The World Of Healthcare Has Been Revolutionized And Changed Ever Since The End Of World War

Healthcare is in a constant state of change with movements that impact rates, access and quality of care. Hospitals have become more competitive due to the rising cost of care delivery and the reduction in reimbursement from payers. This causes difficulty in delivering quality care to all patients, which is being measured by mandated patient perception surveys, Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). HCAHPS scores are part of value

Healing hospitals focus on patients on a holistic manner. To build this type of care for a healing hospital starts with something as simple as the hospital design. The design of the hospital is very important. Weather there will be a lot of light or not, spacing, and how that space it utilized. “Historically, healthcare

1. Throughout history, a number of reformers have sought to improve the quality of medical care. What common thread connects them? Why did some fail? What were the successful able to see/do that others weren’t?

patient and family satisfaction could go a long way to advance the quality of patient care throughout the hospital.

Globalization in healthcare is a topic that has been the subject of many debates worldwide. While practically the entire world is becoming a global village due to globalization, the healthcare industry was considered to be invulnerable to this trend. This was attributed to the fact that healthcare is a service industry, where service is delivered on area of purchase. However many developments not only in the healthcare industry but in the entire economical sphere as a whole have seen the aspects of globalization. As a result globalization in the healthcare industry is a common phenomenon in the contemporary world. As the healthcare industry across global boundaries becomes increasingly intertwined,

One area that has contributed to the rise of healthcare costs are the varieties of healthcare services offered to the patient. Competition between providers has caused physicians and hospitals to offer the most current healthcare technologies and modern, eye-catching settings in order to attract and retain clients (Shi & Singh, 2015). Reimbursements for costly procedures and hospital services have been compensated at a higher rate which has also supported the expansion of hospital and specialty procedure settings (Schroeder & Frist, 2013). Renovations of the physical settings and the acquisition of expensive technologies have elevated healthcare services prices to encompass the additional costs of providing high technical services and attracting clients and cause the over-utilization of expensive treatments.

Competition between providers has caused physicians and hospitals to offer the most current healthcare technologies and modern, eye-catching settings has contributed to increasing healthcare costs, as well as providing unwarranted highly technical services (Shi & Singh, 2015). Renovations of the physical settings and the acquisition of expensive technologies elevated healthcare services prices to cover the additional costs of providing high technical services and attracting clients.

The timeline of U.S. healthcare history began with Early American medicine with Native Americans and common folk practices performed by settlers. Practices included herbal remedies, procedures such as “bleeding, blistering, and purging (Batnitzky, Hayes, & Vinall, (2014). Practices were based on theory and environmental contributors rather than diagnosis of treatment. The First Marine Hospital fund was signed into law in 1789,creating the beginning of organized medicine and facilities. The First Marine Hospital fund ensured military members and individuals with federal eligibility were provided medical treatment and preventive care. Funds in maintaining treatment facilities was acquired though payroll deductions. This treatment was provided at various hospitals and facilities. Through growth and expansion, treatment facilities were operated and maintained by military operations. In 1847, the American Medical Association (AMA) was founded by Dr. Nathan Davis. Standards and guidelines were determined for the education requirements for medical professionals, drug manufacturing, preventing disease, sanitation, and in providing higher standards of treatment and care (American Medical Association [AMA], 2015). In 1872, the American Public Health Association [APA] was formed in promoting prevention of communicable diseases. This was the next major breakthrough in reducing diseases such as smallpox, whooping cough, and other common diseases that highly spread. As advances in

One of the greatest changes in healthcare in the past ten years has been the rise of managed care, much to the displeasure of many patients and physicians alike. Managed care arose out of concern about spiraling healthcare costs and was designed to encourage physicians to give patients treatments that were cost-effective out of their own financial interests. "The consumer strategy was directed at imposing some barriers to use by levying various forms of co-insurance. The most common approaches used either deductibles (where the consumer paid the first portion of the bill a technique familiar in other types of insurance) or co-payments (where the consumer paid a portion of the bill and the insurance company the rest) or a combination of both' (Kane et al 1994). Managed care has given health insurance companies an increasingly significant voice in how treatment is administered and allocated. Managed care has proliferated in the past decade despite considerable criticism of the practice of 'nickel and diming' patients as well as the considerable bureaucratic red tape it is has generated. Also, research indicates that healthy, well-insured patients tend to over-consume care without meaningful co-pays but poorer, sicker patients can be deterred even by moderate co-payments and suffer negative health consequences (Kane et al 1994). However, managed care has not gone away and is a reality that all healthcare

If patient is healthy enough to walk around the place, his linen need not be washed regularly (after he leaves) and he does not need bed

The constantly changing medical profession causes many administrators of all types of provider levels and facilities great heartaches and headaches for multiple reason. Administrators over the Emergency Medical Services of a specific community is by no means immune to those same heartaches and headaches. These heartaches and headaches are often due to the rapidly changing of standards of care, testing procedures, finances and expectations of insurance providers to make appropriate financial restitution for services rendered by in the field of EMS and the in hospital setting itself.

The 1st Lesson: Hospital values must be in line with what patients want. The key driver for patient satisfaction is the courtesy, not efficiency of the hospital. Patients judge the service received by courtesy, but employees are managed according to efficiency and safety. Although provide safe care is paramount, the hospitals do not learn any credit for providing safe clinical practice and environmental safety.

The healthcare system in the USA was very simple; people got remedies in their homes by itinerant doctors, as most countries in the eighteenth and nineteenth centuries. The actual healthcare system in the USA began in the twentieth century. The United States of America has unique healthcare system in contrast to the most industrial countries, which have the universal health insurance system. Therefore, healthcare system in the US historically depends on private insurance.

Changes in the Health Care System and the Practice of Nursing have become complex. Technological changes, complicated client needs, short hospital length of stay, and departure from acute care to community based care, all these changes have underscore the need for professional nurses to think critically in order to provide safe and effective client care. A better educated nursing workforce can provide good health education to patients and their families. The affordable care of 2010 has required the need for nurses to expand their role of practice to meet complicated patient demands. This has prompted the Institute Of Medicine to review the “Future of Nursing, Leading change and Advancing Health”. {Creasia & Fribery,2011}

In contrast to tangible dominant offerings that can be felt, tasted, and seen, the healthcare services that are offered by the hospital can be categorized as intangible dominant. This intangible service is largely characterized by interactions with healthcare professionals, education on health conditions, and ultimately a better quality of health. Though the offering is primarily intangible, if the hospital is to be successful they should integrate a few tangible aspects to the offering. If the end goal of the service is to tend to the needs of the patient’s health through a primarily intangible offering, tangible elements such as medical equipment,