The Modernization Of Hospitals And Hospital Services Essay

The Modernization Of Hospitals And Hospital Services Essay

Length: 1128 words (3.2 double-spaced pages)

Rating: Better Essays

Open Document

Essay Preview

Hospital Downsizing

The modernization of hospitals and hospital services can be traced back to 1840 when facilities began to change their focus from caring for the impoverished and mentally ill, to becoming a place known for providing complete health care to the population. After the Second World War, the government identified a deficiency in the health care system and the response to was passage of the Hill-Burton Free and Reduced Cost Health Care Act in 1946.
The Hill-Burton Act provided government subsidies to aid in the construction and modernization of local government hospitals as well as not-for-profit facilities. Hill-Burton established a goal ratio of 4.5 beds for every 1000 people; the greatest period of hospital growth due to this legislation was from 1947 to 1971 when an estimated $33 billion in governmental funding was distributed, with the goal being reached in 1980.
However, beginning in the mid-1980’s changes in the reimbursement of claims for government-sponsored health care programs, managed care and the affect it had on the healthcare market place, and hospital closures, led to hospital downsizing to include the number of available inpatient beds as well as the number of facilities in operation.
The Effect of Changes in Hospital Reimbursement

Until the passage of the Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA), all claim reimbursement for services rendered was based on individual charges. This was an itemized billing for each day spent in a hospital bed as an inpatient, including charges for the services provided by other departments such as laboratory, radiology, and the various ancillary services that may have been provided to the patient as part of their hospitalization.
Technology b...


... middle of paper ...


...l beds.”
In some cases, closed facilities and areas within a facility were converted to other uses, including expansion of outpatient services and programs, but the underlying cause for the closure of the facilities was underutilization and the cost of maintaining underperforming facilities.
Conclusion
To an extent, hospital downsizing is the result of the successful implementation of cost- saving programs that have shifted the primary areas for patient care from inpatient to various outpatient care facilities and disciplines. Beginning with the shift from cost-plus billing to PPS using DRG reimbursement and managing care to increase efficiency and reduce cost, the need for inpatient hospital beds has continued to decrease in response to the lessening need while the utilization of outpatient services continues to grow to meet the needs of patients and providers.

Need Writing Help?

Get feedback on grammar, clarity, concision and logic instantly.

Check your paper »

Essay on Physicia- Owned Specialty Hospitals

- As indicated by McLaughlin and McLaughlin (2008), governments must respond to the concerns of healthcare providers having conflicting roles in society as agents for both patients and for others. In the 1990s, the United States saw the emergence of many physician-owned hospitals specializing in certain high-dollar procedures such as cardiac care and orthopedics. The reasons for their development were many. First of all, physicians sought to funnel the better insured patients to facilities in which they had a financial stake....   [tags: healthcare, insurance, community hospitals]

Better Essays
1286 words (3.7 pages)

Essay on Ethical Concerns Among Hospitals And Doctors

- As noted by Lovrien & Peterson (2011), reinforcing the association that exists among hospitals and doctors remains a priority of concerns during this day and time among senior managers of these healthcare institutes. According to Lovrien & Patterson (2011), once this joint venture between doctors and hospitals has been effectively established, then the ability for improving the delivery structure, ensuring care is managed properly, and maintaining appropriate monetary profits can exist among those healthcare establishments....   [tags: Health care, Physician, Patient, Medicine]

Better Essays
814 words (2.3 pages)

Essay about Judaisms Modernization In America

- The Jewish way of life has been affected in a tremendous way by the people of the United States of America. By the time of the signing of the Declaration of Independence, there were only 2500 Jews in America. For forty years beginning in 1840, 250,000 Jews (primarily from Germany, Hungary, and Bohemia) entered this country. Anti-Semitism and economic woes in Eastern Europe went from bad to worse after the pogroms of 1881-1882. Almost three million Eastern European Jews left between 1881 and 1914, two million (85%) of which decided to come to America, where they thought "the streets were paved with gold." They were wrong....   [tags: essays research papers]

Free Essays
1598 words (4.6 pages)

The Modernization Of Hospitals During The 19th Century Essay

- The 19th century was a big turn for the modernization of hospitals. During the 19th century hospitals focus came to medical care, rather than the place for charity and the care for the poor. The hospital became a place where medical training was performed, and the profession of nursing was established. The structure and how the organization of hospitals changed as well, the issues with lighting and sanitation were beginning to be addressed and changed. Medical theory and research became the focus of treatment in hospitals, rather than religion being the dominant influence in the establishment of hospitals....   [tags: Nursing, Florence Nightingale, Medicine, Nurse]

Better Essays
838 words (2.4 pages)

The Development of Civilian Emergency Medical Services in the United States

- ... Civilian EMS originated with the first civilian manufactured ambulance produced in 1890 and built by the Hess-Eisenhardt Company in Cincinnati. The ambulance was a horse drawn wagon specifically designed to move injured patients. The first electric motorized ambulance was made in Chicago in 1899 and donated to the Michael Reese Hospital by local businessmen. The St. Vincent Hospital of New York began operating an electric motorized ambulance in 1900. James Cunningham, Son & Company created the first gasoline powered ambulance in 1909; the company was located in Rochester New York....   [tags: medical services, ambulance, hospitals]

Better Essays
1775 words (5.1 pages)

Essay about The Modernization of China

- In 1978 Deng Xiaoping became the leader of China and began an ambitious program of economic reform. Under Deng Xiaoping’s modernization policies, the country was opened to the outside world that foreigners were encouraged to bring technical information and managerial knowledge to China. The new policies encouraged private and collective business, so that higher skill levels of workers were needed to develop the new China. My grandfather, Shidao Liu, is an exemplar of rural people who obtained opportunity to gain a satisfactory job during Deng’s era....   [tags: Deng Xiaoping, modenization policies]

Better Essays
1746 words (5 pages)

Experimental Study Comparing two Chicago Based Hospitals for Patient Care and Readmission

- How do we improve the quality and efficiency of health care within the U.S. with a special emphasis on improving coordination of care within hospitals. Policy Alternatives Examine the rate of hospital readmissions Across the U.S., many Medicare beneficiaries rely on hospitals servicing low-income areas for their care, placing additional financial pressure upon the institution. It is reported that each year within the U.S. one of five Medicare recipients returns to the hospital within 30 days of discharge, roughly costing the program $18 billion (Mittler et al., 2013)....   [tags: Healthcare, Hospitals, Medicare]

Better Essays
995 words (2.8 pages)

Comparing Quality Of Our Hospitals Essay examples

- Unit 4 Assignment: Comparing Quality in Our Hospitals There are two local hospitals in the Bradenton/Sarasota, Florida area that have been treating patients longer than many others in the area. These hospitals are both considered large volume hospitals. Manatee Memorial Hospital (MMH) is located in Bradenton, Florida which is just south of Tampa, FL. This hospital has been a main source for this area’s healthcare needs for more than 60 years. It is a 319 bed facility that is currently owned and operated by a subsidiary of Universal Health Services, Inc....   [tags: Hospital, Patient, Myocardial infarction]

Better Essays
1264 words (3.6 pages)

Hospitals are feeling 'niched to death' Essay

- Haugh, Richard, Hospitals are feeling 'niched to death', H&HN: Hospitals & Health Networks, 10688838, Apr2002, Vol. 76, Issue 4 This article is about a small Louisiana town where a dispute between the sole hospital and its largest physician group. The hospital is a160-bed facility in and is going to be losing a big part of its surgery business to the Green Clinic, a 35-physician multi-specialty group that is building its own specialty hospital a few miles down the road. The doctors serve the vast majority of patients in the town of 25,000....   [tags: physicians vs. hospital]

Free Essays
426 words (1.2 pages)

Modernization Theory Essay

- Modernization Theory Modernization is the term used for the transition from the traditional society of the past to modern society as it is found today in the West. Modernization theory refers to a variety of non-Marxist perspectives which have been put forward to explain the development or underdevelopment of countries. Modernization theory is a model of economic and social development that explains global inequality in terms of differing levels of technological development among societies. Modernization theory presents the idea that by introducing modern methods in "technology, agricultural production for trade, and industrialization dependent on a mobile labour force," the underdeveloped...   [tags: Sociology Modernization Essays Papers]

Better Essays
2522 words (7.2 pages)