Write a  trend analysis paper to describe health care regulations and medical practice evolutionary changes for access, quality, and cost, including the significant milestone events for different time periods.
Moana is a newly appointed quality reporting analyst for a Northeast Accountable Care Organization (ACO). Her director tells her that the U.S. health care system is going through a quality revolution. The drivers of this movement are years of proposed, failed, and enacted legislation; many regulatory agencies lobbying for change; and the myriad of quality initiatives implemented before and after the Affordable Care Act. Other influences in this trend are Medicare, Medicaid, employer groups, and the managed care markets’ drive to improve quality and reduce costs. The beneficiaries of these plans—patients—want transparency of their services in regard to quality, safety, and cost. 
To achieve these desired health service outcomes, private and public health systems work in tandem to reduce the burden of disease and increase quality, while managing costs. They do this through programs such as Vaccines for Children (VFC) and Women, Infants, and Children (WIC), the Substance Abuse and Mental Health Services Administration (SAMHSA), Healthy People (1990–2030), Program of All-inclusive Care for the Elderly (PACE), and many more. Moana’s director shares with her that all of these private–public health programs and initiatives, in addition to the significant advancements in medical education, research, and technologies, have led to one of the most highly regulated industries in the United States and the world today.
In this assessment, you will review the private and public health legislation, regulatory agencies, and quality initiatives that have catapulted the United States into the quality revolution that we are experiencing today. As this quality revolution continues, health care professionals can expect to see more innovations contributing to individual patient and population health quality initiatives, with many more regulations to come.
 
Scenario
You are a health care educator for a large integrated accountable care organization (ACO). You are tasked to work with a group of hospital executives to identify milestone events for three eras, the 1800s, 1900s, and 2000s, and identify trends from those events that impacted the health care industry. The trend analysis will consist of three critical measures: access, quality, and costs. Milestone events and trends identified for these three measures over time should include legislation, regulatory agencies, and quality initiatives in the various time periods. The final paper will be used in an annual strategic planning session attended by the ACO and hospital executives to demonstrate how the quality movement has evolved into a quality revolution.
1
Historical Trend Analysis
Your Full Name (no credentials)
Capella University
BHA-FPX4002: History of the United States Health Care System
Instructor’s Name
Date
2
Historical Trend Analysis
Write your introduction here. Provide a brief explanation of the purpose of this historical
trend analysis and how it might be used in your work as a health administrator (1 paragraph).
Where appropriate, reference significant health care milestones, regulations, and measures for
access, quality, and cost.
Trends and Regulations
Provide a brief description of the key measures of health care services, which are access,
quality, and cost (1–2 paragraphs).
Health Care Access
Explain why access to health care is important and what it means. What U.S. legislation,
regulatory agencies, and quality initiatives for the 1800s, 1900s and 2000s have influenced
access to health care services in the United States. What does your milestone trend analysis
reveal for access to care? (1–2 paragraphs)
Health Care Quality
Explain what quality health care is and why it is important. What U.S. legislation,
regulatory agencies, and quality initiatives for the 1800s, 1900s and 2000s have influenced care
quality in health care services in the United States. What does your trend analysis reveal for care
quality? (1–2 paragraphs)
Health Care Cost
Explain what health care cost is and why it is important. What U.S. legislation, regulatory
agencies, and quality initiatives for the 1800s, 1900s and 2000s have affected health care costs
for medical services. What does your trend analysis reveal for medical service costs? (1–2
paragraphs)
3
Trend Analysis
Analyze the trends and regulations in health care access, quality, and cost to draw
conclusions about the evolution of health care regulations and practice throughout the recent eras
(1–2 paragraphs). Describe professional experiences or examples to illustrate the trends. Include
citations and references to specific regulations, events, or agencies.
Conclusion
Summarize clear and concise conclusions of your trend analysis (1 paragraph). What are
the trends revealed for health care access, quality, and cost? Draw a conclusion about how the
changes have improved, been neutral, or inhibited progress of the U.S. health care system.
4
References
Kroth, P. J., & Young, K. M. (2018). Sultz & Young’s health care USA: Understanding its
organization and delivery (9th ed.). Jones & Bartlett.
5
Appendix
Trend Analysis Table: Evolution of Access, Quality, and Cost in Health Care
Milestones
1800s
Health Care Access
Year, Milestone
• Note
Regulatory Legislation,
• Note
Agencies, or Quality Initiatives Year, Milestone
• Note
• Note
1900s
Year, Milestone
• Note
Regulatory Legislation,
• Note
Agencies, or Quality Initiatives Year, Milestone
• Note
• Note
2000s
Year, Milestone
• Note
Regulatory Legislation,
• Note
Agencies, or Quality Initiatives Year, Milestone
• Note
• Note
Health Care Quality
Year, Milestone
• Note
• Note
Year, Milestone
• Note
• Note
Year, Milestone
• Note
• Note
Year, Milestone
• Note
• Note
Year, Milestone
• Note
• Note
Year, Milestone
• Note
• Note
Health Care Costs
Year, Milestone
• Note
• Note
Year, Milestone
• Note
• Note
Year, Milestone
• Note
• Note
Year, Milestone
• Note
• Note
Year, Milestone
• Note
• Note
Year, Milestone
• Note
• Note

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