Hospitals: What They Are And How They Work

by Griffin, Don

• ISBN13: 9780763727581
• ISBN10: 076372758X
• Edition: 3rd
• Format: Paperback
• Copyright: 2006-01-12
• Publisher: Jones & Bartlett

Summary

This essential title addresses each department in a hospital and its function, from the governing body and marketing to the emergency department. This new edition contains brand new chapters that cov

Table of Contents

Acknowledgments	xiii
About the Author	xv
Introduction to the Third Edition	xvii
PART I EARLY HOSPITALS	1	(18)
Chapter 1 A Brief History	3	(6)
The Very Early Days	3	(1)
Early American Hospitals-From Founding of the New World through World War II (1500-1945)	4	(2)
The Modern Era-Post-World War II to the Present (1945-2006)	6	(1)
Government Involvement	6	(1)
Summary	7	(1)
Chapter Review	7	(2)
Chapter 2 Hospitals and Important Health Care Trends	9	(10)
Types of Hospitals	9	(1)
Important Health Care Trends	9	(3)
Hospital Expenses and Revenues	12	(4)
Summary	16	(1)
Chapter Review	17	(2)
PART II MANAGING THE HOSPITAL	19	(24)
Chapter 3 Organization	21	(8)
Introduction-Common Organizational Management Principles	21	(1)
How Hospitals Are Organized	22	(1)
Line and Staff Functions	23	(1)
The Organization Chart	24	(2)
A Team of Three-A Very Important Concept	26	(1)
Power	26	(1)
Corporate Restructuring in the Hospital	26	(1)
Multihospital Systems	27	(1)
Alliances	27	(1)
Chapter Review	27	(2)
Chapter 4 The Governing Body	29	(8)
Introduction	29	(1)
A Profile of the Governing Body	30	(1)
Functions of the Board of Trustees	31	(2)
Selection and Evaluation of the Chief Executive Officer	33	(1)
Relationship with the Medical Staff	33	(1)
How Does the Board Operate?	34	(1)
Chapter Review	35	(2)
Chapter 5 The Chief Executive Officer	37	(6)
Introduction	37	(1)
Functions of the Administrator	38	(1)
Inside Activities of the CEO	39	(1)
Outside Activities of the CEO	40	(1)
Assistant Administrator or Vice President	41	(1)
The Future for Chief Executive Officers	42	(1)
Chapter Review	42	(1)
PART III DOORWAYS TO THE HOSPITAL	43	(22)
Chapter 6 Outpatient Areas	45	(6)
Introduction	45	(1)
Ambulatory Surgery	46	(1)
Clinics	46	(1)
Ancillary Outpatient Services	47	(1)
Group Practice	47	(1)
Medical Office Buildings (MOBs)	48	(1)
Standards of Accreditation	48	(1)
Major Growth Areas in the Future	49	(1)
Chapter Review	49	(2)
Chapter 7 The Emergency Department	51	(8)
Introduction	51	(1)
Emergency Department Utilization	52	(1)
Categorization of Emergency Facilities	52	(1)
Physical Facilities	53	(1)
Organization	54	(1)
Admissions	54	(1)
Physician Coverage of the Emergency Department	55	(1)
Records	56	(1)
Financial Implications	57	(1)
Legal Implications	58	(1)
Chapter Review	58	(1)
Chapter 8 The Admitting Department	59	(6)
Introduction	59	(1)
The Department's Role in Public Relations	59	(1)
Functions of the Admitting Department	60	(1)
Types of Admissions	61	(1)
Preadmission	61	(1)
Consent Forms	62	(1)
Bed Assignments	63	(1)
Chapter Review	63	(2)
PART IV THE MEDICAL TEAM	65	(28)
Chapter 9 The Medical Staff	67	(10)
Introduction	67	(1)
Becoming a Physician	68	(1)
Continuing Medical Education	69	(1)
Organized Medicine	70	(1)
Medical Staff Organization	70	(1)
Closed and Open Medical Staffs	71	(2)
Medical Staff Committees	73	(1)
The Medical Director	74	(1)
The Hospitalist	74	(1)
Allied Health Personnel	74	(1)
Legal Restrictions on Physicians	75	(1)
Chapter Review	75	(2)
Chapter 10 Nursing Services	77	(16)
Introduction	77	(1)
Early Traditions	77	(1)
Nursing Education	78	(2)
Department Organization	80	(1)
The Patient Care Unit	81	(2)
Special Care Units	83	(3)
Modes of Nursing Care Delivery	86	(2)
Terms and Standards	88	(1)
Staffing	88	(1)
Scheduling	89	(2)
Telemonitoring and Bedside Terminals	91	(1)
Nurse Staffing Issues	91	(1)
Chapter Review	92	(1)
PART V TESTS AND RESULTS	93	(26)
Chapter 11 Key Ancillary Services	95	(14)
Introduction	95	(1)
The Clinical Laboratory Department	96	(4)
The Imaging Department	100	(5)
Freestanding Imaging Centers	105	(1)
The Anesthesiology Department	105	(3)
Chapter Review	108	(1)
Chapter 12 Other Ancillary Services	109	(10)
Introduction	109	(1)
Respiratory Care Department	109	(1)
Electroencephalography	110	(1)
The Cardiac Center	111	(1)
Rehabilitative Medicine-Physical Therapy, Occupational Therapy, and Speech Therapy	112	(1)
The Pharmacy	113	(4)
Chapter Review	117	(2)
PART VI BEHIND THE SCENES THE SUPPORT SERVICES	119	(38)
In General, What Are Support Services?	119	(2)
Chapter 13 Patient Support Services	121	(10)
Dietary Department	121	(5)
Social Services Department	126	(2)
Pastoral Care Services	128	(1)
Patient Transportation Services	128	(1)
The Patient Representative	129	(1)
Chapter Review	129	(2)
Chapter 14 Facilities Support Services	131	(14)
Introduction	131	(1)
Environmental Services Department	131	(2)
Hospital Laundry	133	(1)
Maintenance Department	134	(2)
Plant Engineering	136	(1)
Parking Facilities	136	(1)
Security	137	(1)
General Safety	137	(2)
Fire Safety	139	(1)
Disaster Planning	139	(2)
Biomedical Engineering	141	(1)
Contract Management	142	(1)
Chapter Review	143	(2)
Chapter 15 Administrative Support Services	145	(12)
Introduction	145	(1)
Materials Management Department	145	(3)
Human Resources Department	148	(6)
The Volunteer Organization	154	(1)
Telecommunications Management	155	(1)
Chapter Review	155	(2)
PART VII HOSPITAL FINANCES	157	(20)
Chapter 16 Generating Revenue	159	(6)
Introduction	159	(1)
Types of Third-Party Payments	159	(2)
The Major Payers	161	(3)
Chapter Review	164	(1)
Chapter 17 Hospital Budgeting	165	(6)
Introduction	165	(1)
Types of Budgets	165	(1)
Financial and Statistical Reports	166	(3)
Chapter Review	169	(2)
Chapter 18 Business Functions	171	(6)
Introduction	171	(1)
The Accountant	172	(1)
Hospital Accounting	172	(1)
Management Information Systems (MIS)	173	(1)
The Public Accounting Firm	174	(1)
Patient Accounts and Billing Department	174	(1)
Corporate Compliance Programs	175	(1)
Chapter Review	175	(2)
PART VIII EVALUATING CARE	177	(38)
Chapter 19 Medical Records	179	(8)
Introduction (HIPAA)	179	(1)
Purpose of the Medical Record	180	(1)
Manual Medical Records	181	(1)
Electronic Medical Records	181	(1)
The Medical Records Department	182	(1)
Organization of the Department	183	(1)
The Medical Records Committee	184	(1)
Legal Requirements	185	(1)
Medical Records and Quality Improvement	185	(1)
Chapter Review	185	(1)
Discussion Questions	186	(1)
Chapter 20 Quality Improvement	187	(6)
Definition	187	(1)
Historical Review	188	(1)
Hospital Committees to Advance Quality	189	(3)
Chapter Review	192	(1)
Chapter 21 Risk Management and Medical Malpractice	193	(4)
Risk Management	193	(1)
Risk Management as a Team Approach	193	(1)
Risk Management and Quality Improvement	194	(1)
Medical Malpractice	194	(1)
Defensive Medicine	195	(1)
Hospital Liability for Physicians' Acts	195	(1)
Respondent Superior	195	(1)
Role of the Medical Record	196	(1)
Chapter Review	196	(1)
Chapter 22 Patient Safety	197	(4)
The Problem of Medical Errors	197	(1)
Ending Medical Errors	198	(1)
United States vs. European Operating Rooms	199	(1)
JCAHO	199	(1)
Chapter Review	200	(1)
Chapter 23 Bioethics	201	(6)
Introduction	201	(1)
The Principle of Autonomy	202	(1)
The Principle of Nonmaleficence	203	(1)
The Principle of Beneficence	203	(1)
The Principle of Social Justice	203	(1)
A Final Word	204	(1)
Chapter Review	205	(1)
Discussion Questions	205	(2)
Chapter 24 Accreditation and Licensing	207	(8)
Historical Review	207	(1)
Accreditation Overview	208	(1)
Accreditation in More Detail	209	(1)
What Does Accreditation Really Mean to a Hospital?	210	(1)
Sentinel Events	211	(1)
Joint Commission International	211	(1)
Licensure	211	(1)
Medicare Certification	212	(1)
Registration	212	(1)
Chapter Review	213	(1)
Discussion Question	213	(2)
PART IX CONTINUING TO GROW	215	(18)
Chapter 25 Hospital Marketing	217	(10)
Introduction	217	(1)
What Is Marketing?	218	(3)
Sales	221	(1)
Branding	222	(1)
Market Research	222	(1)
Market-Studies and Market Audits	222	(3)
Fund-Raising	225	(1)
Chapter Review	225	(2)
Chapter 26 Planning	227	(6)
Introduction	227	(1)
The Evolution of Planning	227	(1)
The Hospital's Long-Range Plan	228	(1)
Who Should Do the Hospital's Planning?	228	(2)
Levels of Long-Range Planning	230	(1)
Benefits of Planning	230	(1)
Planning New Facilities	230	(1)
Chapter Review	231	(1)
Discussion Questions	231	(2)
PART X THE US AND WORLD HEALTH CARE SYSTEMS	233	(14)
Chapter 27 The US Medical Care System	235	(8)
Introduction	235	(1)
The System's Goals	236	(1)
Outreach Element	237	(1)
Outpatient Element	238	(1)
Inpatient Element	239	(1)
Extended Element	240	(1)
Chapter Review	241	(2)
Chapter 28 The US Health Care System Compared to the World	243	(4)
Introduction	243	(1)
The United States	243	(1)
Cost of Care and Access to Care	244	(1)
Quality of Care	244	(1)
Overseas Opportunities	245	(1)
Chapter Review	245	(2)
Appendix A Case Studies	247	(22)
Appendix B Glossary	269	(30)
Appendix C The Hospital: URLs	299	(2)
Index	301