- Health Care Regulation and Competition
Regulatory and competitive approaches
o Professional standards review organizations (PSROs)
o Utilization review committees (URs)
o Prospective payment system (PPS)
o Diagnosis-related groups (DRGs)
- Health Care Regulation and Competition (Cont.)
Regulatory and competitive approaches
o Capitation
o Managed care
o Patient Protection and Affordable Care Act
http://www.hhs.gov/healthcare/rights/
http://obamacarefacts.com/affordablecareact-summary.php
- Levels of Health Care
Changing health care practices
o Managing health rather than illness
o Wellness perspective
o Integrated delivery networks (IDNs)
- Levels of Health Care (Cont.)
Health Services Pyramid
o Managing health instead of illness
o Emphasis on wellness
o Injury prevention programs
- Levels of Health Care (Cont.)
Preventive and primary health care services
o School health
o Occupational health
o Physicians’ offices
o Nursing centers
o Block and parish nursing
o Community centers
- Levels of Health Care (Cont.)
Secondary and tertiary care
o Hospitals
o Discharge planning
o Intensive care
o Mental health facilities
o Rural hospitals
Critical Access Hospital (CAH)
- Levels of Health Care (Cont.)
Restorative care
o Home care
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