HISTORICAL HEALTH CARE TREND ANALYSIS Introduction The private and public health

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HISTORICAL HEALTH CARE TREND ANALYSIS
Introduction
The private and public health systems work in tandem to reduce the burden of disease. The line between public and private health has gotten very thin, as we have seen with the many private–public health partnerships. Programs such as Vaccines for Children (VFC) and Women, Infants, and Children (WIC), the Substance Abuse and Mental Health Services Administration (SAMHSA), health care quality initiatives, and Healthy People (1990–2030) have evolved from collaboration. All of these private–public health programs and initiatives, in addition to the significant advancements in medical education, research, and technologies, have led to one of the most highly regulated industries in the United States and world today.
In this assignment, you will review the private and public health legislation, regulatory agencies, and quality initiatives that have catapulted the United States into the quality revolution that we are experiencing today. As this quality revolution continues, health care professionals can expect to see more innovations contributing to individual and population health, as well as more regulations.
Scenario
You are a health care educator for a large, integrated accountable care organization (ACO). You are tasked to work with a group of hospital executives to identify milestone events for three eras, the 1800s, 1900s, and 2000s, and identify trends from those events that impacted the health care industry. The trend analysis will consist of three critical measures: access, quality, and costs. Milestone events and trends identified for these three measures over time should include legislation, regulatory agencies, and quality initiatives in the various time periods. The final paper will be used in an annual strategic planning session attended by the ACO and hospital executives to demonstrate how the quality movement has evolved into a quality revolution.
Instructions
Using the Historical Health Care Trend Analysis Template [DOCX], write a 2–3 page paper in which you explain and analyze health care regulations and medical practice evolutionary changes for access, quality, and cost, including the significant milestone events from different time periods. In addition, complete the Trend Analysis Table: Evolution of Access, Quality, and Cost in Health Care in the appendix of the assignment template.
Complete the following:
Study the Health Care Quality Evolution Milestone Events Chart [DOCX] to review the key regulatory or quality initiative events relative to the 1800s, the 1900s, and the 2000s.
Use your textbook and at least two other resources included in What You Need to Know for this week or resources you find on your own to fill in the Trend Analysis Table: Evolution of Access, Quality, and Cost in Health Care table in the appendix of the assignment template. Use the History of Health Care Research tab in the Health Care Administration Undergraduate Library Research Guide to guide your research process.
You are required to reference a total of three scholarly sources in your paper.
Be sure to cite these references within the body of your paper correctly using APA style citations. Refer to Evidence and APA in the Capella Writing Center for help with using APA style.
Complete the Trend Analysis Table: Evolution of Access, Quality, and Cost in Health Care table in the appendix for the assignment template.
For each time period, select 2 milestone events or regulations from the Health Care Quality Evolution Milestone Events Chart [DOCX] that have affected each topic: access to health care, quality of health care, and cost of health care.
There should be a total of 18 milestone events or regulations in the completed table.
Include bullet points with notes that describe each event or regulation and how it impacted access, quality, or cost.
Write an introduction for the paper.
Provide a brief explanation of the purpose of this historical trend analysis and how it might be used in your work as a health administrator (1 paragraph).
Where appropriate, reference significant health care milestones, regulations, and measures for access, quality, and cost.
Use the Trend Analysis Table: Evolution of Access, Quality, and Cost in Health Care table to write the body of your paper.
Complete the Trends and Regulations section in the assignment template.
Provide a brief description of the key measures of health care services, which are access, quality, and cost (1–2 paragraphs).
In the Health Care Access subsection, explain the significant trends and regulatory milestones associated with access to health care over the recent eras (1–2 paragraphs).
What U.S. legislation, regulatory agencies, and quality initiatives from the 1800s, 1900s, and 2000s have influenced access to health care services in the United States?
What does your milestone trend analysis reveal for access to care?
Include citations and references to specific regulations, events, or agencies.
In the Health Care Quality subsection, explain the significant trends and regulatory milestones associated with health care quality over the recent eras (1–2 paragraphs).
What U.S. legislation, regulatory agencies, and quality initiatives from the 1800s, 1900s, and 2000s have influenced care quality in health care services in the United States?
What does your trend analysis reveal for care quality?
Include citations and references to specific regulations, events, or agencies.
In the Health Care Cost subsection, explain the significant trends and regulatory milestones associated with access to health care costs over the recent eras (1–2 paragraphs).
What U.S. legislation, regulatory agencies, and quality initiatives from the 1800s, 1900s, and 2000s have affected health care costs for medical services?
What does your trend analysis reveal for medical service costs?
Include citations and references to specific regulations, events, or agencies.
Complete the Trend Analysis section of the assignment template (1–2 paragraphs).
Analyze the trends and regulations in health care access, quality, and cost to draw conclusions about the evolution of health care regulations and practice throughout the recent eras.
Describe professional experiences or examples to illustrate the trends.
Include citations and references to specific regulations, events, or agencies.
Write the conclusion for the paper (1 paragraph).
Briefly restate the trends revealed for health care access, quality, and cost.
Draw a conclusion about how the milestones, regulations, and changes have improved, been neutral, or inhibited progress of the U.S. health care system.
Summarize clear and concise conclusions of your trend analysis.
Additional Requirements
Your paper should be 2–3 pages, in addition to the title page, appendix, and references page.
Double space your paper, and use Times New Roman, 12-point font, as indicated in the assignment template.
Use a minimum of three resources, including your textbook and other course resources.
Complete all parts of the assignment template, using the headings provided in the template.
Support all points with credible evidence, in the form of APA citations.
Include a references page in APA format with appropriate citations.
Complete the Trend Analysis Table: Evolution of Access, Quality, and Cost in Health Care in the appendix of the assignment template.
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Health Care Quality
Young, K. M., & Kroth, P. J. (2018). Sultz & Young’s health care USA: Understanding its organization and delivery (9th ed.). Jones & Bartlett Learning.
Chapter 11, “Public Health and the Role of Government in Health Care,” pages 301–349.
Chapter 13, “Future of Health Care,” pages 371–390.
Health Care Quality Evolution Milestone Events Chart [DOCX].
Study the events on this timeline to determine trends in access, quality, and cost of health care throughout history. You will use the milestones on this timeline to research and write your assignment for this week.
Chan, D. C., Huynh, J., & Studdert, D. M. (2019). Accuracy of valuations of surgical procedures in the Medicare fee schedule. The New England Journal of Medicine, 380(16), 1546–1554.
This article explains resource-based relative value scale based on relative value units (RVUs). It outlines physician work RVUs, practice expense RVUs, and malpractice RVUs and discusses room for improvements in this system.
Devkaran, S., Patrick N O’Farrell, Ellahham, S., & Arcangel, R. (2019). Impact of repeated hospital accreditation surveys on quality and reliability, an 8-year interrupted time series analysis. BMJ Open, 9(2).
This is an eight-year accreditation study of hospitals that demonstrate improved quality measure outcomes.
Key Milestones in the History of Medicare and Medicaid Timeline.
Changes in health care quality have both influenced Medicare and Medicaid and vice versa.
Speer, M., McCullough, J. M., Fielding, J. E., Faustino, E., & Teutsch, S. M. (2020). Excess medical care spending: The categories, magnitude, and opportunity costs of wasteful spending in the United States. American Journal of Public Health, 110(12), 1743–1748.
This resource contains several reputable landmark reports of hundreds of billions of dollars wasted in the United States on medical care every year with no improvements of health outcomes. It discusses six categories: clinical inefficiencies, missed prevention opportunities, overuse, administrative waste, excessive prices, and fraud and abuse.
NCQA. (n.d.). HEDIS and performance measurement. https://www.ncqa.org/hedis/
This website shows NCQA accreditation for managed care organizations (MCOs) and HEDIS quality reporting to demonstrate the MCO population health status.
The Joint Commission. (n.d.). Accreditation basics for beginners. https://www.jointcommission.org/accreditation-and-certification/health-care-settings/home-care/home-care-on-demand-webinars/home-care-accreditation-basics-for-beginners/
This website and video presentation show how accreditation is performed from beginning to end, including process, resources, and costs.

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