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Chapter 1
Health Care Delivery Systems

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History of Medicine
• History of medicine
• Prehistoric medicine
• Ancient medicine
• Medieval medicine
• Renaissance medicine

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History of Medicine and Evolution
of Health Care Delivery in the
U.S.
• Modern medicine
• Early hospitals
• Early quality of care initiatives
• Federal initiatives

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Continuum of Care
• Primary care
• Secondary care
• Tertiary care
• Quaternary care

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Health Care Facility Ownership
• Government (not-for-profit)
• Proprietary (for-profit)
• Voluntary (not-for-profit)

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Health Care Facility
Organizational Structure
• Governing board
• Administration
• Medical staff
• Hospital departments, services, and
committees
• Successful meetings

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Health Information Department
• Cancer registry
• Coding and abstracting
• Image processing
• Incomplete record processing
• Medical transcription
• Record circulation
• Release of information processing

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Licensure, Regulation,
and Accreditation
• Code of Federal Regulations (CFR)
• Federal Register
• Accreditation standards and surveys

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Accrediting Organizations
• Accreditation Association for Ambulatory
Health Care (AAAHC)
• American Osteopathic Association (AOA)
• Commission on Accreditation of
Rehabilitation Facilities (CARF)
• Community Health Accreditation Program
(CHAP)

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Accrediting Organizations
(Continued)
• Joint Commission - formerly known as
Joint Commission on Accreditation of
Health Care Organizations
• National Committee for Quality Assurance
(NCQA)
• National Commission on Correctional
Health Care (NCCHC)

11. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Joint Commission
• Deemed Status
• ORYX Initiative
• Shared Visions - New Pathways
• Periodic Performance Review
• National Patient Safety Goals

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Recent Legislation
• Deficit Reduction Act of 2005
• Patient Safety and Quality Improvement
Act of 2005
• Tax Relief and Health Care Act of 2006
• Genetic Information Nondiscrimination Act
• American Recovery and Reinvestment Act
• HITECH Act

13. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Review of Relevant Key Terms
• Continuum of care
• Licensure
• Regulation
• Accreditation
• Standards