©THEBRIGHT EXAM SOLUTIONS
11/8/2024 12:08 PM
HE210 Test 2 Questions And Answers 100%
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Discuss historical background of hospitals - answer✔The most intensive care is provided in hospitals
and, although less than 10% of the population will experience an overnight stay in a hospital, they
accounted for the largest portion of U.S. health care spending (32%) in 2013 (National Center for Health
Statistics [NCHS], 2015, Table 103). In this section, we provide an overview of the conditions typical of
hospitalized patients, a brief historical background on this important health care sector, and then
describe its current structure.
The mold from which today's health care system was cast took its shape around 1850. There were still
relatively few general hospitals or health care facilities of any type in either Great Britain (our most
important medical organizational forebear) or the fledgling United States, but the institutional
organization of health care was already firmly established. The physical separation, for the most part, as
well as separate provision for administration and staffing of the curative services for acute, chronic, and
psychiatric illnesses became firmly established in the 19th century. That very strong precedent
continues to control the physical and administrative design of the health care delivery system even
when all three components have a common source of support, as they do now in Britain.
Goldsteen, Raymond L., et al. Jonas' Introduction to the U.S. Health Care System, 8th Edition, Springer
Publishing Company, 2016. ProQuest Ebook Central, http://ebookcentral.proquest.com/lib/stclaircc-
ebooks/detail.action?docID=4558160.Created from stclaircc-ebooks on 2021-02-12 09:47:38.
Compare classification of hospitals. - answer✔The AHA classifies hospitals as one of four types based on
the primary function of its diagnostic and therapeutic services:
· General: for patients presenting with a variety of medical conditions
· Special: for patients who have specified medical conditions
· Rehabilitation and chronic disease: for handicapped or disabled individuals requiring restorative and
adjustive services
· Psychiatric: for patients who have psychiatric-related illnesses
In 2011, there were 4,973 community hospitals out of the 5,724 hospitals of all types.
, ©THEBRIGHT EXAM SOLUTIONS
11/8/2024 12:08 PM
teaching hospital to refer to hospitals providing undergraduate or graduate education for medical
students and medical house staff (interns, residents, and specialty fellows). The term was not applied to
hospitals with teaching programs for other health care providers.
Public General Hospitals . The public general hospital was defined by the Commission on Public General
Hospitals of the AHA (Commission on Public General Hospitals of the AHA, 1978, p. v) as "short-term
general and certain special hospitals excluding federal (those operated by the Department of Defense
and the Department of Veterans Affairs), psychiatric, and tuberculosis hospitals that are owned by state
and local governments." Public general hospitals provide care for many persons unable to be treated
elsewhere: the poor, the uninsured, the homeless, alcoholics and other substance abusers, the
disruptive psychiatric patients, and prisoners.
Goldsteen, Raymond L., et al. Jonas' Introduction to the U.S. Health Care System, 8th Edition, Springer
Publishing Company, 2016. ProQuest Ebook Central, http://ebookcentral.proquest.com/lib/stclaircc-
ebooks/detail.action?docID=4558160.Created from stclaircc-ebooks on 2021-02-12 09:55:20.
Identify common structures of hospitals - answer✔Each hospital's structure will follow based on the
scale and different lines of business. A small, acute care hospital with half a dozen nursing units will
necessarily have a different structure than a large, multistate integrated delivery system. Most
commonly, hospital departments will fall into a few divisions:
■ ■ Administration: including common corporate functions, such as finance and human resources
■ ■ Nursing: clinical departments such as inpatient nursing units
■ ■ Ancillary services: other clinical departments, such as cardiology and radiology, which may serve a
mix of inpatients and outpatients
■ ■ Support services: facility services such as plant maintenance, housekeeping, and food service
■ ■ Outpatient services: typically ambulatory clinics and other outpatient-only departments.
By Joint Commission standards, there should be three leadership groups: a governing body (typically a
"board of directors"), a chief executive and other senior managers (often referred to as the "C-suite"),
and the leaders of the medical staff. The medical staff should be both accountable to the governing
body as well as self-organizing.
Beyond that, Joint Commission standards require a chief nursing officer to whom all nurses have at least
a dotted-line reporting relationship. Practically speaking, the organization must have a designated chief
financial officer and supporting finance function.
Goldsteen, Raymond L., et al. Jonas' Introduction to the U.S. Health Care System, 8th Edition, Springer
Publishing Company, 2016. ProQuest Ebook Central, http://ebookcentral.proquest.com/lib/stclaircc-
ebooks/detail.action?docID=4558160.Created from stclaircc-ebooks on 2021-02-12 10:32:29.
Discuss who impacts direction, control and governance of hospitals: Modules - answer✔Hospitals have
three main entities that influence their direction, control, and governance:
