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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
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Diagnosis Related Groups Established
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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