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;

  1. Discuss how the structure of government impacts the policy development process.
  2.   Describe the legislative, judicial, and administrative (executive) processes involved in establishing federal, state, or local health policy.
  3. Describe the organization of the public healthcare subsystem at the federal, state, and local levels.
  4. 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

In-depth exploration of educational needs for improved public health

Need for appropriately prepared public health professionals

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

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