The Healthcare Delivery System PDF

Chapter 4 The HealthCare Delivery System  Objectives (1 of 2) Compare and contrast the different types of health insurance with regard to benefits, route to care, and cost coverage. Explain the general organizational structure within a healthcare facility. Identify the typica...

Chapter 4 The HealthCare Delivery System  Objectives (1 of 2) Compare and contrast the different types of health insurance with regard to benefits, route to care, and cost coverage. Explain the general organizational structure within a healthcare facility. Identify the typical organizational structure of the medical imaging department. Describe the radiographer’s role in relation to the radiologist, the referring physician, the hospital administration, nursing personnel, and other hospital staff. Explain the purpose of the different types of professional organization and their benefits for the medical imaging community and its employees.  Objectives (2 of 2) Detail the purpose of the RadCARE bill and where it fits into the legislation. List three ways in which a radiographer can contribute to the advancement of radiological technology. Describe the current job outlook for radiographers. Define profession and describe how the Practice Standards for Medical Imaging and Radiation Therapy apply to professionalism.  Key Terms Accreditation organization (HMO) Affordable Care Act (ACA) Hospitalist American Registry of Intern Radiologic Technologists Managed care system (ARRT) Medicaid American Society of Medicare Radiological Technologists (ASRT) Mission statement Credentials Preferred provider Diagnostic organization (PPO) Fee-for-service Radiologist Fellow Resident Health maintenance Therapeutic Today’s Healthcare Delivery System  Healthcare Insurance and Benefit Systems Fee-for-service Health maintenance organizations (HMOs) Managed-care systems Preferred provider organizations (PPOs) Federal health insurance  Affordable Care Act (ACA or “Obamacare”)  Medicare  Medicaid  Healthcare Facilities Hospitals  Private  Public  Not-for-profit  Proprietary Outpatient centers  Urgent care  Surgery centers The Healthcare Team Physicians: Common Specialties Emergency-department Otorhinolaryngologist physician Pathologist Family-practice Pediatrician physician Pulmonologist Gastroenterologist Psychiatrist Geriatrician Radiologist Gynecologist Surgeons Hospitalist  Abdominal Intensivist  Plastic Obstetrician  Neurologic Oncologist  Orthopedic  Thoracic Ophthalmologist  Hospital Organization and Management Executive Board Administration Departments  Diagnostic  Therapeutic  Support  General  Common Hospital Departments DIRECT PATIENT SERVICES General Diagnostic Therapeutic Support Services Admissions Computed tomography (CT) Dietary Accounting Emergency Electrocardiography (ECG) Occupational Central/sterile supply therapy Nursing service Electroencephalography (EEG) Oncology Human resources Social services Magnetic resonance imaging Physical therapy Housekeeping (MRI) Chaplain/counseling Nuclear medicine Respiratory Laundry services therapy Pathology (medical Surgery Medical records laboratories) Radiography Purchasing Sonography Security  Services and Roles in the Imaging Department Radiologist Radiology manager Chief radiographer  Also called department coordinator or lead technologist Staff radiographers Support staff Radiography as a Profession  Professionalism Hallmarks  Knowledge passed down from master to student  Commitment to truth and the highest good A profession is organized to govern itself  Sets standards of professional behavior, education, and qualification to practice  Enforces those standards within its ranks  Peer-reviewed journal or publication is also expected of a profession Allows the profession to advance and to review and challenge continually the basis of knowledge on which it functions  Professional Organizations American Society of Radiologic Technologists (ASRT)  Oldest and largest national professional association of imaging sciences International Society of Radiographers and Radiological Technologists (ISRRT)  ISRRT is one of more than 70 national organizations of technologists around the world. Professional Organizations—Specific Interests American Healthcare Radiology Administrators (AHRA) Association of Collegiate Educators in Radiologic Technology (ACERT) Association of Educators in Imaging and Radiologic Science (AEIRS) Society of Diagnostic Medical Sonography (SDMS) Society of Nuclear Medicine (SNM) Association of Vascular and Interventional Radiographers (AVIR)  Practice Standards ASRT’s written statement describes the radiographer’s duties and responsibilities. Defines the clinical practice, technical activities, and professional responsibilities of imaging and therapeutic professionals  Education Hospital-based programs  Certificate Community colleges  Associate’s degree Universities  Associate’s or bachelor’s degrees  Usually eligible for advanced postgraduate degree  Credentials Documents that attest to the qualifications of individuals such as  Licenses  Registration  Certifications American Registry of Radiologic Technologist (ARRT)  Establishes minimum standards for certification in various imaging specialties and radiation therapy  Conducts qualifying examinations that entitle applicants who pass the exams to use the designation “Registered Technologist” (RT) in association with their names  Continuing Education Essential to stay abreast of current trends and to maintain competencies Required to maintain ARRT credentials  May also be required to maintain state licensure  Employment Outlook Employment in imaging is historically cyclic. RT employment is projected to grow by 12% percent between 2016 and 2026, faster than the average for all occupations. In general, need for RTs should increase because of  increasing age of “baby boomers.”  increasing age of currently employed RTs. Retiring RTs will be more numerous than RT graduates.  Career Ladder (1 of 2) Lead technologist Radiology manager  Usually requires a minimum of bachelor’s degree  Higher level of administration usually requires master’s degree. Education  Usually requires master’s degree  Program director  Dean  Career Ladder (2 of 2) Commercial jobs  Equipment sales and applications  Bachelor’s degree commonly required  Accreditation A process that applies to institutions and results in documentation attesting to the attainment of certain minimum standards The Joint Commission (TJC) accredits hospitals. The Joint Commission on Education in Radiologic Technology (JCERT) accredits educational programs in imaging sciences.