History of Hospitals and Insurance

By Professional Nurse

  • Almshouses or poorhouses

    Used to house people who were poor, disabled, aged, mentally ill, or orphaned

  • First Hospital in US

    Established in Philadelphia, encouraged by Ben Franklin

  • First hospital for mentally ill

    A department of the Pennsylvania Hospital

  • Discovery of anesthesia

    anesthesia discovered and used in the Civil War allows advances in surgical procedures

  • Discovery of antibiotics (Penicillin)

    Penicillin discovered. Not widely produced until World War II

  • Development of proprietary nursing homes

    Proprietary homes developed after the Social Security Act of 1935

  • Establishment of non-profit nursing homes

    Medicare/medicaid enacted in 1965

  • Medicare and Medicaid established

  • Diagnosis Related Groups Established

  • Health Insurance Portability and Accountability Act passed

    provides for patient confidentiality and ability to transfer health insurance when there is a job change or loss

  • ECM drops LPNs