Write a 2-3 page paper about the similarities and differences in hospital care from the 1800s, 1960s, and today, plus your analysis conclusions. Include a research table in the appendix of your paper.
Izabella is a health care historian. She has been hired by the Philadelphia Medical Society to research and develop a storyboard of hospital care quality from the first hospital to today’s hospitals. The storyboard will cover the evolution of the hospital environment, staff education, level of care, and how hospital services were paid for.
Izabella’s storyboard begins with the fact that hospitals had humble beginnings in the United States. The first hospital in America was founded in Philadelphia in 1751! Its mission was “to care for the sick-poor and insane who were wandering the streets” of Philadelphia (Penn Medicine, n.d., para. 1). Having a historical perspective on health care changes and trends is critical to understanding how to improve health care today and in the future. What kind of medical care might a patient have received in the first 18th-century hospital?
As a health care administrator, you will often do research on a topic to provide background information for decision making, committee work, or creating policies. It is often best practice to use a comparison table to lay out and visualize your research notations.
Reference
Penn Medicine. (n.d.). History of Pennsylvania Hospital. http://www.uphs.upenn.edu/paharc/features/creation.html
Scenario
Imagine you are a patient with a serious illness in a hospital in the 1800s, in the 1960s, and today. Think about the room configurations, the skills of the nurses and other staff, the level and type of care, and how you would pay for the care, both now and in the previous centuries.
Instructions
Write a 2–3 page paper about the similarities and differences in hospital care from the different time periods (1800s, 1960s, and today), as well as the conclusions you drew from your analysis. Include a research table in the appendix of your paper.
Template
Evolution of the Hospital Industry: A Comparative Analysis
Write your introduction here. Include a brief explanation of the purpose of the paper and main ideas. Reference significant trends that you noticed as appropriate (1 paragraph).
Provide a brief overview of the evolution of hospital care from the 1800s to the 1960s to today (1 short paragraph).
Hospital Environment
Describe your findings about hospital environments from the 1800s, 1960s, and 2000s
(1 paragraph).
Staff Education
Describe your findings about hospital environments from the 1800s, 1960s, and 2000s
(1 paragraph).
Level of Care
Describe your findings about hospital environments from the 1800s, 1960s, and 2000s
(1 paragraph).
Paying for Your Care
Describe your findings about hospital environments from the 1800s, 1960s, and 2000s
(1 paragraph).
Comparative Analysis
Write a brief summary of your comparisons and analysis about the significance of the key changes from the different time periods. Draw conclusions about how the hospital industry has evolved from the 1800s, to the 1960s, to today, and about the significance of the key milestones from the different time periods. Give specific examples of the impact on the quality of patient care during these time frames (1–2 paragraphs).
Conclusion
References
(Include a minimum of three resources, all of which must be cited in the body of your paper.)
Young, K. M., & Kroth, P. J. (2018). Health care USA: Understanding its Organization and delivery (9th ed.). Jones & Bartlett Learning.
Appendix
Comparative Analysis Table: Hospital Care Evolution
Instructions: Fill in the chart with bullet points that describe the key milestones (events, regulations, laws, etc.) and the supporting details to explain the topics in each cell. Use your textbook and at least two other resources from the course resources for this assessment or your own research, and document where you found the information using accurate APA citations.
| Subject/Topic | 1800s | 1960s | 2000s |
| Hospital Environment (Describe the overall hospital environment.) | |||
| Medical Staff Education Level (Describe the care providers and their education levels.) | |||
| Level of Care (Describe the quality of care for each century and if it improved.) | |||
| Paying for Care (Describe how care was paid for.) |
Assessment 2
Write a 3-4 page paper to analyze the scope of change in medical education from the 1800s to today, the apprenticeship and academic models, and the importance of understanding the history in order to help improve medical education in the future.
Jake is seeking a position in health care recruiting and human capital management. He is examining the many different professional roles that make up the health care workforce in the United States. He finds that clinical and administrative roles are significantly different today than those in the 18th, 19th, and early 20th centuries. Physicians, nurses, technologists, and many of the administrative positions today require state licensure, periodic revalidation, certifications, recertification, or registration in order to practice their profession.
Throughout the ages there have been many landmark studies, reports, and events that have changed the course of history in medicine and medical education. The Flexner Report (1910) reformed medical education and brought it to where it is today (Young & Kroth, 2018). This report was the catalyst that pushed for legislation requiring physicians to be licensed. The report called for formalizing medical education and increasing the length of time in structured, formal medical programs. This report has influenced medical education and licensing for all of the many different types of clinical, technical, and administrative health care disciplines of today.
For your assessment, think about the evolution of health care education and its effect on the various clinical and administrative roles. Where does provider credentialing fit into the scheme of things, and why is it so important in health care today? How does today’s fellowship training experience compare with the previous apprenticeship training experience? What are the innovative technological advancements that have elevated the health care professions and the clinics and hospitals that these professionals work in today?
Reference
Young, K. M., & Kroth, P. J. (2018). Sultz & Young’s health care USA: Understanding its organization and delivery (9th ed.). Jones & Bartlett Learning.
Scenario
Imagine you are a medical apprentice in the 1800s. Envision your medical training during this era under the apprenticeship model. Jump to the 1960s and envision your training under the academic model. Finally, think of what your medical school training might look like today.
Of particular interest for today’s training are the many technology innovations for learning in medical schools, including augmented reality (AR), virtual reality (VR), robotic-assisted surgery, and minimally or noninvasive procedure technologies. Today’s training features remote patient monitoring (RPM) and telemedicine through a virtual model of care (VMC), as well as learning to use the human genome for more accurate diagnosing and patient-specific treatments.
Instructions
Write a 3–4 page paper to analyze the scope of change in medical education from the 1800s to today, the apprenticeship and academic models, and the importance of understanding the history in order to help improve medical education in the future.
Do the following:
The textbook is suggested as the most efficient resource for this assessment, or use other resources from those provided with this assessment. You may also use resources you find on your own from the History of Health Care Research tab in the Health Care Administration Undergraduate Library Research Guide to research the history of medical education from the 1800s, 1960s, early 2000s, and today.
You will need to include four references in your paper, one of which can be your textbook.
Template 2
Changes in Medical Education
Your Full Name (no credentials)
Capella University
BHA-FPX4002: History of the United States Health Care System
Instructor’s Name
Date
Changes in Medical Education
Write your introduction here. Include a brief explanation of the purpose of the paper and its main ideas.
The Changing Scope of Medical Education
Analyze the scope of change in medical education from the 1800s to today. How widespread are the newer technologies impacting medical training? Have there been mandated changes or have there been cultural changes that have impacted medical education?
Apprenticeship Model vs. Academic Model
Description and Comparison of Both Models
Describe both the apprenticeship and academic models of medical education in the 1800s, 1960s, early 2000s, and today. Compare and contrast the features of both models.
Analysis of Evolution and Impact
Analyze how the two models have evolved over time and the impact the evolution of these models has had on the quality of patient care.
Importance of Understanding History of Medicine
Explain why it is important to understand the history of medical education in order to help improve medical education in the future. Be sure to provide examples that illustrate your point.
Conclusion
Summarize the main themes of your paper.
References
(Include a minimum of four resources, all of which must be cited in the body of your paper.)
Young, K. M., & Kroth, P. J. (2018). Sultz & Young’s health care USA: Understanding its organization and delivery (9th ed.). Jones & Bartlett learning
Assessment 3
Write a 2-3 page trend analysis paper to describe health care regulations and medical practice evolutionary changes for access, quality, and cost, including the significant milestone events for different time periods.
Moana is a newly appointed quality reporting analyst for a Northeast Accountable Care Organization (ACO). Her director tells her that the U.S. health care system is going through a quality revolution. The drivers of this movement are years of proposed, failed, and enacted legislation; many regulatory agencies lobbying for change; and the myriad of quality initiatives implemented before and after the Affordable Care Act. Other influences in this trend are Medicare, Medicaid, employer groups, and the managed care markets’ drive to improve quality and reduce costs. The beneficiaries of these plans—patients—want transparency of their services in regard to quality, safety, and cost.
To achieve these desired health service outcomes, private and public health systems work in tandem to reduce the burden of disease and increase quality, while managing costs. They do this through programs such as Vaccines for Children (VFC) and Women, Infants, and Children (WIC), the Substance Abuse and Mental Health Services Administration (SAMHSA), Healthy People (1990–2030), Program of All-inclusive Care for the Elderly (PACE), and many more. Moana’s director shares with her that 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 the world today.
In this assessment, 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 patient and population health quality initiatives, with many more regulations to come.
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
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.
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.
Chart is included in the second attachment
Historical Trend Analysis
Your Full Name (no credentials)
Capella University
BHA-FPX4002: History of the United States Health Care System
Instructor’s Name
Date
Historical Trend Analysis
Write your introduction here. 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.
Trends and Regulations
Provide a brief description of the key measures of health care services, which are access, quality, and cost (1–2 paragraphs).
Health Care Access
Explain why access to health care is important and what it means. What U.S. legislation, regulatory agencies, and quality initiatives for 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? (1–2 paragraphs)
Health Care Quality
Health Care Cost
Trend Analysis
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 (1–2 paragraphs). Describe professional experiences or examples to illustrate the trends. Include citations and references to specific regulations, events, or agencies.
Conclusion
Summarize clear and concise conclusions of your trend analysis (1 paragraph). What are the trends revealed for health care access, quality, and cost? Draw a conclusion about how the changes have improved, been neutral, or inhibited progress of the U.S. health care system.
References
Kroth, P. J., & Young, K. M. (2018). Sultz & Young’s health care USA: Understanding its organization and delivery (9th ed.). Jones & Bartlett.
Appendix
| Trend Analysis Table: Evolution of Access, Quality, and Cost in Health Care | |||
| Milestones | Health Care Access | Health Care Quality | Health Care Costs |
| 1800s Regulatory Legislation, Agencies, or Quality Initiatives | Year, Milestone Note Note | Year, Milestone Note Note | Year, Milestone Note Note |
| Year, Milestone Note Note | Year, Milestone Note Note | Year, Milestone Note Note | |
| 1900s Regulatory Legislation, Agencies, or Quality Initiatives | Year, Milestone Note Note | Year, Milestone Note Note | Year, Milestone Note Note |
| Year, Milestone Note Note | Year, Milestone Note Note | Year, Milestone Note Note | |
| 2000s Regulatory Legislation, Agencies, or Quality Initiatives | Year, Milestone Note Note | Year, Milestone Note Note | Year, Milestone Note Note |
| Year, Milestone Note Note | Year, Milestone Note Note | Year, Milestone Note Note |