1. CHAPTER 1: HEALTH CARE DELIVERY SYSTEMS

A. Components of Health care systems

a. Participants

1. Consumers- clients

2. Providers

a. Licensed providers: registered nurses, license practical (or

vocational) nurses (LPN), advanced practice nurses (APN),

medical doctors, pharmacists, dentists, dietitians,

physical/respiratory/occupational therapists, etc

b. Unlicensed providers: assistive personal

b. Settings

1. Hospitals, homes, skilled nursing, assisted living, schools, etc

c. Regulatory Agencies

1. US department of Health and Human Services

2. US Food and Drug Administration (FDA)

3. State and local public health agencies

4. State licensing boards

a. Determines laws/regulations that govern nursing in their state

b. ensure health care providers and agencies comply with state

regulations

c. Issue/revoke nursing license

i. Nurses need a license in every state they practice in

5. Joint Commission (JCAHO)

a. Set quality standards for accreditation of health care facilities

6. Professional Standards Review Organizations- monitor health care

services provided

d. Healthcare financing Mechanisms

1. Public federally funded programs

a. Affordable Care Act (Obamacare)

i. Increases access to healthcare for all individuals

ii. Decreasing healthcare costs

iii. Providing opportunities for uninsured to become insured

at an affordable cost