Memory Game Healthcare Delivery SystemsOnline version Review of Healthcare Delivery Systems for HLTH 1101 by Renee Cavezza Tertiary Care A freestanding, ambulatory clinic in which patients are seen without appointments on a first come, first served basis. Optimizes population health. Improves health outcomes. Lowers health care delivery costs. Hospice Coordination of Care Urgent Care Center Coordinates patient care across the system, refers to specialists, advises on diagnoses/therapies, ensures continuity and comprehensiveness, discusses treatment options, manages chronic conditions. Community-Oriented Primary Care The first contact a patient makes with the delivery system, primarily through access to primary care. A walk-in clinic that is generally open to see patients after normal business hours in the evenings and week- ends without having to make an appointment. Cluster of special services for the dying, that blends medical, spiritual, legal, financial, and family-support services. Venue varies specialized facility to a nursing home to the patient’s own home. A freestanding, ambulatory surgery center that per- forms various types of surgical procedures on an outpatient basis. Point of Entry Most complex care for uncommon conditions at large teaching hospitals. Highly specialized, technology-driven. May include long-term care like trauma, burns, NICU, transplants, heart surgery. Community-Based Incorporates the elements of good primary care delivery and adds a population-based approach to identifying and addressing community health problems. Secondary Care Walk-in Clinic This type of care… Usually short-term Sporadic consultation from a specialist Includes hospitalization Routine surgery Rehabilitation Comprehensive, coordinated, and continuous. Care rendered to patients who come to physicians’ offices, outpatient dept of hospitals, and health centers; outpatient services to the community; some services that are transported to the patient. Surgicenter Characterized by convenience and accessibility. Must be basic, routine, and inexpensive in order to be widely available to urban, suburban, and rural communities. Ambulatory Care Outpatient Services Essential Care used interchangeably with outpatient services. Integrated Care Average Length of Stay (ALOS) Psychiatric Hospitals A hospital that treats only certain specified illnesses or serves only certain types of patients. Teaching Hospitals Osteopathic Hospitals Inpatient A nonfederal, short-stay hospital whose services are available to the general public. A hospital owned by the federal, state, or local government. The average number of days a patient spends in the hospital. Children’s Hospitals Hospital Rehabilitation Hospitals An institution with at least six beds and that delivers diagnostic and therapeutic services for medical conditions. A hospital that has achieved specialization and offers a wide scope of services Often engages in teaching and research General Hospitals Days of Care Also known as Private nonprofit hospitals. Services provided when the patient is not lodged in a health care institution. Community general hospitals; Holistic approach to treatment, in addition to traditional allopathic approach. Occupancy Rate Voluntary Hospitals Provide diagnostic and treatment services for patients who have mental illnesses. Specialty Hospitals Number of patients in an inpatient facility on a given day. Inpatient Day Outpatient Provide intensive therapeutic services to restore maximum function. Community Hospital A hospital that is located outside a metropolitan statistical area. An overnight stay in a health care facility when the patient is formally admitted with a physician’s order. Discharges Public Hospital Rural Hospitals Number of patients released from hospital beds (including deaths). Also referred to as investor-owned hospitals; Are owned by individuals, partnerships, or corporations for profit; Operated for financial benefit of stockholders Community hospitals that treat chronic, congenital cardiac, and orthopedic pediatric problems. A hospital that offers graduate residency programs approved by the American Medical Association. Private for-Profit Hospitals Total number of inpatient days incurred by a population over a given period of time X= discharges × ALOS A hospital that provides a variety of services and treats a variety of acute conditions. A night spent in the hospital by a patient. Percentage of capacity used over a given period of time. Census Medical Center Skilled Nursing Care Adult Foster Care End-of-life care that includes a cluster of services for the terminally ill. Hospice A daytime, community-based group program that is designed to meet the needs of functionally and/or cognitively impaired adults and to provide partial respite to family caregivers. Subacute Care A method of linking, managing, and coordinating services to meet the varied and changing needs of long- term care clients. Restorative Care Critical task of daily living: eating, bathing, dressing, toileting, bowel and bladder control, transferring. Senior Centers Activities of Daily Living (ADLs) Any long-term care service that enables family caregivers to get temporary relief from caregiving responsibilities. Services provided by small, family-run homes to non-related adults who are unable to care for themselves. Adult Day Care Assessment of the patient’s physical, mental, and emotional condition and past medical and social history are used to develop a plan of care. A blend of intensive medical, nursing, and other services that are technically complex and provided in an LTC setting. Medically oriented care that is authorized by a physician and provided by a licensed nurse. Instrumental Activities of Daily Living (IADLs) Individualized Services Local community centers where older adults can congregate, socialize, and often have a meal. Respite Care Activities necessary for living independently in the community. Therapeutic interventions designed to help patients regain or improve function. Case Management
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