HEALTH CARE OVERVIEW

1. FACILITIES AND HEALTH CARE PROVIDERS

HOSPITAL

 An institution with an organized medical and professional staff and with inpatient beds available around-
the-clock. Comes on variety of services
A. HOSPITAL (Acute care or Short-term care)
o "Provide inpatient medical, nursing and other health-related services to patients for both surgical and non-
surgical conditions. Available also for outpatient services"
B. LONG TERM CARE FACILITY (LTF); EXTENDED CARE FACILITY (ECF); NURSING
o Has a different level of care than hospital. Lone-term care patients are not acute phase of illness
o Types:
 Skilled Nursing Facility (SNF)
 Provides the highest level of LTC (eg. patients recovering from a stroke or hip
replacement)
 Intermediate Care Facility (ICF)
 Provides long-term care but of limited degree of support and nursing services than are
provided in the SNF. (eg. patients that only require less skilled nursing care)
 Residential Care Facility (RCF) or Life Care Center (LCC)
 Provides custodial care to those unable to live independently (eg. patients that suffer
from physical, mental or emotional conditions)

C. SPECIALZED FACILITIES

o Treats a unique population. As with hospitals, the treatment can be as on an inpatient or outpatient basis.
o Examples:
 Rehabilitation Facilities
 Psychiatric Facilities
 Children's Hospital
 Burn Facilities

D. AMBULATORY CARE

o Presently, the majority of care is on an outpatient or ambulatory basis due to increasing costs of inpatient care.
o Types:
 a. Ancillary Services (Adjunct or Auxiliary Services)
 eg. A patient referred by his/her physician for diagnostic tests or treatment.
 Either laboratory, radiologic service.
 b. Primary Care Center
 Basic health care is provided by a primary care physician (family practice, internist, and
pediatrician).
 Clinics inside the hospital
 c. Emergency Department/Room
 d. Ambulatory Surgery Facilities

2. MEDICAL CARE UNIT

  The term medical care unit refers to an assemblage of beds or newborn bassinets where care for a particular
type of condition is provided.

3. MEDICAL STAFF UNIT

 A medical staff unit is formally organized and composed of health care practitioners. The medical staff unit
varies from one hospital to another.
 Among factors to consider are:
o Size of facility
o Number of Physicians and their degree of specialization
o Treatment rendered to patients

BASIC SERVICE ORGANIZATION

1. Medical
 All patients not classified in any of the following categories are classified as a "medical" patient.
2. Surgical
 An assignment is made to "surgical" if the surgical operation was performed in the operating room.
Expect: patients for C-Section, although surgical operation is in operating room statistics
3. Obstetrics
 A patient being treated for a pregnancy condition, whether she delivers or not during hospitalization.
 Subdivided into:
o Delivered in the hospital, whether live born or fetal death
o Admitted after delivery
o Not delivered
4. Newborn
 A live born delivered in the hospital is a newborn

PATIENT DATA COLLECTION

o Concurrent VS Retrospective

o Manual VS Direct Electronic Collection

SOURCES OF STATISTICAL DATA

o PRIMARY SOURCE
 patient's medical record
o SECONDARY SOURCE
 abstract, lists, indexes, register and registries