Trends in Health Care

Health Team Relations

History and Trends of Health Care Unit

Objective 4

Explore current trends in health care.

Cost Containment

Reasons for high health care cost

a. Technological advances

b. Aging population

c. Health-related lawsuits

Methods of cost containmenta. Diagnostic related groups

(DRG) b. Combination of services c. Outpatient services d. Mass or bulk purchasing e. Early intervention and preventative services

Cost Containment

Can you think of another way to reduce health care cost that was not addressed in the previous list?

Another way to contain rising cost of

Health care is to put a cap on malpractice

lawsuit awards.

How do the DRG rules benefit patients financially?

If a patient has insurance that pays by

the DRG rules the patient does not

have to pay for any of the bill that the

health care provider charged over the

DRG limit.

Additional information about

Cost Containment in Health

Care can be found in the

Health Science Fundamentals

text book on Pages 35-36.

A trend that has been practiced for

hundreds of years will be discussed next.

Because it has always proved to be a more cost effective way to deliver health care it experienced a dramatic increase (400%) when DRG’S were introduced in the 1980s.

Do you know what the trend is?

Home Health CareCurrent Trend

Definition:Care that is provided in the homefor patients who need health service butnot hospitalization.

Health Science Fundamentals text book on Page 29

What kind of care can be provided by home health care professionals?

NursingPhysical Therapy Respiratory Therapy, Occupational Therapy, etc. Dieticians Personal care assistance (bathing, dressing, etc.)Homemaking (housecleaning, food shopping, and cooking)

Is home health care new? Is it here to stay?

Home health care began in the United States in the1880s.

Today, it is estimated that well over 7.6 million people currently receive care from home health care providers.

Data from:

Home Health Care:An Essential Solution toAmerica’s Health CareChallenges

Reasons for the Growth in Home Health Care

Medical advances allow better management of chronic and incurable diseases, including pathologies related to HIV and AIDS.

Medicare's diagnosis-related groups promote earlier discharge of hospitalized patients, reducing the length of hospital stays.

Patients (or caregivers) often desire to avoid prolonged expensive care at the end of life.

Patients choose to receive care in the home.

Geriatric Care Current Trend

As the population of the

U.S. continues to

age the need for more

specialized care of

the aging has become

apparent.

Geriatric Care is care

delivered to elderly

people.

Types of Geriatric Care Facilities

Nursing Homes

Extended Care Facilities

Independent Living Facilities

Assisted Living Facilities

Adult Day Care Centers

Health Science Fundamentals text book on Pages 27-28

OBRAOminbus Budget Reconcilliation Act

OBRA is an act that was passed in 1987 to implement certain basicrights and guidelines for nursing home care facilities. It’s intent was toensure that the residents of the nursing home received the best carepossible.

An example of one the OBRA regulations is:

All nursing home management is required to check andmake sure every person applying for a nursing assistantjob has a current certificate to practice as a nurse assistant

Go Health Science Fundamentals text book on Page 132 for remainder of OBRAregulations.

TelemedicineCurrent Trend

Includes consultative, diagnostic and treatment services.

An example of treatment services:

A doctor being able to perform surgery

on a patient that is hundreds of miles

away.

Health Science Fundamentals text book on Page 11

Wellness Current Trend Why is wellness a current trend? What are the different types of wellness?

Physical Wellness Emotional WellnessSocial WellnessMental and Intellectual WellnessSpiritual WellnessHolistic Health

Health Science Fundamentals text book on Pages 164-168

Alternative and Complementary Methods of Health Care Current TrendWhat are these methods all about?

Ayurvedic PractitionersChinese medicine practitionersChiropractorsHomeopathsHypnotistsNaturopaths

Health Science Fundamentals text book on Pages 168 - 173