Outpatient Services Chapter 7 Summary

This paper will explain the components of the Home Health Care delivery system of continuum. The reader will be able to understand some of the services provided by the home health care system and how they fit into the continuum of care. It will give details on how the entity does or does not contribute to the overall management of healthcare resources.

Services are provided through various health clinics, hospitals, schools, community centers, and public housing centers. In the United

primary and secondary health care facility providing an array of patient care services in the areas

The organization provides the usual array of inpatient services expected in a moderate-sized community hospital. A local nursing home

There are various settings where patients can be treated. Inpatients or individuals who have been formally admitted to a healthcare facility are given treatment in either acute care or long term facilities. There are various types of acute care facilities which offer services ranging from medical, ancillary to nursing.

In 1955, over 559,000 individuals resided in inpatient psychiatric hospitals. By 1995, however, the number had drastically diminished to 69,000, (National Health Policy Forum, 2000). This drastic reduction was largely due to the discovery of antipsychotic medications in the 1950s, and the deinstitutionalization movement of the 1960s, wherein several thousands of mentally ill individuals were released from psychiatric institutions to return to their communities for treatment. Mental health centers (MHCs) were conceptualized during deinstitutionalization to provide treatment to these newly-released mentally ill persons in their communities. Although efforts were well-intended, the MHCs failed to serve the

Department of Health has defined personalisation as “individual receiving support by statutory services or funded so, that they will allow individual to have choice and power over to shape the kind of support they require, or get the right help in health and social care settings. Community Care, (2008) Forexample, to have access in public transport, leisure, and housing you are disabled and showing respect and dignity of individual. Personalisation looks on the individual perception that their care needs are met, either it can be as a direct payment and personal budgets as; Community Care, (2008).

The 53 RWHAP Part A recipients reported the total number of service categories funded. The services funded by recipients are divided into two categories: core medical services and supporting services. On average, 22.2 service categories are funded by recipients, including both core medical and supporting services.

Section 404 of the Act (Charities Act 2006) requires annual reports to contain an internal control (IC) reports emphasising the responsibility of management for establishing and maintaining adequate IC over financial reporting. In addition, the annual reports should contain an assessment of the effectiveness of the IC over financial reporting. It is a requirement to aid external auditors to report on this assessment, having carried out independent testing of the control system. Appendix 4 (Table 4 and 4.1) summarises the existing charity reporting and accounting requirements set out by the CC. Appendix 7 in a Flowchart: Eligibility requirements for independent examination. The Tables consist of details of the charity size and the reporting requirements for the filing of its annual accounts and reports. If adhered to by the various charities in their respective group will help in improving reporting within the sector.

Resources for Human Development (RHD) is a national human services nonprofit founded in 1970. The company currently oversees and supports more than 160 programs in 14 states. The programs fall under the following categories: Intellectual Disabilities, Behavioral Health, Addiction Recovery, Homelessness, Women & Children, Family Health & Counseling, Youth Development, Returning Citizens, Economic Development, Employment & Training, Veterans, Nonprofit Incubator, and Outsider Art. Within the Behavioral Health program, there are two Assertive Community Treatment (ACT) teams. The ACT Program provides community-based services to individuals with severe and persistent mental illness. The mental illness may also be accompanied by a substance abuse disorder and/or a developmental disability. The program is an outpatient agency and each ACT team has about 100 clients.

Assisted Outpatient Treatment, AOT is court ordering a mentally illness person to legally attend and commit to outpatient treatment in order to remain within the community. Every state but five have agreed to AOT. The purpose behind AOT is to prevent and decrease relapse for patients who are mentally ill and are considered high risk based on their psychiatric history. We will explore the benefits and limitations of this form of treatment.

This procedure is to ensure that all training forms are accurately completed by the trainer for all phlebotomists for the inpatient and outpatient settings. Trainees are not allowed to collect a patient without a trainer being present at all times. Training of new employees will vary between two to four weeks depending on experience and adaptability.

Mackenzie, you did a great job at explaining and providing examples for how outpatient and inpatient services differ from one another. I find it intriguing that more procedures are now being done in outpatient services rather than inpatient because I have always heard of surgeries being performed in inpatient. However, upon looking at further research, I discovered that there are almost 54 million procedures done in outpatient and some of those procedures include rotator cuff repair and cataract surgery (Orenstein, 2015). I can see why more people would choose to have procedures, such as some surgeries, done in outpatient because some people may not be comfortable staying in a hospital for an extended period of time after a procedure.

The healthcare is supporting the goals of public through various strategies. Firstly, the healthcare is dedicated to provide care to patients whenever they need it and in many forms, not just face-to-face visits. This means that the healthcare is now responsive at all times, and it is providing healthcare over the internet, by telephone, and by other means in addition to in-person visits. The healthcare has also customized its services depending on the customer needs and values which have enabled it to meet the most common types of needs and at the same time having the capability to respond to individual patient choices and preferences. It has also made it easier for patients to receive necessary information and opportunity to exercise the degree of control they choose over healthcare decisions that affect them. This system has now been able to accommodate differences in patient preferences and encourage shared decision making. This information is also made available to patients’ families which enable them to make informed decisions when selecting a health plan, hospital, or clinical practice, or when choosing among alternative treatments.

Acute care is defined as the level of health care when a patient receives treatment for a short and severe illness. Usually the illness is due to trauma, disease, or after a surgical procedure. In all or most cases acute Care is provided at a hospital by different medical staff. According World Health Organization "the term acute care encompasses a range of clinical health-care functions, including emergency medicine, trauma care, pre-hospital emergency care, acute care surgery, critical care, urgent care and short-term inpatient stabilization," in other words as I mentioned acute health care is used to treat sudden and urgent illnesses and injuries. The staff responds to life threatening injuries first, such as myocardial infarctions, strangulated hernias, car accidents, acute appendicitis, seizures, strokes and more.  Acute care staff will first make sure to treat acute needs before giving treatment to others. Acute care responds to patients based on their medical condition, regardless what caused their condition. Acute health care is very important because it a plays a huge role in preventing disability and death in patients, especially the first 24 hours of the illness.