Structure and Finance: Public Health, Primary Care,

Structure and Finance: Public Health, Primary Care, and Primary Health Care Systems and the Economics of Health Care Delivery Community Health Nursing (NU 340E) Assignment: Chapter _____________________________________________________________________________________ Directions for Completion Watch the following brief video and answer the related questions. ,typed summary of your responses, refeences _____________________________________________________________________________________ Escape Fire: The Fight to Rescue American Healthcare Overview “In researching the award-winning 2012 documentary titled Escape Fire: The Fight to Rescue American Healthcare, directors Matthew Heineman and Susan Froemke discovered an influential speech delivered by Boston-based pediatrician and Institute for Health Care Improvement (IHI) co-founder Dr. Don Berwick in 1999, years before he took office as the head of Medicare and Medicaid: http://bit.ly/b43shT. Dr. Berwick draws a parallel between the broken healthcare system and a forest fire that ignited in Mann Gulch, Montana in 1949” (Escape Fire Screening Guide, 2012, p. 6). “Just as the healthcare system lies perilously on the brink of combustion, the forest fire, which seemed harmless at first, was waiting to explode. A team of fifteen smoke jumpers parachuted in to contain the fire, but were soon running for their lives, racing to the top of a steep ridge. Their foreman, Wag Dodge, recognized that they would not make it. With the fire barely two hundred yards behind him, he did a strange and marvelous thing. He invented a solution. His crew must have thought he had gone crazy as he took some matches out of his pocket, bent down, and set fire to the grass directly in front of him. The fire spread quickly uphill, and he stepped into the middle of the newly burnt area, calling for his crew to join him” (Escape Fire Screening Guide, 2012, p. 6). Assignment Watch the short video excerpt (approximately 10 minutes) of the full Escape Fire: The Fight to Rescue American Healthcare documentary at Escape Fire Clip – YouTube. Briefly answer the following five questions related to the video. Reflection Questions: What are some problems that arise for health care providers and patients when care is highly specialized? Cardiologist Dr. Steven Nissen of the Cleveland Clinic explains that “contrary to what most people believe,” a certain particular intervention in which patient population will only do what? Identify and explain the intervention, patient population, and purpose. Yvonne Osborne, a young woman battling heart disease for 15 years, newly visits cardiologist Dr. Leslie Cho of the Cleveland Clinic. What mistakes are noted in Ms. Osborne’s care? What have those mistakes cost in terms of money, risk, and emotional distress? Medical journalist Shannon Brownlee notes, “We have a disease-care system, and we have a very profitable disease-care system.” Do you agree or disagree with this statement? Why or why not? Emergency medicine physician and pediatrician Dr. Pamela Ross of the University of Virginia Health Care System explains, “We’ve become a culture where you drive up, you get what you want, you get it fast, you get it right away, and you drive off. And that being applied to health care just doesn’t work.” Do you agree or disagree with this statement or disagree? Why or why not

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