Guided Lecture Notes, Chapter 3, The Healthcare Delivery System
Learning Objective 1. Discuss trends and challenges of healthcare in the 21st century.
Relate these changes to the needs of nurses, healthcare practitioners, and healthcare
consumers (clients).

Discuss healthcare trends in the 21st century, including a change in emphasis, an
increased reliance on technology, and rising costs. (Refer to PowerPoint slide 2.)

Explain the management of clients in health maintenance organizations. In
addition, discuss the controversy associated with the recruitment of UAPs.

Define the terms "client" and "patient."

Review the impact of changes in healthcare on nurses and healthcare providers.
(Refer to PowerPoint slide 3.)
Learning Objective 2. Define and discuss differences between acute care and extended
care facilities, and identify the types of healthcare services provided in each type of
healthcare facility.

Compare acute care facilities and extended care hospitals. (Refer to PowerPoint
slide 4 and Box 3-1.)

Identify the role of acute care hospitals, intensive care units, subacute care
facilities, and outpatient care centers.

List and describe specialized hospitals, home healthcare, hospice, respite care, and
telehealth. (Refer to PowerPoint slides 5–8.)
Learning Objective 3. Identify at least three services available to meet the healthcare
needs of the community.

Discuss the advantages of community health services. In addition, explain the
functions and significance of community health services.

List the available community health services. (Refer to PowerPoint slide 9.)
Learning Objective 4. State at least two functions of a school nurse and an industrial
nurse.

Explain the role of a nurse in providing healthcare to school students. (Refer to
PowerPoint slide 10.)

Discuss the role of a nurse in relation to the Occupational Safety and Health
Administration (OSHA). (Refer to PowerPoint slide 11.)
Learning Objective 5. State at least two functions of The Joint Commission. Relate
these functions to nursing standards of care.

Discuss the signification of accreditation.

Describe the functions of The Joint Commission. (Refer to PowerPoint slide 12.)

Relate The Joint Commission’s function to nursing. (Refer to PowerPoint slide
13.)
Learning Objective 6. Define the term quality assurance and state its function in
healthcare facilities.

Explain the significance of quality assurance in relation to healthcare. In addition,
discuss the components of quality care. (Refer to PowerPoint slide 14.)

Discuss a nurse’s role in maintaining the standards of quality assurance in a
healthcare center.

Summarize the standards of quality assurance. (Refer to the bulleted list on p.
23.)
Learning Objective 7. Explain the role of the client representative, advocate, or
ombudsperson.

Describe the role of a client representative, advocate, or ombudsperson. (Refer to
PowerPoint slides 15–17.)

Relate patient representatives to the needs of patients and their families.
Learning Objective 8. Describe at least six methods of payment for healthcare services.

Review the administrative hierarchy of a healthcare facility. (Refer to Box 3-2
and Figure 3-2.)

Describe the types of ownership of healthcare facilities. (Refer to PowerPoint
slide 18 and Box 3-3.)

Summarize the Health Planning and Resources Development Act of 1975. (Refer
to PowerPoint slide 19.)

Discuss various modes of payment used in healthcare organizations. In addition,
discuss the advantages and disadvantages of each mode of payment. (Refer to
PowerPoint slides 20 and 21.)

Explain the role, features, and services of HMOs. Compare them with PPOs and
traditional insurance. (Refer to PowerPoint slides 22 and 23 and Table 3-1.)

Review the services provided by a managed care system. (Refer to Box 3-4.)

Explain the impact of changes in third-party payment.
Learning Objective 9. Determine the role of complementary or holistic care in the
delivery of healthcare.

Discuss the features of complementary or holistic healthcare. (Refer to
PowerPoint slide 24.)

Explain the methods employed in holistic care.
Learning Objective 10. Identify at least three negative impacts of consumer fraud on
public wellness.

Discuss the common frauds in healthcare. (Refer to PowerPoint slide 25.)

Explain a nurse’s role in creating awareness about consumer fraud.