Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Chapter 1

Health Care Delivery Systems

Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

History of Medicine

• History of medicine

• Prehistoric medicine

• Ancient medicine

• Medieval medicine

• Renaissance medicine

Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

History of Medicine and Evolution of Health Care Delivery in the

U.S.• Modern medicine

• Early hospitals

• Early quality of care initiatives

• Federal initiatives

Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Continuum of Care

• Primary care

• Secondary care

• Tertiary care

• Quaternary care

Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Health Care Facility Ownership

• Government (not-for-profit)

• Proprietary (for-profit)

• Voluntary (not-for-profit)

Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Health Care Facility Organizational Structure

• Governing board

• Administration

• Medical staff

• Hospital departments, services, and committees

• Successful meetings

Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Health Information Department

• Cancer registry

• Coding and abstracting

• Image processing

• Incomplete record processing

• Medical transcription

• Record circulation

• Release of information processing

Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Licensure, Regulation, and Accreditation

• Code of Federal Regulations (CFR)

• Federal Register

• Accreditation standards and surveys

Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Accrediting Organizations

• Accreditation Association for Ambulatory Health Care (AAAHC)

• American Osteopathic Association (AOA)

• Commission on Accreditation of Rehabilitation Facilities (CARF)

• Community Health Accreditation Program (CHAP)

Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Accrediting Organizations (Continued)

• Joint Commission - formerly known as Joint Commission on Accreditation of Health Care Organizations

• National Committee for Quality Assurance (NCQA)

• National Commission on Correctional Health Care (NCCHC)

Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Joint Commission

• Deemed Status

• ORYX Initiative

• Shared Visions - New Pathways

• Periodic Performance Review

• National Patient Safety Goals

Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Recent Legislation

• Deficit Reduction Act of 2005

• Patient Safety and Quality Improvement Act of 2005

• Tax Relief and Health Care Act of 2006

• Genetic Information Nondiscrimination Act

• American Recovery and Reinvestment Act

• HITECH Act

Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Review of Relevant Key Terms

• Continuum of care

• Licensure

• Regulation

• Accreditation

• Standards