Transcript HS410-01: Organization & Management for Healthcare Unit 2

HS410-01: Organization &
Management for Healthcare
Unit 2
Tami Ford, M.A.
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Tami Ford, M.A.
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Kaplan University
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Chapter 1 (Continued from Unit 1)
The role of government and non-government
entities.
Mid-19th 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 20th 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