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Prior to beginning work on this assignment, review the textbook chapters we have covered thus far and the Appendix: The Patient Protection and Affordable Care Act (PPACA) of 2010 and other required readings for this week: Crisis in U.S. health care: Corporate power still blocks reform; What do we know about the needs and challenges of health systems? A scoping review of the international literature; Health care reform in the United States: Past, present and future challenges.
For your Final Presentation, you will continue your Week 3 The U.S. Health Care Presentation: Part 1 assignment on the on the U.S. health care system by expanding on the information it presented. Imagine you are a community health director educating a group of new health care professionals about the U.S. health care system. You have been asked to create a PowerPoint presentation that includes elements about history, major developments, stakeholders, costs, reforms, and beliefs as well as a comparison of the U.S. health care system to another country’s health care system.
Note: You will be including the Week 3 The U.S. Health Care Presentation: Part 1 presentation slides for the first section of the Final Presentation. Please make sure to correct issues and address recommendations from your instructor’s Week 3 assignment feedback. Then continue adding Parts 2 through 5 as directed below.
Part 1: Include the slides from your Week 3 Presentation
Part 2: The Cost of the U.S. Health Care System
- Describe three different reimbursement methods (e.g., capitation, fee-for-service [FFS], pay-for-performance [P4P], value-based, episode of care, prospective reimbursement, diagnosis related group [DRG], patient-centered medical home [PCMH]).
- Explain why you think one of the reimbursement methods you discussed is more effective at reducing health care costs overall while still ensuring the delivery of quality care.
- Describe the use of two technological advancements (e.g., electronic medical record [EMRs], electronic health records [EHRs], medical research, improved equipment like magnetic resonance imaging [MRI], mammography, personalized medicine, mobile services like e-prescribing, disease registries, ).
- Explain why you think these advancements have reduced costs overall while still ensuring the delivery of quality care.
Part 3: The United States Versus Other Health Care Systems: An International Perspective
- Contrast the S. health care system with another country (e.g., Canada’s universal health care or South Africa compared with the U.S. health care system, etc.). You can use the same country discussed in the Week 4 Health Care Systems Around the World discussion.
- Discuss how the other country’s health care system is funded.
- Discuss disparities in health care from your chosen country.
- Include at least one positive aspect from the other country’s health care system that you would like to see added to the S. health care system, explaining why you would like this addition.
Part 4: Reforms and Improvements
- Describe two potential reforms and improvements currently being debated at either the local, state, or federal You may want to review the Laws and Regulations Affecting Health Care discussion prompt to help you with this component. Examples could include any of the following:
- Federal modifications (e.g., antitrust reforms, CHIP, HSA or HRA, Medicare reform, Medicaid expansion, PPACA repeal, pharmaceutical regulations, development of a universal system, veterans’ health care, crossing borders for health care, clinical trial research, )
- State modifications (e.g., Medicaid reform, income tax credits, adoption of state level universal health care, etc.)
- Increased consumer controls (e.g., patient-centered care, provider choice, complementary and alternative care choices, activism for changes at the state and federal level, etc.)
- Reimbursement changes (Medicare, Medicaid, managed care plans, traditional insurance plans, etc.)
Part 5: Conclusion: The Future of the U.S. Health Care System
- Examine what you believe the S. health care system will resemble in the next 10 years by recommending two changes and addressing access to care, quality of care, and cost of care, including an example of each in your vision of the future health care system.
Wikimedia Commons (Links to an external site.) can help you explore creative commons images. Also use the PowerPoint Instructions Handout to locate linked resources for properly building a PowerPoint presentation. You may also want to review What Is CRAAP? A Guide to Evaluating Web Sources (Links to an external site.).
Submit your Final Presentation via the classroom to the Waypoint Assignment submission button by Day 6 (Sunday) no later than 11:59 p.m.
The U.S. Health Care System: Part 2 Final Presentation
- Must include Part 1 slides from your Week 3 Assignment presentation
- Must be 15 to 20 slides in length (not including title and references slides) and formatted according to APA style (Links to an external site.) as outlined in the Ashford Writing Center’s (Links to an external site.) How to Make a PowerPoint Presentation (Links to an external site.).
- Must include a separate title slide with the following:
- Title of presentation
- Student’s name
- Course name and number
- Instructor’s name
- Date submitted
For further assistance with the formatting and the title page, refer to APA Formatting for Word 2013 (Links to an external site.).
- Must utilize academic voice. See the Academic Voice (Links to an external site.) resource for additional guidance.
- Must use the textbook and at least three scholarly or credible sources (at least one should be from the Ashford University Library).
- The Scholarly, Peer-Reviewed, and Other Credible Sources (Links to an external site.) table offers additional guidance on appropriate source types. If you have questions about whether a specific source is appropriate for this assignment, please contact your instructor. Your instructor has the final say about the appropriateness of a specific source for a particular assignment.
- Must document any information used from sources in APA style as outlined in the Ashford Writing Center’s Citing Within Your Paper (Links to an external site.) guide.
- Must include a separate reference slide that is formatted according to APA style as outlined in the Ashford Writing Center. See the Formatting Your References List (Links to an external site.) resource in the Ashford Writing Center for specifications.
In beginning this presentation I am… and my degree plan is…. Which will enable me to positively impact healthcare and hopefully be able to contribute towards significant changes in the healthcare system which will be remembered down the line. Personally my healthcare experience involves meeting patients who lack medical cover. Currently biggest concern in healthcare is regarding the ever rising healthcare cost as I believe the government can do more towards ensuring there is coverage all individuals and ensure gaps in coverage are minimized.
Revolutionary factors from 17th to 21st century
How the revolutionary factors transformed healthcare
Stake holders affecting healthcare
An overview of what will be covered in todays presentation includes;
Revolutionary factors from 17th 18th, 19th, 20th and 21st century and how the revolutionary factors transformed healthcare
Stake holders affecting healthcare with special focus on the government, patients and American medical association as the selected stakeholders
Revolutionary factor 17th century
First marine hospital
This was the first sign of medical organization
This revolution was the origin of public health service
It paved way for prepaid health insurance programs and public funded healthcare in the US
The major revolutionary factor I the 17th century was The Marine hospital which was a sign for medical organization within the country. Its existence proved to be the origin of public healthcare service, National Institute of Health, the Indian Health Service and the Center for Disease Control and Prevention. At the time captains, pilots, engineers, cooks, stevedoers, deckhands and pursers were eligible for treatment and care at the institution by contributing 20 cents a month. This paved way for prepaid health insurance programs and public funded healthcare in the US.
Revolutionary factor 18th century
Founding of the American Medical association
It changed healthcare system by;
attempting to define educational standards for physician
Bring order to healthcare
The formation of the American Medical Association is a major revolution during the 18th centaury as it changed he healthcare system greatly by bringing order and attempting to define the educational standards for physician.
In addition the goals of the organization at the time included;
Promoting at and science of medicine
Advancing the interests of patients and physicians
Promoting public heath
Lobbying for favorable healthcare legislation
Raising money for healthcare
Revolutionary factor 19th century
Beginnings of health insurance
The concepts of health insurance dated back as early as 1847
The Massachusetts Health Insurance of Boston provided cover for accidents related to steamboat and railroad (Berchick et al., 2019)
Sickness insurance covered for lost wages upon missing work due to sickness
Health insurance is key revolution in healthcare as it enables covering of healthcare cost. The concepts of health insurance dated back as early as 1847 where The Massachusetts Health Insurance of Boston provided cover for accidents related to steamboat and railroad. However not many people adopted health insurance due to lack of proper treatment. Later Sickness insurance was introduced and covered for lost wages upon missing work due to sickness as at the time lost wages was significantly greater than the cost of healthcare
Revolutionary factor 20th century
Medicare and Medicaid
This significantly changed healthcare system with the government assuming a greater role in managing healthcare
The programs ensured coverage for children, elderly and low income uninsured individuals (Miller & Wherry, 2017)
The program ensured increased access to care
Medicare and Medicaid are revolutionary programs in the healthcare system and brought about significant changes in terms of healthcare access. The programs provided coverage for children, the elderly and low income uninsured individuals which generally enabled increased access to healthcare
Revolutionary factor 21th century
The patient protection and Affordable Care Act
This legislation mandated coverage of 35- 45 million uninsured individuals (Miller & Wherry, 2017)
It also aimed to correct some of the ethical questionable practices by insurance companies
The ACA ensured no individual would be denied coverage
The affordable Care ACT remains one of the revolutionary legislation of the 21st century that significantly changed the healthcare system. This Act was responsible for increased number of Americans obtaining coverage by seeing to it that the number of uninsured Americans dropped from 16% to 8.8%. Additionally the act also aimed to correct some of the ethical questionable practices by insurance companies such as screening for preexisting conditions, policy rescinds regarding imminent illnesses. As illnesses result The ACA ensured no individual could be denied coverage on the basis of discriminatory factors.
|American Medical association||Promoting science and medicine in making public health better||Positive impact include improved public health, standardizing medical education setting ethical standards for medical practice Negative impacts include protecting corporate interests|
|Government||Funding and regulation of public health||Positive impacts include; public health infrastructure, funding , regulating healthcare markets Negative impacts include; failure to provide coverage for all and increased healthcare costs|
|patients||Financing, providing information, asking questions||Positive impacts include; improving healthcare experience, financing healthcare, subjects for furthering research Negative impacts include not following instructions|
American Medical association
Promoting science and medicine in making public health better
Positive impact include improved public health, standardizing medical education setting ethical standards for medical practice
Negative impacts include protecting corporate interests
Funding and regulation of public health
Positive impacts include; public health infrastructure, funding , regulating healthcare markets
Negative impacts include; failure to provide coverage for all and increased healthcare costs
Financing, providing information, asking questions
Positive impacts include; improving healthcare experience, financing healthcare, subjects for furthering research
Negative impacts include not following instructions
Berchick, E., Barnett, J., & Upton, R. (2019). Health Insurance Coverage in the United States: 2018 Current Population Reports. https://census.gov/content/dam/Census/library/publications/2019/demo/p60-267.pdf
Miller, S., & Wherry, L. R. (2017). Health and Access to Care during the First 2 Years of the ACA Medicaid Expansions. New England Journal of Medicine, 376(10), 947–956. https://doi.org/10.1056/nejmsa1612890
Quackenbush, J. (2020, February 1). Data will Drive the Healthcare Revolution. IEEE Xplore. https://doi.org/10.23919/PanPacific48324.2020.9059311