Introduction to US Health Care

Unit 4

Chapter 14

Public Health Policy

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Unit 4 Assignment First - Choose a regulation or statues

that impacts health care: Occupational exposure to Blood borne

Pathogens Standard (OSHA) The American Disability Act (ADA) Health Insurance Portability and

Accountability Act (HIPAA)

Unit 4 Assignment Next – Research the topic online to find:

What is the regulation or statute for? Who does the act protect? What are the consequences for violating

it? Why are the laws like this good for

protection? How do you propose to enact these

standards when you are an administer?

Unit 4 Assignment Three paragraphs long APA format Minimum of 2 online references Word count – 400 words Follow directions for submitting to

Dropbox Due by Tuesday, February 28th

Public Health ServicesProtection of the nation’s public health is a government responsibility.

Public Health Agencies Three core

functions are

Assessment

Policy Developm

ent

Assurance

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The Department of Health & Human Services (DHHS)

The DHHS and various federal agencies perform several public health functions.

•Data gathering and analysis, and surveillance and control: The CDC

•Conducting and sponsoring research: The NIH

•Providing programmatic assistance to state and local governments –The

Health Resources & Services Administration

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The Department of Health & Human Services (DHHS) The DHHS and various federal agencies perform several public health functions.

•Ensuring the safety of food and drugs: The FDA

•Ensuring access to health services by aged and poor

people: The CMS

•Providing direct services to special populations: IHS14-8

State Health Agencies

The state’s role in public health: The state’s role in public health:

Licensing health Licensing health care professionalscare professionals

Inspecting and Inspecting and licensing health licensing health care facilitiescare facilities

Collecting vital Collecting vital statisticsstatistics

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The state’s role in public health (contd.)

Investigating and analyzing the epidemiology of disease

Epidemiology study includes three factors:

1.Incidence

2.Distribution

3.Control14-10

The state’s role in public health (contd.)The state’s role in public health (contd.)

• Observing and managing communicable diseases in the

community

• Registering diseases and tumor information

• Providing laboratory services

• Formulating health policy and legislation

• Analyzing health policy and legislation’s impact

• Providing community health education

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Local Health Agencies

Food safety inspectionSanitation services Investigation and control

of STDsDrinking water purification

Most front-line public health services are provided locally.

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Private Health Care Providers

Private health care providers contribute to the public health by:

Engaging in surveillance and monitoring of diseases

Administering immunizations Screening for communicable diseases Offering patient education Coordinating the provision of private and

public health services

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Public Health Agency Funding Local Government – 44% State Government – 40% Federal Government – 3% Service reimbursement –

19% Other – 4%

Local Public Health Services

Disease screening

Primary care Mental Health

care Maternal and

child health Family planning Hospital care

Federal & State Statues & Regulations

• Title 21, Federal Food, Drug, and Cosmetic Act

•OSHA Laws•The Hazard Communication Standard•The Medical Waste Tracking Act•The Occupational Exposure to Bloodborne Pathogen Standard

•The Health Insurance Portability and Accountability Act

State laws differ from state to state, i.e. abortion laws

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Health Indicators

Researchers conduct surveys comparing the U.S. population to populations in other developed countries. Key indicators are:

Cost Access Responsiveness Infant mortality Fairness of financing

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Characteristics of the Health SystemTo classify health systems researchers look at

a number of factors.

Degree of primary care regulation Type of financial access to health care Whether the health system relies on generalists or

specialists to provide primary care

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Primary Care or Specialty CareTo determine if a the foundation of a country’s health

system is primary or specialty care researchers look at the following factors:

Extent to which the PCP acts as the point of entry into the system Extent to which the physician provides continuous care over time Comprehensiveness of the care provided Extent of coordination of services by the PCP

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Summary A key to understanding the U.S. healthcare

system is understanding U.S. health policy. Implementing health care policy in this

country requires complex coordination among all levels of government.

Recognizing how the U.S. healthcare system differs from systems around the world offers a starting point for examining overall effectiveness of U.S. health policy.

To-do List Read Chapter 14 Complete Written Assignment Post Responses to Discussion Question

Good Night!

Thank you for attending the seminar!