Trends in Health Care

Technology

Cell/Smart Phones-allows healthcare providers to constantly be in

touch-allows quick access to information

Telemedicine-use of video, audio, and computer systems to

provide medical and or health services-allows people in remote areas to have

access to healthcare

Technology

Electronic Health Records (EHR)

-replaces paper charting, now required by law that all physicians document patient’s history, examination, diagnosis, and treatment.

-provides quick access to patient’s information, available at anytime, anywhere

-helps prevent mistakes and other medical errors

Preventive Medicine and Wellness

Preventive-- to stop something from happening or existing

Wellness--state of being in good health

Living a healthy lifestyle by using exercise and diet to prevent disease.

Avoiding risky behaviors and maintaining regular medical screenings to remain in good health.

Preventive Medicine and Wellness

Hospitals and Wellness Centers❏ Offer programs that focus on older populations and their therapeutic

needs❏ cardiac rehabilitation-(CR)- a branch of rehabilitation/physical

therapy that is designed to optimize physical function in patients with cardiac disease

❏ Pulmonary rehabilitation- a program of exercise, education, and support to help those with chronic respiratory conditions breath and function at the highest possible

Wellness❏ a healthy balance of the mind, body and spirit

❏ Ways to achieve optimal wellness❏ Physical exercise-prevents weight gain, cardiac disease, lower

back pain❏ Preventive care- attending yearly or regular doctor/dental visits,

receiving proper yearly medical screenings and immunizations❏ Safety-practicing life-saving actions to prevent accidents or death

(i.e. wear seat belts, helmets, practicing safe sex)❏ Nutrition-eating a well rounded diet❏ Avoidance of alcohol and tobacco consumption❏ Spiritual health-believing in a higher being, following a set of

morals, values, or standards to find direction and purpose in life❏ Stress management- finding appropriate ways to cope.

Healthcare ReformIs the move for major changes in the

healthcare system, do decrease expense and continue to provide quality care to all

❏ Due to the increasing cost of healthcare❏ reasons for increased cost

❏ demand/need for healthcare❏ costly procedures❏ uninsured or underinsured individuals

Healthcare Reform

Why is a reform needed?❏ to increase the number of people covered by

health insurance through either public or private companies

❏ improve access to healthcare specialist❏ improve the quality of healthcare❏ decrease the cost of healthcare

Healthcare Reform

The Affordable Care Act (2010)❏ aka Obamacare

❏ law designed to increase to quality and affordability of health insurance, lower the uninsured rate by expanding public and private insurance coverage, and lower cost of healthcare for individuals and the government

❏ requires insurance companies to cover all applicants with new minimum standards and offer the same rates regardless of pre-existing conditions or sex

Outpatient Care

❏ medical services provide to patients without being admitted to the hospital

❏ decreases the cost of healthcare by decreasing the amount time and resources used

Outpatient Care

❏Services❏blood, urine testing❏radiological services (x-ray, MRI, CAT scan)❏surgery/procedures❏home healthcare

Outpatient Care

Home Healthcare❏ services provided in a patient’s home

❏ reduces patient’s exposure to germs and disease❏ reduces stress and anxiety

❏ Nursing care❏ Physical Assessment❏ Medication management❏ Education❏ wound care/dressing changes❏ bathing/dressing assistance

❏ Physical/Occupational Therapy

Healthcare Facilities

- places that provide medical care or make it possible for care to be delivered to patients

-Hospitals-Rehabilitation Centers

-Long-Term Care facilities -Hospices-Offices and Clinics -

Home Healthcare-Laboratories

Hospitals

Provide varying services through inpatient and outpatient care.

Hospitals are classified by their services and/or ownership

Hospitals Types

Religious rancare is given in accordance to the religion’s

belief● do not have to be of the hospital’s religion to

receive care

Private owned by shareholders who invest money in

the facilitya FOR PROFIT facility, profits are returned to

shareholders

Hospital Types

Nonprofit Hospitals-do NOT have shareholders, all profits made are

placed back into the facility to pay for improvements, equipment, and expansion

Government Hospitals-sever military or veteran personnel

-funded by taxes-patients who have little or no money, may receive free or

reduced care

Hospital Types

Specialized-provide care to a specific type of disease or age

group

-highly trained staff whose skills are tailored for the speciality they are treating

-Children’s hospital-Cancer Treatment Centers

Long-Term Care Facilities

Provide care to those who need nursing and other

healthcare services on a regular basis

-patients are usually elderly, frail or disabled

-patients that live in long-term care facilities are

called RESIDENTS-assist with ADLs (activities of daily living)

Emergency Medical Services

extend care from the emergency room of the hospital

into the community

provides care for injured or ill as quickly as possible

first responders, EMT, Paramedics

Home Healthcare

-care provided in the patient’s home-doctors/nurse practitioners: exam pts -nurses: manage medications, provide

dressing changes,

-therapist: provide treatments physical, respiratory

-aides: assist with bathing, dressing, assess vital signs

Hospice

Care for those who have a terminal (life-ending)

illness

Goals is to provide comfort and support-reduce pain-spiritually-emotionally

-prepare patient and family for death

Government Agencies

Center for Disease Control---(CDC)monitors and prevents disease outbreaks. Guards against international disease transmission, maintains health statistics, supports disease and injury prevention research. Ensures the health and safety of the nation.

-Located in ATLANTA,GA

Government Agencies

Food and Drug Administration---- (FDA)ensures food, cosmetics, medication and medical

devices are safe for use and consumption

National Institute of Health----(NIH)Medical research organization, supports research

projectssuch as the Human Genome Project and ways

to enddiseases like cancer, AIDS, heart disease

Government Agencies

World Health Organization---(WHO)international agency sponsored by the United Nationsauthority on international healthGOAL

to help people attain the highest possible level of health

Health Insurance

Patient Protection and Affordable Care Act - 2010

known as Obamacare

extends coverage to those who were previously uninsured

allows people with preexisting conditions to be insured

bans lifetime coverage limits

Health Insurance

Medicaregovernment insurance for people who are over 65 years

disabled, or have kidney failurefederally funded

Medicaidgovernment insurance for low-income families federally and state funded, however the states decided who is

eligible and what is covered.

Health Insurance

Private Health Insurance-health care coverage policy offer through one’s place

ofemployment or paid for by an individual to a

healthinsurance company

-Blue Cross/Blue Shield-HMOs-PPOs

Health Insurance

Workers’ Compensationinsurance carried by companies to cover employees

who may have an on the job accident or injuryor become ill after being exposed to a work

hazard

must cover all medical expenses and wages of the employee injured

Health Insurance

Military

Tricare- government provided healthcare benefits to armed forces personnel, veterans and family