Trends in Healthcare

1. Trends in Healthcare Unit One Diversified Health Occupations Page 14-25

2. Objective • Identify at least five current trends or changes in health care

3. Introduction • Most of you have probably heard about AIDS. What do you know about this disease? What rumors have you heard? • How has this disease changed and how has it affected health care?

4. Introduction Continued • Many events lead to changes in health care • Changes occur almost every day • Health care workers must be aware of these changes/trends

5. Cost ContainmentDefinition: trying to control the rising cost of healthcare and achieving the maximum benefit for every dollar spent

6. Methods Used to Contain Costs

7. Diagnostic Related Groups (DRGs) • Attempt by Congress to control costs for Medicare and Medicaid • Payment based on diagnosis • Certain amount paid for each disease condition • Agencies providing care for less can keep extra money • Agencies accept loss if care costs more than payment allowed

8. Combination of Services • Agencies combine services to avoid duplication • Share clinics, labs, etc…. • HMOs and PPOs are examples of sharing services • Care can be provided to a larger number of people at a decrease in cost per person

9. Outpatient Services • Patients receive care without being admitted to hospital or other care facilities • Hospital care is expensive • Reducing the length of hospital stays or decreased need for hospital admissions lowers the cost of healthcare • Examples: surgery, XRAY, Diagnostic Tests

10. Mass or Bulk Purchasing • Buying equipment and supplies in larger quantities at reduced prices • Combine purchases of different departments • Large corporations placing large orders of supplies can be bought at lower costs

11. Early Intervention and Prevention • Providing care before acute or chronic disease occurs • Preventing diseases is more cost effective than treating • Methods of Prevention include education, immunizations, yearly exams, and incentives for people who participate in certain programs

12. Energy Conservation • Monitor use of energy to control costs and conserve resources • Major expenses: electricity, water, gas, etc… • Methods: energy efficient facilities, heating/cooling systems, insulation, repairing water leaks, energy saving light bulbs, etc..

13. Check Your Understanding… • What is an outpatient service? What are two examples? • Why should we prevent illnesses, versus treat them? • What are three methods of energy conservation?

14. Home Health Care • Rapidly growing health care career • DRGs result in shorter hospital stays and therefore patients need to be cared for at home What would be an advantage of home health care? • Cost containment because its less expensive • All aspects involved: nursing, physical therapy, respiratory and occupational therapy, social services, nutrition, etc…

15. Geriatric Care • Care for the elderly • Rapidly growing because baby boom generation and longer life spans • Will lead to growth of adult day cares, retirement communities, assisted living, and LTC facilities

16. Telemedicine • Uses video, audio, and computer systems to provide medical/health care services • New technology allows interactive services between health care providers • EMTs at the scene of an accident can transmit medical data to the ER physician who can plan ahead • Surgeons using a computer robot can guide a remote controlled arm to performs surgery many miles away

17. Wellness • State of being in optimum health with balances relationship between physical, mental and social health • People aware of need to maintain health and prevent disease • Recognize importance of activities such as exercise, good nutrition, weight control, etc…

18. Check For Understanding • What is home health care? Identify three types of services are involved? • What is geriatric care? Discuss the reason for needing more adult day cares, retirement communities, and assisted living communities ? • What is telemedicine? Describe a scenario of it’s use

19. Alternative and Complementary Methods of Health Care • Most common health care system in the US is the biomedical or “Western” system • Based on evaluating the physical signs and symptoms of a patient, determining the cause of disease and treating the cause • Alternative Therapy: • Methods of treatment used in place of biomedical therapies • Complementary Therapy: • Methods of treatment used in conjunction with conventional medical therapies

21. Check For Understanding . . . • Differentiate between Complementary and Alternative Care Therapies. • Identify TWO types of CAM therapies. Briefly describe these.

22. National Health Care Plan • High cost of care and large number of uninsured have created demand for national plan • Many have been proposed • Goal is to ensure that all Americans can get health coverage • Related problems include the cost of creating system

23. Pandemic • Exists when outbreak of disease occurs over widespread geographic area and affects high proportion of the population • Major concern today is that worldwide pandemics become more frequent • Possible concern of Influenza Pandemic in the future • Governments are creating pandemic influenza plans to protect the people

24. Check for Understanding • Explain how having a national health care plan might affect a pandemic? • Which pandemic is a possible concern for the future? Why?

25. Let’s Apply What You’ve Learned • Will new trends have an effect on your role as a health care worker? Why or Why Not? • If salaries were increased for health care professionals, what changes or trends might occur?

26. Guided Practice… • Lets Look at the workbook page provided…. We will do the first question together • Then, try the second question on your own at first. Then we will discuss it