Introduction to Health Care and Public Health in

Transcript:Introduction to Health Care and Public Health in:
Introduction to Health Care and Public Health in the U.S. Delivering Health Care, Part 1 Lecture b This material (Comp 1 Unit 2) was developed by Oregon Health & Science University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number 90WT0001. This work is licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-sa/4.0/. Delivering Health Care, Part 1 Learning Objectives Describe the organization of health care at the federal, state and local levels (Lecture a) Describe the organization of the VA system and Military Health System (Lecture b) Describe the structure and function of hospital clinical and administrative units (Lecture c) Describe different types of long term care facilities, with an emphasis on their function (Lecture d) 2 Department of Veterans Affairs (VA) Overview Department of the federal government Established in 1930 Provides medical care, benefits, social support, memorials Serves veterans and their families For all branches of military service 3 VA Structure 1.2 Chart: (va.gov, ND) 4 VA Strategic Goals Empower veterans to improve their well-being Enhance and develop trusted partnerships Burial and memorial benefits Public health, emergency readiness, and socioeconomic well-being Manage and improve VA operations to deliver seamless and integrated support 5 VA Services and Benefits 1.3 Chart: (va.gov, ND) 6 VA Capacity 151 Medical Centers 820 Community-based Outpatient Clinics 135 Community Living Centers 103 Domiciliary (Residential) Care Programs 300 Vet Centers Home health care 7 VA Hospitals Single hospitals Health care systems Groups of medical centers, clinics Share resources; improve efficiency Examples VA Pittsburgh Healthcare System VA Puget Sound Healthcare System 8 VA Community-Based Outpatient Clinics Freestanding clinics Routine care Every state and territory Accessible and convenient 9 VA Community Living Centers Similar to nursing homes Skilled nursing facilities Veterans with special concerns Chronic health conditions Need for rehabilitation End-of-life care 10 VA Domiciliary Care Program Oldest element in VA health care system Called “soldiers’ homes” in late 1860s Residential treatment for veterans with: Severe medical conditions Mental illness, substance abuse, psychosocial problems Operates with the VA’s Mental Health Residential Rehabilitation and Treatment Programs Foster healthy behaviors, improve quality of life, integration into society 11 VA Vet Centers Counseling for combat veterans and their families Every state and territory Services include help with: Readjustment to civilian life Medical problems Military sexual trauma Substance abuse Bereavement