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D393 History of Healthcare in America Study Worksheet (study plan) 2026 everything you need to know Western Governors University
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Page 2 of 8 Section 1 Historical Evolution of Healthcare Lesson 1: A Forming Nation
1. Explain healthcare history from the 1700s to the early 1800s, focusing on disease outbreaks, vaccine 2. development, and doctor access. 3. What three areas does the Triple Aim developed by the Institute for Healthcare Improvement (IHI) try to achieve? 4. Key terms: o Pest Houses: o Almshouses: o Royal hospitals: 5. How was healthcare practiced in the 1700s, and what treatment did people receive to battle illness? 6. How did most people receive healthcare treatment before doctors? (Watch “Fever: 1793 – The Doctors and the Cures” video in Lesson 1.2) 7. What is Cultural authority? (Chapter 2 – pages 41 reading)
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8. Why was the Spanish flu so important to the development of healthcare policy and delivery? 9. What was the importance of World War II on the U.S. Healthcare System? 10. Who performed the first human organ transplant surgery? 11. How did the discovery of germs help revolutionize the medical field? (Watch “In the 19th Century, going to the Doctor Could Kill You” video in Lesson 2.2)
Page 5 of 8 Lesson 3: A Modern Nation
1. Explain the evolution in healthcare from the early 1900s to the present, focusing on advancements in medical insurance, the rise of care facilities and case management, and the invention of telehealth. 2. Which laws helped shape the current healthcare system? a. Consolidated Omnibus Budget Reconciliation Act (COBRA) of 1986 b. Emergency Medical Treatment & Labor Act (EMTALA) of 1986 c. Children’s Health Insurance Plan (CHIP) of 1997 d. Mental Health Parity and Addiction Equity Act of 2008 e. Patient Protection and Affordable Care Act of 2010 (ACA) 3. Wagner-Murray-Dingell Bill (Read Chapter 2 “History and Development of the US Healthcare System”, pages 56-62 in Lesson 3.1) 4. The Hill-Burton Act of 1946 (Read Chapter 2 “History and Development of the US Healthcare System”, pages 56-62 in Lesson 3.1) 5. The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 6. Key Terms: - Fee-for-service (FFS): - For-profit hospitals: - Non-profit hospitals: 7. What is value-based healthcare? 8. What are the five primary healthcare funding models – (Read Chapter 8: “Financing a Massive System”, pages 247-252) a. The Self-funded model b. The Bismarck model c. The Beveridge model d. The National Health Insurance model (NHI) e. The hybrid model of Bismarck and Beveridge (Bis-Bev) 9. What are some of the benefits of telehealth? 10. What is case management?
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1. How has the pharmaceutical industry changed in the 2000s? 2. Timeline: 3. How was the mental health of healthcare workers impacted during the COVID- 19 pandemic?
Page 8 of 8 Section 3 Challenges in Healthcare Lesson 1: Today’s Healthcare Challenges
1. Describe current healthcare challenges and their historical origins. 2. Key terms: - Disinformation: - Personal Protective Equipment (PPE): 3. How did COVID- 19 affect the mental health of healthcare workers? 4. What are the current approaches to healthcare access and financial sustainability? Lesson 2: Healthcare Challenges for Patients and Clients 1. Explain possible ways to address current healthcare challenges for patients and clients. 2. Key terms: