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Chapter 1
- 2. Copyright © 2004 Mosby, Inc. All rights reserved. Slide 1
1. Purposes of Health Care
Health promotion
• Holistic: Includes mental and physical
Disease prevention
Detection and treatment of disease
Rehabilitation and restorative care
• Goal is always to restore to fullest
functioning
- 3. Copyright © 2004 Mosby, Inc. All rights reserved. Slide 2
2. Types of Agencies
Hospitals (Acute, Chronic, Terminal)
Rehabilitation and subacute care agencies
Assisted living facilities
Long-term care centers
Mental health centers
Home care agencies
Hospices
Health care systems
- 4. Copyright © 2004 Mosby, Inc. All rights reserved. Slide 3
3. Organization
Governing body called the board of trustees
• The board makes policies.
• Local, State, and Federal standards
Administrator who manages the agency
Directors or department heads who manage
certain areas
Interdisciplinary Team
- 5. Copyright © 2004 Mosby, Inc. All rights reserved. Slide 4
Organization
Health team
The goal is to provide quality care.
• The focus of care is the person.
Social workers work with the entire family
• Coordinated care is important.
- 6. Copyright © 2004 Mosby, Inc. All rights reserved. Slide 5
Nursing Team
Nursing service
• Director of nursing
• Registered nurse (RN) managers
• Staff RNs
• Licensed practical nurses (LPNs) and
licensed vocational nurses (LVNs)
• Nursing Assisstants
- 7. Copyright © 2004 Mosby, Inc. All rights reserved. Slide 6
Nursing Team
RNs (Diploma, ADN, BSN, MSN)
• 4-6 years
• Nursing process
What are the 5 steps??
LPNs/LVNs
• 10 – 18 months training
Nursing assistants
• Do not report to other nursing assistants
• May report to RNs, LPNs/LVNs, and primary
nurse
- 8. Copyright © 2004 Mosby, Inc. All rights reserved. Slide 7
Nursing Care Patterns
Functional nursing
• Job or task focused
Team nursing
Primary nursing
• Total care
Case management
• Admission -> DC -> Rehab
Patient-focused care
• Care coordination
- 9. Copyright © 2004 Mosby, Inc. All rights reserved. Slide 8
Patient-focused care
• Care coordination
• Moving care toward the beside
• Caring
starts with showing concern
for the resident
• Respect
Starts with treating other with
dignity
Nursing Care Patterns
- 10. Copyright © 2004 Mosby, Inc. All rights reserved. Slide 9
Paying for Health Care
No Coverage – Pay for HC??
Private insurance
Group insurance
Medicare (A and B)
Medicaid
• Sponsored by State and Federal governments
• For persons aged 65 years and older
Prospective payment systems
• Diagnostic-related groups (DRGs)
• Resource-utilization groups (RUGs)
• Case mix groups (CMGs)
Managed care
- 11. Copyright © 2004 Mosby, Inc. All rights reserved. Slide 10
Meeting Standards
Licensure
• Offered by the State, Must have a license to
operate or practice
Certification
• Medicare and Medicaid
Accreditation
• Quality and excellence
Survey/Audit process
• Standards
• Policies
• Records