BHA FPX 4002 Assessment 3

Assessment Overview

This assessment BHA FPX 4002 Assessment 3 looks at how healthcare in the U.S. has changed over time, from the 1800s to the 1900s to the 2000s. It looks at access, quality, and cost, and how rules, laws, and healthcare programs changed the way cases were treated. The study shows how access to healthcare has gotten better, how quality morals have changed, and how financial systems have made care more affordable over time. 

What’s Included:

Sample Assessment Paper

Historical Trend Analysis

Assaying Nonfictional trends and changes demonstrate the advancement made in American healthcare throughout the times. Studying these changes allows for future healthcare growth and development. Changes in health trends impact the quotidian exertion of healthcare directors, as acclimations are necessary to meet evolving conditions. Healthcare is an ever-changing request. 

Trends and Regulations

Access to healthcare leads to better case care. When cases can gain proper care and treatment, prognosis improves. Healthcare access is vital for reducing mortality and complaint progression. Quality healthcare is essential for fostering healthy communities and populations. It provides cases with a sense of security and trust towards healthcare professionals, performing in advanced compliance and better health issues. Cases who admit quality care are more likely to follow up and cover their health. 

The cost of healthcare has been a significant reversal, inhibiting cases from seeking medical attention when demanded. Still, changes in trends and regulations over the past three centuries have made medical costs more manageable. 

Healthcare Access

Healthcare access is vital, as cases need to gain treatment or medical attention when sick. Limitations in healthcare lead to increased mortality and complaint progression. Throughout history, various nonsupervisory measures have been executed to ameliorate healthcare access, analogous to state medical boards in the 1800s, the Hill-Burton Act in the 1900s, and the Patient Protection and Affordable Care Act in the 2000s. 

Healthcare Quality

Healthcare quality is vital for better treatments and patient prognoses. Over time, enterprises like the U.S. Army Medical Department in the 1800s, the Center for Improvement in Healthcare Quality in the 1900s, and the Patient Safety and Quality Improvement Act of 2005 have aimed to enhance healthcare quality, promoting patient participation and responsibility for providers. 

Healthcare Cost

Healthcare cost has been a barricade to piercing medical attention. Still, the proliferation of healthcare insurance in the 1800s, refunded health plans in the 1900s, and systems like the Inpatient Prospective Payment System in the 2000s have made healthcare more affordable, enabling cases to seek timely medical attention. 

Trend Analysis

Healthcare progress over the three periods has demonstrated significant advancements in access, quality, and cost. Access to healthcare has evolved through nonsupervisory measures, perfecting patient care and treatments. Healthcare quality has increased, including advanced morals of care and patient safety. Cost has become more manageable with the proliferation of insurance and payment systems, making healthcare more accessible overall. 

Conclusion

In conclusion, changes and advancements in healthcare backing have led to significant progress in the quality of care, patient issues, and healthcare costs. Access to healthcare has improved, allowing cases to admit timely treatment. Quality of care has increased through nonsupervisory measures, increasing case safety. Healthcare cost has become more manageable, enabling more individuals to get necessary medical care. Overall, healthcare has improved over the former three periods, performing better in prognosis, treatment, and complaint operation.

BHA FPX 4002 Assessment 3 Historical Trend Analysis

Centers for Medicare & Medicaid Services (2021d). Hospital inpatient quality reporting program. recaptured from 

Centers for Medicare & Medicaid Services (2021e). Hospital outpatient prospective payment system (OPPS). recaptured from 

Centers for Medicare & Medicaid Services (2021f). National correct coding action edits. recaptured from 

https://www.cms.gov/Medicare/Coding/NationalCorrectCodInitEd

Chaudhry, H.J. (2010). The important part of medical licensure in the United States. Academic Medicine, 85(11), 1657. 

(n.d.). History of healthy people. recaptured from 

Kroth, P. J., & Young, K. M. (2018). Sultz & Young’s Health Care USA: Understanding Its Association and Delivery (9th ed.). Jones & Bartlett. 

McCall, N., Korb, J., Petersons, A., & Moore, S. (2003). Reforming Medicare payment: Early goods of the 1997 Balanced Budget Act on postacute care. The Milbank Quarterly, 81(2), 277–173. 

https://doi.org/10.1111/1468-0009.t01-1-00054

Medicare.gov. (2021). Find & compare nursing homes, hospitals & other providers near you. Retrieved from https://www.medicare.gov/care-compare/

Moehling, C. M., & Thomasson, M. A. (2012, April). Saving babies: The contribution of Sheppard-Towner to the decline in infant mortality in the 1920s (Working Paper 17996). National Bureau of Economic Research. Retrieved from https://www.nber.org/system/files/working_papers/w17996/w17996.pdf

Quality Payment Program. (n.d.). APMs overview. Retrieved from https://qpp.cms.gov/apms/overview

Reilly, R. F. (2016). Medical and surgical care during the American Civil War, 1861-1865. Baylor University Medical Center Proceedings, 29(2), 138–142. https://doi.org/10.1080/08998280.2016.11929390

BHA FPX 4002 Assessment 3 Historical Trend Analysis

Truex, E. S. (2014). Medical licensing and discipline in America: A history of the Federation of State Medical Boards. Journal of the Medical Library Association, 102(2), 133–134. https://doi.org/10.3163/1536-5050.102.2.019

University of Pennsylvania School of Nursing. (n.d.). History of hospitals. Retrieved from https://www.nursing.upenn.edu/nhhc/nurses-institutions-caring/history-of-hospitals/

U.S. Department of Labor. (n.d.). Procedure manual; Division of Federal Employees’ Compensation (DFEC). Retrieved from https://www.dol.gov/agencies/owcp/FECA/regs/compliance/DFECfolio/FECA-PT0

U.S. Food and Drug Administration. (n.d.). Part II 1938, Food, Drug, and Cosmetic Act. Recaptured from 

Weil, T. P. (2002, Summer). Managed competition using both request-driven and nonsupervisory strategies. Managed Care Quarterly, 10(3), 32–40. 

Young, K. M., & Kroth, P. J. (2018). Sultz & Young’s Health Care USA Understanding Its association and delivery (9th ed.). Jones & Bartlett. 

Appendix: Evolution of Access, Quality, and Cost in Health Care

Table 1: Trend Analysis of Health Care Milestones

 

Time Period Regulatory Legislation, Agencies, or Quality Initiatives Health Care Access Health Care Quality Health Care Costs
1800s State medical boards Establishment of medical practice regulations protecting patients (Truex, 2014) Promotion and implementation of health awareness (Reilly, 2016) Provision of lower health care costs through insurance (Scofea, 1994)
U.S Army Medical Department and United States Sanitary Commission Implementation of new health care regulations and awareness (Reilly, 2016) Implementation of medical care and treatments in hospitals (Reilly, 2016) –
Healthcare Insurance Introduction of health insurance covering non-death related costs (Scofea, 1994) – –
Hospital Treatment Provision of surgeries, outpatient, and inpatient services (Scofea, 1994) – –
Regulating Healthcare Implementation of state healthcare regulations and physician licensing (Chaudhry, 2010) – –
U.S Army Established the Hospital Corps Maintenance of medical records for better follow-up care (Weedn, 2020) – –
1900s Hill-Burton Act Federal grant program providing hospitals with funds (Centers for Medicare & Medicaid Services, 2021a) – –
Food, Drug, and Cosmetic Act Regulation of medical equipment and medicine labeling (Young & Kroth, 2018; FDA, n.d.) – –
Self-Pay is the primary source of healthcare services Patient payment for healthcare services (Young & Kroth, 2018) – –
Introduction of prepaid health plans (direct contracting) Improved availability of healthcare for working Americans (Young & Kroth, 2018) – –
Center for Improvement in Healthcare Quality (CIHQ) Regulation and accreditation services for healthcare treatments (Center for Improvement in Healthcare Quality, n.d.) – –
2000s Patient Protection and Affordable Care Act Mandated coverage of preventive care services at no patient cost (Centers for Medicare & Medicaid Services, 2021b) – –
Patient Safety and Quality Improvement Act of 2005 Improvement of patient safety and reduction of incidents (Centers for Medicare & Medicaid Services, 2021c) – –
Outpatient Prospective Payment System (OPPS) Medicare payment for hospital outpatient services based on flat rates (Centers for Medicare & Medicaid Services, 2021d) – –
Medicare Care Compare Platform for comparing medical facilities (Medicare.gov, 2021) – –
Hospital Quality Reporting (HQR) and Initiative (H.Q.I.) Mandatory reporting of quality issues by medical providers (Centers for Medicare & Medicaid Services, 2021e) – –
Managed Market Competition; Consumer-driven health plans Introduction of consumer-driven health plans (Well, 2002) – –

BHA FPX 4002 Assessment 3: Historical Trend Analysis in Healthcare

References

Step-by-Step Guide

  1. Set the Scope Look at healthcare trends in the 1800s, 1900s, and 2000s. 
  2. Collect Data Get information on laws, regulations, healthcare quality programs, and cost structures. 
  3. Look at how access, quality, and costs changed over time. 
  4. Look at the 1800s, 1900s, and 2000s and see how they are alike, how they are different, and how they have changed. 
  5. Draw Conclusions—epitomize the progress made in history and how it has changed how we exercise medicine. 

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