Health Care Reform 1900-1950

Tiffany P. McLeod

College Unbound

Health Care Reform 1900-1950

http://en.wikipedia.org/wiki/History_of_health_care_reform_in_the_United_States

As early as 1854 the Bill of the Benefit of the Indigent Insane was one of the earliest health care proposals recorded.  This bill was established for the insane, blind, deaf and dumb by activist Dorothea Dix but was later vetoed by President Franklin Pierce who didn’t feel the government should commit to social welfare.  It wasn’t until after the Civil War that the government established the first system of national medical care with 40 hospitals and 120 physicians.  In the first 10 – 15 years to follow the United Kingdom passed the National Insurance Act of 1911 and this as well as other European countries influenced the United States.   Early industrial sickness insurance purchased through employers was one influential economic origin of the current American health care system.  Back then the insurance wasn’t inexpensive for workers because the people who purchased the insurance all worked for the same company and prevented people who were already ill from buying in.  This paved the way for the beginning of third party health insurance in the 1930’s.

With the Great Depression, more and more people couldn’t afford medical services; in 1933 Franklin D. Roosevelt had pending social security legislation to include publicly funded health care programs.  The American Medical Association was heavily against this pending legislation and President Roosevelt ended up removing the health care provision from the bill. During this time many hospitals began offering their own insurance programs and the first became Blue Cross and soon began selling group health insurance policies to employers who then offered them to employees while charging them a premium.  In 1951 the IRS declared group premiums be paid by employers. Public opninion shifted towards the uninsured elerdly population and when Lyndon Johnson was president he saw the need for change in this area.  On June 30 1965 the Medicare program was established by legislation.

Service Excellence Module #1

Tiffany McLeod
Service Excellence
Module #1 ( Seminar Attended) My Reflection

There are important priorities to improving patient safety,quality and enhance the patient experience that Timothy Babineau who is the President and CEO of Rhode Island Hospital deems necessary for staff and physician partners to grasp.  One concept that really stood out to me was the fact that people don't care how much you know until they can tell how much you really care. 

Imagine being a patient who is being addressed by a doctor explaining what's going on with their health.  They haven't attended medical school and don't comprehend what they may be saying but the very first moments of this meeting will set the tone for the hospital as a whole.  People don't just relate a bad experience to an individual but better yet to the institution as a whole.  Always remember you are a reflection of Rhode Island Hospital. I am convinced it is important to not look at the people as patients or family members but rather as customers who have choices, and ask ourselves why should we be chosen?

Connection Excercise

Connection Exercise

Timothy J. Babineau MD, -  Newly appointed President and Chief Executive Officer Lifespan. After practicing as a surgeon spending 23 years at the bedside he has brought those experiences with him and it has shaped the perspective he has practiced in his administration.

Little Black Book Summary

Tiffany McLeod

The Little Black Book Summary

In life one would find great excitement in meeting someone with some form of higher stature; and at most times one would rather meet the person that will help them get ahead in life versus the famous person who may only be present for that moment.  As life continues you find that there are many people who are willing to be a great help but are not going to come to you, remember you need them.  But you must also do your part in being honest, trustworthy and worth the investment out right deserving.  Many of the connections made and people met may have faded through the years for one reason or another. But one common factor is the fact that weather you are still in communication or not they have made some impact on your life weather big or small, positive or negative. There is great importance in not only knowing your connections but keeping contact with them. In today’s world a cell phone number and email address are more important to have than a business phone or even street address.

The quality of your relationships is the determining component of their fate, because sometimes you outgrow or just move on because either way they play an important part in your life at that given time. These are people you rely on for information and support as well as ideas, strength and encouragement. Many people try to do everything with their own abilities which is a big mistake, at the root is because they feel uncomfortable using their connections. Making a connection begins with you because in the instance people are not willing to help you, you must know how to help yourself. The benefit to networking is that it is not confined to one way or area when making the connection.

There was a question posed in this book that asked; do you have the courage to connect? The nervousness one might feel when going up in front of a group to give a talk is being unsure of your topic or your audience. The best way to overcome this flaw is to dedicate and literally make appointments with yourself to prepare. If you have to give a speech don’t just prepare what your going to say but make up hypothetical questions that might be asked of you, then prepare answers of those questions. 

Fear of rejection is a very common feeling in everyone and the best way to overcome this feeling is to embrace acceptance.  Realize that for every No you receive makes you closer to your YES that you’ve been waiting for. Realize that the image you have of yourself is one you have created and its only mental. Courage is a self-inflicted quality that gains momentum every time you try it. Networking is a vital and integral part of your success.

 

Little Black Book reading Personal Take Away

Tiffany McLeod

Personal Take Away

The Little Black Book Reading

As of right now I see my most powerful connections to be few but I am thankful for them none the less.  My first people that I am honored to not only know but to have a great relationship with would be my Pastor.  The reason I’ve included my pastor in this example is mainly because he just doesn’t provide spiritual guidance but he is viewed as like my second dad.  I speak to him in a way that most would not speak to their spiritual leaders, but he has allowed the congregation to view him as a real person and reassured us that no one is perfect but that we are always striving for perfection in Christ and to just be better people. That is a quality I have not only admired about him but have taken a great deal away from, there is one thing about reading the bible about forgiveness and the examples but when it comes down to real world situations and you see it demonstrated that is where the difference starts to make real change.

The Second person I’ve met was Brandon Melton who is the Senior Vice President for Human Resources at Lifespan.  I met Brandon at a very sensitive and early stage in my college unbound experience.  Having just starting my college journey, I was told that we were going to have to take the driver’s seat in our own education.  I had very much been a shy person and hearing that networking would have to be the biggest part in getting the internship process started frightened me a great deal.  I remember Dennis saying “listen Tiffany in one of my meetings I got the opportunity to meet Brandon” though Dennis couldn’t recall what Brandon’s role was exactly he at least had his contact information that he kept from that time knowing he was a person of importance. Dennis emailed me the number and told me to take it from there, so I met Bandon at a sensitive time after having a horrible meeting with another professional who took no interest in our meeting much less contributing to my educational growth.  The meeting turned out to be everything I hadn’t expected and more. Here we have Tiffany McLeod an adult college student and certified nursing assistant and Brandon Melton an administration professional sharing the same views on life, success, and work ethic. 

After such a mind blowing meeting with Bandon he set up a meeting with Louis Spearling who is the Vice President of Human Resources at Rhode Island.  Prior to this meeting I was overwhelmed with gratitude because in less than a 3 months I went from being just Tiffany to being an empowered young woman who now is meeting with individuals never imagined.  Walking into the meeting with Louis as you can guess I was a little nervous but more confident than I was in my initial encounter with Brandon.  Louis holds a bachelor’s degree from the University of Miami and a doctor of Juris prudence degree from the Georgetown University Law Center.  Louis was very interested in what my interest are and the fact that as an adult learner I had chosen to still obtain my degree and was encouraged that its never too late. He actually seemed pleased to meet with me versus the other way around and I was honored by that alone.  After a warm introduction to the Human Resource staff and informing them that I would be interning with them is where my life changing journey began. 

At the end of that meeting Louis introduced me to Douglas McNeil who is the Director of Human Resources at Rhode Island Hospital. I must say that is has been a pleasure in not only meeting but getting to know is Douglas.  One of the things I really enjoyed about knowing Doug is that we have real conversation, in such a process I’ve learned so much and gained much confidence.  To him I have never been the intern but rather a young woman with much potential and has pushed me beyond my own limitations to be greater and to continue striving for greatness.  I have watched Doug and even when being faced with a difficult situation or task has looked it right in the face and without flinching addressed them head on. 

Stand For Something Chapter 1

Tiffany McLeod

Stand for Something
  The Battle for American Soul
By: John Kasich

Hebrews 11:1 "  {Faith is the substance of things hoped for the evidence of things not seen}"

This Chapter starts off with a quote that really found enlightening " Hope is definitely not the same as optimism it is not the conviction that something will turn out well; but the certainty that something makes sense regardless of how it turns out"   Vaclav Havel.

There seems to be so much trouble going on in America, always new scandals and outrage brewing somewhere.  From government and corporate leaders under investigation and getting caught up in situations unimagined.  Professional athletes compromising hard work for a quick fix to organized religion spiraling out of control the list goes on. Corruption doesn't just stop at our institutions but has crept into our very own backyard.  For example a T. Ball coach in Uniontown Pennsylvania was charged with offering one of his 8 year players $25 to hit a teammate in the face with a baseball.  The mildly autistic boy was viewed as a weak player on the team through the eyes of the coach who's "win at all costs" mindset lead to such an act to be carried out.  There was a time when one grew up to feel and treated principles like currency and that doing the right thing was always the first option.

Way back in our countries roots they believed that a nation could be built with self-governance and the limits of government as much as they did in the power of government itself. Free market economy and a limited government shared and that Judeo-Christian ethics would provide a sense of duty and conscience was the vision set for America.  Values of being straight forward, honest, humble, having faith, being accountable as well as having compassion and forgiveness are being compromised daily.  The number of broken families in our neighborhoods and all over the country are cultural indications that have stacked against us.  From sex and violence on television, popular music, to video games that have played a big part in the lives of children.  Look at the disturbing trend of politicians who genuinely hate each other because of opposing views. There has been an alarming rate of child abductions, domestic violence cases, and violent and senseless killings not to mention a system of public education that simply isn't working.  All these things exist because of the lack of leadership.  The time has come for our leaders to not be content with playing the cards they were dealt instead shuffling the cards and pulling for a better draw.  It isn't just our most visible leaders that are to blame but out elected officials, our senators, congressmen, friends, neighbors as well as you and I. Leadership flows from the top down, yet we live and grow from the bottom upward.

Have we done anything to stand against the tides of indifference and insensitivity? This book highlights that the greatest gift from any parent to a child are values that come with love and attention.  What happened to being a good friend and neighbor, believing in ourselves, believing in something bigger that ourselves, trusting our fellow man and leaving the world a better place for other generations.  In the scramble to get ahead we have forgotten what it means to succeed and matter to make a difference.  What matters is the legacy one leaves behind built on the back of decisions made and actions carried out.  We all make mistakes but the ball gets dropped when we choose to live with those mistakes.  Many people wonder what the point is in making any kind of extra effort or going  an extra mile when society has made you feel like the odds will always be stacked against you.

A student at Ohio State University suggested that all Martin  Luther Kind Jr. ever got for his troubles was a bullet.  Another student told a story about her aunt; who rallied against unfair business practices at her job and in return received a pink slip.  These and other examples discussed set the mood that there was no profit in fighting for what is right.  There is hopelessness out there and if we don't stand against it soon we'll be headed for even more desperate times.  Martin Luther King Jr captured the notion that if we stand on God's principle that all men are created equal and that we will not respond to violence against these who are violent then the righteousness of our cause will ultimately prevail.

Myers Briggs Persoanlity Type Assignment

Myers Briggs Persoanlity Type Assignment

Tiffany McLeod

In taking the Myers Briggs assessment it concluded that I am an ESTJ as well as ESFJ personality type. As an ESTJ I have agreed that I direct my energy towards the outside and will introduce a logical organization and structure to the way things are done. In the description it mentions that my preference is to deal with the facts and the present and implement trusted solutions and practical problems in a businesslike and professional manner. I found this portion quite funny that it was so on target with how I live my life. I would love to be the person that knows how to be optimistic and knew how to take risks, but the truth is I am far from that person.  I tend to want to plan out a process with a blueprint, taking my time to map out the pros and cons and still make room for small changes that may occur. When looking those things that are not quite present at the time, i try not to be too analytical and critical while still being concerened with the truth of the matter. Futher in the description it states that my thinking functions is primarily supported by an introverted sensing perception, which I couldn't agree with more. It is used to manage the inner thoughts and emotions which leads to trusted ways of organizing and th solving of problems.

The classic temperament of an ESTJ is Epimethean for which a basic driving force is duty, service, and belonging.  What I found quite amusing was that in the details of describing my characteristics it mentioned the fact that your able to call a spade a spade which is actually the very words I use .  Of the draw backs to having this personality which I agre with is while being so head strong about being logical it may hinder others not to experiment or innovate when working with this individual. As stress increases it causes me to withdraw and at times desires alone time when intense emotions are not expressed.  Another similarity with this type and my actual personality is that I am very sensitive to critisim, though I am not above critisim I am sensitive in how that critisim is expressed.

As an ESJF the characteristics that most relate to me in the dominant function is being appreciative and accepting of people, enjoying company and seeking harmony in the process.  I am not a person that enjoys stress or commotion so when I am able to make peace in a situation I seek to do so. I tend to access the impact of the decisions on others, being sympathetic and compassionate by taking a personal approach by considering others feelings before my own. One one the negative ways I relate to the type is that I am an offender of not paying attention to my own needs in the process of putting others first. I do agree that I am reluctant to always try new things if a logical end is not in sight, so making a long term goal is wonderful to have but being prepared to modify in the light of experience and developing circumstances is something I must work on.  It is imperative for me to learn that as stress increases my learned behavior will give way and at that point shutting down my emotions will not work but better yet suggesting new ideas will be more practical.

Learning Plan Google Doc

Money (Google Drive) via doclist.bounces.google.com
Sep 10 (2 days ago)
to me, dmacneil

I've shared Tiffany - Personal Learning Plan.docx
Message from tem043@mail.harvard.edu: Here is the link to Tiffany's Learning Plan--a google doc we can all share.
Tracy
Click to open:
Tiffany -  Personal Learning Plan.docx
Google Drive: create, share, and keep all your stuff in one place.

https://docs.google.com/document/d/1dZKtuCiq_EVgLGtrAVBTXfOzOwzRN7fZiyX0qnYKxCs/edit?pli=1

I Believe Assignment 1

Tiffany McLeod

College Unbound

I Believe Assignment

I believe that life has its share of ups and downs and while success has been deemed the goal for all to reach, the path to get there is not limited to ones timeline and or measurement of success. I now believe that the word change and the adaptation to such is a quality and skill that is hard to learn but when developed can help an individual make the most out of life.

I have always gown up with the preconceived notion that all things had to go in an A, B, C order and should one come before the other it's time to start from scratch.  Having grown up in a very strict household these beliefs were precisely practiced.  At the age of 19 after having gone to college out of state I made the decision to start living on my own, thus beginning the journey of my veering off the map laid out before me. It was always stressed that after college "normal children" return home to their parent’s home in order save money.  Once I embarked on this real world journey I came to the conclusion that the sheltered lifestyle I had been living was helpful in my youth but quickly realized that this would no longer work into adulthood and I now had to be accountable for myself.

After college I had a fixed mind that now that  I had embarked on a taste of living on my own I didn't want to regress to being complacent with having everything given to me, I had fallen in love with my first accomplisment which was obtaining my own personal cell phone. While having a personal cell phone seemed simple to others, this was in fact monumental to me because I now had my very first bill and it caused me to budget my money and have more of a business mind knowing I had a responsibility to maintain my luxury.  After college I started my first forty hour fulltime job and shortly after moved in to my very first apartment. At that point the fact that I had not only done the unexpected but had been progressing which had me feeling like I’d been floating on cloud nine. Little did I know this would be only the start to my many accomplishments, pushing past limitations and barriers that are at times placed .  I now believe that starting over is not always necessary but continuing the journey and altering your path when needed is well worth the trip.  And though others may disagree no one can tell your story the way you can, and for that you are special, unique, and if people don’t understand tell them my shoe only comes in one size and I’m wearing it. Capture the moments, close your eyes , take a leap of faith and trust yourself.  You’ll be surprised at the outcome. From nothing comes greatness.