Trends in Health Care

1
Trends in Health Care

• Health Team Relations
• History and Trends of Health Care Unit
• Objective 4
• Explore current trends in health care.

2
Cost Containment

• Reasons for high health care cost
• a. Technological advances
• b. Aging population
• c. Health-related lawsuits

3
Cost Containment

• Methods of cost containment
• a. Diagnostic related groups
• (DRG)
• b. Combination of services
• c. Outpatient services
• d. Mass or bulk purchasing
• e. Early intervention and
• preventative services

4
Can you think of another way to reduce health
care cost that was not addressed in the previous
list?

• Another way to contain rising cost of
• Health care is to put a cap on malpractice
• lawsuit awards.

5
How do the DRG rules benefit patients
financially?

• If a patient has insurance that pays by
• the DRG rules the patient does not
• have to pay for any of the bill that the
• health care provider charged over the
• DRG limit.

6

• Additional information about
• Cost Containment in Health
• Care can be found in the
• Health Science Fundamentals
• text book on Pages 35-36.

7
A trend that has been practiced for
hundreds of years will be discussed next.

• Because it has always proved to be a more cost
  effective way to deliver health care it
  experienced a dramatic increase (400) when DRGS
  were introduced in the 1980s.
• Do you know what the trend is?

8
Home Health CareCurrent Trend

• Definition
• Care that is provided in the home
• for patients who need health service but
• not hospitalization.
• Health Science Fundamentals text book on Page 29
  

9
What kind of care can be provided by home health
care professionals?

• Nursing
• Physical Therapy Respiratory Therapy,
  Occupational Therapy, etc.
• Dieticians
• Personal care assistance (bathing, dressing,
  etc.)
• Homemaking (housecleaning, food shopping, and
  cooking)

10
Is home health care new? Is it here to stay?

• Home health care began in the United States in
  the1880s.
• Today, it is estimated that well over 7.6 million
  people currently receive care from home health
  care providers.

• Data from

Home Health Care An Essential Solution
to Americas Health Care Challenges
11
Reasons for the Growth in Home Health Care

• Medical advances allow better management of
  chronic and incurable diseases, including
  pathologies related to HIV and AIDS.
• Medicare's diagnosis-related groups promote
  earlier discharge of hospitalized patients,
  reducing the length of hospital stays.
• Patients (or caregivers) often desire to avoid
  prolonged expensive care at the end of life.
• Patients choose to receive care in the home.

12
Geriatric Care Current Trend

• As the population of the
• U.S. continues to
• age the need for more
• specialized care of
• the aging has become
• apparent.
• Geriatric Care is care
• delivered to elderly
• people.

13
Types of Geriatric Care Facilities

• Nursing Homes
• Extended Care Facilities
• Independent Living Facilities
• Assisted Living Facilities
• Adult Day Care Centers
• Health Science Fundamentals text book on Pages
  27-28

14
OBRAOminbus Budget Reconcilliation Act

• OBRA is an act that was passed in 1987 to
  implement certain basic
• rights and guidelines for nursing home care
  facilities. Its intent was to
• ensure that the residents of the nursing home
  received the best care
• possible.
• An example of one the OBRA regulations is
• All nursing home management is required to check
  and
• make sure every person applying for a nursing
  assistant
• job has a current certificate to practice as a
  nurse assistant
• Go Health Science Fundamentals text book on Page
  132 for remainder of OBRA
• regulations.

15
TelemedicineCurrent Trend

• Includes consultative, diagnostic and treatment
  services.
• An example of treatment services
• A doctor being able to perform surgery
• on a patient that is hundreds of miles
• away.

Health Science Fundamentals text book on Page 11
16
Wellness Current Trend

• Why is wellness a current trend?
• What are the different types of wellness?
• Physical Wellness
• Emotional Wellness
• Social Wellness
• Mental and Intellectual Wellness
• Spiritual Wellness
• Holistic Health
• Health Science Fundamentals text book on Pages
  164-168

17
Alternative and Complementary Methods of Health
Care Current Trend

• What are these methods all about?
• Ayurvedic Practitioners
• Chinese medicine practitioners
• Chiropractors
• Homeopaths
• Hypnotists
• Naturopaths
• Health Science Fundamentals text book on Pages
  168 - 173