1.03 healthcare agencies

1.03 1.03 Healthcare AgenciesHealthcare Agencies

1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends

Public Healthcare Public Healthcare SystemsSystems

22


Public Healthcare SystemsPublic Healthcare Systems

Also known as National Healthcare PlanAlso known as National Healthcare Plan

Provide healthcare to all citizensProvide healthcare to all citizens

Often seen in other countriesOften seen in other countries– CanadaCanada– EuropeEurope

No cost to the patientNo cost to the patient

Residents pay high taxesResidents pay high taxes

33


Private Healthcare Private Healthcare SystemsSystems

44


Private Healthcare Private Healthcare SystemsSystems

Individuals purchase a health insurance Individuals purchase a health insurance plan and/or pay out-of-pocket. plan and/or pay out-of-pocket.

Predominate system in the United StatesPredominate system in the United States

Systems in the United States are a Systems in the United States are a combination of public and private funding.combination of public and private funding.

55


Healthcare AgenciesHealthcare Agencies

government

non-profit

for-profitinternational

national

state

local

in-patient

out-patient

66

Government Healthcare Government Healthcare AgenciesAgencies

1.03 Understand healthcare agencies, 1.03 Understand healthcare agencies, finances, and trendsfinances, and trends 77



- - InternationalInternational - -

WWorld orld HHealth ealth OOrganization (WHO)rganization (WHO)Functions:Functions:– assess health trendsassess health trends – compile statistics related to diseasecompile statistics related to disease– investigate health problems worldwideinvestigate health problems worldwide– publish health informationpublish health information

http://www.who.int/en/

88



- - NationalNational - -UU. . SS. . DDepartment of epartment of HHealth and ealth and HHuman uman SServices ervices

(USDHHS)(USDHHS)

Functions:Functions:– compile statistics related to disease compile statistics related to disease

– investigate health problems in the United Statesinvestigate health problems in the United States– prevent disease by immunizationsprevent disease by immunizations– provide comprehensive health services provide comprehensive health services – publish health informationpublish health information

http://www.hhs.gov/

99


NNational ational IInstitutes of nstitutes of HHealth ealth (NIH)(NIH)

Functions:Functions:– World’s leading research organizationWorld’s leading research organization– Research includesResearch includes

AIDSAIDS cancercancerAlzheimer’s Alzheimer’s diabetesdiabetesarthritisarthritis heart diseaseheart disease

http://www.nih.gov/

1010


CCenters for enters for DDisease isease CControl and Prevention ontrol and Prevention (CDC)(CDC)

Functions:Functions:disease controldisease control

disease preventiondisease prevention

http://www.cdc.gov/1111

GovernGovernmment Healthcare ent Healthcare AgenciesAgencies

- - NationalNational - -



- - NationalNational - -(USDHHS)(USDHHS)

FFood and ood and DDrug rug AAdministrationdministration ( (FDAFDA))Functions:Functions:

- regulates safety of food and cosmetics - regulates safety of food and cosmetics

- regulates safety and efficacy of drugs, biological - regulates safety and efficacy of drugs, biological

products and medical devicesproducts and medical devices

http://www.fda.gov/

1212



- - NationalNational - -OOccupational ccupational SSafety and afety and HHealth ealth AAdministrationdministration

(OSHA)(OSHA)Division of the US Department of LaborDivision of the US Department of Labor

Functions:Functions:

- create job safety standards - create job safety standards

- implement job safety standards- implement job safety standards

ABC

http://www.osha.gov/1414



- - NationalNational - -OOccupational ccupational SSafety and afety and HHealth ealth AAdministrationdministration

(OSHA)(OSHA)OSHA standards specific to healthcare include:OSHA standards specific to healthcare include:

- personal protective equipment- personal protective equipment

- blood borne pathogens- blood borne pathogens

- hazard communication- hazard communication

- ergonomics- ergonomics

http://www.osha.gov/

ABC

1515


Government Healthcare Government Healthcare AgenciesAgencies - - StateState - -

(USDHHS)(USDHHS)

NN. . CC.. DDepartment of HHealth and HHuman SServices(NCDHHS)

Functions to provide many services:Adoption MedicaidDeaf/blind services Mental health servicesEmergency services Pregnancy servicesFood and nutrition services Senior centersIn-Homes Aides Vital records

http://www.dhhs.state.nc.us/index.htm

1616


Government Healthcare Government Healthcare AgenciesAgencies - - StateState - -

(USDHHS)(USDHHS)

NN. . CC.. DDepartment of HHealth and HHuman SServices(NCDHHS)

Functions to provide information:Disease and health information SafetyEnd of life issues Teen issuesEnvironmental health WellnessMinority health

www.dhhs.state.nc.us/index.htm

1717


Government Healthcare Government Healthcare AgenciesAgencies - - LocalLocal - -

((USDHHSUSDHHS,, NCDHHS NCDHHS))County Health Department

Functions:Provides services

Communicable disease control Laboratory servicesHealth inspections Oral healthImmunizations Woman and child health

Provides information Health education

Statistics related to health, birth and death

1818

Private Healthcare AgenciesPrivate Healthcare Agencies



Private Healthcare AgenciesPrivate Healthcare AgenciesNon-ProfitNon-Profit

Supported by Supported by – donations donations – fees fees – fundraisers fundraisers – grantsgrants

Usual focus:Usual focus:– one disease or conditionone disease or condition– related group of disordersrelated group of disorders

ExamplesExamples

2020


Private Healthcare AgenciesPrivate Healthcare AgenciesNon-ProfitNon-Profit

Participate in:Participate in:

research

serviceseducation

2121

Private Healthcare AgenciesPrivate Healthcare Agencies

For-ProfitFor-Profit



Private Healthcare AgenciesPrivate Healthcare AgenciesFor-ProfitFor-Profit

Provide patient servicesProvide patient services

Expect monetary profitExpect monetary profit

Use profit for agency growth and to Use profit for agency growth and to increase servicesincrease services

2323


Private Healthcare AgenciesPrivate Healthcare AgenciesFor-ProfitFor-Profit-Inpatient- -Inpatient-

An inpatient facility is where An inpatient facility is where patients stay overnight to patients stay overnight to receive medical care and receive medical care and treatment.treatment.

2424



HospitalHospitalMostly inpatient services with Mostly inpatient services with

some outpatient servicessome outpatient servicesType is determined by size, Type is determined by size,

ownership, and services offered.ownership, and services offered.– GeneralGeneral– SpecialtySpecialty– GovernmentGovernment– University or college medical University or college medical

centerscenters

2525



Long Term Care FacilitiesLong Term Care FacilitiesCare provided to patients who:Care provided to patients who:

- have chronic conditions or disabilities that - have chronic conditions or disabilities that require assistance with daily activitiesrequire assistance with daily activities

- are adults over the age of 18 - are adults over the age of 18

- need long term or short term care- need long term or short term care

2626


Private Healthcare AgenciesPrivate Healthcare AgenciesFor-ProfitFor-Profit-Inpatient--Inpatient-

Types of long term care facilitiesTypes of long term care facilities– Adult care homesAdult care homes– Assisted living facilitiesAssisted living facilities– Continuing care retirement communitiesContinuing care retirement communities– Nursing homesNursing homes

2727


Private Healthcare AgenciesPrivate Healthcare Agencies For-Profit For-Profit

OutpatientOutpatient

Patient receives Patient receives ambulatory care.ambulatory care.

Patient does not Patient does not stay overnight in stay overnight in the facility.the facility.

2828


Private Healthcare AgenciesPrivate Healthcare Agencies For-Profit For-Profit

OutpatientOutpatient

2929


Private Healthcare AgenciesPrivate Healthcare Agencies For-Profit For-Profit OutpatientOutpatient

Adult Day CareAdult Day Care

3030



Doctors’ OfficesDoctors’ Offices

3131



Emergency CareEmergency Care

3232



Home HealthHome Health

3333



Hospice CareHospice CareLife expectancy

is less than 6 months

Patient care

Family care

3434



Industrial HealthcareIndustrial Healthcare

3535



Laboratory ServicesLaboratory Services

3636



Mental Health ServicesMental Health Services

3737



Outpatient ClinicsOutpatient Clinics

3838



School Health ServicesSchool Health Services

3939

1.03 healthcare agencies

Documents

healthcare research

healthcare policy

health trends

department of health

health insurance plan

united statesprevent

united statessystems

compile statistics