INPATIENT, OUTPATIENT, AND ANCILLARY SERVICES
Modular Learning Outcomes
Upon successful completion of this module, the student will be able to satisfy the following outcomes:
· Case
· Prepare a comparative analysis that effectively identifies, analyzes, and describes inpatient or outpatient settings.
· SLP
· Evaluate the importance of cultural competency in various settings in health care.
· Discussion
· Analyze and evaluate ancillary services in rural and urban geographical areas.
Module Overview
Inpatient Services
Inpatient services are services that involve an overnight stay of a patient. Historically, the U.S. health care industry was based on the provision of inpatient services provided by hospitals and outpatient services provided by physicians. As our health care system evolved, hospitals became the mainstay of the health care system, offering primary inpatient with limited outpatient services. Although a hospitals primary revenue is derived from inpatient services, as a result of cost containment and customer preferences, more outpatient services are being offered by hospitals. Inpatient services typically focus on acute care, which includes secondary and tertiary levels of care that most likely require inpatient care. Inpatient services are very expensive and throughout the years have been targeted for cost-containment measures (Niles, 2011).
Outpatient Services
In outpatient services, the patient is not admitted overnight to a health care facility. Frequently, the patient arrives at a scheduled appointment or seeks out health care services, and then leaves once the visit concludes. Therefore, outpatient services are commonly referred to as ambulatory care.
Many facilities, realizing that the need for inpatient services was declining, started offering ambulatory services to their patients. The appeal is that the patient will be familiar with the facility and staff, and feel comfortable if admission is required. Another surprising setting that has emerged as a result of consumer convenience is retail outpatient care. These clinics are found in supermarkets and drugstores. Usually they are run by a Nurse Practitioner, and have flexible hours. These providers offer routine care, but if that is all one needs, it is better than sitting in an ER or waiting for a doctors office appointment.
Ancillary Services
Ancillary services are those things provided exclusive of room and board (US Legal, 2016). These services fall into one of three broad categories: diagnostic, custodial, and therapeutic (Ancillary Medical Solutions, 2014). One way of looking at it is that these are specific services needed by a population to complete the diagnosis and treatment processes.
Ancillary Settings
Ancillary services can normally be found in hospitals, freestanding facilities, and medical (Ancillary Medical Solutions, 2014). For example, there is usually a pharmacy in the hospital for inpatient and outpatient use. A provider might have a laboratory in his or her office to analyze collected specimens. Ancillary services fall under one of three categories: diagnostic, therapeutic, and custodial. Diagnostic refers to tests or procedures used to assess a patients health status. Therapeutic ancillary services are those that provide for the necessary treatment of a diagnosed disease. Custodial ancillary services and equipment are provided to support a patients activities of daily living (ADLs). The table below provides a sample of ancillary services by category: diagnostic, therapeutic, and custodial. This is not intended to be an exhaustive list of ancillary services, but rather a tool to aid you in making distinctions between the types of ancillary services used in the care of clients.
Ancillary Medical Solutions. (2014). What are Ancillary Services in Health Care? Retrieved from http://www.ancillarymedsolutions.com/what-are-ancillary-services-in-health-care
Niles, N. (2011). Basics of the U.S. Health Care System. Burlington, MA: Jones & Barlett Learning
US Legal. (2016). Ancillary Services (Health Care) Law and Legal Definition. Retrieved from https://definitions.uslegal.com/a/ancillary-services-health-care/
Module 2 – Background
INPATIENT, OUTPATIENT, AND ANCILLARY SERVICES
Required Reading
Dreachslin, J. L., Gilbert, M. J., & Malone, B. (2012). Diversity and cultural competence in health care: A systems approach. Chapter 4 Foundations for Cultural Competence in Healthcare. Available in the Trident Online Library.
Medicare Resources. (n.d.). What are ancillary services? Retrieved from https://www.medicareresources.org/glossary/ancillary-services/
Osborne. K. (2012). What are ancillary services? Retrieved from https://www.mymatrixx.com/what-are-ancillary-services/
Peconic Bay Medical Center. (2017). The difference Between Inpatient and Outpatient Care. Retrieved from https://www.planprescriber.com/medicare-insurance-news/differences-between-inpatient-outpatient-and-under-observation/
Shi, L., & Singh, D. A. (2017). Chapter 7 Outpatient services and primary care. In Essentials of the U.S. health care system. (4th ed). Burlington, MA: Jones & Bartlett Learning. Available in the Trident Online Library.
Videos
Wahi, M. (2013). U.S. health care: Outpatient services and primary care. Retrieved from https://www.youtube.com/watch?v=M2IpUdUJ_zc
Optional Reading
Health Research & Educational Trust. (2013). Becoming a culturally competent health care organization. Retrieved from http://www.diversityconnection.org/diversityconnection/membership/Resource%20Center%20Docs/Equity%20of%20Care%20Report%20FINAL.pd
***Discussion: Rural vs. Urban Ancillary Services
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Health care services vary given a geographical location of an organization. All services may not be provided in one area; furthermore, patients who live in rural areas must often travel to obtain services. For example, according to Spasojevic, Vasilj, Hrabac, & Celik (2015), rural residents are more likely to travel more than 15 minutes to see their health facilities compared with urban residents. Based on the course readings and your own research, discuss/answer the following:
1. What are ancillary services? (Provide 2 or 3 examples.)
2. How do ancillary services offered in rural and urban areas differ?
3. Regarding ancillary services, what are some disadvantages to consumers (patients) living in rural populated areas?
4. What recommendations would you provide as a health care leader to lessen these disadvantages?
Your posts will be graded on how well they meet the Discussion Requirements posted in the Before You Begin section. Please review this section as well as the discussion scoring rubric.
Spasojevic, N., Vasilj, I., Hrabac, B., & Celik, D. (2015). Rural Urban difference in health care quality assessment. Materia Socio-Medica, 27(6): 409-11. doi: 10.5455/msm.2015.27.409-411
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***Module 2 Case***
INPATIENT, OUTPATIENT, AND ANCILLARY SERVICES
Assignment Overview
At some point in your professional career, you may work within or alongside inpatient and outpatient settings. Working in these settings can be similar to working in two completely different health care worlds. What exactly are the differences between outpatient and inpatient medicine? Fundamentally, inpatient means checking into the hospital or care facility, while outpatient defines health care that can be administered without staying at the hospital. However, what has been prescribed above is the most basic terms of outpatient and inpatient services.
Case Assignment
Use the online library, required reading, and other resources to research and develop a more complete appreciation of the inpatient and outpatient settings. References should be no more than 5 years old. Websites should only be from reliable sources (only acceptable when accessing government sites).
Based on your findings, write a graduate-level comparative analysis of inpatient and outpatient services that clearly addresses the following:
· Identify and describe inpatient settings and outpatient settings. Provide and explain at least two examples for each setting (e.g., Ambulatory Surgery Center vs. Rehabilitation Center).
· Classify the typical services provided and key personnel between inpatient settings and outpatient settings.
· Identify, describe, and evaluate a trend that is currently impacting inpatient and outpatient settings. These can be trends related to technology, supply and demand, political climate, regulatory, demographic changes, or patient care.
· Analyze the trends, and thinking as a health care administrator, how do you capitalize on these trends to improve operation and bottom line performance? How can you mitigate the negative impact of the trends?
Length: 3-4 pages, not including the title or reference page(s).
For additional information on how to write a comparative analysis, review the following source: https://writingcenter.fas.harvard.edu/pages/how-write-comparative-analysis
Assignment Expectations
1. Conduct additional research to gather sufficient information to justify/support your comparative analysis.
2. Limit your response to a maximum of 4 pages.
3. Support your report with peer-reviewed articles, with at least 3 references. Use the following link for additional information on how to recognize peer-reviewed journals. Angelo State University Library (n.d.) Library guide: How to recognize peer reviewed (refereed journals). Retrieved from: https://www.angelo.edu/services/library/handouts/peerrev.php
4. You may use the following source to assist in formatting your assignment. Purdue Online Writing Lab. (n.d.). General APA guidelines. Retrieved from: https://owl.english.purdue.edu/owl/resource/560/01/.
5. For additional information on reliability of sources review the following source. Georgetown University Library (n.d.) Evaluating internet resources. Retrieved from https://www.library.georgetown.edu/tutorials/research-guides/evaluating-internet-content
***Module 2 SLP ASSIGNMENT***
INPATIENT, OUTPATIENT, AND ANCILLARY SERVICES
Cultural competency is extremely important in health care, as the consumers we serve come from diverse backgrounds. Inpatient and outpatient services account for the largest sector of health care services; however, cultural competency extends to all health care sectors. It is vital that as a health care professional, we are culturally competent to provide our consumers with high-quality health care.
Test your cultural competency on all three of the test below:
Health Inclusion. (2020). Cultural competence quiz. Retrieved from https://healthinclusion.com/cultural-competence-quiz/
SUNY Downstate Health Sciences University. (2020). Cultural competency in nursing homes: Test your knowledge on cultural competence. Retrieved from https://www.downstate.edu/cultural-competency/test.html
The London School of International Communication. (2020). Part 1 Cultural knowledge. Retrieved from https://www.londonschool.com/lsic/resources/intercultural-quiz/
Based on your results and research, answer the following questions in a 2- to 3-page paper:
1. On a scale of 1 to 5, with 1 being needs improvement and 5 being exceeds expectations, rate yourself on the answers to each test, you should have three (3) ratings in total. (Note: Your personal rating does not affect your grade).
2. Describe how you would improve upon your rating.
3. Explain the importance of cultural competency in the U.S. health care system.
4. Rationalize in detail why health care leaders play a vital role in embracing and implementing cultural competency.
In your scholarly paper, you should include an introduction and conclusion paragraph.
SLP Assignment Expectations
1. Conduct additional research to gather sufficient information to justify/support your responses.
2. Limit your response to a maximum of 3 pages.
3. Support your report with peer-reviewed articles, with at least 3 references. Use the following link for additional information on how to recognize peer-reviewed journals. Angelo State University Library (n.d.) Library guide: How to recognize peer reviewed (refereed journals). Retrieved from: https://www.angelo.edu/services/library/handouts/peerrev.php
4. You may use the following source to assist in formatting your assignment. Purdue Online Writing Lab. (n.d.). General APA guidelines. Retrieved from: https://owl.english.purdue.edu/owl/resource/560/01/.
5. For additional information on reliability of sources review the following source. Georgetown University Library (n.d.) Evaluating internet resources. Retrieved from https://www.library.georgetown.edu/tutorials/research-guides/evaluating-internet-content
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