The Health Care Center : Dr. Charles Warren

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 order to analyze this project objectively, research will be presented from various academic sources. The institute of medicine (IOM) has done extensive research, at the request of the United States Congress, on the various disparities within healthcare. Their analysis looks at differences in treatment, patient perception, and how individuals of different races and genders act while receiving care. Furthermore, I have out in an inquiry to St. Lukes Hospital, a member of the greater Lehigh Valley Heath Network, to see what type of data they may have on the disparities in healthcare amongst women of different races. The Lehigh Valley serves as a diverse data pool to extract meaningful information from. The demographic make-up of Bethlehem is varied, yet African Americans only account for roughly 6 percent of the population (Suburbanstats.org). The small size of the African American populations will need to be taken into account, but the information should still allow for valid data.

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).

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.

For this paper, Ms. Minister Melishia Bansa MPH was interviewed. She is a thirty year old African-American woman. Her occupation is the director of community outreach and provider Relations for “Coordination of Health Care for Complex Kids” (CHECK) Program and Project Coordinator of “Promoting Adolescent Health” (PATH) Study. She was interviewed about her work with the CHECK Program. The Coordination of Health Care for Complex Kids program aims to improve overall health and quality of life for underserved populations. This programs aims to fight the social injustice of unequal health systems for low socioeconomic communities. The CHECK program aims to increase doctor appointments and improve communication between the patient and the patient’s health provider. However, the program is focusing on young individuals with chronic illnesses within low socioeconomic communities.

Although there are numerous reasons as to why I wish to attend this medical institution, its emphasis on serving underserved demographic groups such as African-Americans and addressing health disparities that continuously affect the state of health in our nation were primary motivations for applying to Meharry Medical College. Following residency, I hope to practice medicine in a disadvantaged urban community, where affordable, accessible, and available healthcare options are limited. In such a community, I hope to utilize my medical education gained from Meharry for the purpose of addressing the health concerns and disparities affecting those in society who are often ignored and suffer in all

The purpose of this paper is to exemplify the healthcare crisis of African Americans within the broader context of American healthcare reform. In order for one to appreciate the depth of necessity for healthcare reform in the African American community, he or she must have a general understanding of the history of healthcare for African Americans. As stated by the institute of medicine in a study assessing the health and mental health disparities of African Americans, “The sources of these disparities are complex, are rooted in historic and contemporary inequities, and involve many participants at several levels, including health systems, their administrative and bureaucratic processes, utilization managers, healthcare professionals, and

As a FQHC, LSCC’s mission is to provide care to underserved and uninsured residents of our service area. In Central Texas, people who lack health insurance are disproportionately poor and disproportionately racial/ethnic minorities. Because of this confluence of socioeconomic indicators, LSCC’s patient populations are more likely than other groups to experience health disparities which can negatively impact a patient’s life from the day he or she is born, through development, through adulthood, and up until the day he or she dies. Excess morbidity and early mortality are the indelible scars dealt by health disparities upon LSCC’s target populations. In light of this reality, LSCC must go beyond the mere provision of care to ensure that our

The African American Health coalition is a group under the Finger Lakes Health Systems Agency, newly redesigned as the Common Ground Health. Their focus is to create a community response that would eliminate health disparities that affect African Americans within the community (Common Ground Health). The creation of a coalition is due to a need for “different sectors of the community, state or nation” to join together “to create opportunities” to benefit all parties involved (Butterfoss, 157). As well the “strategies for addressing the initial problem” are not a one time solution, but are “sustained” over a long period of time (Korfmacher, 436). The African American Health coalition has done a considerable job at not only creating opportunities

A team of researchers from The George Washington University in conjunction with key leaders – evaluated the Detroit area to assess the state-of-healthcare deliverance to those in need. The problem was presented in a clear and concise manner: The uninsured and poor had limited to no access to the care they needed. Many resorted to the Emergency Department (40% of admissions were non-emergent), leading to overcrowding in the hospital. Those that are part of the safety net are providers of the poor and vulnerable populations: hospital systems, clinics, volunteers, primary care workers, and prevention workers that are there to prevent the overflow and influx that we see in the assessment. We will be addressing our main stakeholders, the

This paper strives to answer questions based on the case study “Emanuel Medical Center: Crisis in the Health Care Industry”. As excerpted directly from the case study, Mr. Robert Moen, Emanuel Medical Center (EMC) president and CEO, was experiencing a number of challenges in 2002. The medical center faced numerous challenges in its external and internal environment. First, EMC garnered an onslaught of negative attention for the “Haley Eckman incident” in which a young man, who happened to be a gang member, died within view of EMC’s Emergency Department (ED) medical personnel rendered no care and watched. The emergency department at EMC was also experiencing greater pressure to deliver services in an increasingly

Managed care was established in order to manage health care cost, utilization, and quality (Kongstvedt, 2015). In managed care, health insurance is provided through HMO, PPO, and other types of managed care. It has the potential to reduced health care spending and improved the quality of care. However, despite of its success in improving the quality of care through preventive health care services, chronic disease management program, and so forth, many physicians are reluctant to be part of the managed care environment. Some of the reasons are the impact of managed care to physician’s income and autonomy. Under managed care, insurers have decreased the fees paid to physicians. There are different ways how managed care organizations control costs. One of this is through selective contracting with health care providers and hospitals to lower costs. In selective contracting, health care providers agreed to accept lower prices in exchanged for guaranteed volume of patients under managed care plan (Culyer, 2014). This paper will discuss more issues and trends in Managed Care Organizations such as the rise of Medicaid Managed Care spending, the new Medicaid Managed care Rule, and the collaboration of Managed Care Organizations and Accountable Care Organizations to reduce health care spending and improve efficiency of care.

The health care organization covered is Jackson Health System in Miami, Florida. With over 2500 beds, this is one of the largest health systems in Florida and its flagship Jackson Memorial is one of the largest in the country. There are a number of strengths and weaknesses that will characterize the strategic direction that the organization will follow. Among the strengths are that Jackson has a large geographic footprint with Miami-Dade County, it has the financial backing of the county, that it has a diverse workforce, its relationship with medical school at the University of Miami, its leadership, and the multiple clinics and specialized services that it offers.

Members of the hospital, including government representatives and physicians, showed a need for extra restorative experts over all areas. Nevertheless, particular needs that incorporate child psychologists, obstetricians, and primary care. The rising demand for doctors has affected the health care

Choosing between working in a hospital and working for or starting a private practice is an important decision in a physician’s career. Any person interested in the medical field would have an opinion, idea, or even questions about this decision. This issue has some constraints because like with every profession technology, legislation, supply and demand combine to create either an ideal, neutral or even hostile environment. The medical field especially as it is an ever-changing industry due primarily to innovation in technology, enactment of healthcare laws, research and development in the pharmaceutical industry and jockeying of payers in the insurance industry. For this reason instead of evolving every ten or twenty years, it can easily