Health Case System
Systems Framework
Review of what we have covered
Systems Resources
Human Resources (Clinical and non-clinical
Physicians, nurses, therapists, technicians, specialists, food service, engineering, housekeeping, volunteers, pastoral care, social work, administrators, clerks, telephone operators
Non-human Services
IT- computers, ICU equipment, audio video, pharmaceutical, surgical equipment, diagnostic equipment
Financing- Employers, Government, Individuals
System Structure
Structure (where)
Hospitals
Outpatient
Long term care
Within each of these are hundreds of processes known as procedures.
System Process
Clinical example –
Admitting (demographics, clinical issues, financial status)
>Medical Unit - diagnostic workup, labs, physical exam
Treatment and discharge or
>Surgical (pre-op workup blood tests, labs), surgery,
post op, discharge
Emergency Room for non-scheduled ( triage, diagnostic workup, treatment, and either discharge or admission
System Process
One other area of admission that is separated from general admissions and ED is usually
Labor and Delivery
Systems Process
Other sets of process that evaluate the clinical care
Cost (Individual, the employer, the government, society)
Access (geographic, specialty service, cost) Quality – Measurements of patient satisfaction, # of complications, # of deaths,
System Outcomes
Cost – To develop a more efficient system so costs can be contained
Access – Geographic and Specialty services
How long does it take you to get to see a doctor?
Is it available to everyone?
Quality – Patient Satisfaction and Safety
Overall goal
At the same time as we are trying to provide excellent medical care at a reasonable cost
We are trying to move toward prevention of illness and disease as a society.
It means educating people to how their lifestyles and beliefs determine their health
Example
Breastfeeding
Reduces the rate of breast cancer for breastfeeding mothers and their baby girls
Helps to protects the baby from infections while baby is breastfeeding
Reduces gastrointestinal illnesses and disease for the child throughout their lifetime (colitis and studies are being done now on Crohn’s)
Reduces rate of ovarian cancer for mother by 3 % for every month she breastfeeds
Reduces type 2 diabetes and obesity for children
Reduces ear infections for children
Reduces hyperactivity for children
Health care is changing everyday
Choose one area that we have covered in this class that interested you.
Read an article about one topic in health care.
How does it affect the health care of individuals?
What steps could you take fix it?
Post it as a thread to blackboard.