objectives identify different types of health care facilities. describe a typical hospital...

Objectives

• Identify different types of health care facilities.

• Describe a typical hospital organizational structure.

• Identify hospital departments and their relationship to surgical services.

• Discuss the professional development of a surgical technologist.

Health Care Facilities

• Traditional healthcare has changed dramatically.

• Surgical procedures, once restricted to hospitals are now provided in many different settings.– Ambulatory Surgery Center– Labor and delivery units– Specialty doctors offices

Health Care Facilities

• Hospitals are organizations with:– Governing Body– Medical Staff– Professional Staff– Inpatient facilities

Health Care Facilities

• Hospitals provide:– Medical– Nursing– Related services

• 24 hours a day/7 days a week

Health Care Facilities

• Hospitals are commonly described in many ways:– Ownership– Profit philosophy– Relationship to community needs

Health Care Facilities

• Non profit

• Proprietary (Profit)

• Tax supported

Health Care Facilities

• Non profit– General, acute care hospitals– Owned by private corporations– Profits are used to put back into

the hospital for improvements.– Non taxable by US Gov.

Health Care Facilities

• Proprietary/Profitable– Corporation or investor-owned– Intent is to provide good patient

care.– Taxable profits returned to the

investors.

Health Care Facilities

• Tax Supported– Becoming less and less common.– Assisted with money from US

Government.– May lend a hand to non-profit

hospitals.

Health Care Facilities

• Most hospitals perform surgery in more than one setting:– Outpatient surgery– Labor and Delivery Rooms– Specialty areas

Health Care Facilities

• Ambulatory Surgery Center–Physically separate

from hospital–Same Day Surgery

patients that do not require hospitalization.

Health Care Facilities

• Clinics– Facility designed for

diagnosis and treatment of outpatients.

– Some clinics perform certain surgery like procedures.

Hospital Organization

• Policies and philosophy established by a board of directors.

• May be elected or appointed positions.• The board hires a CEO (Chief executive

officer) to put the policies into practice.

Hospital Organization

• Most hospitals have several vice presidents in charge of broad areas.– Administration– Medical affairs– Patient services– Legal services– Finances– Building and environment

Hospital Organization

• Medical Affairs may be divided into:– Medical staffing

• Physicians– Nursing services

• All other health care providers

Hospital Organization

• Medical staffing may also be divided by physician specialty.– Chief of Medicine– Chief of Surgery

• Medical and Surgical subspecialties may have a “Chief”.– Example: Chief of Orthopedics

Hospital Organization

• Surgeons– Medical doctors completed an education and

training and have surgical privileges.– Require 4 years of college– 4 years medical school– 4-8 years in surgical specialty.

Hospital Organization

• Physician Assistants (PA)– 20-24 month programs usually affiliated

with medical school.– Works under a physicians direction,

extending their capabilities.– May work with surgeon in the O.R.

Hospital Organization

• Nursing services will have a Director of Nursing (DON) that will oversee all nursing personnel.

• Hospital will be divided into smaller departments.– Example: Surgical Services

Hospital Organization

• Nursing staff include:– Graduate Nurses (GN)– Licensed Practical/Vocational Nurse

(LPN/LVN)– Associate degree registered nurses (AND)– Bachelor’s degree registered nurses (BSN)

• Some of which may have special credentials– CNOR Certified Nurse Operating Room

Hospital Organization

• Anesthesia staff include:– Anesthesiologists– Certified Registered Nurse

Anesthetists (CRNA)– Anesthesia technicians

Hospital Communication

• Hospital departments divided into direct and indirect patient care.

Hospital Communication

• Direct Patient Care– Nursing care units– Diagnostic Imaging– Medical Laboratory– Pharmacy– Physical/Occupational therapy

Hospital Communication

• Indirect Patient Care– Admin– Maintenance– Housekeeping– Food Services– Central Services– Medical Records

Financial Considerations

• Surgery is expensive!!

• Patient and insurance provider will share certain costs.

• Surgical technologist must keep this in mind during surgery.

Financial Considerations

• Insurance policies spell out what costs the insurance company will cover and what is not covered.

• Payments are made to the insurance company on an ongoing basis for coverage.

Financial Considerations

• Private insurance– Contractual relationship and mutual benefit

between the person and a private company that agrees to pay for services.

– These type of policies still exist but have been replaced largely by HMO/PPO.

Financial Considerations

• HMO/PPO(Health Maintenance Organization)(Preferred Provider Organization)

• Lower or limits costs by having a contract with health care providers.– Physicians– Hospitals

Financial Considerations

• HMO/PPO– Enrollee chooses their primary

provider.– Doctors visits and services are at a set

rate.– Primary provider may only refer the

patient to a specialist.• “Gatekeeper”

Financial Considerations• Medicare

– Federal Government sponsored through the CMS. (Formally known as the HCFA)

– People 65 and older

• Medicaid– State and Federal Government funded– Reimburses hospitals for low income

persons.

Professional Development for Surgical Technologists

Professional Development

• The Association of Surgical Technologists is the professional organization for surgical techs.

• Stresses education and certification to enhance and ensure the highest quality of patient care.

Professional Development

• Although certification is not required in all job opportunities, it is rapidly becoming a necessity.

• Continuing education is required for certification and improves patient safety and healthcare.

Professional Development

• Job opportunities include:– Specialization in area of interest– Private employment by surgeon– Traveling surgical techs– Veterinary Surgeon assistant– Medical representative for corporation– SPD – Sterile Processing Department– Surgical tech instructor– Volunteer opportunities

Opportunity awaits you….Just open the door!