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Contents 1 Healthcare services 2 Types/Classifications of Hospitals 2.1 Simplified List 3 World 4 Hospitals OR Hospitals & Medical Centers 5 Who's Who

[edit] Healthcare services

Can you look at this list of healthcare services? The purpose of this list is to identify Major bloodless healthcare services that a medical center/hospital would offer. One use of this will be to associate these Major services with hospitals that provide them. Click on Open Heart and see hospitals that provide that service. Please comment freely, this is a very rough start. :)

• Anesthesiology
• Bariatric
• Burn Unit
• Colorectal Surgery
• Cardiology
• Cardiothoracic surgery
• Dermatology
• Endocrinology
• Family Medicine
• Gastroenterology
• General Surgery
• Gynecology(OB/GYN
• Hematology
• High-Risk Obstetrics
• Hyperbaric oxygen therapy
• Internal Medicine
• Minimally Invasive Surgery
• Neonatalogy
• Nephrology (Kidney)
• Neurology
• Neurosurgery (Brain surgery)
• Obstetrics (OB/GYN)
• OB/GYN Oncology
• Oncology (Cancer)
• Oncology Surgery
• Ophthalmology
• Orthopedics
• Otorhinolaryngology (Ear, Nose and Throat)
• Pediatrics
• Plastic and Reconstructive Surgery
• Pulmonary Diseases
• Radiation Oncology
• Interventional Radiology
• Rheumatology (Arthritis)
• Spine reconstruction
• Trauma, Level 1
• Trauma, Level 2
• Urology
• Vascular Surgery

• Question: This is a list of classifications that lay-persons should understand. For example OBGYN may be better spelled out. Perhaps clinical term followed by lay-term such as Oncology (Cancer) works well.

We must remember that patients will come to the site with a specific diagnosis "Mother was diagnosed with ovarian cancer or Father was told he has prostrate cancer etc". We should list from the patients point of view, making it simple and easy to find the resource they seek.--JanWade 8 August 2005 07:00 (CDT)

I completely concur. While there are appropriate clinical terms for the services hospitals offer, the purpose of this list is to primarily serve as a convenient means for patients to locate bloodless services. Is there such a list of 'most often requested' bloodles healthcare services/procedures? -- LarryEitel 8 August 2005 16:21 (CDT)

Isn't Colorectal Surgery included in General Surgery?--DavidAmpleford 5 August 2005 00:20 (CDT)

Need to also keep in mind that we don't need to reinvent the wheel...if we go with standardized groupings or classifications they can be linked to the Wiki topic which explains them, thereby enabling the individual to seek further information/clarification on the topic if needed. -- Wetpeds 8 August 2005 21:05 (CDT)

[edit] Types/Classifications of Hospitals

• Acute Care
• Community
• Critical Access
• General
• Nonteaching Hospital
• Orthopedic
• Private Rural Acute Hospitals
• Private Teaching Hospitals
• Private Urban Nonteaching Hospitals
• Public Local Government Acute Hospitals
• Public State Operated Hospital
• Rural Hospital
• Teaching Hospital
• University
• Urban Hospital

[edit] Simplified List

• Number of Beds (What does it mean?)
• Urban or Rural (Why is this important?)
• Teaching (Is this an important distinction? Why?)
• Trauma Level (?)

---

• Bradford Ray suggested that we can also classify hospitals. Here are a few to start with. Please help refine/adjust this list.
• I went 'fishing' for hospital classifications and came up with the following. Are these a valid types of hospital? As you look at this list, is it reasonable to arrive at a list of hospital types from which one can be associated with a given hospital? Whatever options we end up with, we should be able to define/explain what each hospital type MEANS. -- LarryEitel 1 August 2005 23:39 (CDT)
• In my hopsital we would classify it as an Urban Teaching Hospital. -- Todd Hofmeister 3 August 2005 14:54 (CDT)
• I agree we should classify hospitals, but we should also explain why it is meaningful. We need to remember categorizing and classifying leads to judgements about quality or standard of care. Is that our intent? Then we must be very clear. We want to keep the top level classification simple, meaningful and in line with current healthcare standards. If we add too much information the public may draw erroneous conclusions about the hospital. For example; If the public sees 'Non-Teaching' or 'University' will that lead to a judgement about quality of care? Should it? If so, does it matter in all services, some services?--JanWade 8 August 2005 08:15 (CDT)

Thanks Jan for your observations. I wonder if there are industry standard classifications for medical centers. Part of this exercise is to craft/adjust terms to fit medical centers WHEREVER they are found in the world. -- LarryEitel 8 August 2005 16:28 (CDT)

I found some interesting information at the National Association for Healthcare Quality website [1]- Here's how they categorize:

• Number of beds - <100 beds, 100–299 beds, 300–499 beds, and >500 beds
• Urban or Rural
• “teaching” if they were listed as a primary or affiliated institution of an accredited internal medicine or family practice residency program, according to the American Medical Association’s (AMA) directory of postgraduate medical training programs

This points to the potential need/benefit of presenting a selection of descriptors for hospitals.

Categorizing opens the topic of quality of care. Here's an interesting quote from the NAHQ website - "Larger, urban teaching hospitals with larger volumes and greater availability of advanced services provide better care for certain diseases. Because such advanced services have limited importance for routine heart failure management [or many other routine cases? - Jan's note], no hospital type is “disadvantaged.” Data on 1,180 congestive heart failure patients were studied to assess the quality of care provided by various types of hospitals. Overall, there was no particular type of hospital that performed consistently better or worse across the quality indicators studied. Substantial opportunities for improvement exist among all hospital types in Tennessee."

Here on the east coast of the United States we see patients driving past very good rural bloodless programs to access better known and better marketed urban bloodless programs. It is frustrating to see a patient, their family, friends and other support inconvenienced by driving three times as far for a routine total joint etc. We should address this issue appropriately using interlinks to the topic of quality of care.--JanWade 8 August 2005 08:15 (CDT)

See also

• classifications

[edit] World

Within each country will be a category for the following groups:

• Coodinators in <country>
• Physicians in <country>
• Professionals in <country>
• Midwifes in <country>
• Nurses in <country>

[edit] Hospitals OR Hospitals & Medical Centers

What is the correct way to describe our list of medical centers/hospitals: -- CarolinaRojas 2 August 2005 19:23 (CDT)

• Hospitals
• Hospitals & Medical Centers
• Medical Centers

It seems to me that we should use Hospitals & Medical Centers based on what I found here: Yahoo Search Directory

In the interests of using simple terms through out the site, I raise the proposal to use the term "Hospitals" that would link to an article that explains what mean. I don't think it would be reasonable to refer to all listed hospitals as "Bloodless" Hospitals either. See hospital article. -- LarryEitel 8 August 2005 16:37 (CDT)

Just came across the term 'Medical Facility'. Would this be an appropriate option? -- LarryEitel 10 August 2005 23:40 (CDT)

[edit] Who's Who

Under the list of professionals by occupations, we identify only healthcare pros as well as Pastoral Caregivers. Should we include a category for Business Persons? These would be perhaps business pros in bloodless related manufacturing, etc. In other words, relavent people that are NOT medical pros. -- LarryEitel 2 August 2005 19:43 (CDT)

That would be very useful. Would the companies that dispense these professional services also be listed under Management consulting firms in the Industry section? -- DavidAmpleford 3 August 2005 03:54 (CDT)

I'm referring to blood conservation program development consultants rather than manufacturers. -- DavidAmpleford 3 August 2005 03:58 (CDT)

What would be a good Category name for non-healthcare professionals? Consultants? Industry People? Business Persons? -- LarryEitel 3 August 2005 09:37 (CDT)

Is this where you type? Neurology is not brain surgery. Neurosurgery is brain surgery. Pastoral care doesn't have an 'i' in it. I think there might be more services....Jo Valenti

In the case of your comments Jo, I recommend making the change DIRECTLY, since it is a no brainer. If you have philosophical comments regarding general approach, etc. then comment here in the discussion area of the page. When entering a comment in a discussion page, it is good practice to sign it like you did. Here is a short cut to do that. Enter -- ~~~~ and it will automatically put your username and time stamp it. :) -- LarryEitel 4 August 2005 10:23 (CDT)