What is Community Based Care? - ✔️ types of person-centered care
delivered in the home and community. A variety of health and human
services can be provided. HCBS programs address the needs of people with
functional limitations who need assistance with everyday activities, like
getting dressed or bathing.
What are the Settings of Healthcare? - ✔️ Community-Based Care,
Hospitals (inpatient acute care),
Postacute Care
What are the Most Frequent Setting of Ambulatory Care? - ✔️ Physician
offices 883.7 Million Visits
Emergency department 145.6 Million Visits
Hospital outpatient clinics 125.7 Million Visits
What are other small volume Community Based Care? - ✔️ Public Health
Clinics ( state & local)
FGQH (neighborhood and community health centers)
Work clinics
School clinics
How CBC is emerging and expanding with ambulatory hc settings, Where
else do you see CBC? - ✔️ Telehealth
Dr home visits
Retail pharmacy
Diagnostic imaging and lab centers
Ambulatory Surgery Center
Urgent care centers
Most common visits to the dr - ✔️ Annual exams
Prenatal
Well baby
Medication
Hypertension
Knees pain
Postoperative visit
,Cough
Preoperative visit
What type of PC physician/practitioner are mainly seen?(% of OV) - ✔️
General/Family Practice 40%
Peds 26%
Internal Med 19%
OBGYN 15%
47% of all OV were with Prim Care
Forms of Payment (% of OV by #) - ✔️ Private insurance 35%
Medicare 22%
Medicaid 18%
Self pay 12%
CHIP/local program 12%
Majority of OVs are take place in the _____ hemisphere - ✔️ Northeast
Majority of office visits patients are - ✔️ People over 65 and female
Hospital ED (emergency dept) are apart of a - ✔️ Nonprofit
Hospital system
In 2016, how many ED were there - ✔️ 145.6 million
Most ED patients- ED pt stats - ✔️ Are insured
Payment is mainly private ins, Medicaid, Medicare (85% of ED visits)
Only 8.4% of ED patients don't have insurance
Hospital ED Statictics - ✔️ ED visit in not for profit hospital (70.9%)
ED visit is not in teachings hospitals (85.3%)
EDs without a trauma center (54.8%)
ED that don't lead to hospitalization (91.3%)
Levels of Urgency - ✔️ Level 1: resuscitation
Level 2: emergent (SOB, hypertension, Chest pain, asthma)
Level 3: urgent (abdominal pain, fever cough)
, Level 4: semi urgent (laceration, pain)
Level 5: non urgent
Most ED Visits are - ✔️ Level 3 (32.4%) or Level 4 (24.5%)
< 1% are Level 1
8% are Level 2 visits
30% unknown
What portion of the population experience an overnight stay in any given
year? - ✔️ less than 10%
The largest portion of money spent in health care is - ✔️ For hospitals,
1/3 of the portions
AHA (American hospital association)classifies hospitals in four types based
on the primary function of its diagnostic and therapeutic services - ✔️
General - For patients presenting with a variety of medical conditions.
Special - for patients who have specified medical conditions.
Rehabilitation and chronic disease- For handicapped or disabled
individuals requiring restorative or adjustive services.
Psychiatrics
Hospital are also categorized by - ✔️ Ownership and control
Number of beds
Average length of patient stay (short/long term)
Annual admissions
Average daily census
Three Major Categories of Ownership and Control - ✔️ Government
(19% of hospitals)
Nongovernment, nonprofit (47.8% of all hospital)
Nongovernment, for profit-investor owned (21.3% of all hospitals
11% other