Memory Healthcare Delivery SystemsVersion en ligne Review of Healthcare Delivery Systems for HLTH 1101 par Renee Cavezza 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. Point of Entry Incorporates the elements of good primary care delivery and adds a population-based approach to identifying and addressing community health problems. Ambulatory Care Walk-in Clinic 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. Community-Based Hospice Outpatient Services Comprehensive, coordinated, and continuous. Integrated Care A freestanding, ambulatory surgery center that per- forms various types of surgical procedures on an outpatient basis. Characterized by convenience and accessibility. Must be basic, routine, and inexpensive in order to be widely available to urban, suburban, and rural communities. The first contact a patient makes with the delivery system, primarily through access to primary care. This type of care… Usually short-term Sporadic consultation from a specialist Includes hospitalization Routine surgery Rehabilitation Coordinates patient care across the system, refers to specialists, advises on diagnoses/therapies, ensures continuity and comprehensiveness, discusses treatment options, manages chronic conditions. used interchangeably with outpatient services. Secondary Care Coordination of Care 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-Oriented Primary Care Surgicenter Essential Care Tertiary Care Urgent Care Center 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. Services provided when the patient is not lodged in a health care institution. A hospital that has achieved specialization and offers a wide scope of services Often engages in teaching and research A night spent in the hospital by a patient. Provide diagnostic and treatment services for patients who have mental illnesses. Number of patients in an inpatient facility on a given day. The average number of days a patient spends in the hospital. An overnight stay in a health care facility when the patient is formally admitted with a physician’s order. Outpatient Total number of inpatient days incurred by a population over a given period of time X= discharges × ALOS Discharges Community Hospital Also referred to as investor-owned hospitals; Are owned by individuals, partnerships, or corporations for profit; Operated for financial benefit of stockholders A hospital owned by the federal, state, or local government. Community hospitals that treat chronic, congenital cardiac, and orthopedic pediatric problems. Inpatient Community general hospitals; Holistic approach to treatment, in addition to traditional allopathic approach. Medical Center An institution with at least six beds and that delivers diagnostic and therapeutic services for medical conditions. Percentage of capacity used over a given period of time. Days of Care Children’s Hospitals A hospital that provides a variety of services and treats a variety of acute conditions. A nonfederal, short-stay hospital whose services are available to the general public. Private for-Profit Hospitals Number of patients released from hospital beds (including deaths). Psychiatric Hospitals Provide intensive therapeutic services to restore maximum function. A hospital that treats only certain specified illnesses or serves only certain types of patients. Osteopathic Hospitals Occupancy Rate Hospital Teaching Hospitals Inpatient Day Rural Hospitals Average Length of Stay (ALOS) Specialty Hospitals General Hospitals A hospital that is located outside a metropolitan statistical area. Also known as Private nonprofit hospitals. Voluntary Hospitals A hospital that offers graduate residency programs approved by the American Medical Association. Census Public Hospital Rehabilitation Hospitals Critical task of daily living: eating, bathing, dressing, toileting, bowel and bladder control, transferring. Local community centers where older adults can congregate, socialize, and often have a meal. Skilled Nursing Care Activities necessary for living independently in the community. A method of linking, managing, and coordinating services to meet the varied and changing needs of long- term care clients. End-of-life care that includes a cluster of services for the terminally ill. Assessment of the patient’s physical, mental, and emotional condition and past medical and social history are used to develop a plan of care. Respite Care A blend of intensive medical, nursing, and other services that are technically complex and provided in an LTC setting. Services provided by small, family-run homes to non-related adults who are unable to care for themselves. Medically oriented care that is authorized by a physician and provided by a licensed nurse. Activities of Daily Living (ADLs) Instrumental Activities of Daily Living (IADLs) Subacute Care Hospice Restorative Care Adult Foster Care Any long-term care service that enables family caregivers to get temporary relief from caregiving responsibilities. Senior Centers Individualized Services Therapeutic interventions designed to help patients regain or improve function. Adult Day Care Case Management 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.