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EDITION
◉"ambul" means. Answer: walking
◉Three interrelated trends regarding inpatient care and ambulatory care:
Answer: Because inpatient care is so expensive, payers won't pay for an
overnight stay if it isn't medically necessary
Hospital based outpatient care is more expensive than non-hospital
based outpatient care
Busy people demand convenient care
◉Hospitals must maintain all the expensive services and technology in
order to: Answer: Be properly accredited and licensed, as well as attract
various insurers, patients, and good physicians
, ◉What does this high overhead do resulting in competition? Answer: It
puts them at a competitive cost disadvantage relative to free-standing,
single focus ambulatory facilities, including even surgical centers or
imaging centers
◉7 Types of Ambulatory Care Settings: Answer: 1) Hospital emergency
departments (EDs)
2) Hospital-based outpatient departments (OPDs)
3) Outpatient offices; physician private practices
4) Urgent Care Centers
5) Retail clinics
6) Concierge medicine
7) Complimentary and Alternative Medicine
◉What is EMTALA (1986), and what does it require? Answer:
Emergency Medical Treatment and Labor Act. It requires hospitals and
ambulances to provide care to anyone needing it regardless of ability to
pay, citizenship, and legal status. A functional safety net.
◉What was one issue with the act in terms of financing? Answer: It
provided no money to accomplish this; classic "unfunded mandate"
◉What did the act try to counteract? Answer: "dumping" of uninsured
or unprofitable patients