Health Sciences Environment
Academic Health Sciences Centers - Organization
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Administrative Structure: (typical)
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Vice President, Medical Affairs
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Board, Health Sciences Deans
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Schools
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Medicine (Dean is also Vice President for Medical Affairs
at UW)
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Basic Sciences Depts.
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e.g. anatomy, biochemistry, etc.
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Clinical Depts.
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e.g. surgery, orthopedics, pediatrics
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Nursing
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e.g. Parent and Child, Physiological Nursing
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Pharmacy
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e.g. Medicinal Chemistry, Pharmacy Practice
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Dentistry
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e.g. Orthodontics, Oral and Maxillofacial Surgery
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Public Health and Community Medicine
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e.g. Biostatistics, Epidemiology
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Social Work
UW Medical Center
Harborview Medical Center - Owned by County, managed by University
Affiliated Teaching Hospitals and Institutions:
Children's Hospital and Medical Center
Fred Hutchinson Cancer Research Center
Veterans' Administration Hospital (Seattle)
UW Health Sciences Center - REGIONAL education and clinical care missions
(Alaska, Montana, Idaho, Washington, Wyoming)
Hospitals - Organization and Management
Hospital Administrator - usually not a physician
Financial/Data Systems
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Data Processing
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Accounting
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Billing
Nursing Services
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Responsibility for in-patient areas
Medical Staff - Medical Director - Physician administrator
Outpatient areas
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Outpatient clinics - e.g. ambulatory surgi-centers
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Emergency departments - types:
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Highest level - Level 1 - tertiary trauma center (e.g. Harborview)
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Basic emergency facility w. physician in hospital and specialists on
call.
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Standby emergency services
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Referral emergency facility - no physician on-call
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State-wide trauma system and information registry
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Ancillary services (in-patient and out-patient)
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e.g. laboratory services, radiology, physicial therapy, inhalation therapy,
anesthesiology, EKG, EEG
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Environmental support services
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e.g. linen services, housekeeping, maintenance
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Patient support services
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e.g. dietician, nutritionist, social worker
Evaluating and Ensuring Continuity Care
Medical Records
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Purpose: to document the course of the patient's illness and treatment
during a particular period and during any subsequent period as an inpatient
or outpatient
Quality Assurance
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ongoing process to measure and evaluate the professional services rendered
to patients
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PSRO - Professional Standards Review Organization
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Monitors quality and appropriateness of hospital care rendered to Medicare/Medicaid
patients
Total Quality Management
Risk Management
Continuing Education
Library
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Sets standards and accredits health care organizations
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Teaching hospitals -- have special responsibilities and relationships
Key reference tools:
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American Hospital Association: AHA Guide to the Health Care Field: A
guide to United States Hospitals, Networks, Health Care Systems, Alliances,
Health Organizations, Agencies and Providers. Health Books - WX 22
AA1 A53 1999
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American Hospital
Association