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Outside the Hospital: The Delivery of Health Care in Non-Hospital Settings
Don Griffin, FACHE, MS, MBA, MS, JD, CEO, United Family Hospital, Shanghai, China (Mainland), Polly Griffin

ISBN-13: 9780763745042
ISBN-10: 0763745049
$69.95 (Sugg. US List)
Paperback
181 Pages
© 2009

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All chapters begin with an introduction and end with a chapter summary and review questions.

Part 1 – TRADITIONAL CARE – Hospitals and Healthcare in the U.S.

Chapter 1 – Hospitals and Spiraling Healthcare Costs

  • Types of hospitals and community hospital statistics
  • Why outpatient procedures are growing

Chapter 2 - Physician Offices – Both a Primary Care Provider & The Principle Gatekeeper for Other Types of Healthcare

  • What is a primary care provider and are there different types?
  • What are the similarities and the differences in an M.D. and a D.O.?
  • How does a physician’s office usually function? 
    • Before the appointment 
      • Choosing the physician
      • Making the appointment
    • During the appointment
      • The front office
      • The back office
    • After the appointment
  • The Medical Group Management Association (MGMA)

Chapter 3 – Urgent Care Centers – “The Doc in the Box”

  • History
  • Build Them and They Will Come
  • Scope of Urgent Care
  • Minor injuries, illnesses, routine care, and diagnostics
  • Convenience and location
  • Who pays?
  • Customer service, customer satisfaction
  • Hours of operation and staffing
  • Convenience clinics – a new breed
  • The future of urgent care clinics

Chapter 4 – The Virtual Doctor Office

  • Advantages
  • Disadvantages

PART 2 – DIAGNOSING – New Methods and Facilities

Chapter 5 – Pharmacies and Home Testing Devices

  • Your friendly neighborhood pharmacist
  • Over the counter home diagnostic test kits
  • Advantages and disadvantages of these kits
  • Types of available test kits

Chapter 6 – Outpatient Laboratories

  • Services offered by these labs
  • Direct access testing (DAT)
    • Walk in labs
    • Mail order test kits
    • Blood donation centers as a way of obtaining a test
    • Home test kits

Chapter 7 – Outpatient Imaging Centers

  • Services
    • Mammography
    • Ultrasound
    • Bone densitometry
    • Computerized Tomography (CT scan)
    • Magnetic Resonance Imaging (MRI)
    • Fluoroscopy
    • X-ray
    • Virtual colonoscopy
    • Nuclear medicine
    • PET Imaging
    • Angiography/Interventional radiology
    • EEG
    • EMG

PART 3 – ACUTE-CARE TREATMENT OPTIONS (presented alphabetically)

Chapter 8 – The Allergy Clinic

  • The allergist/immunologist
  • Symptoms of allergies
  • Diagnosing allergies
  • Common allergies
  • Treatments - immunotherapy  

Chapter 9 – Care from Chiropractors and Podiatrists

  • Chiropractors
    • Health problems treated through chiropractic care
    • Injury problems treated through chiropractic care
    • At the office
    • Treatment plans
  • Podiatrists
    • The Podiatry physician
    • Reasons for podiatry care

Chapter 10 - Dentistry

  • General dentistry
  • The dentist’s role
  • The dental hygienist
  • The dental assistant
  • The dental lab technician
  • Dental specialists
    • Pediatric dentistry
    • Orthodontist
    • Periodontist
    • Endodontist
    • Oral and maxillofacial surgeon
    • Cosmetic dentistry
    • Prosthodontist

Chapter 11 – Dermatology

  • Dermatologists 
  • Common skin diseases
  • Industrial dermatology
  • Cosmetic dermatology

Chapter 12 – Hearing and Speaking – Audiology and Speech Pathology  

  • Audiology and audiologists
  • Speech pathology

Chapter 13 - IVF as a Form of ART

  • Definition and history
  • The usual procedure
  • Cost of the procedure
  • Other ART forms
  • Risks and advantages
  • Bioethics

Chapter 14 – Optometry, Dispensing Optometrists and Ophthalmology…or, “The Eyes Have It”

  • Optometrists
  • Dispensing Opticians
  • Ophthalmologists

Chapter 15 – Outpatient Surgery Centers

  • What is an outpatient surgery center?
    • Typical procedures performed in an outpatient surgery center
    • Outpatient surgical center staff
      • Anesthesiologist
      • Physician performing the procedure
      • Registered nurses
      • Surgical and radiology technicians
    • The elective outpatient surgical procedure – a colonoscopy as an example

Chapter 16 – Pain Management

  • Know your pain
  • Common ways of treating pain
    • Coping methods and psychologists
    • Physical medicine, exercise, and physiatrists
    • TENS and electro-thermal therapy 
    • Drugs and anesthesiologists
    • Surgery and surgeons
    • Alternative medicine and pain management
  • Pain management at the end of life

Chapter 17 – “Let’s get physical” – Rehab., P.T., O.T., Sports Medicine, R.T., Cardiac Rehab., and Work Hardening – Whew!

  • Rehabilitation medicine
  • Physical therapy (P.T.)
  • Occupational therapy (O.T.)
  • Sports Medicine
  • Recreational therapy
  • Cardiac rehabilitation
  • Work hardening

Chapter 18 – Psychology, Psychiatry & Alternative Forms of Psychotherapy

  • Psychology
  • Psychiatry
  • Psychotherapy – A few examples
    • Psychoanalysis
    • Art therapy or creative art therapy
    • Behavior therapy

Chapter 19 – Protecting the Public’s Health – Efforts at Many Levels 

  • Introduction
  • Public health, occupational health, and environmental health
  • Public health clinics
  • Chapter summary
  • Review questions

Chapter 20 – Sleep Disorders

  • Common sleep disorders
    • Insomnia
      • Transient insomnia
      • Short-term insomnia
      • Chronic insomnia
    • Obstructive Sleep Apnea (OSA)
    • Narcolepsy
  • Restless Leg Syndrome (RLS)
  • Diagnosing and treating sleep disorders

Chapter 21 – Travel Medicine

  • Travel intelligence and advice
  • Inoculations and vaccines 
  • Recommended equipment, supplies, and products
  • Post travel medical care
  • Responsible travel

Chapter 22 – Weight Loss

  • Treatment options
  • Self help materials
  • Home exercise equipment
  • Meal substitute drinks
  • Weight-loss medications
  • Commercial, non-medical, weight loss programs
  • Fitness centers and gymnasiums
  • Medical weight loss centers
  • Weight loss surgery

Chapter 23 – Wellness Clinics

  • Clinic options

PART 4 – CHRONIC CARE

Chapter 24 – Dialysis

  • Kidney transplants and bioethics
  • Peritoneal dialysis
    • Continuous Ambulatory Peritoneal Dialysis (CAPD)
    • Continuous Cycling Peritoneal Dialysis (CCPD)
  • Hemodialysis
  • Peritoneal dialysis or hemodialysis?

Chapter 25 – Home Health Care

  • Evolution of home health care
  • The many facets of home health care
  • Home health care agencies
  • Medicare guidelines for finding a home health care agency
  • Home health care providers
    • Nurses
    • Physical therapists
    • Occupational therapists
    • Speech therapists
    • Social workers
  • Methods of payment

Chapter 26 – HIV and AIDS Clinics

  • Services offered

Chapter 27 – Oncology Centers

  • A war on cancer?
  • Chemotherapy
  • Bone marrow and stem cell transplants
  • Radiation
  • Surgery
  • Psychological and other care for patients with cancer

Chapter 28 – Long-Term Acute Care

  • History of LTAC’s
  • Patient profile
  • Services provided

Chapter 29 – Adult Day Care

  • Types of adult day care centers
  • Client profile
  • Services that are usually provided  
  • Activities offered
  • Hours of operation
  • Cost of attending
  • Available 3rd party payors
  • What are the rights of a client?
  • Who could be expected to regulate these clinics?

Chapter 30 – Geriatric Assessment Clinics and Rheumatology

  • Introduction
  • The assessment team
  • Community services for geriatric patients
  • Rheumatology and rheumatologists
  • Arthritis and other related rheumatic conditions
    • Arthritis
    • Fibromyalgia
    • Gout
    • Lupus
  • Chapter summary
  • Review questions

Chapter 31 – Long-term Care

  • A stepping stone process
    • The independent retirement village
    • Toward intermediate care or assisted living
    • Full care
  • Trends in long-term care

Chapter 32 – Hospice and Palliative Care

  • The hospice team
  • Is it appropriate for everyone?
  • Choosing a hospice center or your home
  • Palliative care
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