Module 8 lecture, part 2

Question 1

In the past, what type of practices were the norm?

Answer 1

Solo

Question 2

What happened to the percentage of physician office visits among ambulatory care visits between 1992 and 2011?

Answer 2

Declined

Question 3

What happened to the percentage of hospital outpatient visits between 1992 and 2011?

Answer 3

Increased

Question 4

What are the 5 main types of hospital-based outpt care svcs?

Answer 4

Clinical svcs: special consultation
Surgical svcs
Emergency svcs for acute conditions
Home health care
Women’s health center

Question 5

Status of levels for emergency svcs

Answer 5

Emergent conditions require immediate attention
Urgent conditions require attention within a few hrs
Non-urgent, non-emergency: used by mostly uninsured as a substitute for primary care

Question 6

Details about women’s health centers

Answer 6

Women are major users of HC due to a female majority
Change in culture towards women’s equality
A national priority

Question 7

Types of free-standing facilities

Answer 7

Walk-in clinics
Urgent care centers
Surgi-centers
Other outpt facilities

Question 8

Aspects of walk-in clinics

Answer 8

Ambulatory care from basic primary to urgent care
Non-routine episodic basis
Convenient

Question 9

Aspects of urgent care centers

Answer 9

Usually open 24/7
Wide range of routine svcs
1st come 1st serve basis
Non-comparable to ED

Question 10

Aspects of surgi-centers

Answer 10

Freestanding, independent of hospitals
Full range of svcs for surgeries
Outpt, no overnight

Question 11

Types of other outpt facilities

Answer 11

Outpt rehab centers
Optometric centers
Dental clinics

Question 12

What does home HC do?

Answer 12

Services brought into the home

Question 13

What is an alternative to home HC?

Answer 13

Institutionalization

Question 14

What does home health care include?

Answer 14

Nursing care
Medication monitoring
Bathing
Short-term rehab (PT, OT,ST)
Homemaker service (meal prep, shopping, transportation, medical equipment, chores)
Durable medical equipment (DME): wheelchairs, oxygen, beds, walkers, commodes

Question 15

What are the demographic characteristics of home HC pts?

Answer 15

Tend to be 65 or older, female, and white

Question 16

Definition of hospice

Answer 16

Comprehensive svcs for the terminally ill with a medically determined life expectancy of 6 mos or less

Question 17

Aspects of hopsice

Answer 17

Staffing on 24 hr basis
Medical and nursing care
Access to inpt care
Social svcs and support
Therapy and access to supplies

Question 18

What are two areas of emphasis of hospice svcs?

Answer 18

Palliation (pain management)
Psychosocial and spiritual support

Question 19

What are the two main types of ambulatory LTC svcs?

Answer 19

Case management
Adult day care

Question 20

Aspects of case management

Answer 20

Coordination and referral
To find the most appropriate care

Question 21

Aspects of adult day care

Answer 21

Complements informal care at home
Svcs during the nl work day

Question 22

Definition of a hospital

Answer 22

An institution with at least 6 beds whose function is to deliver pt svcs that include diagnostics and tx

Question 23

Requirements of hospitals

Answer 23

Must be licensed
Have an organized physician staff
Provide continuous nursing svcs supervised by RNs

Question 24

What are construction and operations of a hospital governed by?

Answer 24

Federal laws
State health regs
City ordinances
Joint commission standards
Fire codes
Sanitation standards

Question 25

Who consume the biggest share of national health spending?

Answer 25

Hospitals

Question 26

What is the total cost for all hospital inpt stays?

Answer 26

$381.4 billion in 2013

Question 27

What is the cost per day in US hospitals in comparison to other developed countries?

Answer 27

3-9 x in other developed countries