Healthcare in America

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Healthcare in America by Mind Map: Healthcare in America

1. Health of Americans

1.1. Trends over past 50 years

1.1.1. Good The death rate has gone down Primary Prevention More emphasize has been place on a healthier lifestyle Secondary Prevention Identify and lower cholesterol rates Smoking rates have gone down 46.5 million adults still smoke Infant mortality rate is down

1.1.2. Bad Prevalence of Illnes has gone up Obesity has gone up At record high Diabetes rates have risen by 70% in last 10 years Intake of saturated fat has gone up Chronic Illness of the elderly has gone up 60% of Adults do not exercise enough 25% get no exercise

2. Outpatient Care

2.1. Description

2.1.1. No overnight stay

2.1.2. Diagnostic or therapeutic care provided in a "walk-in" setting

2.1.3. Easily accessible to patient

2.1.4. No fee for time stayed

2.2. Types

2.2.1. Primary Lowest duration, frequency & level of intensity focused on prevention, health promotion & early detection of illness, injury or impairment

2.2.2. Secondary Short-term Consultation from a expert opinion for specific need ex. surgery, dialysis, women's, eyes

2.2.3. Tertiary Institution based Highly specialized and tech driven. ex. trauma, burn, neonatal, transplant

2.3. Settings

2.3.1. Private Practice

2.3.2. Hospital

2.3.3. Free-standing ambulatory surgery centers

2.3.4. Mobile MRI truck

2.3.5. Home health delivered

2.3.6. Telephone

2.3.7. Alternative/non-traditional any of the above shopping malls other

2.4. Overview

2.4.1. If outpatient care was perfectly accessible to all, other care would be limited to emergency and inherited conditions

2.4.2. Primary Care should be first and only source Point of entry to all other care settings Gatekeeper: making sure patient gets what and goes exactly where they should Coordination of care making sure patient gets all the services needed from someone seeing the whole picture Essential care Having a relationship with provider helps for better future planning and thinking

3. Insurance

3.1. Low Income - Medicad

3.1.1. Does not cover all medical services and needs

3.2. Elderly - Medicare

3.2.1. Does not cover all medical services and needs

3.3. Supplied through Employeers

3.3.1. Big Business Huge Discounts More employees at an organization, the bigger the discount

3.3.2. Small Business Expensive

3.3.3. Self-Employeed Very expensive

4. New node

5. No insurance

5.1. Emergency rooms have to except you

5.2. No prescriptions


5.4. No Primary care

5.5. No Secondary care

6. Inpatient Facilities and Services/Hospitals

6.1. Description

6.1.1. Inpatient usually means overnight stary can be less than 24 hours might not include nighttime hours

6.1.2. Now includes outpatient & non-acute services, but primarily inpatient

6.1.3. At least 6 beds

6.1.4. licensed by state of location

6.1.5. Organized staff of doctors

6.1.6. Continuous nursing services under supervision of RN

6.1.7. Financial fees included board, ALWAYS!

6.2. Classification

6.2.1. Ownership Private Non-profit Profit Government/Public State Local Federal

6.2.2. Length of Stay Short Less than 25 days Long Greater than 25 days

6.2.3. Type of Service General Variety of services Specialty Specific types of diseases or medical conditions Psychiatric psychiatric-related illnesses Rehabilitation therapeutic services to restore the maximum level of functioning in patients who have suffered disability due to illness or accident Children’s hospitals Dealing with complex, serve or chronic illnesses among children

6.2.4. Other Teaching one or more graduate programs w/ medical school Church Osteopathic allopathic medicine critical access rural area under 25 beds limited services

6.3. Relation to Healthy Population

6.3.1. wellness programs

6.3.2. Safety fairs

6.3.3. secondary prevention

6.3.4. professional staff

7. Long-term /Nursing Homes

7.1. Description

7.1.1. Chronic conditions

7.1.2. designed around individual to promote independence

7.1.3. total care

7.2. Characteristics

7.2.1. Holistic

7.2.2. Considerate of preferred life activites environment comfort relationships compassion respect personal choice

7.3. Services

7.3.1. Medical

7.3.2. Mental Health

7.3.3. social support

7.3.4. preventive and therapeutic

7.3.5. informal

7.3.6. community based

7.3.7. intensity levels personal custodial restorative skilled nursing care subacute care

7.3.8. Housing

7.3.9. End of Life

7.4. Related to Healthy Population

7.4.1. Chronic illness in the elderly

7.4.2. Special needs

7.4.3. young adults permanent disability

7.4.4. HIV/AIDS

7.4.5. Other Alzheimers head trauma comatose