Home Health Care Case Study
1. Describe how some of the changes in the health services delivery system have led to a decline in hospital inpatient days and a growth in ambulatory services.
• Two of the main factors that have led to decrease in hospital inpatient days and a growth in ambulatory services are Medicare reimbursement and cost-saving efforts of managed care. Medicare instituted PPS for reimbursing hospitals in the mid 1980s. PPS repayment based on DRGs gives fixed case-based payment to hospitals. Therefore, hospitals have a strong reason to decrease the inpatient length of stay and continue in an outpatient setting. Outpatient area has fewer payment restrictions. Managed care adopted a cost-containment strategy, which also stresses lower inpatient utilization, …show more content…
Hence, in addition to providing basic services, primary care professionals serve the role of patient advisor, advocate. Another main characteristic is essential care. Primary health care is regarded as essential health care. As such, the goal of the health delivery system is to optimize population health, not just the health of individuals who have the means to access health services. Achievement of this goal requires that disparities across population subgroups be minimized to ensure equal …show more content…
What is the basic philosophy of home health care? Describe the services provided through home health care.
• Home health is consistent with the philosophy of maintaining people in the least restrictive environment possible. Home health services typically include nursing care, such as changing dressings, monitoring medications, and providing help with bathing; short-term rehabilitation, such as physical therapy, occupational therapy, and speech therapy. Other services include homemaker services, such as meal preparation, shopping, transportation, and some specific household chores.
17. Explain the concept of hospice care and the types of services a hospice provides.
• The term hospice refers to a cluster of comprehensive services for the terminally ill with a medically determined life expectancy of 6 months or less. Hospice care provides: meeting the patient’s physical needs, with an emphasis on pain management and comfort, emotional and spiritual needs, support for the family members before and after the patient’s death and focuses on maintaining the quality of life rather than prolonging life.
21. Why do both Republican and Democrat presidents support the community health center
• Two of the main factors that have led to decrease in hospital inpatient days and a growth in ambulatory services are Medicare reimbursement and cost-saving efforts of managed care. Medicare instituted PPS for reimbursing hospitals in the mid 1980s. PPS repayment based on DRGs gives fixed case-based payment to hospitals. Therefore, hospitals have a strong reason to decrease the inpatient length of stay and continue in an outpatient setting. Outpatient area has fewer payment restrictions. Managed care adopted a cost-containment strategy, which also stresses lower inpatient utilization, …show more content…
Hence, in addition to providing basic services, primary care professionals serve the role of patient advisor, advocate. Another main characteristic is essential care. Primary health care is regarded as essential health care. As such, the goal of the health delivery system is to optimize population health, not just the health of individuals who have the means to access health services. Achievement of this goal requires that disparities across population subgroups be minimized to ensure equal …show more content…
What is the basic philosophy of home health care? Describe the services provided through home health care.
• Home health is consistent with the philosophy of maintaining people in the least restrictive environment possible. Home health services typically include nursing care, such as changing dressings, monitoring medications, and providing help with bathing; short-term rehabilitation, such as physical therapy, occupational therapy, and speech therapy. Other services include homemaker services, such as meal preparation, shopping, transportation, and some specific household chores.
17. Explain the concept of hospice care and the types of services a hospice provides.
• The term hospice refers to a cluster of comprehensive services for the terminally ill with a medically determined life expectancy of 6 months or less. Hospice care provides: meeting the patient’s physical needs, with an emphasis on pain management and comfort, emotional and spiritual needs, support for the family members before and after the patient’s death and focuses on maintaining the quality of life rather than prolonging life.
21. Why do both Republican and Democrat presidents support the community health center