Health Care Systems Notes
Health Care employees ______________workers in over __________careers.
___________________________- Vary in size and services provided
____________________ ______________________treats wide range of conditions

How long do people stay here:________________________________________________
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What type of services are provided here________________________________________
SPECIALTY HOSPITAL
Cares for _________ ______________ or _____ ____________
Examples: burn, __________________________, ___________________ or children,
_____________________, rehabilitation, and ______________________
Famous children’s hospital______________________________ _______________________
GOVERNMENT HOSPITALS
Operated by ______________________, state, and ____________________government agencies.
Veteran’s Administration Hospitals: Example:______________________________________
UNIVERSITY OR COLLEGE MEDICAL CENTERS
Provides medical services, ____________________, and education
Funded by private or government sources
Examples:____________________________________________________________________
LONG TERM CARE FACILITIES
Provide care for _________________ and individuals with chronic illnesses
Refer to patients as __________________________because this is their home
Provides basic ____________________and emotional care; usually for individuals who cannot care for themselves
Help them with ____________________of_________________ ____________________(ADLs), provide safe and secure environment, and promote opportunities for ______________________interactions
ADLs are things such as ________________________, combing hair, putting on ____________________
Some provide rehabilitation services for major ____________________ or surgery, treatment for cancer, or treatments such as dialysis or heart ________________________________

Independent or Assisted Living Facilities: purchase or _______________ unit to receive services such as meals, housekeeping, ___________________, transportation, social events, and basic medical care
MEDICAL OFFICES
Provides services such as:
______________________: doctor evaluates patient’s general health, complaints
______________________: tells patient what is causing illness
______________________: prescribes medications or other methods to relieve illness
________________ __________________: may do simple procedures in office; remove mole, etc
Basic lab tests: May do basic blood testing, EKGs
DENTAL OFFICES
May be owned by one or more dentists
Clinics
Satellite Clinics or Satellite Centers
• Found in many types of health care
• Can refer to group of medical/dental doctors who share a facility and other personnel
• Surgical clinics or _________________________
• ______________________ _____________ clinics
• _____________________ clinics
• _____________________ Clinics: Diabetes or oncology (cancer) clinics
• _____________________ Departments offer clinics such as…
• _________________________care
• _________________________transmitted diseases
• _________________________ diseases
• _________________________
Medical Centers also sponsor clinics
Optical Centers
• Provide _____________________ examinations
• Prescribe _________ glasses or contact ______________________

• Check for the presence of eye _______________________-
Emergency Care Services
• Provide special care for _________________or ______________ __________________
• ______________________ services: private and governmental
• ___________________ ________________: frequently operated by fire departments
• Emergency care clinics
• ___________________ operated by hospitals
• ____________________ or airplanes
Laboratories
• Can be part of other facility or operated as separate health care service
• ___________________________ laboratories: perform diagnostic tests
• ___________________________ laboratories: prepare dentures and other devices
Home Health Care
• Provide care in patient’s home
• Examples of care…
• _________________ care
• _________________ care: bathing dressing, and so forth
• _________________: physical, occupational, speech, respiratory
• _________________: food preparation, cleaning, washing, and so forth
Hospice
• Care provided in person’s ________________ or hospice facility
• Allows person to die with ____________________ and in ___________________
• Provides psychological, social, spiritual, and financial counseling for family and patient
• Provide care for terminally ill persons with life expectancy of ____________ months or less
Mental Health Facilities
• Deal with __________________ diseases and disorders

Genetic Counseling Centers
• Perform _______________________ (before birth) screening tests
• Checking for genetic _______________________ and ____________________ defects
• Explaining the results of the tests
• Identifying medical options when a birth defect is present
• Helping individuals cope with the psychological issues caused by a genetic disorder
Rehabilitation Centers
• Provide care directed at helping patient with physical or mental disabilities obtain
___________________ self-care and function
• Can include hospitals, clinics, and/or private centers
• Services can include physical, occupational, recreational, speech, and hearing therapies
Industrial Health Care Centers
• Located in ____________________ ___________________ or companies
• Provide care for _______________________ of the industry
• Services: basic __________________, teach accident prevention/safety, provide
_____________________ care
School Health Service
• Found in schools and colleges and provide the following services…
• ____________________ care for accidents and sudden illness
• Tests to check for health conditions: ______________, vision, hearing, and so forth
• Promote ________________ education
• Maintain safe and _______________________ school environment
GOVERNMENT AGENCIES
World Health Organization (_____________)
• International agency sponsored________________ by United Nations
• Compiles statistics and information on ______________
• Publishes ______________ information

• __________________ and deals with serious health problems throughout the ________________
United States Department of Health and Human Services (___________)
1.
National ________________ of Health (NIH): research on disease
2.
Centers for ___________________ Control and Prevention (CDC): causes, ____________ and control of diseases in populations
3.
Food and ______________Administration (FDA): _________________ food and drug products sold to the public
4.
Agency for Health Care Policy and Research (AHCPR): established in 1990 to research the quality of health care delivery and identify the standards of treatment that should by provided by health care facilities
5.
________________________Safety and Health Administration (__________): establishes and enforces standards that protect ____________ from job-related injuries and illnesses
Health Departments
• Provide specific services needed by state or local community
• __________________________ for disease control
• __________________________ for environmental health and sanitation
• Health _____________________
• Collection of statistics and health records
Nonprofit / Volunteer Agencies
• Supported by __________________, membership fees, fundraisers, and federal or state grants
• Provide health services at national, state, and local levels
• Focuses on specific diseases or health __________________
• EXAMPLES:_____________________ _______________ _____________
___________________ ______________________ __________________
Health Insurance Plans

• ________________ – the payment a customer must make to an insurance company
- paid monthly
• _______________ – amounts that must be paid by the pt for medical services ____________ the policy begins to pay
-pt has bill for $2000. Deductible $500. Pt pays deductible then insurance will pay on $1500 that was left
• ____________________ – requires that specific percentages of expenses be shared by the pt & insurance company
Example: 80/20 – company pays 80% and pt pays 20% of covered expenses after deductible is paid
• __________________ – a specific amount of money a pt pays for a particular service
Example: $20 co-pay means pt must pay $20 for each physician visit then insurance pays the rest
Health Maintenance Organizations
• ____________________ health care
• Examinations
• Basic medical services
• Health Education
• Hospitalization
• Rehabilitation services
Preferred Provider Organization (PPO)
• Type of health insurance plan provided by large ____________________ or companies to their employees.
• Companies form contracts with health care agencies to provide certain types of health care at reduced rates.
• Employees are restricted to using the specific agency under contract.
Medicare
• Federal government program that provides health care for almost all individuals over _____ and for any person with a disability who has received Social Security benefits for at least ___ years
• Type _____: hospital services and care provided by an extended care facility or home-health care agency
• Type A: Medicare pays 80%; patient has to pay the balance

• Type A: Medicare pays ____%; patient has to pay the balance
• Type _____: additional coverage for doctors’ services, outpatient treatment, therapy, and other health care
• Type _____: patient pays premium for coverage and also has a _______________
Medicaid
• Medical assistance program operated by individual states
• Usually pays for health care of _________ income, children who qualify for public assistance and those
_____________ disabled or ___________
• Provides inpatient and outpatient services, surgical, medical, lab, x-rays, well baby and well child care
Worker’s Compensation
• Provides treatment for workers injured on job
• Administered by _____________
• Payments made by employers and state
• Pays missed wages also
TRICARE
• Health insurance for all _____________ personnel
• ____________ duty member and family, survivors of military personnel, and retired members of
Armed Forces
• Veterans Administration provides for military __________________
Managed Care
• Principle behind managed care is that all health care provided has a purpose
• _______________ opinion or verification of need required
• Preventative care and early diagnosis of disease provided to prevent high cost of treating disease
• Strives to provide ________________ care at the _____________ cost possible