PHP 0310 Study Guide - Midterm Guide: Advanced Practice Registered Nurse, The Delivery (The Office), Emergency Medical Treatment And Active Labor Act
22 Mar 2017
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The delivery system: delivery system: the part of the healthcare model that looks at the relationships/services between providers and patients, trends. Family ratings better with hospice, less likely to be hospitalization: non-hospice: for patients with advanced illness but not necessarily terminal. Lower hospital costs, lower acute care utilizations for patients with cancer. Internal challenges: changing daily activities, how providers in pcmhs communicate with each other, integrating new people into pcps, new skills. Hospitals: history, until 1970s, # hospitals increased, hill-burton act 1946, 1970-80, medicare spending increased, 1983 pps instituted --> rewarded efficient hospitals, spending makes up smaller share of. Consolidation/acquisitions: hospitals account for 30% of healthcare costs, types, government/public: owned by gvt, funded by tax dollars. Local, state, federal: private, nonprofit: exempt from taxes, put profits back into hospital. For profit: owned by stock holders: community: anyone can get treatment; non-community: specific population (va) Less medicaid funding, more risk on hospitals: older people pay more oop.
