HED 044 Lecture Notes - Lecture 19: Cardiology, Managed Care, Chemotherapy
2 Nov 2020
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Outpatient (clinics, ambulatory surgery centers, physician offices, hospital outpatient clinics) Physician assistants, nurse practitioners, certified nurse midwives. Requires overnight stay in a healthcare facility. An institution with at least 6 beds whose function is to deliver patient services that include diagnostics and treatment. Provide continuous nursing services supervised by rns. Hospital transformation in the us: evolution of five dominant functions. Doesn"t require overnight stay incurring room and board costs. Ambulatory care similar to community medicine because it serves: Physicals and minor treatment in physician office. All primary care is outpatient, but not all outpatient care is primary care. Outpatient services existed before hospitals and nursing homes. Hospitals capitalized on technology to compete on an outpatient basis. Specific types of outpatient clinics serve vulnerable populations. Community health centers receive federal and state money to serve rural and inner cities. Paid as fee-for-service (usually using prospective payment systems e. g. , oppps or negotiated prices) Managed care restriction on utilization, quicker discharge.
