Chapter 1

Health Care Delivery Systems

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History of Medicine

• Prehistoric medicine• Ancient medicine• Medieval medicine• Renaissance medicine

© 2016 Cengage Learning®. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part

Evolution of Health Care Delivery in the U.S.

• Modern medicine• Early hospitals• Early quality of care initiatives • Federal initiatives

© 2016 Cengage Learning®. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part

Continuum of Care

• Primary care• Secondary care• Tertiary care• Quaternary care

© 2016 Cengage Learning®. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part

Health Care Facility Ownership

• Government (not-for-profit)• Proprietary (for-profit)• Voluntary (not-for-profit)

© 2016 Cengage Learning®. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part

Health Care Facility Organization Structure & Operation

• Governing board• Administration• Medical staff• Hospital departments, services, and

committees• Successful meetings

© 2016 Cengage Learning®. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part

Health Information Department

• Cancer registry• Coding and abstracting• Image processing• Incomplete record processing• Medical transcription• Record circulation• Release of information processing

© 2016 Cengage Learning®. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part

Licensure, Regulation, & Accreditation

• Code of Federal Regulations (CFR)• Federal Register• Accreditation standards and surveys

© 2016 Cengage Learning®. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part

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)

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Accrediting Organizations (Continued)

• The 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)

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The Joint Commission

• Deemed status• ORYX® Initiative• Shared Visions - New Pathways™• Periodic Performance Review (PPR)• National Patient Safety Goals

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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• Patient Protection and Affordable Care Act

© 2016 Cengage Learning®. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part

Review of Relevant Key Terms

• Continuum of care• Licensure• Regulation• Accreditation• Standards• Board of Directors• Governing Board