The Culture of Healthcare: Healthcare Settings-The Places Where Care Is Delivered

The Culture of Healthcare
Healthcare SettingsThe Places

Where Care is Delivered
Lecture b
This material (Comp2_unit3b) was developed by Oregon Health and Science University, funded by the Department of Health
and Human Services, Office of the National Coordinator for Health Information Technology under Award Number
IU24OC000015.
Unit Title
Learning Objectives
1. Differentiate the range of care delivery organizations,
including primary care, specialty care, tertiary care,
inpatient and outpatient facilities, long-term care
hospitals, and long-term care facilities (Lecture a)
2. Analyze the organization of healthcare delivery from the
perspective of a continuum of care, such as
ambulatory services, in-patient care, long-term care,
and end-of-life care (Lecture a)
3. Evaluate the similarities and differences of community
hospitals, teaching hospitals, and community health
clinics (Lecture a)
2
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Healthcare SettingsThe Places Where Care is Delivered
Lecture b
Unit Title
Learning Objectives (continued)
4. Describe the various departments and services offered
by an outpatient clinic, community hospital, academic
medical center, and long-term care facility (Lecture b)
5. Explain the ways in which these departments interact
and the services relate (Lecture b)
6. Speculate on the data and information that are created
and used by people in these departments (Lecture b)
7. Describe ways in which medical and/or information
technology has improved interdepartmental
communication and how that has improved the patient
experience (Lecture b)
3
Lecture b
The Structure and Function of Health
Care Organizations
Departments and functions of health care
organizations
How these organizations interact
Types and use of data by the departments
Technologys impact on interdepartmental
communication and patient experiences

4
Lecture b
Healthcare Organization:
Organization Chart
3.2 Chart: Example of a healthcare organizational structure (Hickman 2012, CC BY-NC-SA 3.0).
5
Lecture b
Management
(Longecker et, 2007)
Chief Executive Officer
Chief Operating Officer
Chief Financial Officer
Chief Medical Officer
Chief Information Officer
Chief Medical Information Officer

6
Lecture b
Medical Staff
Usually has an elected Chief of Staff
Manages
Physician privileges
Medical polices
Governance of medical staff
Continuing medical education

7
Lecture b
Nursing
(University of Rochester Medical Center, 2011)

Chief Nursing Officer
Nursing Units
Ambulatory
Inpatient
Critical Care
Other
Education and Professional Development
Research
8
Lecture b
Clinical Support Services
Management Varies
Diagnostic
Radiology
Cardiology
Therapeutic
Physical Therapy
Pharmacy
Social Service

9
Lecture b
Ancillary Services
Management varies
Examples
Laboratory
Transportation
Food Services

10
Lecture b
Information
(United Hospital Fund, 2008;
Medicare Payment Advisory Committee, 2004)
Management varies
Examples
Admitting
Medical records
Information technology
11
Lecture b
Facilities Management
Senior Manager
Examples
Housekeeping
Maintenance
Security

12
Lecture b
Organizational Structure
by Institution
Core functions
Size
Type

13
Lecture b
Data Types
(Shortliffe EH, Barnett GO, 2006)
Narrative, textual
Numerical measurements
Recorded signals
Drawings
Photographs and images

14
Lecture b
Communication
Verbal
Paper
Film/Analog
Digital

15
Lecture b
Patient Experience
History
Testing
Information access

16
Lecture b
Healthcare SettingsThe Places Where
Care is Delivered
Summary Lecture b

Range and Continuum of Care
Unique types of health care organizations and
relationships between organization
Organizational structure and function
Relationship and communication between departments
Effect of technology on the patient experience
17
Lecture b
Healthcare SettingsThe Places Where
Care is DeliveredSummary

1. Differentiate range of care delivery organizations
2. Analyze the organization of healthcare delivery from the
perspective of a continuum of care
4. Evaluate similarities and differences of community
hospitals, teaching hospitals, community health clinics
5. Describe departments and services offered
6. Explain how departments and services interact
7. Discuss data and information
8. Describe impact of medical and/or information
technology

18
Lecture b
Healthcare SettingsThe Places
Where Healthcare is Delivered
References Lecture b
References
Longnecker DE, Patton M, Dickler RM. (2007). Roles and responsibilities of Chief Medical Officers in member
organizations of the Association of the American Medical Colleges. Academic Medicine, 82(3), 258-263. Retrieved
Jan 2012 from
http://journals.lww.com/academicmedicine/Fulltext/2007/03000/Roles_and_Responsibilities_of_Chief_Medical.9.as
px.
Medicare Payment Advisory Committee. (2004). Chapter 7: Information technology in health care. In Report to the
Congress: new approaches in Medicare. Retrieved Jan 2012 from:
http://www.medpac.gov/publications%5Ccongressional_reports%5CJune04_ch7.pdf.
Scribd. (2011). Organizational structure of a hospital. Retrieved Jan 2012 from
http://www.scribd.com/doc/20884108/Organizational-Structure-of-a-Hospital.
Shortliffe EH, Barnett GO. (2006) Biomedical data: their acquisition and use In: Shortliffe EH, Cimino JJ, eds.
Biomedical Computer Applications in Health Care and Biomedicine. 3rd ed. New York, NY: Springer; 2006: p403-
443.
United Hospital Fund. (2008). Family care giver guide. Hospital admission: how to plan and what to expect during
the stay. Retrieved Jan 2012 from http://www.nextstepincare.org/uploads/File/Hospital_Admissions.pdf.
University of Rochester Medical Center. (2011). Strong Memorial Hospital organizational chart. Retrieved Jan 2012
from http://www.urmc.rochester.edu/strong-nursing/about/documents/NursingOrgChart.pdf.

Images
3.2 Chart: Example of a healthcare organizational structure (Hickman 2012, CC BY-NC-SA 3.0).

19
Lecture b

The Culture of Healthcare: Healthcare Settings-The Places Where Care Is Delivered

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