Economics of Health Care.
Politics and the Law.
The Health Care System.
Economics of Health Care.
Read chapter 10, 11 & 12 of the class textbook and review the attached PowerPoint presentation. Once done answer the following questions;
- Discuss how the structure of government impacts the policy development process.
- Describe the legislative, judicial, and administrative (executive) processes involved in establishing federal, state, or local health policy.
- Describe the organization of the public healthcare subsystem at the federal, state, and local levels.
- Discuss the factors that influence the cost of health care.
As stated in the syllabus please present your assignment in an APA format word document, Arial 12 font attached to the forum in the discussion tab of the blackboard name “Week 3 discussion questions”. A minimum of 2 evidence-based references are required (not counting the class textbook) no older than 5 years. A minimum of 2 replies to any of your peers are required sustained with the proper references. A minimum of 700 words without counting the first and last reference is required. Please make sure you follow the instructions as given.
Chapter 11
The Health Care System
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
U.S. Health Care System
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
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Figure 11-1
U.S. Health Care System (Cont.)
Private health care subsystem
Focus on the individual
Nonprofit and for-profit agencies
Models of services
Solo practice
Single specialty group practice
Multispecialty group practice
Integrated health maintenance model
Community health center
Voluntary or nonofficial agencies
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
3
U.S. Health Care System (Cont.)
Public health care system
Mandated by the U.S. Constitution
Focus on the population
“promote the general welfare of its citizens.”
Federal policies and practices influence local and state governments
Coordination of services under Department of Health and Human Services
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
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Public Health
Public health refers to the efforts organized by society to protect, promote, and restore the people’s health.
Concerned with a healthy population
Concerned with a healthy environment
Scope is broad
Encompasses activities that promote good health
Organized into multiple levels (federal, state, local)
Provides services for those unable to obtain health care without assistance
Establishes laws, rules, and regulations to protect the public
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
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Public Health System
Federal level subsystem
U.S. Department of Health and Human Services
Surgeon General and numerous other agencies
Targets general population, special populations, and international health
IOM Report, HHS in the 21st Century: Charting a New Course for a Healthier America (2008), recommended transformation of system
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
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Current HHS Strategic Plan
Transform health care
Advance scientific knowledge and innovation
Advance health, safety, and well-being of the American people
Increase efficiency, transparency, and accountability of HHS
Strengthen the nation’s health and human services infrastructure and workforce
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
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Public Health System (Cont.)
State level subsystem
State health departments
Responsible for the health of their citizens
Central authorities in the public health care system
Dependent on federal level for guidance and resources
Establish own state laws
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
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Public Health System (Cont.)
Local health department subsystem
Local health departments (LHD)
Responsible for direct delivery of public health services and protection of the health of citizens
Not all communities have LHDs
Responsible for:
Community health services
Environmental health services
Personal health services
Mental health services
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
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Health Care Providers
Provider organizations
Any organization that provides health care to the community
Health care professionals
The interprofessional health care team
Professionals and nonprofessionals
Nontraditional health care providers
Complementary and alternative therapies
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
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Quality Care
To Err Is Human: Building a Safer Health System (IOM, 1999) focused on safety within the health care delivery system
Crossing the Quality Chasm (IOM, 2001) focused on developing a new health care system for the twenty-first century, one that improves care
Leadership by Example (IOM, 2003) was a report requested by Congress that examined the federal government’s quality enhancement processes
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
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Quality Care (Cont.)
Who Will Keep the Public Healthy? (IOM, 2003) brought public health into the forefront by focusing on issues including globalization, rapid travel, scientific and technological advances, and demographic changes
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