Health Case System

profilemimo_doll
chapter_1_systems_framework.pptx

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.