Hcs 235 Health Museum Research Paper
Health Museum
Health Museum
Lisa Schirmeister
HCS 235/ Healthcare Delivery in the U.S
Abstract
In this Health Care Museum there will be exhibits showing the acknowledgment of the five most significant developments in the evolution of healthcare in the United States. For many years we have seen a large growth in the healthcare industry/field, it has been both good and bad. After I have researched many different areas .I would like to portray for my exhibit debut. The five most significant developments are: Information system, the underinsured & the uninsured, Tobacco Control, Hospice Care and Vaccine- Preventable Diseases.
Title of Paper
Exhibt I:
Health Care Information Systems
These advantages we have helped developed modern technology …show more content…
are very helpful to how health information is being provided either through electronic medical records, medical billing, or telemedicine.
When looking back twenty years ago at the technology that was used than and between what is now has had such a dramatic change.
Health care technology continues to change every day. Look back to many or several years ago how our information was stored at doctors’ offices. Due to the growth of the internet, the evolution of electronic medical records and electronic health records has dramatically changed how physician-client information is exchanged. In the past you could walk into the doctor’s office an see massive charts scattered around everywhere. The front person would check in you, answer phone and then have to search for your chart. Now she only has to enter your name in the computer and all of your medical history that is allowed to be there is there. Today most doctor offices, clinics and hospitals use multiple high-tech computers. Overall, it has been a big advancement in technology .And everyone has benefited from the advancement of technology, the ease of availability of laboratory results, and the electronic ability to refill medications during an office visit. Both parties involves now have the capacity to share important health information by either the internet or …show more content…
e-mail.
In 1996, the Health Insurance Portability and Accountability Act (HIPAA) were put into place. This helped make it possible for everyone to qualify for health insurance and setting privacy. The Health Insurance Portability and Accountability Act set and established standards and regulation for health information and health care delivery making it easier and more efficient for the patient.
Exhibit 2:
The Insured, the Underinsured, & the Uninsured
Insurance is one of the biggest part of the healthcare development over the years. It has had the biggest impact on the United States; did you know we have the lowest rating for health care in the nation? There has been a dramatic increased over the years of the uninsured. The Affordable Healthcare Act has been in placed to help people who are underinsured and uninsured to received treatments. Even some of the plans that are offered make it hard for people to pay the cost of health insurance due to the increasing cost. The amount of uninsured and underinsured has decreased since this Affordable health care Act was started. There are also some government plans that are out there to assist with low income families and just for children as well.
Exhibit 3: Tobacco Control
Since we have read the first publication report from the first Surgeon General 's on tobacco use in the United States back in 1964,. It showed the damage of smoking to the public which led to implementation of evidence-based policies and interventions by federal, state, and local public health authorities has reduced tobacco use significantly (CDC) Over the years there has been a decline in the smoking rates as the public learns more education. By 2009, 20.6% of adults and 19.5% of youths were current smokers, which showed a decline of around 3% in adults and over a 10% declined in youths that compared to the 1990’s. After a substantial decline from 1997 (36.4%) to 2003 (21.9%), smoking rates among high school students remained relatively unchanged from 2003 (21.9%) to 2009 (19.5%) (). Similarly, adult smoking prevalence declined steadily from 1965 (42.4%) through the 1980s, but the rate of decline began to slow in the 1990s, and the prevalence remained relatively unchanged from 2004 (20.9%) to 2009 (20.6%) (). Despite the progress that has been made, smoking still results in an economic burden, including medical costs and lost productivity, of approximately $193 billion per year ().
Although no state had a comprehensive smoke-free law (i.e., prohibit smoking in worksites, restaurants, and bars) in 2000, that number increased to 25 states and the District of Columbia (DC) by 2010, with 16 states enacting comprehensive smoke-free laws following the release of the 2006 Surgeon General 's Report (). After 99 individual state cigarette excise tax increases, at an average increase of 55.5 cents per pack, the average state excise tax increased from 41.96 cents per pack in 2000 to $1.44 per pack in 2010 (). In 2009, the largest federal cigarette excise tax increase went into effect, bringing the combined federal and average state excise tax for cigarettes to $2.21 per pack, an increase from $0.76 in 2000. In 2009, the Food and Drug Administration (FDA) gained the authority to regulate tobacco products (). By 2010, FDA had banned flavored cigarettes, established restrictions on youth access, and proposed larger, more effective graphic warning labels that are expected to lead to a significant increase in quit attempts (). Despite all of the efforts and progress we have made on trying to control tobacco people still smoke. It has become a big burden on the economy and society. Do you know how much medical cost that is made up of smokers? Approxiamently, $196 million dollars a year. Back in 2009 the FDA have been allowed to start regulating the use of tobacco products. Around 2010 candy cigarettes were not being sold to help reduce the desire of younger children to take up smoking.
Exhibit 4: Hospice care
Hospice care can be tracked back to the early medieval times is known as a place of shelter and rest for the weary or ill travelers on their long journey. It was given this name by DR Dame Cicely Saunders who started taking care of the terminally ill in 1948. The first modern hospice was called St. Christopher’s Hospice in London. In 1963 Saunders decided to introduce the specialized care for the terminally ill to the United States when he visited Yale University. In the 50’book was written on Death and Dying, the book showed and identified the five stages through which terminally ill patients progress through. In 1972 Kubler- Ross testified in the first hearing on the subject of death with dignity. As of now I believe Oregon, is the only state to practice this. Remember a few months back of a young lady who was diagnosed with a terminally illness. JCAHO gives accreditation to hospice care in the 1980’s. Over the years there has been many changes with insurance company’s in okaying for hospice care. Now hospice care can be covered either if it is at home or at a facility
Exhibit 5: Vaccine-Preventable Diseases
The last 10 years we have seen a large decline of cases that are associated with vaccine-preventable diseases. New vaccines are introduced frequently; this brings the number of diseases targeted by U.S. immunization policy to be decreased. There have been study to show when children get vaccination at birth with the scheduled immunization as a child it prevents approximately 42,000 deaths and 20 million cases of disease The impact of two vaccines has been particularly striking. Following the introduction of pneumococcal conjugate vaccine, an estimated 211,000 serious pneumococcal infections and 13,000 deaths were prevented during 2000--2008 (3). Routine rotavirus vaccination, implemented in 2006, now prevents an estimated 40,000--60,000 rotavirus hospitalizations each year (). Advances also were made in the use of older vaccines, with reported cases of hepatitis A, hepatitis B, and varicella at record lows by the end of the decade. Age-specific mortality (i.e., deaths per million population) from varicella for persons age <20 years, declined by 97% from 0.65 in the prevaccine period (1990--1994) to 0.02 during 2005--2007 (). Average age-adjusted mortality (deaths per million population) from hepatitis A also declined significantly, from 0.38 in the prevaccine period (1990--1995) to 0.26 during 2000--2004 ().
.References
http://www.nhpco.org/history-hospice-care// History of Hospice Care: Hospice: A Historical Perspective
CDC.
Trends in the prevalence of tobacco use: national YRBS, 1991--2009. Atlanta, GA: US Department of Health and Human Services, CDC; 2010. Available at http://www.cdc.gov/healthyyouth/yrbs/pdf/us_tobacco_trend_yrbs.pdf Adobe PDF file. Accessed May 17, 2011.
CDC. Vital signs: current cigarette smoking among adults aged ≥18 years---United States, 2009. MMWR 2010;59:1135--40.
CDC. Smoking-attributable mortality, years of potential life lost, and productivity losses---United States, 2000--2004. MMWR 2008;57:1226--8.
CDC. State smoke-free laws for worksites, restaurants, and bars---United States, 2000--2010. MMWR 2011;60:472--5.
CDC. State Tobacco Activities Tracking and Evaluation (STATE) System. Available at http://www.cdc.gov/tobacco/statesystem. Accessed May 17, 2011.
US Government Printing Office. Family Smoking Prevention and Tobacco Control Act. Public Law No. 111-31. Washington DC: US Government Printing http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6019a5.hth Schirmeister, Lisa/ HCS235 Health care delivery systems in the
US./2014
Health Museum
Lisa Schirmeister
HCS 235/ Healthcare Delivery in the U.S
Abstract
In this Health Care Museum there will be exhibits showing the acknowledgment of the five most significant developments in the evolution of healthcare in the United States. For many years we have seen a large growth in the healthcare industry/field, it has been both good and bad. After I have researched many different areas .I would like to portray for my exhibit debut. The five most significant developments are: Information system, the underinsured & the uninsured, Tobacco Control, Hospice Care and Vaccine- Preventable Diseases.
Title of Paper
Exhibt I:
Health Care Information Systems
These advantages we have helped developed modern technology …show more content…
are very helpful to how health information is being provided either through electronic medical records, medical billing, or telemedicine.
When looking back twenty years ago at the technology that was used than and between what is now has had such a dramatic change.
Health care technology continues to change every day. Look back to many or several years ago how our information was stored at doctors’ offices. Due to the growth of the internet, the evolution of electronic medical records and electronic health records has dramatically changed how physician-client information is exchanged. In the past you could walk into the doctor’s office an see massive charts scattered around everywhere. The front person would check in you, answer phone and then have to search for your chart. Now she only has to enter your name in the computer and all of your medical history that is allowed to be there is there. Today most doctor offices, clinics and hospitals use multiple high-tech computers. Overall, it has been a big advancement in technology .And everyone has benefited from the advancement of technology, the ease of availability of laboratory results, and the electronic ability to refill medications during an office visit. Both parties involves now have the capacity to share important health information by either the internet or …show more content…
e-mail.
In 1996, the Health Insurance Portability and Accountability Act (HIPAA) were put into place. This helped make it possible for everyone to qualify for health insurance and setting privacy. The Health Insurance Portability and Accountability Act set and established standards and regulation for health information and health care delivery making it easier and more efficient for the patient.
Exhibit 2:
The Insured, the Underinsured, & the Uninsured
Insurance is one of the biggest part of the healthcare development over the years. It has had the biggest impact on the United States; did you know we have the lowest rating for health care in the nation? There has been a dramatic increased over the years of the uninsured. The Affordable Healthcare Act has been in placed to help people who are underinsured and uninsured to received treatments. Even some of the plans that are offered make it hard for people to pay the cost of health insurance due to the increasing cost. The amount of uninsured and underinsured has decreased since this Affordable health care Act was started. There are also some government plans that are out there to assist with low income families and just for children as well.
Exhibit 3: Tobacco Control
Since we have read the first publication report from the first Surgeon General 's on tobacco use in the United States back in 1964,. It showed the damage of smoking to the public which led to implementation of evidence-based policies and interventions by federal, state, and local public health authorities has reduced tobacco use significantly (CDC) Over the years there has been a decline in the smoking rates as the public learns more education. By 2009, 20.6% of adults and 19.5% of youths were current smokers, which showed a decline of around 3% in adults and over a 10% declined in youths that compared to the 1990’s. After a substantial decline from 1997 (36.4%) to 2003 (21.9%), smoking rates among high school students remained relatively unchanged from 2003 (21.9%) to 2009 (19.5%) (). Similarly, adult smoking prevalence declined steadily from 1965 (42.4%) through the 1980s, but the rate of decline began to slow in the 1990s, and the prevalence remained relatively unchanged from 2004 (20.9%) to 2009 (20.6%) (). Despite the progress that has been made, smoking still results in an economic burden, including medical costs and lost productivity, of approximately $193 billion per year ().
Although no state had a comprehensive smoke-free law (i.e., prohibit smoking in worksites, restaurants, and bars) in 2000, that number increased to 25 states and the District of Columbia (DC) by 2010, with 16 states enacting comprehensive smoke-free laws following the release of the 2006 Surgeon General 's Report (). After 99 individual state cigarette excise tax increases, at an average increase of 55.5 cents per pack, the average state excise tax increased from 41.96 cents per pack in 2000 to $1.44 per pack in 2010 (). In 2009, the largest federal cigarette excise tax increase went into effect, bringing the combined federal and average state excise tax for cigarettes to $2.21 per pack, an increase from $0.76 in 2000. In 2009, the Food and Drug Administration (FDA) gained the authority to regulate tobacco products (). By 2010, FDA had banned flavored cigarettes, established restrictions on youth access, and proposed larger, more effective graphic warning labels that are expected to lead to a significant increase in quit attempts (). Despite all of the efforts and progress we have made on trying to control tobacco people still smoke. It has become a big burden on the economy and society. Do you know how much medical cost that is made up of smokers? Approxiamently, $196 million dollars a year. Back in 2009 the FDA have been allowed to start regulating the use of tobacco products. Around 2010 candy cigarettes were not being sold to help reduce the desire of younger children to take up smoking.
Exhibit 4: Hospice care
Hospice care can be tracked back to the early medieval times is known as a place of shelter and rest for the weary or ill travelers on their long journey. It was given this name by DR Dame Cicely Saunders who started taking care of the terminally ill in 1948. The first modern hospice was called St. Christopher’s Hospice in London. In 1963 Saunders decided to introduce the specialized care for the terminally ill to the United States when he visited Yale University. In the 50’book was written on Death and Dying, the book showed and identified the five stages through which terminally ill patients progress through. In 1972 Kubler- Ross testified in the first hearing on the subject of death with dignity. As of now I believe Oregon, is the only state to practice this. Remember a few months back of a young lady who was diagnosed with a terminally illness. JCAHO gives accreditation to hospice care in the 1980’s. Over the years there has been many changes with insurance company’s in okaying for hospice care. Now hospice care can be covered either if it is at home or at a facility
Exhibit 5: Vaccine-Preventable Diseases
The last 10 years we have seen a large decline of cases that are associated with vaccine-preventable diseases. New vaccines are introduced frequently; this brings the number of diseases targeted by U.S. immunization policy to be decreased. There have been study to show when children get vaccination at birth with the scheduled immunization as a child it prevents approximately 42,000 deaths and 20 million cases of disease The impact of two vaccines has been particularly striking. Following the introduction of pneumococcal conjugate vaccine, an estimated 211,000 serious pneumococcal infections and 13,000 deaths were prevented during 2000--2008 (3). Routine rotavirus vaccination, implemented in 2006, now prevents an estimated 40,000--60,000 rotavirus hospitalizations each year (). Advances also were made in the use of older vaccines, with reported cases of hepatitis A, hepatitis B, and varicella at record lows by the end of the decade. Age-specific mortality (i.e., deaths per million population) from varicella for persons age <20 years, declined by 97% from 0.65 in the prevaccine period (1990--1994) to 0.02 during 2005--2007 (). Average age-adjusted mortality (deaths per million population) from hepatitis A also declined significantly, from 0.38 in the prevaccine period (1990--1995) to 0.26 during 2000--2004 ().
.References
http://www.nhpco.org/history-hospice-care// History of Hospice Care: Hospice: A Historical Perspective
CDC.
Trends in the prevalence of tobacco use: national YRBS, 1991--2009. Atlanta, GA: US Department of Health and Human Services, CDC; 2010. Available at http://www.cdc.gov/healthyyouth/yrbs/pdf/us_tobacco_trend_yrbs.pdf Adobe PDF file. Accessed May 17, 2011.
CDC. Vital signs: current cigarette smoking among adults aged ≥18 years---United States, 2009. MMWR 2010;59:1135--40.
CDC. Smoking-attributable mortality, years of potential life lost, and productivity losses---United States, 2000--2004. MMWR 2008;57:1226--8.
CDC. State smoke-free laws for worksites, restaurants, and bars---United States, 2000--2010. MMWR 2011;60:472--5.
CDC. State Tobacco Activities Tracking and Evaluation (STATE) System. Available at http://www.cdc.gov/tobacco/statesystem. Accessed May 17, 2011.
US Government Printing Office. Family Smoking Prevention and Tobacco Control Act. Public Law No. 111-31. Washington DC: US Government Printing http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6019a5.hth Schirmeister, Lisa/ HCS235 Health care delivery systems in the
US./2014