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Erica Traxler's CCHS Study Guide: Hospitals and Healthcare - Prof. Julie A. Ward, Study notes of Health sciences

This study guide by erica traxler covers various aspects of hospitals and healthcare, including hospice care, types of hospitals, licensure, certification, accreditation, ethics, and hospital governance. Learn about hospice services, community, public, private non-profit, and private for profit hospitals, teaching hospitals, osteopathic hospitals, rehabilitation hospitals, psychiatric hospitals, and rural hospitals.

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Uploaded on 12/06/2009

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Erica Traxler
CCHS Study Guide
1) Hospice – end of life care (6 mos. or less)
a) Pain/symptom management (palliative care)
b) Psychosocial & spiritual support
2) Private non-profit mission: to benefit community where they’re located
3) Types of hospitals:
a) Community: nonfederal, short-stay hospitals that are available to the
public.
i) 85% of hospitals are community hospitals.
b) Public: government ownership (state, local, federal). State & local are
open to general public.
i) Example: VA hospital (federal)
c) Private non-profit: “voluntary hospitals”
i) Make profit, but pay no taxes
d) Private For Profit: “proprietary hospitals” or “investor-owned hospitals”
i) owned by individuals
e) General: provide a variety and broad set of services for various
conditions (not inferior to specialized hospitals)
i) Example: generalized & specialized medical, obstetrics,
diagnostics, treatment, surgery
ii) Most hospitals in U.S. are general
f) Specialty hospitals: have a distinct service niche
i) Example: pediatric, cardiology, rehabilitation, psychiatric etc.
g) Psychiatric: provide diagnostic and treatment services for patients
who have psychiatric-related illnesses
i) Must have: psychiatric, psychological, & social work facilities
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CCHS Study Guide

  1. Hospice – end of life care (6 mos. or less) a) Pain/symptom management (palliative care) b) Psychosocial & spiritual support 2) Private non-profit mission: to benefit community where they’re located 3) Types of hospitals: a) Community: nonfederal, short-stay hospitals that are available to the public. i) 85% of hospitals are community hospitals. b) Public: government ownership (state, local, federal). State & local are open to general public. i) Example: VA hospital (federal) c) Private non-profit: “voluntary hospitals” i) Make profit, but pay no taxes d) Private For Profit: “proprietary hospitals” or “investor-owned hospitals” i) owned by individuals e) General: provide a variety and broad set of services for various conditions (not inferior to specialized hospitals) i) Example: generalized & specialized medical, obstetrics, diagnostics, treatment, surgery ii) Most hospitals in U.S. are general f) Specialty hospitals: have a distinct service niche i) Example: pediatric, cardiology, rehabilitation, psychiatric etc. g) Psychiatric: provide diagnostic and treatment services for patients who have psychiatric-related illnesses i) Must have: psychiatric, psychological, & social work facilities

ii) Must have: written agreement with general hospital for transfer of patients iii) Most services are delivered in private facilities and outpatient treatment centers h) Rehabilitation: provide therapeutic services to restore maximum function in patients i) Example: amputees, spinal cord or head injuries, stroke victims ii) Treatment usually after orthopedic surgery i) Children’s: facility designed for chronic, congenital, cardiac, and orthopedic pediatric problems i) Higher staff ratios then general hospitals j) Rural hospitals: treat larger percentage of poor and elderly patients i) Located in a county that is not a part of a metropolitan statistical area (MSA) ii) Often have financial troubles k) Teaching hospitals: offer 1 or more graduate residency programs approved by the American Medical Association l) Osteopathic hospitals: community general hospitals i) 200 in U.S., holistic approach in addition to traditional allopathic approach 4) Mandatory or Voluntary? a) Licensure: MANDATORY overseen by state, must be licensed to operate b) Certification: allows hospitals to participate with Medicare/Medicaid i) Compliance with federal “Conditions of Participation” is necessary c) Accreditation: JCAHO accredits a variety of health care facilities VOLUNTARY?

16) Conditions that qualify home health: change dressings, medication monitoring, short-term rehab, homemaker services, durable medical equipment

  1. Inpatient day- a night spent in the hospital by a patient
  2. Main focus of rehab hospital: provide therapeutic services to restore maximum function in patients
  3. What is credited with the expansion of beds? Hill-Burton Act (1946)
  4. The CEO is responsible for managing the hospital.
  5. Licensure gives legal authority to operate hospitals. (state)
  6. Respite a) – Temporary services to help address family caregivers’ feeling of stress and burden. b) – Virtually any kind of service—adult day care [ADC], home health care, and temporary institutionalization
  7. Senior Centers – local community centers for older adults a) – to congregate and socialize b) – many serve a noon meal c) – may sponsor health screening and wellness programs