Hp Class Notes 1/30

Front 1

Hospital and it's functions

Back 1

function to provide short term care defined as a health care institution w/ an organized medical/professional staff w/ inpatient beds available around the clock…
• Primary function is to provide inpatient medical, nursing and other health related services to patient’s for surgical and nonsurgical condition

Front 2

Types of Hospitals

Back 2

• Private Nonprofit
• Psychiatric: most run by state
• Public: can be fed, state, local
• Fed: military, Native American, vets
• State: mental health and TB
• Local: open to general public, serve indignant, disadvantages population (county hospitals)

Front 3

Small Hospital

Back 3

• <100 beds

Front 4

Medium hospital

Back 4

• 100-500 beds

Front 5

Large Hospital

Back 5

• 500+

Front 6

Osteopathics

Back 6

have a different education/philosophy: First course not RX: go to alternative before rx

Front 7

The legality of a hospital

Back 7

• minimum of 6 beds
• provides diagnosis (dx) and treatment (tx)
• licensed by state
• organized by physician staff
• Nursing care under the supervision of RNs

Front 8

Short term/actue care

Back 8

<25 days acute care

Front 9

long term care

Back 9

>25 days subacute care (technically complex, chronic care, psychiatric care, long term care)

Front 10

General surgery

Back 10

orthopedic, urology, plastic surgery, rehab by operation (bigger deal)

Front 11

Procedures

Back 11

less invasive, less time consuming but do include operations

Front 12

Inpatient care

Back 12

- term is used to refer to an overnight stay by the patient

Front 13

Outpatient Care

Back 13

outpatient services are provided while the patients are not lodged in a health care institution

Front 14

Inpatient census

Back 14

-# patients present in a facility at a given point in time
• Usually at midnight
• Inpatients only
• Outpatients/ other groups calculated the same way and separately
• Newborns calculated separated

Front 15

ADT

Back 15

Admission Discharge Transfer

Front 16

Admission

Back 16

- formal acceptance of a patient by a health care provider/organization for the purposes of receiving care

Front 17

Discharge

Back 17

formal release of patient from health care provider/ organization

Front 18

Transfer

Back 18

formal shifting of responsible of care of patient from one physician to another, one unit of hospital to another unit in the same hospital

Front 19

Daily Inpatient Census

Back 19

• Number of inpatients’ treated in the last 24 hours
• reflect total numbers of patient during a 24 hour period
• includes patients admitted after previous census training
• and patient discharges before the next census taking time
• If the patients admitted/ discharged on same day, not show up on the inpatient census, but yes on daily inpatient census

Front 20

Inpatient Service Day

Back 20

• Unit of measure showing services received by one patient in a 24 hour period (usually between census- taking hours on 2 successive days)
• Inpatient daily census numbers should equal inpatient service day numbers
• One inpatient service day per inpatient admission when patient admitted/discharged on same day
• Not shown as fraction of day- a day or nothing
• Day of admission is counted, but not day of discharge

Front 21

Total Inpatient Service Days

Back 21

Sum all inpatient service days in a certain period of time
• Monthly, quarterly, semiannually, annually

Front 22

Average daily inpatient census

Back 22

• Average number inpatients present e/ day in a given periods of time
• total/ sum of inpatient service days for period (excluding newborns)