Exam 1 Study Guide
Exam 1 Study Guide REHSCI 1240
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This 3 page Study Guide was uploaded by Alexandra Ruth on Friday January 9, 2015. The Study Guide belongs to REHSCI 1240 at University of Pittsburgh taught by Debora Miller in Fall2014. Since its upload, it has received 184 views. For similar materials see Issues in Health Care in Health and Human Services at University of Pittsburgh.
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Date Created: 01/09/15
TRICARE covers military military family members and retired military Requirements to be a hospital at least 6 beds physician staff nursing staff governing body nutrition CEO 0 quotMedical Centerquot term used when a hospital is specialized with a large scope of services started as almshouses for poor disabled decrepit o con ned to major US cities 0 more social welfare than medical interventions germ theory and advances in anesthesia helped develop more organized and acute hospital settings 0 the need for hospitals grew people no longer could maintain health at home needed further intervention l physicians set up their own hospitals to take care of patients FP proprietary shortage of hospitals Hill Burton Act gov subsidies created new hospitals thento much expenditure Social Security Amendment of 1983 prospective payment method aimed at reducing HC expenditure managed care provider estimates how much intervention will cost and payer allows it or not 0 types of hospitals 13 0 community private NP private FP public Pediatric Critical Access rural Tertiary acute care Rehab hospitals Psychiatric LTC Teaching hospitals Osteopathic 0 Primary acute care 0 l basic underlying aim of physicianshospitals is bene cence and nonmaleficence OOOOOOOOOOO Predominantly elderly mosty informal care by family caregivers Chronic painillnessconditions Increased demand of nursing home care in the future Social physical mental and spiritual needs must be met ADL s bathing dressing walking driving transferring IADL s driving talking on phone checkbook medications housework shopping GOAL of LTC to promote maximum independence 0 Most economical and least restrictive setting 0 More advanced skills of caregiving 0 Provide respite for primary caregivers o Prevent institutionalization Example COMMUNITY BASED LTC home maintenance adult day care nutrition transportation disease prevention health promotion telephone reassurance case management Sources of funding 0 Medicare 0 Older americans act 0 Social security 0 Private savings 0 Donations Example INSTITUTIONAL LTC CCRC Ind Living Personal Care Facilities Assisted Living Subacute Care after acute care These facilities are being increasingly utilized because of increasing chronic conditions with increasing older patients LTC functional impairments Types of HC Services seen inpatient outpatient and LTC PRIMARY DOMAIN 1Entry point in HC delivery system not speci c DOMAIN 2 coordination of care Primary care orientation better health levels higher satisfaction lower expenditures DOMAIN 3 Essential Care optimizes public health DOMAIN 4 Integrated Care comprehensive coordinated conUnuous DOMAIN 5 Accountability Clinicians AND patients are accountable for one s health Preventative care is stressed in primary care SECONDARY Referred 0 Specialist 0 Includes hospitalization usually 0 Rehab o Routine surgery TERTIARY Most complex highly technological and specialized Uncommon conditions Ex trauma cancer centers diagnostic testing NICU burn treatment Outpatient Ambulatory care Physician s of ce clinic OP surgery Growth changes in reimbursement new technology sense of independence Walk in clinics urgent care centers surgicenters no overnight stays Services brought into home care nursing dressings medication monitoring bathing shortterm rehab homemaker services want least restrictive environment Hospice and palliative care 0 Palliation pain mangagement o Psychosocial and spiritual support Case management
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