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Chapter 1
1.
Chapter 1 Introduction to Health
Care Agencies Slide 0Copyright © 2004 Mosby, Inc. All rights reserved.
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
12.
Copyright © 2004
Mosby, Inc. All rights reserved. Slide 11 Apau
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