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Hospitals and Ambulatory Care H Edu 5100. History 1873 = 178 1909 = 4,300 1946 = 6,000 1970s = 7,200...
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Transcript of Hospitals and Ambulatory Care H Edu 5100. History 1873 = 178 1909 = 4,300 1946 = 6,000 1970s = 7,200...
Capital Financing
Hill-Burton Act (1946) Medicare and Medicaid Three factors…
Guaranteed revenuesTax exemptionCost reimbursement
Hospital borrowing
Operational Structure
Medical division Nursing division (clinical services) Other Clinical and diagnostic Administrative “Hotel” Services
Re-engineering
New models vs incremental change Hospitals = one component vs hub Service orientation
Sources of Revenue
Philanthropy Global budgets Charges (price) Cost reimbursement Per case (DRG) Capitation Managed care
Magnet Hospitals
Nursing leadership Standards for nurse administrators Protected feedback procedures Unfair labor practices Regulatory compliance Data collection
Hospital Outpatient Activities
Indigent clinics Outpatient services Outpatient departments Specialty clinics