Healthcare Settings/Workforce Flashcards
Hospitals (prevalence, cost)
account for 40% of expenditures yet ~10% of the population will have an overnight stay in a hospital during a 12 month period
Consolidation
mergers, acquisitions
Horizontal acquisition
hospital that looks like another hospital joins
Vertical acquisition
hospitals/practices that do not look alike and serve different levels of care
Concentration
how many hospitals serve a particular geographic area
American Hospital Association
represents and coordinates among hospitals, health systems, and related organizations
4 types of hospitals
general, special, rehabilitative or chronic disease, psychiatric
Relevant characteristics of hospitals
control/ownership, capacity, length of stay, average daily census, involvement of medical education and research
Private for profit hospital
more restrictions on accepted patients with health insurance
Private not for profit hospital
have an obligation to provide uncompensated care/no insurance/Medicaid due to their tax exemption status
Average daily census
average number of people served on a single day
Community hospital
all nonfederal short-term general and other special services, whose services are available to the public
Why rural hospitals may want to close
migration (lower population), lack of resources, lack of staffing, lack of support, demand is lower, bypassing of these hospitals to get to urban hospitals
Consequences of closures of rural hospitals
access to emergency services if further away, could affect health outcomes, increase hospitalizations at other hospitals, decrease in preventative care, loss of jobs and revenue
Physician owned specialty hospitals
wholly or partly owned by physicians; physicians can self refer
Long term care
supportive, rehab, nursing, palliative services for people whose capacity to perform daily activities due to chronic disease or disability
Where does funding for long term care come from?
Medicaid, not Medicare
Ambulatory care
care provided to people who are not bed/hospital patients in a health care institution
Role of the emergency department
care for true emergencies, source of admission to hospitals, care to individuals with gaps in care (w/o insurance or other options for care)
Public health clinics
prevention of disease, operated in public hospitals, child health, prenatal, primary care
Community health centers
public non profit organizations (receive some federal funding)
Providers of healthcare
physicians, dentists, nurse (NP, RPN, APRN)
Physicians
have a degree from medical school and residency training experience, ~1M in US
Primary care physicians
in shortage, preventative visits, management of chronic diseases, refer out to specialists
