Black Community Hospital Case Analysis

The readings this week solidified many long standing questions that I’ve had about the healthcare system, and further proved to me just how flawed it is. The introduction and chapter four from The Social Transformation of American Medicine by Paul Starr established a framework and common language surrounding how the current healthcare system came to be. The introduction specifically heavily focused on the concept of authority and how cultural and societal authority differ and work to strengthen an individual's power. Following this intro, the fourth chapter serves to provide the reader with baseline historical context on how hospitals and physicians have evolved from voluntary institutions into for-profit corporations. Using these chapters as foundational knowledge Gambles chapter gains new nuances to the need for Black hospitals to be established, and the competing forces that were at work to ensure their failure.

In doing so, he pays particularly close attention to black patients and their relations with health care policies and practices. Smedly maintains that blacks are not only the victims of, inpatient and outpatient treatment, racial policies, and other services but also the victims of its consequences. He argues that many health care administrators are agents to a system of inequality that support provider and administrator biases, geographical inequalities, and racial stereotypes (Smedly 2012).

Ensuring the members of the board of directors are indigenes of the county and patients of the community health center.1

In the early 1960’s privately owned hospitals in North Carolina were allowed to discriminate against race as to whether to admit a patient to the hospital and/or grant privileges to African American doctors or dentists, as long as separate-but-equal facilities were provided. Dr. Simkins, an African American dentist, attempted to admit and treat a patient experiencing an abscessed tooth, ultimately being subjected to denial of privileges.

In the 1960’s, hospitals were based from segregation; such as race, religion, or gender. Some hospitals treated patients that have to do with specific

Conclusively, low socioeconomic disparities, lack of proper access to health care services, grievous historical medical experiences, lack of awareness along with distrust are some of the leading setbacks within the Black American sectors relationship with the health care system. Thereupon, it is in the hands of the medical community and the hands of the vulnerable population to gain a common ground for productive trust. Hopefully, through new studies, with the reduction of distrust towards the health care system, the Black American can assuredly facilitate services to accessing health care and a developed foundation of trust from the health care

One of the points raised in IOM’s article to prove that racism is a prevalent cause of health care disparity is the way the health care system is set-up, meaning at times, some hospitals and clinics can adopt a policy to contain health care cost, but may pose hindrances to minority patients’ capability to access the care.

Medical research in the United States has a disgraceful history of exploitative studies in which African Americans were targets of abuse in the name of medical and scientific progress. African Americans have been used as the testing ground for drugs, treatments, and procedures since the time of slavery. The tolerance of the human frame and the endurance of the soul have been pushed to the limit in many of these experiments. From the physical demands on plantation work and the torturous treatment of slavery to the mental anguish inflicted on a slave’s soul by their masters, blacks have received deplorable treatment sanctioned by a white society. The end of slavery and the ushering in of the twenty first century did not end the torturous

1. Using the historical data as a guide (Exhibit 6.1), construct a pro forma (forecasted) profit and loss statement for the clinic's average month for all of 2010 assuming the status quo. With no change in volume (utilization), is the clinic projected to make a profit?

The Plaintiffs felt that since the hospital was licensed and accredited that they should be held responsible for their employees and their actions. It states in the regulations that any infraction of the bylaws imposes liability for the injury. At any time if Dr. Alexander had questions or concerns he could have reached out to an expert in this field to consult

Often times I hear of board position openings that are organized to address x, y, and z in the Black community with years worth of meetings and minimal community engagement. Or maybe there’s a march being held today for a shooting victim that has been tragically gun down by law enforcement for walking while black, however my philosophy is simple: Organize and Act!

According to a poll completed by Gallup Minority Rights and Relations, "one in five (20%) blacks feel that during just the past 30 days, they were treated unfairly in a healthcare situation because they are black" (Coleen McMurray 2002). In our modern day society, it is very redundant to treat blacks differently from whites especially regarding medical reasons. The disparity between these two races eradicates the vision of most hospitals in general. For example, the Rochester General Health System (RGHS) in New York states that their mission is to "improve the health of the people served by providing high quality care, a comprehensive range services, convenient and timely access with exceptional service and compassion" (Rochester General Health

West Florida Regional Medical Center (WFRMC) located on the north side of Pensacola, Florida competed strongly with sacred heart and Baptist hospitals for patients. WFRMC’s CEO John Kausch was an active member of the Total Quality Council of the Pensacola Area Chamber of Commerce (PATQC) (McLaughlin, C.P., Johnson, J.K., & Sollecito, 2012).. PATQC’s vision was to develop the Pensacola, Florida area into a total quality community by promoting productivity, quality and economic developments in all area organizations both public and private (McLaughlin, et, al., 2012). John

It is unfortunate to see the difference in standard of care due to financial situation of the community. Lack of facilities are visible in inner city hospitals. To operate according to the shared value of providing best possible care, hospital and individual health care providers in poor neighborhoods need support of the government.

Columbus Regional Health (n.d.) serves 10 counties in Southeast Indiana. The demographics include a predominantly Caucasian population of approximately 300,000 people (Economic Opportunities through Education by 2015, n.d.). In southeastern Indiana, about 140,000 individuals have employment, and 15% of them, who are over the age of 24, have a bachelor’s degree (Economic Opportunities through Education by 2015, n.d.). Approximately 30% of the high-school students drop out in this mainly rural area with a flat population growth (Economic Opportunities through Education by 2015, n.d.).