BUS-FPX3026 Foundations and Future of Health Care Delivery Management
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BUS FPX 3026 Assessment 1 Historical Milestones Presentation

BUS FPX 3026 Assessment 1 Historical Milestones Presentation


Capella university

BUS-FPX3026 Foundations and Future of Health Care Delivery Management

Prof. Name



The hospital system, tracing its origins back to the early 1800s, has undergone significant evolution over two centuries, marked by regulatory improvements and benchmarks (Niles, 2018). Hospital administrators must be well-versed in this historical trajectory to ensure organizational success. This presentation aims to review the historical milestones of the hospital system, particularly focusing on the 2002 Hospital Consumer Assessment of Healthcare Providers and Systems Survey (HCAHPS) and its significance in hospital administration, specifically in terms of patient satisfaction.

Historical Milestones

The evolution of hospitals from almshouses in the 1800s to modern healthcare institutions has been characterized by substantial transformations (Niles, 2018). The establishment of the American Medical Association (AMA) in 1847 set standards for medical education and ethics (AMA, n.d.). By the early 1900s, hospitals transitioned from physician-owned entities to being owned by churches or government, leading to the formulation of rules and regulations, including the Patient Bill of Rights in the 1970s (Niles, 2018). The introduction of the Certificate of Need (CON) in 1974 aimed at managing healthcare costs by regulating the construction of new facilities (NCSL, n.d.). Subsequent legislation such as the Emergency Medical Treatment and Active Labor Act (EMTALA) in the 1980s and the Balanced Budget Act in 1997 further shaped the healthcare landscape (Niles, 2018).

Hospital Consumer Assessment of Healthcare Providers and Systems Survey (HCAHPS)

The HCAHPS Survey, initiated by the Centers for Medicare & Medicaid Services (CMS) and the Agency for Healthcare Research and Quality (AHRQ), serves as a benchmarking tool for patient experiences within healthcare facilities (Mazurenko et al., 2017). It encompasses various aspects of care, including communication, staff responsiveness, and pain management. Given its impact on Medicare reimbursement, hospital administrators must prioritize understanding and addressing issues highlighted by the survey.

Significance of HCAHPS on Hospital Administration

Patient satisfaction, as measured by the HCAHPS Survey, has become integral to hospital administration, alongside concerns regarding revenue and expenses (Letourneau, 2014). Organizational culture plays a crucial role in shaping the patient experience, highlighting the importance of employee satisfaction in ensuring positive outcomes (Letourneau, 2014). Therefore, hospital administrators must prioritize patient satisfaction initiatives to uphold the institution’s reputation and financial viability.


In conclusion, the history of hospitals reflects a journey from mere shelters for the sick to sophisticated healthcare institutions. Richard Selzer’s metaphor of hospitals as spaces inviting heroism underscores their significance in human experience (Risse, 1999). Enhancing patient experience, particularly through initiatives like the HCAHPS Survey, remains pivotal for hospital administrators in navigating contemporary healthcare challenges.


American Medical Association (n.d.). AMA history. Retrieved from https://www.ama-assn.org/about/ama-history/ama-history

Letourneau, R. (2014). Better HCAHPS scores protect revenue. HealthLeaders, 17(4), 60-63. Retrieved from http://library.capella.edu/login?qurl=https%3A%2F%2Fsearch.proquest.com%2Fdocview%2F1550172524%3Facco

Mazurenko, O., Collum, T., Ferdinand, A., & Menachemi, N. (2017). Predictors of hospital patient satisfaction as measured by HCAHPS: A systematic review. Journal of Healthcare Management, 62(4), 272-283. doi:http://dx.doi.org.library.capella.edu/10.1097/JHM-D-15-00050

BUS FPX 3026 Assessment 1 Historical Milestones Presentation

National Conference of State Legislatures (NCSL) (n.d.). CON-CERTIFICATE OF NEED STATE LAWS. Retrieved from http://www.ncsl.org/GoogleResults.aspx?q=certificate%20of%20need%20(con)

Niles, N. J. (2018). Basics of the U.S. health care system (3rd ed.). Burlington, MA: Jones & Bartlett Learning.

Risse, G. B. (1999). Mending Bodies, Saving Souls: A History of Hospitals. Oxford University Press, Incorporated. Retrieved from http://ebookcentral.proquest.com/lib/capella/detail.action?docID=3051969

BUS FPX 3026 Assessment 1 Historical Milestones Presentation