Chapter 1 Notes
Chapter 1 Notes HADM 3000
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This 2 page Class Notes was uploaded by Kayla Notetaker on Sunday February 28, 2016. The Class Notes belongs to HADM 3000 at Auburn University taught by Angela Hand in Spring 2015. Since its upload, it has received 31 views. For similar materials see Gateway to Health Administration in Nursing and Health Sciences at Auburn University.
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Date Created: 02/28/16
Chapter 1 Intro (highlighted portions mean she said that that information will be on the test) -Health care delivery and health services delivery can have slightly different meanings but in a broad sense, both terms refer to: -Managed care -a system of health care delivery that: 1. seeks to achieve efficiency by integrating the basic functions of health care delivery. 2. employs mechanisms to control (manage) utilization of medical services 3. determines the price at which the services are purchased and how much the providers get paid. -is the most dominant health care system in the US and is available to most Americans. -employers and government are the primary financers of managed care -an MCO functions like an insurance company -promises to provide health care services contracted under the health plan to the enrollees of the plan -enrollees are a member/an individual covered under the health plan. Military -Tricare -the military medical care system is available free of charge to: 1. active duty military personnel of the US army, navy, air force and coast guard 2. certain uniformed nonmilitary services such as… - the public health services -the national oceanographic and (noaa) Atmospheric Association -the military medical care system is well-organized, highly integrated, and comprehensive. -The VA Health Care system is available to retired veterans. -focuses on hospital, mental health, and long-term care -organized into 23 geographically-distributed “Veterans Integrated Service Networks” Vulnerable Populations -receive care from Medacaid, “Safety-net providers” -some individuals forego care and seek hospital emergency services if nearby -providers pressured to see the uninsured -Medicaid- the primary financial source for the safety net, does not allow much cost shifting. -Integrated Delivery -IDS- Integrated delivery systems -IDS are various forms of ownership and links among hospitals, physicians and insurers. -the objective: to have one health care organization deliver a range of services. -a network of organizations that provides or arranges to provide a coordinated continuum of services to defined populations. Long Term Care -consists of medical and nonmedical care that is provided to individuals who are chronically ill or who have a disability. Public Health -monitoring health status to identify and solve community health problems -diagnosing and investigating health problems and hazards. -informing and educating people about health problems and hazards. -mobilizing the community to solve health problems. -developing policies to support individual and community health efforts -enforcing laws and regulations to support health safety. -providing people with access to necessary care Key Characteristics of the US Health Care System -no central governing agency -technology driven and focuses on acute care -imperfect market conditions -high on cost, unequal in access, and average in outcomes -little integration and coordination. -government as subsidiary to the private sector -market justice vs. social justice -multiple players and balance of power -quest for integration and accountability -access for healthcare selectively based on insurance. -legal risk influences practice behavior