HS410-01: Organization & Management for Healthcare Unit 2 Tami Ford, M.A.

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Instructor Information Tami Ford, M.A. Adjunct Faculty School of Health Sciences Kaplan University AIM: InstructorTami Find me on Facebook via Kaplan e- mail at Instructor Tami Ford

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Chapter 1 (Continued from Unit 1) The role of government and non-government entities.

Mid-19 th Century (1800’s) American Medical Association (AMA) ▫Began in 1847 ▫Efforts to improve the poor quality of medical education and examine the questionable ethics of practicing physicians. American Hospital Association (AHA) ▫Began in 1848 ▫Efforts to improve public welfare by providing better health care in hospitals (McWay, 2008).

Private Health Insurance’s Impact on Health Care Majority of Americans received private health insurance as part of employer fringe benefits. This coverage permitted many Americans to receive health care services in an economical fashion. It also resulted in the delivery of health care services becoming a factor in the American economy (McWay, 2008).

Medicare & Medicaid Programs Medicare ▫Designed to provide financing for health care for all persons over the age of 64, regardless of financial need. Medicaid ▫Designed to provide financing for health care of poor or impoverished persons (McWay, 2008).

The Tax Equity & Fiscal Responsibility Act (TEFRA) Established a mechanism for controlling the costs of the Medicare program, namely, the prospective payment system (PPS) (McWay, 2008).

Public Health: Federal Level U.S. Depart. Of Health & Human Services (HHS) ▫Centers for Disease Control & Prevention (CDC) ▫Food & Drug Administration (FDA) ▫National Institutes of Health (NIH) ▫Health Care Financing Administration (HCFA) ▫Centers for Medicare & Medicaid Services (CMS) (McWay, 2008).

Why Variations Over Time? The number and quality of: ▫Professionals ▫Organizations ▫Entities (McWay, 2008).  Based upon what significant attributes?

Philanthropic Foundations Major role in health care (McWay, 2008). ▫Why important? ▫How do monies support health care?

Privileges & Credentialing Process A complex series of steps, overseen by the medical staff coordinator. See Figure 1-5 in textbook (p. 22) for 6 step process (McWay, 2008).

Health Care Prior to the 1900s A loose collaboration of efforts By individual physicians who worked independently of one another Poorly trained, generally under an older physician Eventually, medical colleges Most time spent in homes of office, not in hospitals which were perceived negatively (McWay, 2008).

Accreditation in the 20 th Century The Joint Commission (JC) ▫Formerly known as the Joint Commission on Accreditation of Healthcare Organzations (JCAHO). The American Osteopathic Association (AOA) ▫Healthcare Facilities Accreditation Program (HFAP) (McWay, 2008). Reference McWay, D.C. (2008). Today's health information management: An integrated approach. Clifton Park, NY: Delmar Cengage Learning.

Coming up in Unit 3…

Questions? Thank you and good night