CAHIMS Ch 1 Exam Review
Primary care - >>majority of patient healthcare needs, often the entry point into
healthcare, includes screening, prevention,
... [Show More] diagnosis, and treatment for acute and
chronic health problems
Secondary care - >>generally more specialized care and can include surgery,
cardiology, and other care provided by specialists
Tertiary care - >>complex, highly specialized healthcare, often university hospitals,
requires sophisticated technology, multiple specialists and subspecialists, a diagnostic
support group and intensive care facilities. Examples include trauma centers, burn
centers, and neonatal care
Hospitals - >>physical structures that house patients who are sick or injured. Person
may be admitted in one of two ways: emergency room and evaluated by a team of
clinicians- if patient is sick enough then admitted, and a patient may also be directly
admitted from a physician's office
Rehabilitative facilities or acute rehabilitation hospitals - >>provide care for patients
needing comprehensive rehabilitation and medical management often associated with
stroke, joint replacement or other serious injury. After surgery or acute illness, a patient
may be too frail to return home and may need to spend time in a rehabilitation center for
specialized speech, physical, and occupational therapy
Skilled nursing facility - >>provide full medical care after a hospitalization. Also provide
assistance with activities of daily living, such as meals, personal care, housekeeping,
and laundry, while the patient is recovering. Manage transition of acute illness or injury
to return home, Avg stay in a SNF is greater than 25 days. Provide long-term care for
patients needing residential nursing services for an extended period of time
Long-term acute care hospital - >>specialized hospitals designed for patients who need
intensive, hospital-level care for weeks or months
Adult day care - >>provides meals and activities during the day
Independent living - >>typically retirement communities consisting of condominiums or
apartments. Residents can usually purchase added services such as meals or
housekeeping
Assisted living - >>separate apartments or private rooms in a common building where a
number of services, such as personal care, medication administration, meals, and
housekeeping are provided
Hospice care - >>specialized healthcare designed to serve patients with a terminal
illness. Focuses on maximizing the quality of life and providing palliative care, including
pain control. Families are typically involved in the hospice care of their loved ones, and
services such as grief counseling and help with managing patient's final affairs are often
provided to them. Hospice care can be provided in a variety of settings. Hospice
programs can involve both inpatient care as well as hospice care provided in
ambulatory environments, including the home
Ambulatory surgery centers (ASC) - >>60% US surgeries are outpatient. Equipped to
handle surgery, pain management and certain diagnostic procedures that do not require
overnight hospitalization. May be part of a hospital, specialty hospital, or own facility
ED - >>department of the hospital responsible for the provision of medical and surgical
care to patients arriving at the hospital in need of immediate care. ED personnel may
respond to certain situations in hospital, such as cardiac arrest. If the patient is
discharged directly from the ED then the episode is considered an outpatient event. In
ED considered observation patient
Outpatient specialty medicine - >>Such as sports medicine and rehabilitation, provided
in outpatient settings- hospital based clinics, physician offices, non-hospital clinic
settings
Diagnostic services - >>clinical services such as pathology and laboratory medicine,
radiology, and nuclear medicine
Diagnostic imaging facilities - >> [Show Less]