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Record Content Ch.1

Review Chapter 1

What is continuum of care? A complete range of programs and services, with the type of healthcare indicating the healthcare services provided.
What are the three levels of continuum of care? Primary care, secondary care, and tertiary care services.
Explain primary care services. Includes preventative and acute care. Point of first contact provided by a general practitioner. Example: yearly physical or immunizations, vision and hearing screening.
Explain secondary care services. Provided by medical specialists or hospital staff members to a patient who was treated by a general practitioner. A "referral".
Explain tertiary care services. Provided by specialized hospitals equipped with diagnostic and treatment facilities not generally avaliable at hospitals. Burn centers, pediatric surgery, etc.
What is Quaternary care? An extension of teriary care and includes advanced levels of medicine that is not widely used and very costly. This care is typically provided by tertiary care centers.
Hospital ownership is either.... For profit or non profit.
Hospitals are categorized according to: Government (not for profit), Proprietary (for profit) and Voluntary (not for profit)
Government support hospitals or public hospitals represent what % of health care facilities in the US? 25%
Proprietary hospitals represent what % of health facilities in the US? 15%
Voluntary hospitals represent what % of all health care facilities in the US? 60%
Explain teaching hospitals. They can be government, proprietary, or voluntary. They are affiliated ith medical school and a place for learning and practicing of health care.
What is a resisdent? A physician who has completed an internship and is engaged in a program of training designed to increase knowledge of the clinical disciplines of medicine.
What is a chief resident? A physician who is in his or her final year of residency or in the year after the residency has been completed.
Most health care facilities utilize a ... Top down format so that authority and responsibility flow downward through a chain of command.
Explain the chain of command. 1. Governing board 2. Administration 3. Medical staff 4. Departments, services, and committees, 5. Contracted Services.
Explain the responsibilities of the Governing Board. Serve with out pay. All professionals fro the business community. Ultimate legal authority and responsibility for the hospitals operation and is responsible for the uality of care administered to patients.
Explain the responsibilities of the Administration. Serves as a liaison between the medial staff and governing board and is responsible for develooping a strategic plan for supporting the mission and goals of the organization. ex. CEO, CFO etc.
Explain the responsibilities of the medical staff. Consists of licensed physicians and other licensed providers as permitted by law who are granted clinical privileges.
What is a House Officer? A physician whose only job is to work at the facility treating patients. They are considered employees of that hospital.
Medical staff created and votes on? Bylaws and Rules and Regulations.
What are Bylaws? rules that delineate medical staff responsibilities.
What are Rules and Regulations? Procedures based on federal and state regulations, and accreditation standards, which clarify bylaws.
Hospital departments include? 1. Those that include direct patient care 2> Ancillary and 3. support services.
What does ancillary mean? Clinical laboratory
What does support services mean? HIT
What does the Credentials Committe do? They review and verify medical staff application data.
What does the Ethics Committee do? Meets as needed inorder to discuss ethical problems.
What does the Executive committee do? Acts on reports and recommendations from medical staff committees.
What does the Joint Conference Committee do? Serves as liaison between governing body and administration.
What does the Health Information Department do? They are responsible for allowing appropriate access to patient information in support of clinical practice, health services, and medical research, while at the same time maintaining confidentiality of patient and provider data.
List some services that HIT include. RHIA and RHIT, Cancer registry, Coding and Abstracting, Image Processing, Incomplete record processing, Medical Transcription, Record Circulation, Release of information Processing.
What does it mean to be Licensure? State laws require health care facilities to obtain a license to operate efore providing healthcare services.
What does regulation mean? An interpretation of a law that is written by the responsible regulatory agency.
What does Accreditation mean? A voluntary process that is a health care facility or organizaton undergoes to demonstrate that it has met standards beyond thoses required by law.
What are Standards? Measurements of a healthcare organiation's level of performance in specific areas and are usually more rigorous than regulations.
What is a Survey? Or evaluation process is conducted both off site and on site to determine whether the facility complies with standards.
Joint Commission requires all medical records completed in how many days? 30
Joint Commission requires that physicians must put what in your file? A physical of you.
Joint Commission operative report has to be placed on the chart after... surgery. This is for coninuing care. Must be dated and timed.
Who provides voluntary accreditation of healthcare organizations? The Joint Commission.
The American College of Surgeons evolved because of the? Joint Commission.
Who monitors services of beneficiaries of medicare and medicaid? The Professional Standards Review Organization (PRO)
CMS represents who? Medicare and Medicaid
Regulation is? Required.
Accreditiation is? Voluntary.
Created by: bnicholson29