1. Introduction to US Health Care Unit 4 Chapter 14 Public Health Policy 14-1

3. Unit 4 Assignment  First - Choose a regulation or statues that impacts health care:  Occupational exposure to Blood borne Pathogens Standard (OSHA)  The American Disability Act (ADA)  Health Insurance Portability and Accountability Act (HIPAA)

4. Unit 4 Assignment  Next – Research the topic online to find:  What is the regulation or statute for?  Who does the act protect?  What are the consequences for violating it?  Why are the laws like this good for protection?  How do you propose to enact these standards when you are an administer?

5. Unit 4 Assignment  Three paragraphs long  APA format  Minimum of 2 online references  Word count – 400 words  Follow directions for submitting to Dropbox  Due by Tuesday, February 28th

6. Public Health Services Protection of the nation’s public health is a government responsibility. Public Health Agencies Three core functions are Assessment Policy Development Assurance 14-6

7. The Department of Health & Human Services (DHHS) The DHHS and various federal agencies perform several public health functions. Data gathering and analysis, and surveillance and control: The CDC Conducting and sponsoring research: The NIH Providing programmatic assistance to state and local governments –The Health Resources & Services Administration 14-7

8. The Department of Health & Human Services (DHHS) The DHHS and various federal agencies perform several public health functions. Ensuring the safety of food and drugs: The FDA Ensuring access to health services by aged and poor people: The CMS Providing direct services to special populations: IHS 14-8

9. State Health Agencies The state’s role in public health: Licensing health care professionals Inspecting and licensing health care facilities Collecting vital statistics 14-9

10. The state’s role in public health ( contd.) Investigating and analyzing the epidemiology of disease Epidemiology study includes three factors: 1.Incidence 2.Distribution 3.Control 14-10

11. The state’s role in public health (contd.) Observing and managing communicable diseases in the community Registering diseases and tumor information Providing laboratory services Formulating health policy and legislation Analyzing health policy and legislation’s impact Providing community health education 14-11

12. Local Health Agencies  Food safety inspection  Sanitation services  Investigation and control of STDs  Drinking water purification Most front-line public health services are provided locally. 14-12

13. Private Health Care Providers Private health care providers contribute to the public health by:  Engaging in surveillance and monitoring of diseases  Administering immunizations  Screening for communicable diseases  Offering patient education  Coordinating the provision of private and public health services 14-13

14. Public Health Agency Funding  Local Government – 44%  State Government – 40%  Federal Government – 3%  Service reimbursement – 19%  Other – 4%

15. Local Public Health Services  Disease screening  Primary care  Mental Health care  Maternal and child health  Family planning  Hospital care

16. Federal & State Statues & Regulations Title 21, Federal Food, Drug, and Cosmetic Act OSHA Laws The Hazard Communication Standard The Medical Waste Tracking Act The Occupational Exposure to Bloodborne Pathogen Standard The Health Insurance Portability and Accountability Act  State laws differ from state to state, i.e. abortion laws 14-16

17. Health Indicators Researchers conduct surveys comparing the U.S. population to populations in other developed countries. Key indicators are:  Cost  Access  Responsiveness  Infant mortality  Fairness of financing 14-17

18. Characteristics of the Health System To classify health systems researchers look at a number of factors.  Degree of primary care regulation  Type of financial access to health care  Whether the health system relies on generalists or specialists to provide primary care 14-18

19. Primary Care or Specialty Care To determine if a the foundation of a country’s health system is primary or specialty care researchers look at the following factors:  Extent to which the PCP acts as the point of entry into the system  Extent to which the physician provides continuous care over time  Comprehensiveness of the care provided  Extent of coordination of services by the PCP 14-19

20. Summary  A key to understanding the U.S. healthcare system is understanding U.S. health policy.  Implementing health care policy in this country requires complex coordination among all levels of government.  Recognizing how the U.S. healthcare system differs from systems around the world offers a starting point for examining overall effectiveness of U.S. health policy.

21. To-do List  Read Chapter 14  Complete Written Assignment  Post Responses to Discussion Question

22. Good Night!  Thank you for attending the seminar!