CHAPTER 2 BACKGROUND AND FORMATIVE INFLUENCES OF IDA SCUDDER Dr. Ida Scudder The Scudder family is the most renowned medical missionary family. They served for generations in India and elsewhere. In 1819 John Scudder left his growing practice in New York City and sailed for Ceylon, Sri Lanka with his wife and child. They served for thirty-six years in Ceylon and India, and during that time thirteen more children were born. Of the nine who survived to adulthood, seven became missionaries, most of them specializing in medicine like their father.
Kaiser Permanente has been equipped since 2007 with Health Connect; which is the largest private electronic health record implementation in the world. This is a highly sophisticated electronic program that integrates inpatient, outpatient, and clinic medical records with appointments, registration, pharmacy, and billing for all kaiser members. In addition, this electronic program includes an entire medical library with a whole set of care support tools which are accessible to doctors, nursing staff and patients (Kaiser Permanente, n.d.). At kaiser permanente; nurses are expected to print out “the after-visit summary” (AVS), which contain the doctor recommendations for each patient that we see. Every patient goes home with an after-visit
The Affordable Care Act requires the majority of Americans to have health insurance; although this is a huge change, the Mayo Clinic has announced that their organization will continue to care for their patients in the same ways that it always has; offering high quality care regardless of the person’s ability to pay (Wedzina, 2013). In an interview with the CEO Dr. John Noseworthy, he was asked what was the impact of the Affordable Care Act would be on the Mayo Clinic. He stated that, “If it is rolled out and fully realized, it would significantly impact the financial model of the Mayo Clinic. It is basically about insurance coverage, there is going to be less reimbursement for hospitals and doctors, so we are planning the next stage, which is how we redefine the way healthcare is delivered and experienced by patients” (Goozner,
CMA stands for Certified Medical Assistant, and it’s awarded by the American Association of Medical Assistant (AAMA). This type of certification most be renewed by every five years. RMA stand for Registered Medical Assistant and the credential is awarded by AMT (American Medical Technologist), and it is credited by the National Commission for Certifying Agencies (Difference between CMA and RMA | Difference Between | CMA vs RMA Retrieved on September 3, 2015). Most employers in the US recognizes both CMA and RMA credentials. The differences of each program is that one
Planned Parenthood Planned Parenthood is a widely known, non-profit organization that provides reproductive healthcare for all men and women. They have served clients within the U.S. and globally for more than one hundred years (Planned Parenthood Federation of American Inc., 2018). Planned Parenthood’s (2018) mission “aims to provide trusted community health care, inform and educate the community, lead the reproductive health and rights movement, and advance global health”. They focus on health topics including birth control, abortion, STD’s/STI’s, pregnancy, and emergency contraception. They have information about the many different types of STD’s and STI’s on their website and at their locations.
Daniel Hale Williams, was the first physician to complete an open heart surgery on a patient. He was also the first founder of an interracial hospital. Daniel H. Williams was born on January 18, 1856, in Hollidaysburg, Pennsylvania. His mother’s name was Sarah William, and his father’s name was Daniel H Williams’s ll. Daniel Williams also had seven brothers and sisters.
Some of the emigrants were processed into the country and others were sent back to their countries of origin. Ellis Island Immigrant Hospital was one of the largest hospitals in the country and up to today, it is still being used as one of the cases studied in the public healthcare system. In a year, twelve million emigrants were processed through the hospital in a year. On arrival, the immigrants would first go through a thirty-second health inspection in the immigration center. More scrutiny was placed on individuals that arrived through the third and second class.
By 1963, the Lutheran Church in America had centers for deaconess work in Philadelphia, Baltimore, and Omaha. In the U.S., the role of public health nurse began in Los Angeles in 1898, by 1924 there were 12,000 public health nurses, half of them in the 100 largest cities. Their average annual salary in larger cities was $1390. In addition, there were thousands of nurses employed by private agencies handling similar work. Public health nurses supervised health issues in the public and parochial schools, to prenatal and infant care, handled communicable diseases and tuberculosis and dealt with aerial
Regulatory organizations and government officials began to focus on the need for quality in hopes to decrease medical errors and healthcare cost. The Joint Commission of Accredited Healthcare Organizations (JCAHO) was one of the first regulatory organizations to develop standards of care or goals around specific patient safety issues. The program is known as JCAHO’s National Patient Safety Goals and it originally started with six goals and was implemented in 2003 (Catalano, 2002). JCAHO remains at the forefront of patient safety by expanding, revising and developing the National Patient Safety Goal Program each year. Many organizations and other regulatory agencies use JACHO’s safety goal program as the foundation to develop a “culture of safety.” Barnsteiner (2011), reported a “culture of safety is to lessen harm to patients and providers through both system effectiveness and individual performance (pg.
WSH is a patient-centered hospital utilizing a progressive medical model, emphasizing the best chance for recovery is through a collaborative effort made interdisciplinary treatment team consisting of a; psychiatrist, psychologist, social worker, medical doctor, pharmacist, registered nurse, and rehabilitation staff. Although, WSH emphasis collaboration, the hospital operates independently within their own system, rendering their collaboration to internal sources only making the hospital partly integrated (Crawford, 2012). Researchers Heslin and Weiss (2015) stated facilities which are partly integrated have a higher recidivism rate compared to facilities who are fully integrated, 20%
The department of Veteran Affairs ensures the care and honor for our American Veterans. Its mission statement is “to fulfill President Lincoln’s promise “to care for him who shall have borne the battle, and for his widow, and his orphan.”” Veterans have many different benefits such as disability compensation, health care, life insurance, education and training, and pension, just to name a few. Benefits not only apply to the veteran themselves, but also to their spouse and dependents. The Veterans Health Administration is “America’s largest integrated health care system with over 1,700 sites of care serving 8.76 million Veterans each year.” Dating back to 1636 when Pilgrims were at war with Indians, the U.S. has the most inclusive program of
To first answer your question about integrated health care systems in the U.S.; the answer is yes, there are some integrated health care systems available with all three delivery methods under one administration. An article titled “100 Integrated Health Systems to Know” listed out 100 of the most successfully integrated systems (Rodak, 2013). Kaiser Permanente is one such system. Considered the world’s largest not-for-profit integrated delivery system; Kaiser was founded in 1945, and currently serves 10.2 million people. It is based in Oakland, California but provide both insurance and health care services to patients across 8 states and the District of Columbia (Overland, 2013).