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Focuses on the various stakeholders in the health care industry. A stakeholder is a person(s) who either affects or is affected by the business of health care delivery. Stakeholders are broken down into categories such as customers, education and research, community and professional associations, suppliers, investors, regulators, and employees. Each stakeholder plays an integral part in the delivery of products and services within a health care business entity.

The only constant in the health care industy is change. As business entities are continually challenged (i.e. cost control measures, technology advancements, geographical and staff shortages), stakeholders evolve to meet the demands of the industry. This can be seen in different emerging roles within the health care industry over the years.

What you will cover

1. Stakeholders within Health Care

a. Describe roles of various stakeholders in health care delivery.

1) Health administrators and health planners

a) Chief executive officer
b) Chief financial officer
c) Chief information officer
d) Health services administrators
e) Business coordinator
f) Health information technology specialists
g) Patient advocates
h) Wellness coaches
i) Quality improvement

2) Academia (education and research)

a) Education and training facilities
b) National Institutes of Health (NIH)
c) U.S. Centers for Disease Control and Prevention (CDC)
d) Robert Wood Johnson Foundation
e) The Pew Charitable Trusts

3) Community (professional associations)

(1) American College of Healthcare Executives
(2) American Medical Association
(3) American Nurses Association
(4) American Red Cross
(5) American Diabetes Association
(6) March of Dimes

4) Suppliers

a) Pharmaceutical companies
b) Biotechnology companies
c) Durable medical equipment suppliers
d) Laboratories (diagnostic and medical)

5) Customers

a) Patients and their families

6) Investors

a) Payors and insurance (covered in Week Four)
b) Shareholders of for-profit organizations
c) Tax payers

7) Government and regulators

a) Federal: provides coverage and services, regulates delivery of care, and educates on health issues

8) U.S. Department of Health & Human Services

a) U.S. Centers for Disease Control and Prevention
b) U.S. Public Health Service
c) U.S. Food and Drug Administration
d) National Institutes of Health (NIH)
e) National Institute of Mental Health (NIMH)
f) Substance Abuse and Mental Health Services Administration
g) Centers for Medicare & Medicaid Services
h) Indian Health Services
i) Health Resources and Services Administration
j) Agency for Healthcare Research and Quality

9) Federal Emergency Management Agency

10) U.S. Equal Employment Opportunity Commission

11) U.S. Department of Labor

a) Occupational Safety & Health Administration (OSHA)
b) Mine Safety and Health Administration (MSHA)

12) U.S. Department of Justice

13) State departments of health

a) Develops rules and regulations to protect the public's health
b) Licenses health care organizations and professionals
c) Monitors the safety of water, food, and air
d) Analyzes laboratory specimens associated with public health issues (state lab)

14) Local public health offices

a) Provide some personal health services
b) Research, track, and contain communicable diseases
c) Provide health promotion and preventive services

15) Employees

16) Occupational health

17) Employee assistance programs

18) Physicians (doctor of medicine or doctor of osteopathic medicine)

19) Primary care (generalists)

a) Internal medicine
b) General and family practitioners
c) Pediatricians
d) Hospitalist

20) Specialty (specialist)

a) Allergy and immunology
b) Anesthesiology
c) Cardiovascular diseases
d) Dermatology
e) Neurology
f) Other

21) Physician extenders

a) Physician assistants
b) Nurse practitioners
c) Certified nurse-midwives
d) Certified registered nurse anesthetist

22) Nurses

a) Assistants
b) Aides
c) Licensed practical or vocational
d) Registered
e) Nurse practitioners
f) Certified nurse-midwives
g) Certified registered nurse anesthetist

23) Dental

a) Dentist, dental specialist
b) Dental hygienist
c) Dental assistants

24) Mental health

a) Psychiatrist
b) Psychologist
c) Mental health therapist
d) Social worker

25) Pharmacists

26) Therapists

a) Physical therapists
b) Occupational therapists
c) Radiation therapists
d) Respiratory therapists

27) Allied health personnel

a) Laboratory technician
b) Pharmacy technician
c) Radiology technician
d) Emergency management
e) Medical and diagnostic technologists
f) Orthotist and prosthetist

28) Alternative health care workers

a) Chiropractors
b) Acupuncturists
c) Herbalists
d) Hypnotherapists

29) Issues facing stakeholders

a) Changes in physician-provider relationships (i.e. engineering model, priestly model, contractual mode, or collegial model) through the years

b) Workplace bullying: repeated behaviors over an extended period of time that have a negative impact on an employee's state of health (i.e. physician-nurse interactions)

c) Making ethical decisions in the workplace and how they can have an impact on the organization (i.e. organ donation and donor recipients, creation of designer and donor babies, human cloning).

d) Euthanasia and Death with Dignity movement: understanding a health care professional's role.

b. Identify emerging roles within the health care industry.

1) Driven by a desire to improve quality, contain costs, and expanding coverage

a) Medical scribes
b) Health information technology specialist
c) Data analytics
d) Sustainability Managers
e) Retail Health Management
f) Privacy and Compliance Directors
g) Health Coach
h) ICD-10 Coder
i) Chief Population Health Officer
j) Clinical Care Coordinator.

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