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History of Healthcare in US History. Topical Themes slide 2 Chronological slide 3. Historical Themes about Healthcare. Healthcare In Society Public Health Waste Management Sewage, Fluoride Pandemics Influenza-1918, SARS 2003, Typhoid Vaccinations Government oversight
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History of Healthcarein US History Topical Themes slide 2 Chronological slide 3
Historical Themes about Healthcare • Healthcare In Society • Public Health • Waste Management Sewage, Fluoride • Pandemics Influenza-1918, SARS 2003, Typhoid Vaccinations • Government oversight • Flexner Report • JCAHO • HEW, HHS, CMS • Church sponsorship • Professional Associations • Licensure of healthcare professionals • Technology Introductions • Bio medical research • Medical devices • Early technology • recent innovations implants, radiology etc • Software • Technology Report of 1999 • Bar coding • Finance • Universal Claim Form • Concepts of Risk & Insurance • Church sponsorship - Transition of community hospitals • HCFA oversight & Inspector General • New payment mechanisms • Current Policy Issues • Cost Containment • The Wired Hospital • Electronic Medical Records • Legal, Ethical and Moral challenges • End of Life Issues • Ownership, Referrals
Chronological Healthcare Curriculum • Colonial Period Healthcare • Hospitals In Society • Providers physicians – nurses – faith healers • Civil War Era Healthcare • Ambulances - wartime innovation • Disease: incidence & prevalence Inter war years • National Cancer Institute founded 1937 • Health Insurance Introduced • Group Health Insurance grows Blue croos Plans Develop • Post War Years • Financing • Hospitals • Hill-Burton Act • Semi private room become the norm • JCAHO created; 1951 • Hospital expenditures at $6 b in 1958 • Theme is “Care In Crisis” at ’69 AHA Convention • Hospital indicators created in ’64 re Utilization • VA System Growth • Mental Hospitals • Medical Research • NIH NSF Big Pharma • Technology • Artificial hips-knees cardio implants CT scans • Computers re acc’t/billing appear • DNA researched • HCFA created in ‘77 • Medicare & Medicaid Launched in ‘65 • Mcare extensions in ‘72 • PSRO created in ‘72 • 1980 -2000 • Ambulatory surgery on the increase • Tylonol tampering • DRG’s introduced Dartmouth Atlas of Health • Healthcare spending continues upward per the GDP • Wired Hospitals Electronic Medical Records • Turn of Century • HIPAA • Baldridge Awards • Billing Practices Abridged version