Fundamentals The Healthcare Delivery System

• Urgent Care Clinics
• Outpatient Surgical Centers

Besides your monthly premium, the only fee you pay is a small co-payment at the time service is rendered to you. ($15.00-$25.00 for a doctor visit, $50.00 for an Er visit or an ambulance pick-up.

• HMO network
• High premium rates
• Controls physician's care

• A U.S. federally funded insurance program
• For older Patients that have retired (65 & Older)

• Part A: Hospital Coverage
• Part B: Medicare Insurance
• Part C: Medicare Advantage Plans
• Part D: Prescription Drug Plans

• A Federal and State Funded Insurance Program
• The States are responsible for who is a eligibility group
• Ex. Include Age, income and resources, and disability

• Public: hospitals and healthcare facilities are operated by federal or local governments.
• Private: Owned by specific organizations like VA's only their families and certain group of people can use these.
• Not-For-Profit: These are run by the county
• Proprietary: Owned and runned for profit, strictly for money

• The basic philosophy and primary goals of a particular facility.
• Some mission statements are run by relegions

• MD: Doctor of Medicine
• Doctor Of Osteopathy (DO): Use more natural forms of healing and some use of medicine
• Referring physician: Refer to other doctors, facilities, or specialized doctors for treatment
• Attending physician: Tend to the needs of the patient for a specific reason
• Intern: Medical Student who has graduated and gaining practice
• Fellows: Getting advanced training in a specialized area
• Specialist: Specialized in one area

• Health care workers in diagnostic service areas perform tests or evaluations that aid the physician in determining the presence or absence of a disease or condition.
• X ray falls under this

• Therapists provide services designed to help patients overcome some form of physical or psychological disability
• Radiation Therapist would fall under this

• Admitting
• Emergency
• Nursing
• Social Services

• Laundry
• Housekeeping
• Personnel
• Purchasing

• Someone Engaged in creative and intellectually challenging work.
• A person having impressive competence in a particular are

• Publish professional journals
• conduct educational meetings
• represent their members to the gov.
• provide containing ed verification
• offer scholarships
• Information networking
• Recruitment
• Promotional materials
• Malpractice and hospitilization Insurance

• The most prominent national professional society voice for radiologic technologists.
• More than 150,000 members throughout the U.S. and overseas
• Developed the document called The Practice Standards for medical imaging and radiation therapy

• Scope of practice
• clinical performance standards
• Quality performance standards
• Professional performance standards
• advisory opinion statements

• Hospitals (JRCERT have pretty much ruled out hospital programs)
• Community Colleges
• Universities

• Once an individual has passed the appropriate examination, he or she is listed in the registry and granted the right to use the appropriate professional title
• Ex. RT (R) Registered Technologist

• The American Registry Of Radilogic Technologist
• Encourages the study and elevates the standards of radilogic technology
• Examine and certify eligible candidates
• Periodically publish a list of registrants
• (They work closely with ASRT)
• Help write Registry exam

25 $ a year

24 hours

A process by which a govermental agency (usually a state) grants permission to individuals to practice their profession.

• A person that is allowed to practice radiography under limited circumstances.
• Ex. Nurse or lab tech that do alot of feet x rays are only allowed to do a limited amount of feet x rays

Radiographers perform diagnostic x ray procedures, administer contrast media, and aid the radiologist

• Must complete an acdreditied radiography program
• Must pass the national exam in radiography offered by the ARRT

• Radilogic examination of the breast
• Mammography is a useful diagnostic tool for early detection of breast disease.

Radilogic examination of a pre-determined plane in the body. It is processed by a computer for display

Procedures that usually involve the imaging of a patients organs, such as the liver, heart, or brain after the introduction of a radioactive material known as a radiopharmaceutical

Involves the injection of a iodinated contrast media for diagnosing, diseases of the heart and blood vessels.

The use of high energy ionizing radiation to treat primarily malignant tumors

The visualization of structures of the body by recording the reflections of pulses of high-frequency sound waves directed into the tissue

MRI uses a strong magnetic field and radiowaves along with a computer to generate sectional images of patient anatomy.

• Supervisory positions in radiography CT, MR, CV, RDMS, QM
• Radiology manager supervises everyone in the imaging department
• chief radiographer or lead tech schedules tasks, manages day-to-day activities and orders supplies

Determines how much radiation will be delivered to a tumor site

• The Bureau Of Labor Statistics
• Economic Recession of 2008
• Latest prediction indicates only approximately 4600 more imaging jobs will be added by 2018.

A voluntary peer process through which an agency grants recognition to an institution for a program of study that meets specific criteria

The Joint Commission- Hospitals and healthcare facilities seek accreditation through TJC.

• The Joint Review Commitee on Education in Radiologic Technology
• They grant educational instituations accreditation