hit 104 chapter 1
TRANSCRIPT
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Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Chapter 1
Health Care Delivery Systems
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Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
History of Medicine
• History of medicine
• Prehistoric medicine
• Ancient medicine
• Medieval medicine
• Renaissance medicine
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Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
History of Medicine and Evolution of Health Care Delivery in the
U.S.• Modern medicine
• Early hospitals
• Early quality of care initiatives
• Federal initiatives
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Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Continuum of Care
• Primary care
• Secondary care
• Tertiary care
• Quaternary care
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Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Health Care Facility Ownership
• Government (not-for-profit)
• Proprietary (for-profit)
• Voluntary (not-for-profit)
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Health Care Facility Organizational Structure
• Governing board
• Administration
• Medical staff
• Hospital departments, services, and committees
• Successful meetings
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Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Health Information Department
• Cancer registry
• Coding and abstracting
• Image processing
• Incomplete record processing
• Medical transcription
• Record circulation
• Release of information processing
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Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Licensure, Regulation, and Accreditation
• Code of Federal Regulations (CFR)
• Federal Register
• Accreditation standards and surveys
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Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Accrediting Organizations
• Accreditation Association for Ambulatory Health Care (AAAHC)
• American Osteopathic Association (AOA)
• Commission on Accreditation of Rehabilitation Facilities (CARF)
• Community Health Accreditation Program (CHAP)
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Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Accrediting Organizations (Continued)
• Joint Commission - formerly known as Joint Commission on Accreditation of Health Care Organizations
• National Committee for Quality Assurance (NCQA)
• National Commission on Correctional Health Care (NCCHC)
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Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Joint Commission
• Deemed Status
• ORYX Initiative
• Shared Visions - New Pathways
• Periodic Performance Review
• National Patient Safety Goals
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Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Recent Legislation
• Deficit Reduction Act of 2005
• Patient Safety and Quality Improvement Act of 2005
• Tax Relief and Health Care Act of 2006
• Genetic Information Nondiscrimination Act
• American Recovery and Reinvestment Act
• HITECH Act
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Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Review of Relevant Key Terms
• Continuum of care
• Licensure
• Regulation
• Accreditation
• Standards