Principles of Health Navigation: Understanding Roles and Career Options: Understanding Roles and Career Options

by Karen (Kay) M. Perrin

Overview

The need for individuals with the skills to help patients obtain and maximally benefit from community services, clinical care, and health insurance has become critical in the increasingly complex and expensive U.S. health system. Those with health navigator training may assist individuals with limited health literacy as well as the elderly with accessing community services. They may facilitate access to care and follow-up for sick and complicated patients with cancer, HIV, and a range of other complex problems. In addition these individuals can assist with identifying and enrolling patients in health insurance plans including those available through the ACA Exchanges as well as Medicaid, Medicare, and Community Health Centers. Principles of Health Navigation: Understanding Roles and Career Options is the first book in the Jones & Bartlett Learning Health Navigation series (www.healthnavigationseries.com) —an original series designed to prepare students for this exciting new career path. Principles of Health Navigation is an introductory text that incorporates the recommendations of the Community Colleges and Public Health project, an initiative of the ASPPH "Framing the Future" Task Force . Divided into two sections, the text first explores the basics of health services delivery and health insurance, and then through guides the student through the fundamentals of care of the individual patient. Key Features: Introduces the concept of prevention through the life-cycle, the different roles and types of health care providers as well as various health care institutions Examines health insurance including its history, international comparison to U.S. system, types, terminology, access to care, administrative regulations, social justice, and use of health insurance Looks at essential health care services such as preventive and wellness services, behavioral health treatment, palliative care, hospice, and more Discusses quality and safety of healthcare (HIPAA, JACHO, privacy and confidentiality, etc.) Surveys the role of public health institutions in healthcare delivery (licensure, regulation, communicable disease control, disaster planning and management, environmental protection, worker’s compensation, and Family Medical Leave Act) Explores topics related to the care of the individual including patient assessment, communication, diseases and treatments, quality of life, end of life care, and patient rights, responsibilities, and resources

Product Details

ISBN-13:	9781284090765
Publisher:	Jones & Bartlett Learning
Publication date:	09/21/2016
Edition description:	New Edition
Pages:	286
Product dimensions:	7.00(w) x 9.90(h) x 0.70(d)

About the Author

Associate Professor, Director of Undergraduate Studies, University of South Florida, College of Public Health, Tampa, Florida

Table of Contents

Chapter 1 Healthcare Personnel 1

Learning Objectives 1

Chapter Overview 1

Case Study: Part 1 1

Healthcare Personnel 3

Case Study: Part 2 6

Case Study: Part 3 8

Case Study: Part 4 10

Summary 15

Part 1 Prevention and Community Health 17

Chapter 2 Preventive Health Care through the Life Span 19

Learning Objectives 19

Chapter Overview 19

Health Navigation Professionals 19

Levels of Preventative Care 22

Secondary Prevention 26

Tertiary Prevention 26

Risks and Risk Assessment 28

Summary 35

Chapter 3 Role of Public Health Institutions in Healthcare Delivery 37

Learning Objectives 37

Chapter Overview 37

What Is Public Health? 37

U.S. Federal Structure and Agencies Related to Health 38

State, County, and Local Health Organizations 49

Scenario: Preparing for a Disaster 49

Summary 56

Part 2 Introduction to Health Care and Health Insurance 59

Chapter 4 Inpatient Healthcare Services 61

Learning Objectives 61

Chapter Overview 61

Hospitals 61

Residential Healthcare Facilities 65

Summary 68

Chapter 5 Outpatient Healthcare Facilities 71

Learning Objectives 71

Chapter Overview 71

Wellness and Preventative Facilities 71

Outpatient Medical Facilities 72

Private, Group, or Corporate Medical Offices 73

Types of Clinics 74

Pharmacy 76

Outpatient Ambulatory Surgical Centers (OASC) 77

Other Outpatient Services 77

Treatment Centers 81

Summary 82

Chapter 6 Health Insurance 85

Learning Objectives 85

Chapter Overview 85

History of Health Insurance in the United States 85

International Comparison with the U.S. Health System 89

Types of Health Insurance 93

Medicare and Medicaid 97

Health Insurance Terminology 99

Case Study One 100

Case Study Two 102

Summary 103

Chapter 7 Defining Quality in Health Care 105

Learning Objectives 105

Chapter Overview 105

Defining Quality 105

National Regulatory Agencies 107

The Joint Commission 109

National Committee of Quality Assurance (NCQA) 110

National and State Insurance Commissioner's Office 111

Healthcare Organization Committees Related to Quality 112

Institutional Review Board (IRB) Committee 112

Summary 114

Part 3 Care of the Individual 117

Chapter 8 Individual Assessment 119

Learning Objectives 119

Chapter Overview 119

Life Story 119

Health Outcomes Influenced by Social and Cultural Norms 120

Health Disparities 120

Electronic Medical Record (EMR) 128

Summary 131

Chapter 9 Infectious Disease 137

Learning Objectives 137

Chapter Overview 137

Prevention and Control of Infectious Disease 138

Infectious Diseases: Immunizations and Descriptions 142

Infectious Diseases: No or Limited Vaccines Available 144

Summary 149

Chapter 10 Noncommunicable Disease 153

Learning Objectives 153

Chapter Overview 153

Epidemiology 153

Types of Noncommunicable Diseases 155

Summary 170

Chapter 11 Health-Related Quality of Life (HRQOL) and End-of-Life Planning and Decisions 173

Learning Objectives 173

Chapter Overview 173

Quality of Life 173

Healthcare Decisions 184

End-of-Life Issues 187

Termination of Medical Treatment 192

End-of-Life Care: Options 195

Summary 197

Part 4 Accessing and Analyzing Health Information 201

Chapter 12 Health Literacy 203

Learning Objectives 203

Chapter Overview 203

Adult Literacy and Numeracy 204

Health Literacy 204

Developing Health Materials 208

Numbers 214

Visuals 215

Customer Service 217

Configuration of a Positive Environment 219

Patient Responsibilities 220

Healthcare Provider Responsibilities 221

Summary 224

Chapter 13 Accessing and Using Health Information Richard Riegelman 227

Learning Objectives 227

Chapter Overview 227

Accessing High-Quality Health Information on the Internet 228

Suggested Websites 230

Accessing and Using Public Health Information 230

Measures of Population Health 232

Displaying Health Information 233

Using Health Information to Establish Cause and Effect as well as Effectiveness and Safety 237

Criteria for Definitively Establishing Contributory Cause 238

Establishing Effectiveness and Safety of Treatments 240

Summary 241

Chapter 14 Analyzing Health Information for Clinical Practice Richard Riegelman 243

Learning Objectives 243

Chapter Overview 243

Using Health Information to Diagnose Health Problems 243

Using Information from Testing in Clinical Practice 246

Screening for Asymptomatic Disease 247

Other Uses of Testing 249

Using Health Information to Make Treatment Decisions 250

Health Information on Treatment with Prescription and Nonprescription Drugs 252

Evidence-Based Recommendations/Practice Guidelines 254

Grading of Evidence-Based Recommendations 255

Electronic Health Records (EHRs) 257

Summary 259

Glossary 263

Index 283