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Health Care
in the
United States
By: Maria Nadia L. Pama, RN, USRN

Updated: 10/25/14

Training Schedule
US Healthcare and Characteristics of the US
Healthcare System
Levels of Care in the US
Healthcare facilities in the US
First 15-Minute Break

8:00 AM - 9:00 AM

9:00 AM 10:00 AM
10:00 AM - 10:15 AM

Types of Medical Practitioner

10:15 AM - 11:00AM

US Healthcare Post Test and Rationalization

11:00 AM - 12:00 NN

Lunch

12:00 PM - 1:00 PM

Milestones of the US Health Insurance

Health Insurance Terms

1:00 PM - 3:00 PM

Managed Care Systems

Last 15-Minute Break
Affordable Care Act
Health Insurance and ACA Post Test and
Rationalization

3:00 PM - 3:15 PM
3:15 PM - 4:00 PM
4:00 PM - 5:00 PM

Learning Objectives:
After the discussion, you would be
able to:
Understand the basic nature of the US
Healthcare System.
Identify the different levels of care provided
in the US.
Recognize the different types of medical
practitioners in the US.
Get at least 85% on Post Training Exams

What is HEALTHCARE?
It includes the
Prevention
Treatmentand
Managementofillnessand
Preservationofmentalandphysicalwell-being

Through:
Servicesofferedbythemedicalandallied
healthprofessions

Levels of Care
Level of Care:
Theintensityofmedicalcarebeingprovid
ed bythephysicianorhealthcarefacility

Primary
Secondary
Tertiary
Quarternary

Levels of Care:
Primary:
First point of consultation
Often refers to check-ups and preventive
care
Health and Medical needs treated by your
family physician

Secondary:
Referral to specialist at a hospital for a
closer assessment or treatment

Levels of Care:
Tertiary:
Highly specialized medical care
Ex: cancer management, neurosurgery, cardiac
surgery, plastic surgery, severe burns treatment.

Quaternary:
Sometimes used as an extension of tertiary care
Experimental medicine and some types of
uncommon diagnostic or surgical procedures are
considered

Health Care Facilities in

the US
Public Health
(Health Promotion and Disease
Prevention)
Emergency medical services
Ambulatory care for simple/limited
conditions
Acute and community hospitals and
medical centers
Long-term care (in-home or
institutional care)
Mental Health Services (inpatient and
ambulatory)
Rehabilitation services (inpatient and
ambulatory)

Health Care Facilities in the US

Acute Care/Acute Hospitals
provides inpatient medical and surgical care for people with
serious medical problems.

Ambulatory Care
provides patient focused service where some conditions may
be treated without the need for an overnight stay in hospital.

Long Term Acute Care (LTAC)/ Long Term

Acute Hospitals: (Specialty Hospitals)
receive referrals from Acute Care Hospitals for complex
medical cases which may need an acute level of care for
several weeks.
primary focus is medical care, not rehabilitation
Prolonged ventilator use or weaning, Ongoing dialysis for chronic renal failure, Intensive respiratory care,
Multiple IV medications or transfusions, Complex wound care/care for burns

Health Care Facilities in the US

Rehabilitation Hospital:
provides rehabilitation services on an inpatient basis for
patients who are medically stable and who require and
can participate in at least three hours of therapy
sessions over the course of the day.

Nursing Home/SNF (Skilled Nursing

Facility):
provides both long-term care for patients with chronic
disabling conditions and short-term rehabilitation for
patients who may not need a Rehab Hospital but cannot
return directly home from an Acute Care Hospital.

Health Care Facilities in the US

Hospice
provides palliative and supportive services
providing physical, psychological, social and
spiritual care for dying persons and their families.

Home Health
provides assistance with all or some of ADLs in
the patients place of residence, services must be
ordered by an MD.

Health Care Facilities in the US

ACUTE Hospital

LTAC

With ER for walk-ins

No ER for walk-ins

Patients with ACUTE

care days

Patients with exhausted

ACUTE care days

Handles all severity of

conditions

Medically complex
patients requiring
complex acute care

Health Care Facilities in the US

Cystoscopy
Endoscopic Retrograde
Cholangiopancreatography
Gastrostomy Tube, Percutaneous
Endoscopic (PEG)
Laparoscopic Cholecystectomy
Blood Transfusion

Health Care Facilities in

the US

Health Care Facilities in

the US

Health Care
Provider/Practitioner
MD Medical Doctor
OD
Osteopathic Doctor
PA/PA-C Physician Assistant
Certified Physician Assistant
NP Nurse Practitioner

Health Care
Provider/Practitioner
MD

(Medical Doctor/Allopathic
Physician)

A medical doctor who treats disorders and injuries

by using methods aimed at counteracting the
problems.
Perform examinations, analyze medical histories,
order and interpret diagnostic tests as well as
developing treatment plans
Specialized Care- IM, OB-Gyne, Ortho, ENT,

Health Care
Provider/Practitioner
OD

(Osteopathic Physician)

A medical doctor who believes in holistic

treatment that considers the whole person
including the mind, body, and sense of well-being
of the patient.
OMM (Osteopathic Manipulative Medicine)- as
hands-on care that involves using of hands to
diagnose, treat, and prevent illness or injury.
Primary care- Prevention

Health Care
Provider/Practitioner

PA-C

(Certified Physician Assistant/Physician

Assistant)

practice medicine on a team under the supervision of

physicians and surgeons
work in all areas of medicine, including primary care and
family medicine, emergency medicine, and psychiatry
PCP at some clinics

Health Care
Provider/Practitioner
NP

(Nurse Practitioner)

serve as primary and specialty care providers, providing advanced

nursing services to patients and their families.
NPs can diagnose, treat and manage the patient's health problems.

Duties may include:

Treating patients with non life threatening and critical illnesses
Interpreting laboratory results, EKGs and X-rays.
Diagnosing and referring patients to other health care professionals as required.

Adult Nurse Practitioner (ANP), Family Nurse Practitioner (FNP),

Pediatric Nurse Practitioner (PNP), Psychiatric/Mental Health Nurse
Practitioner (P/MHNP).

Health Care
Provider/Practitioner
Category
Independent
Practitioner
Complicated or
High Risk Cases
Perform Surgery
Deliver Babies
Write Prescriptions
Prescribe
controlled
substances
Conduct Physical
Exams
Diagnose
Treat Illness
Order & interpret
tests
Patient counseling

Physician
(Family
Practice)

Nurse
Practitioner

Physician Assistant

MOST STATES

VARIES

ASSIST

ASSIST

ASSIST

VARIES BY STATE

VARIES BY
STATE

VARIES BY STATE

Knowledge Check:
You were able to:
Recognize the different levels of care in the US
Compare the health care setting of Philippines and US
Provide an insight on appropriate levels of care
Identify the different levels of care provided in the US.
Recognize the different types of medical practitioners

in the US.

References

http://www.keystoneelderlaw.com/a-guide-to-care-facilities/
http://www.cdc.gov/nhsn/cms/
http://
www.purdue.edu/preprofessional/documents/Physician.pdf
https://
www.osteopathic.org/osteopathic-health/treatment/Pages/de
fault.aspx
http://
stats.bls.gov/ooh/Healthcare/Physician-assistants.htm#tab2
http://
vsearch.nlm.nih.gov/vivisimo/cgi-bin/query-meta?v%3Apr
oject=medlineplus&v%3Asources=medlineplus-bundle&query
=Nurse+Practitioner