Regulation In The U.S. Health Care System HISTORICAL HEALTH CARE TREND ANALYSIS
Introduction
The private and public health systems work in tandem to reduce the burden of disease. The line between public and private health has gotten very thin, as we have seen with the many private–public health partnerships. Programs such as Vaccines for Children (VFC) and Women, Infants, and Children (WIC), the Substance Abuse and Mental Health Services Administration (SAMHSA), health care quality initiatives, and Healthy People (1990–2030) have evolved from collaboration. All of these private–public health programs and initiatives, in addition to the significant advancements in medical education, research, and technologies, have led to one of the most highly regulated industries in the United States and world today.
In this assignment, you will review the private and public health legislation, regulatory agencies, and quality initiatives that have catapulted the United States into the quality revolution that we are experiencing today. As this quality revolution continues, health care professionals can expect to see more innovations contributing to individual and population health, as well as more regulations.
Scenario
You are a health care educator for a large, integrated accountable care organization (ACO). You are tasked to work with a group of hospital executives to identify milestone events for three eras, the 1800s, 1900s, and 2000s, and identify trends from those events that impacted the health care industry. The trend analysis will consist of three critical measures: access, quality, and costs. Milestone events and trends identified for these three measures over time should include legislation, regulatory agencies, and quality initiatives in the various time periods. The final paper will be used in an annual strategic planning session attended by the ACO and hospital executives to demonstrate how the quality movement has evolved into a quality revolution.
Instructions
Using the Historical Health Care Trend Analysis Template [DOCX], write a 2–3 page paper in which you explain and analyze health care regulations and medical practice evolutionary changes for access, quality, and cost, including the significant milestone events from different time periods. In addition, complete the Trend Analysis Table: Evolution of Access, Quality, and Cost in Health Care in the appendix of the assignment template.
Complete the following:
Study the Health Care Quality Evolution Milestone Events Chart [DOCX] to review the key regulatory or quality initiative events relative to the 1800s, the 1900s, and the 2000s.
Use your textbook and at least two other resources included in What You Need to Know for this week or resources you find on your own to fill in the Trend Analysis Table: Evolution of Access, Quality, and Cost in Health Care table in the appendix of the assignment template. Use the History of Health Care Research tab in the Health Care Administration Undergraduate Library Research Guide to guide your research process.
You are required to reference a total of three scholarly sources in your paper.
Be sure to cite these references within the body of your paper correctly using APA style citations. Refer to Evidence and APA in the Capella Writing Center for help with using APA style.
Complete the Trend Analysis Table: Evolution of Access, Quality, and Cost in Health Care table in the appendix for the assignment template.
For each time period, select 2 milestone events or regulations from the Health Care Quality Evolution Milestone Events Chart [DOCX] that have affected each topic: access to health care, quality of health care, and cost of health care.
There should be a total of 18 milestone events or regulations in the completed table.
Include bullet points with notes that describe each event or regulation and how it impacted access, quality, or cost.
Write an introduction for the paper.
Provide a brief explanation of the purpose of this historical trend analysis and how it might be used in your work as a health administrator (1 paragraph).
Where appropriate, reference significant health care milestones, regulations, and measures for access, quality, and cost.
Use the Trend Analysis Table: Evolution of Access, Quality, and Cost in Health Care table to write the body of your paper.
Complete the Trends and Regulations section in the assignment template.
Provide a brief description of the key measures of health care services, which are access, quality, and cost (1–2 paragraphs).
In the Health Care Access subsection, explain the significant trends and regulatory milestones associated with access to health care over the recent eras (1–2 paragraphs).
What U.S. legislation, regulatory agencies, and quality initiatives from the 1800s, 1900s, and 2000s have influenced access to health care services in the United States?
What does your milestone trend analysis reveal for access to care?
Include citations and references to specific regulations, events, or agencies.
In the Health Care Quality subsection, explain the significant trends and regulatory milestones associated with health care quality over the recent eras (1–2 paragraphs).
What U.S. legislation, regulatory agencies, and quality initiatives from the 1800s, 1900s, and 2000s have influenced care quality in health care services in the United States?
What does your trend analysis reveal for care quality?
Include citations and references to specific regulations, events, or agencies.
In the Health Care Cost subsection, explain the significant trends and regulatory milestones associated with access to health care costs over the recent eras (1–2 paragraphs).
What U.S. legislation, regulatory agencies, and quality initiatives from the 1800s, 1900s, and 2000s have affected health care costs for medical services?
What does your trend analysis reveal for medical service costs?
Include citations and references to specific regulations, events, or agencies.
Complete the Trend Analysis section of the assignment template (1–2 paragraphs).
Analyze the trends and regulations in health care access, quality, and cost to draw conclusions about the evolution of health care regulations and practice throughout the recent eras.
Describe professional experiences or examples to illustrate the trends.
Include citations and references to specific regulations, events, or agencies.
Write the conclusion for the paper (1 paragraph).
Briefly restate the trends revealed for health care access, quality, and cost.
Draw a conclusion about how the milestones, regulations, and changes have improved, been neutral, or inhibited progress of the U.S. health care system.
Summarize clear and concise conclusions of your trend analysis.
Additional Requirements
Your paper should be 2–3 pages, in addition to the title page, appendix, and references page.
Double space your paper, and use Times New Roman, 12-point font, as indicated in the assignment template.
Use a minimum of three resources, including your textbook and other course resources.
Complete all parts of the assignment template, using the headings provided in the template.
Support all points with credible evidence, in the form of APA citations.
Include a references page in APA format with appropriate citations.
Complete the Trend Analysis Table: Evolution of Access, Quality, and Cost in Health Care in the appendix of the assignment template.
Introduction:
The purpose of this historical trend analysis is to identify milestone events for three eras (1800s, 1900s, and 2000s) and trends from those events that impacted the health care industry for access, quality, and costs. The trend analysis will be used to demonstrate how the quality movement has evolved into a quality revolution. As a health care educator for a large, integrated accountable care organization (ACO), this analysis will help me identify the regulations and medical practice evolutionary changes that have affected health care.
Measures of Health Care Services:
Access, quality, and cost are the key measures of health care services. Access refers to the ability of individuals to obtain health care services. Quality is the measure of the degree of excellence in health care services. Cost refers to the monetary expenses associated with health care services.
Health Care Access:
The significant trends and regulatory milestones associated with health care access over the recent eras are:
1800s:
Medical licensure laws were established to regulate the medical profession and prevent incompetent practitioners from practicing.
State hospitals were established for the indigent mentally ill.
1900s:
The Social Security Act was established, which provided funds for public health and welfare programs, including hospital construction and maternal and child health services.
Medicare and Medicaid were established, which increased access to health care services for elderly and low-income individuals.
2000s:
The Affordable Care Act was established, which aimed to increase access to health care services by expanding Medicaid coverage and creating health insurance marketplaces.
The Children’s Health Insurance Program (CHIP) was reauthorized, which provided coverage to low-income children who did not qualify for Medicaid.
Milestone trend analysis for access to care reveals that the regulations and initiatives established over the years have aimed to increase access to health care services for vulnerable populations, including the low-income and elderly individuals.
Health Care Quality:
The significant trends and regulatory milestones associated with health care quality over the recent eras are:
1800s:
The American Medical Association (AMA) was established, which aimed to regulate the medical profession and improve medical education and practice.
Florence Nightingale’s Notes on Nursing was published, which established the importance of cleanliness, fresh air, and light in hospitals.
1900s:
The Flexner Report was published, which aimed to improve medical education and practice by establishing standards for medical schools.
The Hill-Burton Act was established, which provided funds for hospital construction and modernization.
2000s:
The National Quality Forum was established, which aimed to improve the quality of health care services by developing and implementing evidence-based quality measures.
The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey was established, which aimed to improve patient satisfaction and quality of care.
Milestone trend analysis for care quality reveals that the regulations and initiatives established over the years have aimed to improve the quality of health care services by developing and implementing standards, measures, and surveys.
Health Care Cost:
The significant trends and regulatory milestones associated with access to health care costs over the recent eras are:
1800s:
Medical insurance was introduced, which provided individuals with financial protection against illness and injury.
Labor unions began to negotiate health benefits for their members, which increased access to health care services for workers.
1900s:
The Hill-Burton Act was established, which provided funds for hospital construction and modernization.
The Medicare program was established, which provided health insurance for elderly individuals.
2000s:
The Medicare Prescription Drug, Improvement, and Modernization Act was established, which aimed to improve access to prescription drugs for elderly individuals.
The Affordable Care Act was established, which aimed to increase access to health care services by expanding Medicaid coverage and creating health insurance
