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BHA FPX 4002 Assessment 3
Historical Trend Analysis
Examining the previous health trends can be informative in understanding the previous and current state of groups’ health, and how the system of providing care has evolved.
Analyzing changes and trends in health data, factors, and interventions, it is possible to determine the previous successful approaches and identify the areas for improvements where proper measures can be implemented. It assists people in decision making on health issues, distribution of assets and health of the entire society (Parnell et al. , 2019). The primary purpose of this paper is to analyze certain past tendencies in the sphere of healthcare.
Trends and Regulations
Among all the factors, the key aspects that define health care services are availability, delivery, and cost of health care. Improvement in health care accessibility is defined by the ability of individuals to get the required health care service when they need it.
This entails features such as the availability of the health care personnel, the proximity of the health facilities and the cost of the services (Chen et al. , 2019). Insurance, income, and cultural background can also influence the degree of patient’s access to a physician.
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Quality in health care services is defined as the ability and effectiveness of the care given, patient-centered, suitable, organized, and understandable (Lateef & Mhlongo, 2022). Quality measures can focus on indicator of evidence-based practice, patient’s results, and patient’s satisfaction.
Thus, the goal of high-quality care is to bring as much positive impact and as little harm as possible to patients and, at the same time, make the patient’s experience comfortable and positive. On the other hand, cost includes the financial aspect of the health care services meaning both the direct costs, for instance, medical costs and the indirect costs, for example, loss of productivity (Coumoundouros et al. , 2019).
Concerning cost considerations, these refer to the ability of patients and the population to pay for the care they need while at the same ensuring the future of the health care system (Bachynsky, 2019). Strategies to control costs usually include eliminating redundancy, enhancing the productivity of the healthcare services, and encouraging the use of the most effective and least costly measures in the provision of care.
Healthcare is important since it enables people to receive treatment in the event of illnesses, get vaccinated, and practice healthy living. This means that people are in a position to seek the kind of attention that is required in relation to their health, be it in good or in bad shape, and this is without regard to the social or economic standing, geographical location, or any other factor (Edelman & Kudzma, 2021).
BHA FPX 4002 Assessment 3 Historical Trend Analysis
In the decades of 1800, 1900, and 2000, several laws in the United States, Governmental organizations, and Health Care Quality Improvement Programs have influenced the health care services delivery. Health care and physicians’ licensing was not an exception and was taken over by the states in the nineteenth century with the aim of raising standards and competency in the medical practice (Berrones, 2019).
The Hill-Burton Act of 1946 was focused on providing financial assistance for the development of hospitals and the same demanded free or reduced charge services for the people who cannot afford the services (McCloy, 2023).
New programs, such as Medicare and Medicaid which was passed as part of the Social Security Amendments in 1965, paid medical attention to the elderly and the poor (Peters, 2024). In the 2000s the ACA of 2010 attempted at increasing the number of people with health insurance and ONC worked to develop and promote the adoption of health technology and the sharing of data across the country (Hardyway, 2020).
According to the current evaluation, quality health care can be defined as patient-oriented, non-harmful, active, timely, effective, and financially feasible healthcare that meets the requirements and recommendations (Arifin et al. , 2021).
It is crucial as it leads to the enhancement of the patient’s condition, reduction on the incidence of medical errors and side effects, enhanced patient satisfaction and optimization of the healthcare resources. During the 1800’s, 1900’s and 2000’s, there have been laws in the United States, regulatory bodies and quality movements that have affected care quality in health care services. In the next century, the American Medical Association was established; education and practices were strengthened and improved to a new height (Camison et al. , 2022).
The Joint Commission (JC) began the accreditation of hospitals and health care organizations in the 1900s to support the provision of quality care (Niles, 2023). The AMA also introduced another code set known as Current Procedural Terminology (CPT) in the same year to document and define medical services and was updated on an annual basis (Fowlkes et al. , 2023).
In the 2000s, the Institute of Medicine (IOM) published a report named “Crossing the Quality Chasm” in which six objectives for improvement were described, and patient-centeredness and the application of evidence-based practices were identified (Berkowitz et al. , 2023).
It contains two programs: the Hospital Quality Reporting (HQR) and the Hospital Value-Based Purchasing (HVBP) Initiative (H. Q. I. ) as required for the improvement of quality where a person failed to report and they risk having their annual payment rates reduced (Godden et al. , 2019).
Healthcare cost may be defined as the money spent on doctors’ visits, medical services, procedures, and medications, as well as the time and effort to get treatment and care for a sick family member (Amarachukwu et al. , 2022).
This is because high costs can limit one’s access to quality care, create economic burden to the user and their families and put immense pressure on the entire health care system. Over the three centuries, namely the 1800s, 1900s, 2000s, laws, authorities, and quality projects of the USA has impacted the cost of medical services.
First health insurance policy was issued in 1850 by the Franklin Health Assurance Company of Massachusetts. It encompassed both the private and public health facilities for the treatment of those who had non-fatal accidents (Beik & Pepper, 2020).
Before the middle of the twentieth century, AMA and AHA set the healthcare services’ structure and price and defined the healthcare delivery and payment systems. Medicare as well as Medicaid were introduced under the Social Security Amendments of 1965 and was a turning point in the management of the health care costs through insurance for the aged and families with low incomes besides the distribution of costs between the federal and state governments (Oberlander, 2023).
The ACA was signed into law in 2010; insurance was expanded, and cost-sharing subsidies and VBP systems were implemented to improve resource utilization (Crowley et al. , 2020). MACRA and MIPS in 2015 eliminated the SGR and introduced MIPS which incorporated all the reporting mechanisms and favored value-based payment.
Trend Analysis
Some alterations have been observed in the legal systems and implementations that have to do with health care with regards to the cost, safety and availability. As pointed by Peters (2024), the Social Security Amendments of 1965 paved way for Medicare and Medicaid through which more elderly and low income earners got health insurance.
BHA FPX 4002 Assessment 3 Historical Trend Analysis
This became possible especially after the implementation of the Affordable Care Act (ACA) of 2010; however, there are still racial and income disparities. Over the recent years, there are things such as the joint commission’s environmental standards and the institute of medicine’s ‘crossing the quality chasm’ (Berkowitz et al. , 2023).
Outlays were considered with the Medicare Prospective Payment System in 1983, and the Resource-Based Relative Value Scale in 1992. From the year 2010, the Affordable Care Act (ACA) integrated value-based payment systems to the health care delivery systems (Stanhope & Lancaster, 2021).
The U. S. continues to have one of the highest healthcare costs among the developed countries even with the current efforts that have been made. This implies that even more, must be done to ensure that the cost of healthcare is reduced without in any way diminishing the quality of services offered.
Conclusion
Looking at the healthcare sector over the years one is able to identify the trends that have occurred in regards to access, quality, and costs. Medicare and Medicaid are two such rules that have helped in bridging the gaps that exist in the provision of health care to people but the issue of the gaps still remains a factor that requires attention.
Other aspects such as quality improvement, licensing, and patient-centered care have been raised to higher standards but issues such as care coordination are still evident. More people are concerned about the rising healthcare expenses and the search for strategies to reduce these costs without reducing the quality of healthcare or complicating access to healthcare services. This is possible through altering the regulatory system of health care and the delivery of services.
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BHA FPX 4002 Assessment 2 Changes in Medical Education
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