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HE210 Test 2 With Complete Solutions
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HE210 Test 2 With Complete SolutionsDiscuss historical background of hospitals - ANSWER The most intensive care is
provided in hospitals and, although less than 10% of the population will experience an
overnight stay in a hospital, they accounted for the largest portion of U.S. health care
spending (32%) in 2013 (National Center for Health Statistics [NCHS], 2015, Table 103).
In this section, we provide an overview of the conditions typical of hospitalized patients,
a brief historical background on this important health care sector, and then describe its
current structure.
The mold from which today's health care system was cast took its shape around 1850.
There were still relatively few general hospitals or health care facilities of any type in
either Great Britain (our most important medical organizational forebear) or the
fledgling United States, but the institutional organization of health care was already
firmly established. The physical separation, for the most part, as well as separate
provision for administration and staffing of the curative services for acute, chronic, and
psychiatric illnesses became firmly established in the 19th century. That very strong
precedent continues to control the physical and administrative design of the health care
delivery system even when all three components have a common source of support, as
they do now in Britain.
Goldsteen, Raymond L., et al. Jonas' Introduction to the U.S. Health Care System, 8th
Edition, Springer Publishing Company, 2016. ProQuest Ebook Central,
http://ebookcentral.proquest.com/lib/stclaircc-ebooks/detail.action?docID=4558160.Cr
eated from stclaircc-ebooks on 2021-02-12 09:47:38.
Compare classification of hospitals. - ANSWER The AHA classifies hospitals as one of
four types based on the primary function of its diagnostic and therapeutic services:
· General: for patients presenting with a variety of medical conditions
· Special: for patients who have specified medical conditions
· Rehabilitation and chronic disease: for handicapped or disabled individuals requiring
restorative and adjustive services
· Psychiatric: for patients who have psychiatric-related illnesses
In 2011, there were 4,973 community hospitals out of the 5,724 hospitals of all types.
, teaching hospital to refer to hospitals providing undergraduate or graduate education
for medical students and medical house staff (interns, residents, and specialty fellows).
The term was not applied to hospitals with teaching programs for other health care
providers.
Public General Hospitals . The public general hospital was defined by the Commission
on Public General Hospitals of the AHA (Commission on Public General Hospitals of the
AHA, 1978, p. v) as "short-term general and certain special hospitals excluding federal
(those operated by the Department of Defense and the Department of Veterans Affairs),
psychiatric, and tuberculosis hospitals that are owned by state and local governments."
Public general hospitals provide care for many persons unable to be treated elsewhere:
the poor, the uninsured, the homeless, alcoholics and other substance abusers, the
disruptive psychiatric patients, and prisoners.
Goldsteen, Raymond L., et al. Jonas' Introduction to the U.S. Health Care System, 8th
Edition, Springer Publishing Company, 2016. ProQuest Ebook Central,
http://ebookcentral.proquest.com/lib/stclaircc-ebooks/detail.action?docID=4558160.Cr
eated from stclaircc-ebooks on 2021-02-12 09:55:20.
Identify common structures of hospitals - ANSWER Each hospital's structure will follow
based on the scale and different lines of business. A small, acute care hospital with half
a dozen nursing units will necessarily have a different structure than a large, multistate
integrated delivery system. Most commonly, hospital departments will fall into a few
divisions:
■ ■ Administration: including common corporate functions, such as finance and human
resources
■ ■ Nursing: clinical departments such as inpatient nursing units
■ ■ Ancillary services: other clinical departments, such as cardiology and radiology,
which may serve a mix of inpatients and outpatients
■ ■ Support services: facility services such as plant maintenance, housekeeping, and
food service
■ ■ Outpatient services: typically ambulatory clinics and other outpatient-only
departments.
By Joint Commission standards, there should be three leadership groups: a governing
body (typically a "board of directors"), a chief executive and other senior managers
(often referred to as the "C-suite"), and the leaders of the medical staff. The medical
staff should be both accountable to the governing body as well as self-organizing.
Beyond that, Joint Commission standards require a chief nursing officer to whom all
nurses have at least a dotted-line reporting relationship. Practically speaking, the
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