Kelly Miller, MA, RHIA
Learning Objectives
Differentiate the roles of various healthcare providers throughout the healthcare delivery system
Determine the basic organization and operation of various types of hospitals and other healthcare organizations and services
Examine the use and functions of telehealth services in healthcare
Examine the influence of artificial intelligence in the delivery of healthcare
Identify the various policy making influences in the delivery of healthcare
Examine healthcare delivery in the United States
Key Terms
Accountable care organizations (ACOs)
Allied health professional
Ambulatory care
American Recovery and Reinvestment Act (ARRA)
Artificial intelligence (AI)
Average length of stay (ALOS)
Big data
Case management
Centers for Disease Control and Prevention (CDC)
Chief executive officer (CEO)
Chief financial officer (CFO)
Chief information officer (CIO)
Chief nursing officer (CNO)
Chief operating officer (COO)
Clinical privileges
Continuum of care
Critical access hospital (CAH)
Extended care facility
Health Information Technology for Economic and Clinical Health (HITECH) Act
Home healthcare
Hospice
Hospital
Hospitalist
Integrated delivery network (IDN)
Integrated delivery system (IDS)
Full Answer Section
Roles of Various Healthcare Providers
The healthcare delivery system is complex and involves a wide range of healthcare providers. Some of the most common healthcare providers include:
- Physicians: Physicians are medical doctors who have completed medical school and residency training. They are responsible for diagnosing and treating diseases and injuries.
- Nurses: Nurses provide direct care to patients. They work under the supervision of physicians and are responsible for administering medications, monitoring patients' vital signs, and providing education and support.
- Allied health professionals: Allied health professionals include a variety of healthcare workers who provide specialized care to patients. Some examples of allied health professionals include physical therapists, occupational therapists, respiratory therapists, and speech-language pathologists.
Types of Hospitals and Other Healthcare Organizations
Hospitals are the largest and most complex type of healthcare organization. They provide a wide range of services, including inpatient care, outpatient care, and emergency care. Hospitals are typically classified by size and type of ownership.
Other types of healthcare organizations include:
- Ambulatory care centers: Ambulatory care centers provide outpatient care to patients. They may offer a variety of services, such as primary care, specialty care, and diagnostic services.
- Long-term care facilities: Long-term care facilities provide care to people who need assistance with activities of daily living. Examples of long-term care facilities include nursing homes and assisted living facilities.
- Mental health facilities: Mental health facilities provide care to people with mental health conditions. They may offer a variety of services, such as inpatient care, outpatient care, and crisis intervention services.
Telehealth Services
Telehealth services use technology to provide healthcare services to patients remotely. Telehealth services can be used to provide a variety of care, such as primary care, specialty care, and mental health care. Telehealth services can be convenient and affordable for patients, and they can also help to reduce the need for travel and in-person visits.
Artificial Intelligence in Healthcare
Artificial intelligence (AI) is being used in a variety of ways to improve healthcare delivery. For example, AI is being used to:
- Develop new diagnostic tools and treatments
- Improve patient safety
- Reduce costs
- Improve the quality of care
Policy Making Influences in Healthcare
The healthcare delivery system is influenced by a variety of policy making bodies, including:
- The federal government: The federal government has a significant role in healthcare policy making. For example, the federal government sets standards for Medicare and Medicaid, which are the two largest health insurance programs in the United States.
- State governments: State governments also play a role in healthcare policy making. For example, state governments set regulations for hospitals and other healthcare organizations.
- Private health insurers: Private health insurers also have an influence on healthcare policy making. For example, private health insurers negotiate rates with hospitals and other healthcare providers.
Healthcare Delivery in the United States
The healthcare delivery system in the United States is complex and fragmented. There is no single system of universal healthcare coverage, and there are a variety of different healthcare providers and organizations. The United States also spends more on healthcare than any other developed country.
Despite its challenges, the healthcare system in the United States provides high-quality care to many patients. However, there are still millions of Americans who do not have access to affordable health insurance,