 Major Diagnostic Categories (MDCs) . Most MDCs are defined by body system or disease type, and correspond with a particular specialty.
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6 Acute Care Facilities An acute care facility is a hospital that provides health care services to patients who have serious, sudden, or acute illnesses or injuries and/or who need certain surgeries.
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7 Acute Care Facilities ACFs provide a full range of health care services, including ancillary services, emergency and critical care, surgery, obstetrics, and so on.
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8 Acute Care Facilities Single hospitals Multi-hospital systems Two or more hospitals owned, managed, or leased by a single organization Ancillary services Diagnostic Therapeutic Acute care/short-term care Long-term care
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9 Bed size The hospital bed size is the total number of inpatient beds for which the facility is licensed by the state; the hospital must be equipped and staffed to care for these patient admissions. 8:1 medical center 10:1 regional hospital
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10 Hospital Categories Critical access hospitals (CAH) Located more than 35 miles from any other hospital or another CAH, or they are state certified as being a necessary provider of health care to area residents. Mileage criteria is reduced to 15 miles in areas where only secondary roads are available or in mountainous terrain. General hospitals Specialty hospitals Rehabilitation hospitals Behavioral health care hospitals
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11 General hospitals Provide emergency care, perform general surgery, and admit patients for a range of problems from fractures to heart disease.
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12 Specialty hospitals Concentrate on a particular population of patients or disease category.
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13 Rehabilitation hospitals Admit patients who are diagnosed with trauma (e.g., car accident) or disease (e.g., stroke) and need to learn how to function.
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14 Behavioral health care hospitals Specialize in treating individuals with mental health diagnoses.
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15 Hospital Patients Ambulatory patients (outpatients) Ambulatory surgery patients (day surgery) Emergency care patients Inpatients Newborn patients Observation care patients Subacute care patients
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16 Ambulatory patients (outpatients) Are treated and released the same day and do not stay overnight in the hospital.
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17
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