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Chapter 5 notes

by: Kayla Notetaker

Chapter 5 notes HADM 3000

Kayla Notetaker

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Will be covered in test!
Gateway to Health Administration
Angela Hand
Class Notes
health administration
25 ?




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This 4 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 41 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 5 February 5, 2015 What is medical terminology? -The practical application of the scientific body of knowledge to improve the delivery of medical care. -Medical technology has benefited from other applied sciences: physics, chemistry, engineering, etc. -Medical technology raises consumer expectations and creates increased demand for its use. -Medical technology influences financing of health services and has fueled cost escalation. -Medical technology has moved the practice of medicine toward specialization and has raised complex medical and ethical issues. Medical technology includes: -Sophisticated machines -Biologicals -Facilities -Management and operational systems -Pharmaceuticals -Procedures -Information systems Information Technology -Main categories: 1. Clinical information systems 2. Administrative information systems 3. Decision support systems 4. Internet and e health Electronic Health Records Four basic components: 1. Collection and storage of health info on individual patients 2. Access to info by authorized users. 3. Knowledge and decision-support to enhance quality, safety, and efficiency. 4. Improve the efficiency of health care processes. HIPAA 1996: Addresses access to and transfer of personal medical info. Legitimate use: care delivery, operations, and reimbursement. Patient rights: inspect, obtain copies, request corrections, restrict use. Internet and E-health -E-health- all forms of electronic health care delivered over the internet to include info, education, products, services. -The internet- has made patients more active participants in their own health care. Other applications: -Register patients -Order pharmaceuticals -Physicians can get a head start on hospital rounds -Virtual visits Telemedicine and Remote Health Services Distance medicine issues: -Licensure across state lines. -Who is legally liable? -Lack of reimbursement -Unsubstantiated cost effectiveness -Remote in-home monitoring is proving to be cost-effective. Utilization of Medical Technology -High tech procedures- are more readily-available in the US than they are in most other countries. -Little is done to limit the expansion of new medical technology. -Other nations limit the availability and use of technology through supply-side rationing to control medical cost. -However, implementing these measures would be contrary to the fundamental beliefs and values of Americans. -Therefore, the US spends more on medical R&D than any other country in the world. Cultural Beliefs and Values -Capitalism and lack of gov’t intervention promotes innovation. -Americans have high expectations of finding cures through science and technology. The technological imperative -Americans demand that the most advanced technology be made available to them. -The desire to have state-of-the-fart technology available and to use it despite its cost. Medical training and practice -specialists use more technology than primary care physicians -American medical graduates increasingly choose specialization over primary care Competition -specialization has been used as an enticement to attract insured patients and to recruit specialists. -Such practices have resulted in duplication of services Role of the government in technology diffusion -The development and dissemination of technology is called technology diffusion. It addresses when technology will be made available for use, and where it can be accessed. Regulation of Drugs and Devices -The food and Drug Administration (FDA) is an agency of the US Department of Health and Human Services (DHHS). -The FDA is responsible for ensuring drugs and medical devices are safe and effective for their intended use. Regulation of Drugs and Devices -Class I: Pose the lowest risk. Require general controls regarding fraudulent claims. -Class II: Subject to labeling and performance standards, and post- market surveillance. -Class III: Devices that support life, or present a potential risk of illness or injury. Require premarket approval regarding safety and effectiveness. Safe Medical Devices Act of 1990 -the law requires reporting of all injuries and deaths resulting from medical devices. Research on Technology -Both AHRQ and NIH provide financial support to private and public institutions for biomedical research. -The AHRQ also supports research on quality cost, and access. Impact of Medical Technology -The effects of advanced scientific knowledge and medical technology have been far-reaching and pervasive. -The effects often overlap. It is difficult to pinpoint accurately the impact of technology on the delivery of health care. Impact on Quality of Care -Technology does not always lead to high quality of care. -Technology produces quality care only when certain outcomes are achieved. -Innovations may actually be wasteful if they do not improve quality. -Some innovations may actually cause harm. Impact on Quality of Life -Quality of life indicates a patients overall satisfaction with life during and after medical treatment such as: 1. Ability to do things in spite of disablement. 2. Ability to manage chronic conditions. 3. Relief from pain and suffering. 4. Fast recovery and return to normal life. *Exhibit 5.4 Impact on Health Care Costs -Technology may be the single most important factor in medical cost inflation. -Three main areas in which technology has saved health care costs. Impact on Access -Geographic access can be improved with new mobile equipment or communication technologies that allow remote access to centralized equipment and specialized personnel. Impact on Structures and Processes -Transformation of hospitals into medical centers -Development of outpatient services -Technology available in patients’ homes *Exhibit 5.6


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