History of Payment Innovations at MBHP 7 Program Background and Objective Process and Measures Inpatient Pay for Performance â¢2003 - Present â¢Inpatient rate increases tied to performance since 2003 â¢Focus on Process and Outcomes â¢Length of Stay â¢Avoidance of Readmissions / Community Tenure â¢Access â¢Continuity of Care
The Trail of Tears Memorial at the New Echota Historic Site. The Trail of Tears was a series of forced relocations of Native American nations in the United States following the Indian Removal Act of 1830.
click image for close-up. In 1838 and 1839, as part of Andrew Jackson's Indian removal policy, the Cherokee nation was forced to give up its lands east of the Mississippi River and to migrate to an area in present-day Oklahoma. The Cherokee people called this journey the Trail of Tears, because of its devastating effects.