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Following the particularly bloody battle of Shiloh in April of 1862, the state of Ohio sent boats to the scene, which they converted into floating hospitals.
After the war ended, in 1886, the United States Army established the Hospital Corps.
In the fall of 1899, eight hospital superintendents met in Cleveland to formulate a plan to establish guidelines for medical practices.
Although there were earlier attempts at establishing healthcare management by a few colleges in the early 1900’s, success of the programs lacked giving way to Michael Davis a prominent lead in recognizing that management in hospitals plays an important in administering healthcare.
In 1906, membership rules were loosened to allow executive officers and others who ranked below the superintendent to join but without vote-casting privileges.
In 1916 over half of the superintendents were nurses belonging to the American Hospital Association.
In 1923, Baylor Hospitals in Dallas created a unique program, in conjunction with local schools, to provide healthcare to teachers for a pre-paid monthly fee.
In 1929, Michael Davis published his book Hospital Administration, A Career: The Need for Trained Executives for a Billion Dollar Business, and How They May Be Trained, proposing a two-year graduate degree curriculum in hospital administration.
In October of 1932 the Committee on the Cost of Medical Care released this statement “Hospitals and clinics are not only medical institutions; they are also social and business enterprises, sometimes very large ones.
Thus, the first modern day “health systems management program” was born in 1934 at the University of Chicago.
The resulting Social Security Act of 1935 created the first real system of its kind to provide public support for the retired and elderly.
He proposed an extension and expansion of the Social Security Act of 1935, as well as the Hill-Burton Program (which gave government grants to medical facilities in need of modernization, in exchange for providing a “reasonable” amount of medical services to those who could not pay).
In 1937, perhaps owing to new vaccines for yellow fever and typhus, the language of the AHA mission was changed to emphasize education and scientific research.
The Wagner-Murray-Dingell Bill was introduced in 1943, proposing universal health care funded through a payroll tax.
Even after Truman was re-elected in 1948, his health insurance plan died as public support dropped off, and the Korean War began.
The University of Chicago and Davis set ablaze the spread of universities offering programs in Healthcare Administration eventually inspiring the opening of more than 30 programs by the end of the 1960’s.
By 1960, the government started tracking National Health Expenditures (NHE) and calculated them as a percentage of Gross Domestic Product (GDP). At the start of the decade, NHE accounted for 5 percent of GDP.
The law represented the most significant overhaul and expansion of healthcare coverage since the passage of Medicare and Medicaid back in 1965.
In 1968, the Accrediting Commission on Graduate Education for Hospital Administration was incorporated as the accrediting agency for graduate programs in health administration.
By 1970, NHE accounted for 6.9 percent of GDP, due in part to “unexpectedly high” Medicare expenses.
In 1971, Senator Edward (Ted) Kennedy proposed a single-payer plan (a modern version of a universal, or compulsory system) that would be funded through taxes.
Created in 1977, HCFA administers the federal Medicare program that purchases medical care for 39 million elderly and disabled individuals, as well as the Medicaid program that operates jointly under federal and state authority to provide care for 33 million low-income persons.
By 1980, NHE accounted for 8.9 percent of GDP, an even larger leap than the decade prior.
By 1990, NHE accounted for 12.1 percent of GDP — the largest increase thus far in the history of healthcare.
After a period of debate toward the end of 1993, Congress left for winter recess with no conclusions or decisions, leading to the bill’s quiet death.
In 1996, Clinton signed the Health Insurance Portability and Accountability Act (HIPAA), which established privacy standards for individuals.
More recently, HCFA was given responsibility for administering a new federal health care financing program, the State Children's Health Insurance Program (SCHIP), created in 1997 to provide health insurance coverage for many of the nation's 11 million uninsured children.
United States Health Care Financing Administration (HCFA)(1998). Medicare Fact Book.
Impact of Breast Cancer Genetic Testing on Insurance Issues Prepared by the Health Research Unit September 1999 Introduction The discoveries of BRCA1 and BRCA2, two cancer-susceptibility genes, raise serious
Federal Hospital Insurance Trust Fund (1999). Annual Report of the Board of Trustees of the Federal Hospital Insurance Trust Fund.
Medicare Payment Assessment Commission (MedPAC) (1999). Report to the Congress: Medicare Payment Policy.
HCFA's budget was an estimated $342 billion in fiscal year 2000.
By the year 2000, NHE accounted for 13.3 percent of GDP — just a 1.2 percent increase over the past decade.
New Hampshire Medical Interpretation Strategic Plan: A Roadmap for Linguistically Appropriate Services February 2008 NEW HAMPSHIRE MEDICAL INTERPRETATION ADVISORY BOARD Medical Interpretation Advisory
For Immediate Release Tri-Council for Nursing Issues New Consensus Policy Statement on the Educational Advancement of Registered Nurses WASHINGTON, D.C., May 14, 2010 In light of the recent passage of
MEMBERSHIP MEETING January 19, 2011 Delivery System Reform: Healthcare Workforce Issue: The passage of health reform will bring millions of newly insured individuals into the system and drive patients
About See Me Communications Founded in 2011, See Me Communications is dedicated to honoring and improving the lives of the frail, elderly and disabled people whose voice and essence may be hidden from
CAREER SYNOPSIS Marsha L. Lewis, PhD, RN Marsha Lewis, PhD, RN is the Dean of the UB School of Nursing (UB SON). Doctor Lewis was recruited to the position in February 2012 following a national search.
Leadership for the Medical Practice Submission date: August 7, 2013 Myra L. Miller, FACMPE HISTORICAL *note this paper is being submitted in partial fulfillment of the requirements for ACMPE Fellowship
The first open enrollment season for the Marketplace started in October 2013, and it was rocky, to say the least.
January 8, 2014 Dear or Editor/News Director: Minnesota s nurse anesthetists will be joining their colleagues across the country to celebrate the 15th annual National Nurse Anesthetists Week, Jan.
Board Meeting March 12, 2015 PRESIDENT'S REPORT ON ACTIONS OF THE SENATES Establish a Graduate Concentration in Geographic Information Science in the Master of Science in Geography (PSM), Urbana The Urbana-Champaign
2015 Press Kit www.thejonesclinic.com THE JONES CLINIC FACT SHEET In an ever-changing healthcare environment, where specialized medical practices are aligning with large corporate hospitals by the dozen,
In 2016, it remains a fast-growing field that shows no signs of deceleration.
Nevertheless, 8 million people signed up for insurance through the ACA Marketplace during the first open enrollment season, with enrollment peaking in 2016 at 12.2 million (with 10 million of those receiving subsidies to help pay for insurance).
Since Donald Trump was sworn in as the 45th President of the United States on January 20, 2017, many have questioned what would happen with our healthcare system — specifically, what would happen to the ACA, since Donald Trump ran on a platform of “repealing and replacing” the bill.
Lastly, in August of 2017, the Trump administration significantly cut federal spending on advertising promoting awareness of the ACA exchanges, as well cut spending on ACA "navigators" who served to guide people through the enrollment process.
In January of 2018, the Trump administration allowed states to add work requirements to Medicaid, requiring beneficiaries to prove that they either work or go to school.
According to the Kaiser Family Foundation, the ACA has covered an average of 11.3 million annually since its inception, though 8.5% of the United States population (roughly 27.5 million Americans) remain uninsured, as reported by the KKF in 2018.
Eliminating the penalty immediately caused insurance premiums to rise, even though the elimination of the penalty didn't go into effect until January of 2019.
Hungry to notch a win on healthcare prior to the 2020 election, the Trump administration continues to push ahead on initiatives designed to reign-in healthcare costs.
© 2021 by the American Hospital Association.
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