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.
In the most notorious example of this policy, more than 15,000 members of the Cherokee tribe were forced to walk from their homes in the southern states to designated Indian Territory in present-day Oklahoma in 1838. This forced relocation became known as the âTrail of Tearsâ because of the great hardship faced by Cherokees. In brutal conditions, nearly 4,000 Cherokees died on the Trail of Tears.