Chapter 7 - Outpatient Services and Primary Care Flashcards
What is Ambulatory Care?
Another name for OUTPATIENT CARE
-health care services that DO NOT require an overnight stay
Scope of practice for outpatient care
- Physician and family practice providers account for the majority of the OP visits per year
- More surgeries are now being completed outpatient
-More competition
Home Health
Urgent Care centers
Four key changes that caused a shift from inpatient to outpatient
- Reimbursement
- Technological Factors
- Utilization Control Factors
- Social Factors
Reimbursement
Outpatient costs less than inpatient, quicker discharge
Technological Factors:
- new diagnostic and treatment procedures
- less invasive methods of service
Utilization Control Factors
assurances have to pre-authorize (approve) that you have have these procedures done and will dictate where you can have the surgery (inpatient vs. outpatient)
Free Standing Outpatient Clinic
- Walk-in Clinics: Hy-Vee clinics (Quick Care Clinics)
- Urgent Care: if you cut your finger open, need your throat swabbed, non-life threatening
- Surgery Centers: OP surgery centers, do not require an overnight hospitalization
Hospital Based OP:
Hospital OP Clinics
- Provide care to medically indigent and uninsured populations
- 5 types: clinical, surgical, Home Health, Women’s Health and traditional emergency care
Private Practice OP:
- Limited examination and testing
- Self-employment = more independence
Mobile Facilities:
services are transported to the patents to provide routine care
Telephone Triage:
- Usually staffed by a nurse
- Prioritizes patients and may refer them out for additional care if needed
Hospice Care:
- Patients who have a terminal illness/condition that have a life expectancy of less than 6 months
- Addresses the special needs of those who are dying
Two primary goals:
- Palliative: pain and symptom management
- Psychosocial and spiritual support
Adult Daycare:
- Informal care provided at centers for people to attend during the day
- Can be used for respite or for part of their daily routine
Public Health Services
EPS, well baby visits, STD clinics
…go in for the ONE thing you’re looking for and then leave
Community Health Centers
-Required by law to be located in medically underserved area and to provide services to anyone seeking care regardless of insurance status or ability to pay
Charles Drew
One World
Free Clinics
Provides services at little or no cost
Usually staffed by volunteers
