Hlth Org And Dlvry

Front 1

Why the increase in outpatient care?

Back 1

Capacity - reduced need for inpatient services led too excess capacity of beds
DRGs shortened hospital stays
Technology - ability to do things in the practice setting, procedures became less invasive, created ambulatory care centers

Front 2

Medical home

Back 2

interdisciplinary team of physicians and allied health professionals who partner with patients and their families, uses team approach to coordinate and provide care

Front 3

Key changes instrumental in the shifting from inpatient to outpatient care

Back 3

reimbursement
technological factors
utilization control factors
physician practice factors
social factors

Front 4

Types of outpatient care settings and methods of delivery

Back 4

private practice
hospital-based services
freestanding facilities
mobile medical, diagnostic, and screening services
home health care
hospice services
public and voluntary clinics
telephone access
complementary and alternative medicine

Front 5

Hospital based services
outpatient care settings

Back 5

Five main types: clinical, surgical, emergency, home health, and women's health

Front 6

Surgical services
outpatient care settings

Back 6

Same day surgical care
patients go home a few hours later
follow-up in physician's office

Front 7

Freestanding facilities
outpatients care settings

Back 7

include walk-in clinics, urgent care centers, surgicenters, outpatient rehabilitation centers, optometric centers and dental clinics

Front 8

Mobile medical, diagnostic, and screening services
outpatient care settings

Back 8

ambulance
mobile dental care
heart coach
Benefit - these services can go to locations where people may not ordinarily have access to such services

Front 9

Home health care
outpatient care settings

Back 9

include nursing care, changing dressings, monitoring medications, help with bathing, short-term rehabilitation (physical, occupational, and speech therapies)

Front 10

Hospice services
outpatient care settings

Back 10

a cluster of services for the terminally ill with a life expectancy of 6 months or less

Front 11

Ambulatory long-term care services
outpatient care settings

Back 11

associated with nursing homes
two types of settings:
case management - provides coordination and referral among a variety of health care settings
adult day care - just as it sounds

Front 12

Public health services
outpatient care settings

Back 12

typically provided at local health departments
include well-baby care, venereal disease clinics, family planning services, screening and treatment for tuberculosis, and ambulatory mental health.

Front 13

Public and voluntary clinics
outpatient care settings

Back 13

community health centers, free clinics and others.
serve mainly undeserved populations

Front 14

Community health centers serve the medically underserved

Back 14

primary care safety net for the nation's poor and uninsured in both inner city and rural areas
medically underserved - designation to indicate a dearth of primary care providers and delivery settings, as well as poor health indicators for the populace

Front 15

Free clinics

Back 15

services are free or inexpensive
not directly supported or operated by any government agency
services delivered by mainly volunteer staff

Front 16

Telephone access
outpatient care settings

Back 16

bringing expert opinion and advice to the patient, especially during the hours that the office is closed