Introduction to US Health Services

1
Introduction to US Health Services

• Chapter 1
• Dr. Tracey Lynn Koehlmoos
• Adjunct Professor

2
Introduction

• Many factors shape a healthcare system
• Culture, politics, economics
• Employment, research, drugs, technology
• Roemer model
• Cost-Quality-Access Framework
• The Iron Triangle

3
Overview of US Health System

• Highest per capita in the world
• 20 of population, no access
• 20 of population consume 80 services
• Isnt it ironic?
• With huge gaps in access along the continuum of
  care, there is NO single US healthcare system.

4
Dr. Roemers Model

• Health services defined organizations or
  activities focused on the maintenance,
  improvement, recovery of health
• Five parts to the model
• Organization of Programs govt, volunteer,
  private
• Management planning, admin, regulations, laws
• Economic Support public, private, insurance
• Production trained work force, research,
  technology
• Delivery Systems prevention, treatment, rehab

5
Cost Quality Access

• Agency for Healthcare Research and Quality
  (AHRQ) outcomes, quality focus
• Cost of care, 16 of GDP, always rising
• Volume of services
• Inflation
• Health insurance

6
Course/Text Organization

• Part I Intro, Needs and Problem
• Part II System Organization
• Part III Management, Regulation
• Part IV Financial Support, Insurance
• Part V Resource Production
• Part VI Delivery System
• Part VII Outcomes Measures Future

7
Your Tasks

• Read your textbook
• Watch all videos
• Honor all deadlines
• Take quizzes
• Participate in Chat sessions
• Do not be afraid to ask questions via the
  discussion board
• Hold on to your notebooks and get ready to be
  empowered as a graduate student, a member of the
  work force and as a consumer of the US Health
  System.