Term
|
Definition
| requires an overnight stay in a health care facility |
|
|
Term
|
Definition
| an institution with at least 6 beds whose function is to deliver patient services that include diagnostics and treatment |
|
|
Term
| Hospital Transformation in the US: Evolution of Five Dominant Functions |
|
Definition
1. Social welfare
- almshouses and pesthouses
2. Care for the sick
- public and voluntary institutions
3. Medical practice
- medical science and technology
- hospital administration, organization, efficiency
4. Medical training and research
- collaboration between hospitals and universities
5. Consolidated systems
- organizational integration
- service diversification |
|
|
Term
| Six main factors in the growth of hospitals: |
|
Definition
1) growth of health insurance
2) role of government
3) advances in medical science
4) advances in medical education
5) development of professional nursing
6) development of specialized technology and surgical services |
|
|
Term
| Utilization Measures and Operational Concepts |
|
Definition
- Discharges
- Average Length of Stay
- Average Daily Census
- Inpatient Days
- Capacity
- Occupancy Rate
DAAICO |
|
|
Term
|
Definition
Higher utilization among:
- The elderly
- Children under one year of age
- Women
- People of lower socio-economic status
- Medicare and Medicaid beneficiaries |
|
|
Term
| Long-term factors that affect utilization and employment: |
|
Definition
- Size and nature of population (population growth, aging, health status)
- Advances in medical technology, but certain pharmaceuticals have reduced hospitalizations
- Changes in insurance status |
|
|
Term
|
Definition
- First appeared when almshouses and pesthouses evolved into hospitals
- Owned by federal, state or local governments
- Federal hospitals are open to special groups only (native Americans, military, veterans)
- VA runs the largest hospital system (federal) |
|
|
Term
| Private Nonprofit Hospitals |
|
Definition
- owned and operated by community associations or other nongovernment organizations
- their mission is to benefit the community
- largest group of hospitals |
|
|
Term
| Private For-profit Hospitals |
|
Definition
- operated for the financial benefit of owners or stockholders
- have gained market share, mainly as physician-owned specialty hospitals have grown in number
- lower occupancy rates than nonprofits |
|
|
Term
| Hospital Classifications: Type of Service |
|
Definition
1) general hospital
2) specialty hospital
3) psychiatric hospital
4) rehabilitation hospital
5) children’s hospital |
|
|
Term
|
Definition
- Broad set of services for various conditions
+ general and specialized medical
+ obstetrics
+ diagnostics
+ treatment
+ surgery
Most hospitals in the U.S. are general |
|
|
Term
|
Definition
Narrow range of services for specific conditions or patient types
- Exceptions: psychiatric care or substance abuse
- Examples: rehabilitation, children’s, women’s, orthopedic, cardiac, oncology, etc.
- Many are physician-owned |
|
|
Term
| Physician-owned Specialty Hospitals |
|
Definition
- Physicians find efficiency and financial benefits, control, time flexibility, and higher incomes
- Legal issues: Stark Laws (self-referral) – self-referral to a “whole hospital” is permitted |
|
|
