Ashford 6: - Week 5 - Final Presentation
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thompson_a1_w3.pptxFinal Presentation: Part I
Issys Thompson
HCA205: Introduction to Health Care (SAE1624B)
Instructor: Sandra Gaston
Date: 6/27/2016
Introduction
This presentation is to present from my perspective an overview of the healthcare system.
I will present about three different revolutionary factors that contributed to the healthcare system.
Try to identify with each factor on ethics, finances etc.
As well as present the roles of the physicians in regards to these three factors.
The Marine Hospital
The Marine Hospital was one of the first signs of medical organization, as well as one of the first publicly funded, pre-paid health insurance programs in U.S. history.
President John Adams signed the Marine Hospital Fund into law on July 16, 1789.
First publicly funded, pre-paid health insurance programs in U.S. history.
Many of America's modern healthcare systems evolved from the Marine Hospital Service.
President John Adams signed the Marine Hospital Fund into law on July 16, 1789. The law provided care for ill and disabled seamen in the U.S. Merchant Marine and Coast Guard, along with other federal beneficiaries, at several hospitals located at sea and river ports.
The law provided care for ill and disabled seamen in the U.S. Merchant Marine and Coast Guard, along with other federal beneficiaries, at several hospitals located at sea and river ports.
John Maynard Woodworth was the first supervising surgeon he instituted examinations for patients and implemented required uniforms for physicians and nurses.
The Marine Hospital Service and Public Health Service joined together to reflect growing responsibilities.
With each new development came new costs but they knew that people would survive with their form healthcare.
I think that even though sergeants didn’t have as much knowledge as they do now their constant research is the reason why our healthcare system improves everyday.
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The Civil War
The Civil War had been instrumental in establishing a system of healthcare in the United States.
It was the costliest and bloodiest conflicts in history.
“The real lasting impact was the change in mindset of both doctors and the people who they were treating,” says NLM historian Ken Koyle.
Working in the field, surgeons learned two techniques.
When Hammond took over as surgeon general, he promoted “pavilion” hospital architecture
The Civil War the costliest and bloodiest conflicts in history. It shined a light on the improvements that needed to be made to the healthcare system. They weren’t even sterilizing their equipment back then, to me that it so nasty and unsanitary but back then that was all they knew or had resources for. Without the civil war people would’ve known about disease prevention.
The first technique leave the wound open and clean it regularly until new skin formed, or close the wound with a flap of skin. The second option was more aesthetically pleasing but came with the potential for painful infection, because it sealed pathogens inside the body
The war also saw the emergence of distinct fields of surgery, with the development of plastic surgery in particular. With amputations becoming increasingly common, the Civil War added to a growing population of people in need of prosthetics, and more patients demanded greater variety. Hammond’s idea separated patients by their disease to help prevent the spread of contagious disease it was one of the most brilliant ideas in history.
In August of 1862, a physician named Jonathan Letterman set up the first ambulance system in the Union’s Army of the Potomac. Letterman improved the way ambulances evacuated soldiers from the battlefield.
The war buffered pharmaceutical knowledge because the influx of patients allowed doctors to figure out the best dosage rates for known medications.
The Civil War had a small groups of physicians with little knowledge on what was proper healthcare procedures and very little resources to help.
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The American Medical Association
American Medical Association (AMA) attempted to define educational standards for physicians.
The American Medical Association first recommended that State governments register births, marriage and deaths.
AMA recommends borderline limits to determine alcohol influence in the suspected drunken driver.
In 1946 AMA begins television broadcasts that bring health messages to the general public.
The American Medical Association established a board to analyze quack remedies to enlighten the public in regard to the nature and danger of such remedies.
In 1905 AMA established Council set standards for drug manufacturing and advertising on Pharmacy and Chemistry.
The AMA separated the physicians from the fake physicians who didn’t even have a degree. People were literally “playing doctor” coming up with their own healthcare remedies and using them on patients.
In researching The American Medical Association I realized how many ideas they implemented that we still use today. For example the AMA stated that blood alcohol level of 0.1 percent should be accepted as evidence of alcohol intoxication.
The AMA is the reason for the national policy on healthcare for older patients.
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References
AMA History Timeline. (n.d.). Retrieved June 28, 2016, from http://www.ama-assn.org/ama/pub/about-ama/our-history/ama-history-timeline.page
Batnitzky, A., Hayes, D., & Vinall, P.E. (2014). The U.S. healthcare system: An introduction. San Diego, CA: Bridgepoint Education, Inc.
Commissioned Corps of theU.S. Public Health Service. (n.d.). Retrieved June 27, 2016, from http://www.usphs.gov/aboutus/history.aspx
Six Ways the Civil War Changed American Medicine. (n.d.). Retrieved June 28, 2016, from http://www.smithsonianmag.com/science-nature/six-ways-civil-war-changed-american-medicine-180955626/?no-ist
Final Presentation: Part II
Issys Thompson
HCA205: Introduction to Health Care (SAE1624B)
Instructor: Sandra Gaston
Date: 6/27/2016
So Who Pays For Healthcare?
Private Health Insurance Companies
Government Health Coverage Programs
Employer and Employee Cost-Sharing
The concept of insurance as a contract between an individual and a company guarantees economic compensation as a result of an unpredicted event in exchange for a monthly or annual premium.
In most industrialized countries, the government plays a primary role in the funding and administering of healthcare services
The story of health insurance, originally referred to as "sickness insurance," began with the first employer-sponsored, group disability policy issued in 1911 (Murray, 2007).
This arrangement makes employees part of their employer's group insurance plan, and the employer subsidizes the monthly premiums. This makes the monthly payments more affordable for the employees.
The fact that the United States spends more money on healthcare than any other industrialized country in the world is a well-known and oft repeated statistic (Commonwealth Fund, 2012b).
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Reimbursement Methods
