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Chapter 1
Introduction to
Health Care Agencies
�ݺ�ߣ 0Copyright © 2004 Mosby, Inc. All rights reserved.

Copyright © 2004 Mosby, Inc. All rights reserved. �ݺ�ߣ 1
1. Purposes of Health Care
 Health promotion
• Holistic: Includes mental and physical
 Disease prevention
 Detection and treatment of disease
 Rehabilitation and restorative care
• Goal is always to restore to fullest
functioning

2. Types of Agencies
 Hospitals (Acute, Chronic, Terminal)
 Rehabilitation and subacute care agencies
 Assisted living facilities
 Long-term care centers
 Mental health centers
 Home care agencies
 Hospices
 Health care systems

3. Organization
 Governing body called the board of trustees
• The board makes policies.
• Local, State, and Federal standards
 Administrator who manages the agency
 Directors or department heads who manage
certain areas
 Interdisciplinary Team

Organization
 Health team
The goal is to provide quality care.
• The focus of care is the person.
 Social workers work with the entire family
• Coordinated care is important.

Nursing Team
 Nursing service
• Director of nursing
• Registered nurse (RN) managers
• Staff RNs
• Licensed practical nurses (LPNs) and
licensed vocational nurses (LVNs)
• Nursing Assisstants

Nursing Team
 RNs (Diploma, ADN, BSN, MSN)
• 4-6 years
• Nursing process
What are the 5 steps??
 LPNs/LVNs
• 10 – 18 months training
 Nursing assistants
• Do not report to other nursing assistants
• May report to RNs, LPNs/LVNs, and primary
nurse

Nursing Care Patterns
 Functional nursing
• Job or task focused
 Team nursing
 Primary nursing
• Total care
 Case management
• Admission -> DC -> Rehab
 Patient-focused care
• Care coordination

Patient-focused care
• Care coordination
• Moving care toward the beside
• Caring
starts with showing concern
for the resident
• Respect
 Starts with treating other with
dignity
Nursing Care Patterns

Paying for Health Care
 No Coverage – Pay for HC??
 Private insurance
 Group insurance
 Medicare (A and B)
 Medicaid
• Sponsored by State and Federal governments
• For persons aged 65 years and older
 Prospective payment systems
• Diagnostic-related groups (DRGs)
• Resource-utilization groups (RUGs)
• Case mix groups (CMGs)
 Managed care

Meeting Standards
 Licensure
• Offered by the State, Must have a license to
operate or practice
 Certification
• Medicare and Medicaid
 Accreditation
• Quality and excellence
 Survey/Audit process
• Standards
• Policies
• Records

Apau

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