you will analyze the historical events that brought about the U.S. health care system as it is today.

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  • In this course, you will analyze the historical events that brought about the U.S. health care system as it is today. You will demonstrate your understanding of the evolution in medical education, the development of health regulation, and the evolution of malpractice and quality standards.For this assessment, you will analyze the historical events that helped to shape health care as it is currently practiced, including the many areas that are in continual change today. It is a perfect time to study the past; we are currently in another eventful time in health care, with many changes occurring that will help create yet another layer of historical events.Demonstrating a firm understanding of the evolution of the hospital and health care industries is a fundamental component to understanding the current system. Without knowledge of the past and how it created the present, we cannot begin to understand the current changing environment. Much has changed in the level of care we are provided due to the increased level of provider education and the advent of insurance and payment systems.With this in mind, you will analyze the evolution of hospitals and the health care industry, and the development of government payment systems like Medicare and Medicaid, along with the development of private insurance.

    DEMONSTRATION OF PROFICIENCY

    By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

    • Competency 1: Analyze trends in the U.S. health care system from a historical perspective.
      • Compare and contrast the hospital environments of the 1800s, 1960s, and today.
      • Compare and contrast the staff education level and the level of care provided in hospitals of the 1800s, 1960s, and today.
      • Compare and contrast the systems of pay in the hospitals of the 1800s, 1960s, and today.
      • Draw conclusions about how the hospital industry has evolved from the 1800s, to the 1960s, to today.
    • Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others.
      • Produce a presentation that conveys understanding of the topic, its context, and its relevance.
      • Use academic writing conventions such as APA formatting and citation style, or others as required.
      • Produce writing that includes minimal grammar, usage, and mechanical errors, including spelling.

    INSTRUCTIONS

    For this assessment, you will develop a PowerPoint presentation in which you trace the evolution of the U.S. hospital industry by comparing and contrasting hospital care in the 1800s, the 1960s, and today.Imagine you are a patient with a serious illness in a hospital in the 1800s, in the 1960s, and today. Describe the process and type of care you would receive during these time periods.Examine the following:

    • The hospital environment.
    • Who the care providers are, their level of education, and the level of care provided.
    • How you might pay for your care.
    • Some thoughts on how things were better or worse in these categories in each of the different time frames.

    You might want to (but do not have to) organize your presentation using the following outline:

    • Slide 1: Title of the Presentation.
    • Slide 2: Brief explanation of the purpose of the presentation.
    • Slides 3–6: The Hospital Environment.
    • Slides 6–9: The Care Providers and Level of Care.
    • Slides 10–12: Paying for Your Care.
    • Slide 13–14: Conclusions.

    PRESENTATION REQUIREMENTS

    Your presentation should consist of:

    • A minimum of 12 bulleted slides.
    • Speaker notes that fully explain each slide.
    • A minimum of three references.
    • Appropriate APA citations and peer-reviewed references on each slide, as necessary.

    GENERAL GUIDELINES FOR POWERPOINT

    • Keep the design simple.
    • Font: Arial or Verdana, size 24-point, minimum.
    • Keep the slides concise: 5–7 bullet points per slide and 5–7 words per bullet. Use speaker notes to explicate the bullets.
    • For best color contrast, use light text on dark background (for example, yellow on black, white on dark blue).
    • Use the proper slide layout. For example, if a slide has a title and text, it is created using the correct Title and Text layout.

    Note: To fully understand how this assessment will be graded, be sure to carefully read the Evolution of the Hospital Industry Scoring Guide.

  • SCORING GUIDE

    Use the scoring guide to understand how your assessment will be evaluated.VIEW SCORING GUIDE

  • CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED
    Compare and contrast the hospital environments of the 1800s, 1960s, and today. Does not address the hospital environments of the 1800s, 1960s, and today. Describes but does not compare and contrast the hospital environments of the 1800s, 1960s, and today. Compares and contrasts the hospital environments of the 1800s, 1960s, and today. Compares and contrast the hospital environments of the 1800s, 1960s, and today. Gives specific examples of the impact on the quality of patient care during these time frames.
    Compare and contrast the staff education level and the level of care provided in hospitals of the 1800s, 1960s, and today. Does not address the staff education level and level of care provided in hospitals of the 1800s, 1960s, and today. Describes but does not compare and contrast the staff education level and level of care provided in hospitals of the 1800s, 1960s, and today. Compares and contrasts the staff education level and level of care provided in hospitals of the 1800s, 1960s, and today. Compares and contrasts the staff education level and level of care provided in hospitals of the 1800s, 1960s, and today. Gives specific examples of the impact on the quality of patient care during these time frames.
    Compare and contrast the systems of pay in the hospitals of the 1800s, 1960s, and today. Does not address the systems of pay in the hospitals of the 1800s, 1960s, and today. Describes but does not compare and contrast the systems of pay in the hospitals of the 1800s, 1960s, and today. Compares and contrasts the systems of pay in the hospitals of the 1800s, 1960s, and today. Compares and contrasts the systems of pay in the hospitals of the 1800s, 1960s, and today. Gives specific examples of the impact on the quality of patient care during these time frames.
    Draw conclusions about how the hospital industry has evolved from the 1800s, to the 1960s, to today. Does not address how the hospital industry has evolved from the 1800s, to the 1960s, to today. Compares and contrasts, but does not draw conclusions, about how the hospital industry has evolved from the 1800s, to the 1960s, to today. Draws conclusions about how the hospital industry has evolved from the 1800s, to the 1960s, to today. Draws conclusions about how the hospital industry has evolved from the 1800s, to the 1960s, to today. Supports the analysis with references to the professional literature.
    Produce a presentation that conveys understanding of the topic, its context, and its relevance. Does not produce a presentation that conveys understanding of the topic, its context, and its relevance. Produces a presentation that conveys understanding of the topic, its context, or its relevance, but not all three. Produces a presentation that conveys understanding of the topic, its context, and its relevance. Produces a presentation that conveys exemplary understanding of the topic, its context, and its relevance.
    Use academic writing conventions such as APA formatting and citation style, or others as required. Does not use academic writing conventions such as APA formatting and citation style, or others as required. Inconsistently uses academic writing conventions such as APA formatting and citation style, or others as required. Uses academic writing conventions such as APA formatting and citation style, or others as required. Consistently uses academic writing conventions such as APA formatting and citation style, or others as required.
    Produce writing that includes minimal grammar, usage, and mechanical errors, including spelling. Produces writing that includes many grammar, usage, and mechanical errors, including spelling. Produces writing that includes some grammar, usage, and mechanical errors, including spelling. Produces writing that includes minimal grammar, usage, and mechanical errors, including spelling. Produces writing that is consistently superior in grammar, usage, and mechanics, including spelling.
    HOW TO DO FIRST POWERPOINT – Slide one – title page – Remember this is a presentation about the hospital industry and not healthcare in general. Put your name and title on Slide 1. – Slide two – Purpose – Use bullet points (no periods) to state the purpose of the presentation (which is to cover the criteria in the scoring guide). Keep it short on this slide (and remember focus is “hospital industry”) – Slides 3-4-5, Use one slide for each of the time periods, the 1800s, 1960’s, and Today. Use only bullet points for the slides, reference for each slide (can go beneath in notes or upon a slide, your choice). Any sentences or paragraphs belong only in the notes section. Only bullet points on slides. The topic for these three is the environment. The meaning of the environment in this context is the “setting. What did the hospital look like and feel like for the patients? Wards, semiprivate rooms, private hospital rooms with room for guests to sleep? lighting? medical equipment? food? heating? electric? segregated? clean, dirty? furnishings? phones, televisions, the internet? wifi? Slides 6-7-8 each cover one of the time periods but the topic is now the level of education that people had who were delivering the hospital care, and the level of care they were delivering in the hospital, based on that education. The level of care in the hospital covers the realm of what is being done for the patient. In the 1800s, there was a lot of comfort care only in the hospital because many inventions and innovations did not exist. Do some research and bring in the evolution of the level of care as such possibilities of IV, wound care, therapy, changes in nursing, lab tests, x-rays, trachea care, pulse ox monitoring, central lines, special beds, vents, administration of blood products, etc. and place these in the time frames when they became available. Slides 9-10-11 cover the payment systems for the hospital that people had available to them. One slide to each time period. Bullet points. No periods. Paragraphs or sentences go below in the notes section. Each slide should have a reference. How did people pay the doctor? with some produce or meat/eggs? with insurance? private or government? charity? Remember the focus is the hospital and not healthcare in general. From the very simple time of the 1800s, the system of pay now is quite complex. Medicare was basic in the 1960s as it provided for the elderly but you can also mention it again for today’s payment system that now has links to quality for payment. Self-pay was present in the 1800s and now again today for the uninsured or the privately insured who must pay whatever insurance does not. The Affordable Care Act (which is not affordable) did bring some reforms to the payment and delivery system for hospitals but now needs reforming itself. Finally, there is a lot of uncompensated care that the hospital provides but must make up for that shortfall by charging others more. There is a lot of research and material to fill that final slide Slide 12 is for conclusions (plural) that you have drawn while putting together the first three criteria. Be sure to use the literature (references) for your conclusions as well to verify y

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