Chapter 3

Health Care Settings

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Acute Care Facilities

• Single hospitals• Multi-hospital systems• Ancillary services

– Diagnostic– Therapeutic

• Acute care/short-term care• Long-term care

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Hospital Bed Count or Bed Size

Total number of inpatient beds for which the

facility is licensed by the state

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Hospital Categories

• Critical access hospitals (CAH)• General hospitals• Specialty hospitals• Rehabilitation hospitals• Behavioral health care hospitals

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Hospitalists

Physicians who spend most of their time in a

hospital setting admitting patients to inpatient

services from local primary care providers

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Hospital Patients

• Ambulatory patients (outpatients)• Ambulatory surgery patients (day surgery)• Emergency care patients• Inpatients• Newborn patients• Observation patients• Subacute care patients

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Ambulatory & Outpatient Care

• Ambulatory surgical center (freestanding)• Hospital-based outpatient department• Hospital-based emergency department• Hospital-based ambulatory surgery program• Hospital-based partial hospitalization

program• Public health department• Satellite clinic

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Ambulatory & Outpatient Care (Continued)

• Urgent care center• Hospital-based physician practice• Hospital-owned satellite clinic• Industrial health clinic• Neighborhood health clinic• Physician office

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Alternate Care Facilities

• Behavioral health care facility• Home care and hospice• Long-term care facility

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Behavioral Health Care Settings

• Chemical dependency program• Crisis service• Day treatment program• Developmentally disabled/mentally

retarded facilities• Emergency care facilities• Family support services• Home health care

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Behavioral Health Care Settings (Continued)

• Hospital treatment• Intensive case management• Outpatient clinic• Partial hospitalization program• Residential treatment facility• Respite care• Therapeutic group home

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• Primary goal is to provide palliative care ratherthan curative care

• Most hospice care is provided in a patient’s home

Hospice Care

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Long-Term Care

• Includes a range of nursing, social, and rehabilitative

services for people who need on-going assistance

• Types include – Adult day care– Assisted living facilities– Continuing care retirement communities– Intermediate care facilities– Long-term hospitals– Residential care facilities– Skilled nursing facilities

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Federal, State, & Local Health Care

• Correctional facilities• Military Health System (MHS)• Veterans Health Administration (VHA)• U.S. Public Health Service (PHS)

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Regions of Military Health System

(Permission to reuse in accordance with www.tricare.mil Web site policy.)