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1. Primary care majority of patient healthcare needs, often the entry point into healthcare,
includes screening, prevention, diagnosis, and treatment for acute and
chronic health problems
2. Secondary care generally more specialized care and can include surgery, cardiology,
and other care provided by specialists
3. Tertiary care complex, highly specialized healthcare, often university hospitals, requires
sophis- ticated technology, multiple specialists and subspecialists, a
diagnostic support group and intensive care facilities. Examples include
trauma centers, burn centers, and neonatal care
4. Hospitals physical structures that house patients who are sick or injured. Person
may be admitted in one of two ways: emergency room and evaluated
by a team of clinicians- if patient is sick enough then admitted, and a
patient may also be directly admitted from a physician's oflce
5. Rehabilitative
fa- cilities or provide care for patients needing comprehensive rehabilitation and
acute medical man- agement often associated with stroke, joint replacement
rehabilita- tion or other serious injury. After surgery or acute illness, a patient may be
hospitals
too frail to return home and may need to spend time in a rehabilitation
center for specialized speech, physical, and occupational therapy
6. Skilled
nursing provide full medical care after a hospitalization. Also provide assistance with
facility
ac- tivities of daily living, such as meals, personal care, housekeeping,
and laundry, while the patient is recovering. Manage transition of acute
illness or injury to return home, Avg stay in a SNF is greater than 25 days.
7. Long-term Provide long-term care for patients needing residential nursing services
acute care for an extended period of time
hospital
specialized hospitals designed for patients who need intensive, hospital-
level care for weeks or months
8. Adult day care provides meals and activities during the day
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9. Independent
communities consisting of condominiums or apartments. Res- idents can usually
liv- ing
purchase added services such as meals or housekeeping
10. Assisted living separate apartments or private rooms in a common building where a
number of services, such as personal care, medication administration,
meals, and housekeep- ing are provided
11. Hospice care specialized healthcare designed to serve patients with a terminal illness.
Focuses on maximizing the quality of life and providing palliative care,
including pain control. Families are typically involved in the hospice care of
their loved ones, and services such as grief counseling and help with
managing patient's final attairs are often provided to them. Hospice care
can be provided in a variety of settings. Hospice programs can involve
both inpatient care as well as hospice care provided in ambulatory
environments, including the home
12. Ambulatory
surgery 60% US surgeries are outpatient. Equipped to handle surgery, pain
centers (ASC) management and certain diagnostic procedures that do not require
overnight hospitalization. May be part of a hospital, specialty hospital,
or own facility
13. ED department of the hospital responsible for the provision of medical and
surgical care to patients arriving at the hospital in need of immediate
care. ED personnel may respond to certain situations in hospital, such as
cardiac arrest. If the patient is discharged directly from the ED then the
episode is considered an outpatient event. In ED considered
observation patient
14. Outpatient 16. Diagnostic imag- ing facilities
spe- cialty
medicine
15. Diagnostic ser-
vices
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Such as sports medicine
and rehabilitation,
provided in outpatient
settings- hos- pital based
clinics, physician oflces,
non-hospital clinic
settings
clinical services such as
pathology and laboratory
medicine, radiology, and
nuclear medicine
Typically perform tests
such as x-rays, CT scans,
MRI, mammograms, and
position emission
tomography scans
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