Explore the organization and services of various health care delivery settings, including hospitals, clinics, and long-term care facilities. Learn about the different departments, data usage, and technology impact on patient care.
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The Culture of Health Care Health Care Settings The Places Where Care Is Delivered Lecture b This material (Comp 2 Unit 3) was developed by Oregon Health and Science University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number IU24OC000015. This material was updated in 2016 by Bellevue College under Award Number 90WT0002. This work is licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-sa/4.0/.
Health Care Settings The Places Where Care Is Delivered Learning Objectives Differentiate the range of care delivery organizations, including primary care, specialty care, tertiary care, hospitals, clinics, the medical home, home health, hospice, and long-term care facilities. (Lecture a) Analyze the organization of health care delivery from the perspective of a continuum of care, including outpatient services, inpatient services, home care services, long- term care, and end-of-life care. (Lecture a) Evaluate the similarities and differences of community hospitals, teaching hospitals, specialty hospitals, and community health clinics. (Lecture a) 3
Health Care Settings The Places Where Care Is Delivered Learning Objectives Continued Describe the various departments and services offered by an outpatient clinic, community hospital, academic medical center, and long-term care facility. (Lecture b) Explain the ways in which different outpatient and inpatient departments interact and how their services relate. (Lecture b) Describe ways data and information are created and used by people in different outpatient and inpatient departments. (Lecture b) Describe ways in which medical and information technology have improved interdepartmental communication and, consequently, the patient experience. (Lecture b) 4
Structure and Function of Health Care Organizations Departments and functions of health care organizations How these organizations interact Types and use of data by the departments Technology s impact on interdepartmental communication and patient experiences 5
Health Care Provider Organizational Chart 3.3 Chart: Example of a health care organizational structure. Hickman, 2012. CC-BY-NC-SA. 6
Roles and Responsibilities 3.4 Chart: Example of a chief medical information officer reporting structure. CC BY by Jan Kraus Read more: http://www.businessdictionary.com/definition/human-resources- manager.html#ixzz41Nif3jNZ 7
Additional Leadership Roles Vice president of human resources Chief nursing officer (CNO) Chief nursing information officer (CNIO) Chief analytics and data officer Chief security officer (CSO) Chief compliance officer (CCO) Chief legal officer (CLO) 8
Medical Staff Typically has an elected chief of staff Chief of staff and CMO manage Physician privileges Medical polices Governance of medical staff Continuing medical education Quality and patient safety initiatives VP of quality & patient safety 9
Nursing 3.5 Chart: Example of nursing department organization chart. CC BY by Vivian Todhunter University of Rochester Medical Center, 2011 10
Ancillary Services 3.7 Figure: Ancillary services grouping. CC BY by Vivian Todhunter 12
Information Management varies Examples Admitting Medical records Information technology United Hospital Fund, 2008; Medicare Payment Advisory Committee, 2004 13
Information Technology Department 3.8 Figure: Example of IT department relationships. CC BY by Vivian Todhunter 14
Digital Communication Digital Electronic health record Patient sourced information Personal health record and portals Definitions: https://www.healthit.gov/providers- professionals/faqs/what-personal-health-record https://www.healthit.gov/providers- professionals/faqs/what-patient-portal 19
Health Care SettingsThe Places Where Care Is Delivered Summary Lecture b The following were discussed in this lecture: Range and continuum of care Unique types of health care organizations and relationships between organization Organizational structure and function Relationships and communication between departments Effect of technology on the patient experience 21
Health Care SettingsThe Places Where Care Is Delivered Summary This unit Differentiated range of care delivery organizations Analyzed the organization of health care delivery from the perspective of a continuum of care Evaluated similarities and differences of community hospitals, teaching hospitals, community health clinics Described departments and the services they offer Explained how departments and services interact Discussed data and information Described the impact of medical and information technology 22
Health Care SettingsThe Places Where Health Care Is Delivered References Lecture b References HealthIT.gov. (2013). What is a personal health record? Retrieved from https://www.healthit.gov/providers-professionals/faqs/what-personal-health-record HealthIT.gov. (2015). What is a patient portal? Retrieved from https://www.healthit.gov/providers- professionals/faqs/what-patient-portal Longnecker, D. E., Patton, M., & Dickler, R. M. (2007). Roles and responsibilities of chief medical officers in member organizations of the Association of the American Medical Colleges. Academic Medicine, 82(3), 258 263. Retrieved from http://mobile.journals.lww.com/academicmedicine/_layouts/15/oaks.journals.mobile/articleviewer.as px?year=2007&issue=03000&article=00009 Medicare Payment Advisory Committee. (2004). Information technology in health care. In Report to the Congress: New approaches in Medicare, chapter 7. Retrieved from http://qio.ipro.org/wp- content/uploads/2012/12/june04_entire_report.pdf Scribd. (2011). Organizational structure of a hospital. Retrieved from http://www.scribd.com/doc/20884108/Organizational-Structure-of-a-Hospital. Shortliffe, E. H., & Barnett, G. O. (2006). Biomedical data: Their acquisition and use. In E. H. Shortliffe & J. J. Cimino (Eds.), Biomedical computer applications in health care and biomedicine, 3rd ed., pp. 403 443. New York: Springer. United Hospital Fund. (2008). Family care giver guide. Hospital admission: How to plan and what to expect during the stay. Retrieved from http://www.nextstepincare.org/uploads/File/ Hospital_Admissions.pdf 23
Health Care SettingsThe Places Where Health Care Is Delivered References Lecture b Continued University of Rochester Medical Center. (2007). Strong Memorial Hospital organizational chart. Retrieved from http://www.urmc.rochester.edu/strong- nursing/about/documents/NursingOrgChart.pdf WebFinance. (2016). Human resources manager. In BusinessDictionary.com. Retrieved from http://www.businessdictionary.com/definition/human-resources-manager.html#ixzz41Nif3jNZ Charts, Tables, Figures 3.3 Chart: Example of a health care organizational structure (Hickman 2012, CC BY-NC-SA 3.0). 3.4 Chart: Example of a chief medical information officer reporting structure. CC-BY by Jan Kraus. 3.5 Chart: Example of a nursing department organization chart. CC BY by Vivian Todhunter. 3.6 Figure: Support services grouping. CC BY by Vivian Todhunter. 3.7 Figure: Ancillary services grouping. CC BY by Vivian Todhunter. 3.8 Figure: Example of IT department relationships. CC BY by Vivian Todhunter. 24
The Culture of Health Care Health Care Settings The Places Where Care Is Delivered Lecture b This material was developed by Oregon Health & Science University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number IU24OC000015. This material was updated in 2016 by Bellevue College under Award Number 90WT0002. 25
