Now imagine you are adapting this policy to the health care organization at which you work (or where you wish to work). Describe the organization and discuss the following:
The specific impact this governmental policy will make (positive, negative, indifferent) and why?
Incorporate two or three peer-reviewed scholarly resources in your paper.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
For your Final Presentation, you will continue your Week 3 The U.S. Health Care Presentation: Part 1 assignment on the on the U.S. health care system by expanding on the information it presented. Please note, you are adding on to the assignment you started in Week 3. If you do not include the previous slides, it will negatively impact your score. Please review the rubric if you are unsure of the impact. Please correct issues and address recommendations from your instructor’s Week 3 assignment feedback, then continue adding Parts 2 through 5 as directed below.
In this assignment, you will prepare a 15- to 20-slide PowerPoint presentation with detailed speaker’s notes of 100–150 words for each slide, not including the title and reference slides. Newly graduated health care professionals (e.g., Doctors, Registered Nurses, Physician Assistants, Nurse Practitioners, etc.) are unfamiliar with the day-to-day operations addressing practice management, insurance coverage requirements (e.g., referrals, pre-authorizations), credentialing, accreditation, state and federal regulations, health care laws, and reimbursement methods. Their educational focus has been on learning how to diagnose and treat patients. Therefore, understanding the operational aspect in practice management is imperative to the financial viability of their future practice.
The CEO of the largest health care teaching hospital in the area asked you to present an overview of the U.S. health care system to a group of newly graduated health care professionals (e.g., Primary Physicians, Specialists, Hospitalists, Internists, Nurse Practitioners, Physician Assistants). You have been tasked with creating a PowerPoint presentation that includes elements about history, major developments, stakeholders, costs, reforms, and beliefs as well as a comparison of the U.S. health care system to another country’s health care system.
Content:
Part 1: Include the slides from your Week 3 Presentation
Part 2: The Cost of the U.S. Health Care System
Describe three different reimbursement methods (e.g., capitation, fee-for-service [FFS], pay-for-performance [P4P], value-based, episode of care, prospective reimbursement, diagnosis related group [DRG], patient-centered medical home [PCMH]).
Explain why you think one of the reimbursement methods you discussed is more effective at reducing health care costs overall while still ensuring the delivery of quality care.
Describe the use of two technological advancements (e.g., electronic medical record [EMRs], electronic health records [EHRs], medical research, improved equipment like magnetic resonance imaging [MRI], mammography, personalized medicine, mobile services like e-prescribing, disease registries, ).
Explain why you think these advancements have reduced costs overall while still ensuring the delivery of quality care.
Part 3: The United States Versus Other Health Care Systems: An International Perspective
Contrast the S. health care system with another country (e.g., Canada’s universal health care or South Africa compared with the U.S. health care system, etc.). You can use the same country discussed in the Week 4 Health Care Systems Around the World discussion.
Discuss how the other country’s health care system is funded.
Discuss disparities in health care from your chosen country.
Include at least one positive aspect from the other country’s health care system that you would like to see added to the S. health care system, explaining why you would like this addition.
Part 4: Reforms and Improvements
Describe two potential reforms and improvements currently being debated at either the local, state, or federal You may want to review the Laws and Regulations Affecting Health Care discussion prompt to help you with this component. Examples could include any of the following:
Federal modifications (e.g., antitrust reforms, CHIP, HSA or HRA, Medicare reform, Medicaid expansion, PPACA repeal, pharmaceutical regulations, development of a universal system, veterans’ health care, crossing borders for health care, clinical trial research, )
State modifications (e.g., Medicaid reform, income tax credits, adoption of state level universal health care, etc.)
Increased consumer controls (e.g., patient-centered care, provider choice, complementary and alternative care choices, activism for changes at the state and federal level, etc.)
Reimbursement changes (Medicare, Medicaid, managed care plans, traditional insurance plans, etc.)
Part 5: Conclusion: The Future of the U.S. Health Care System
Examine what you believe the S. health care system will resemble in the next 10 years by recommending two changes and addressing access to care, quality of care, and cost of care, including an example of each in your vision of the future health care system.
Note, you are adding on to the 7- to 9-slide presentation from Week 3. You will create 8 to 13 new content slides with the information outlined in the directions above.
Must include a separate title slide with the following:
Your initial post should be at least 600 words, formatted and cited in current APA style with support from at least 2 academic sources.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts.
All replies must be constructive and use literature where possibleRead and watch the lecture resources & materials below early in the week to help you respond to the discussion questions and to complete your assignment(s).
Visit the CINAHL Complete under the A-to-Z Databases on the University Library’s website and locate the article(s) below:
DeCasterie, B. D., Izumi, S., Godfrey, N. S. & Denhaerynck, K, (2008). Nurses’ response to ethical dilemmas in nursing practice: Meta-Analysis. Journal of Advanced Nursing, 63(6), 549-549.
Gather information about your area of interest, and identify one person in a leadership role within your area of interest. Include the full name of this person and a brief description of the leadership role he/she plays.Considering all the resources and knowledge you have gained about leadership, brainstorm and envision the ideal leadership traits, qualities, or practices that a person should have or develop to be an effective leader in the particular area of interest you chose.
Be creative with this…this person could be nationally known, or just someone local. You do not need to know him/her personally, but try to gather enough information about him/her that you could get a sense of their leadership impact on your area of interest.
I am giving a WIDE latitude on the area of focus/interest, and the person you wish to identify that displays leadership in that area of focus! So be creative with this, and think a little outside the box. Your first step is to identify your area of focus such as education, research, business, etc. Then start thinking about people that are in roles related to your focus. If no one that you know, or have known in the past comes to mind, a good starting point would be to flip through your ACCESS magazine, or go on the ADHA or ADEA website…read through the names of volunteer leaders in either of these organizations.
Using the above information, create a PPT with the following content: Be sure to view the rubric that will be utilized to grade this final project
Title slide
Describe the area of interest that has potential for a dental hygiene leadership role, along with a person you identified that is in this role (3 slides).
Compile a list of what you decided would be the 10 Ideal Leadership Traits or Practices in this particular leadership role. For each trait or practice, create one slide–this should Include a brief description of each of these 10 leadership practices/behaviors or traits that you have deemed to be most important for this particular role. Tie these traits to the role (10 slides).
Summarize how these 10 ideal practices could enhance leadership in a dental hygiene role in this particular area of interest (3 slides)
You will have a minimum of 16 content slides
Be sure to cite information (APA style) on the slides for all content that is not general knowledge as well as images
Include an APA Reference slide
Your PPT will be a minimum total of 18 slides
Please utilize your creative powers in this PPT…use graphics, images, etc to convey your content! You must use at least 6 relevant images. You must cite images using APA style within the slide, and on the reference slide.
Do not write the content of the slides in first person
The National Committee for Quality Assurance (NCQA) was formed to ensure quality of patient care and measurement of patient outcomes with set standards.
As an APN, productivity will be an important measurement for the practice to determine reimbursement and salary. Fee-for-service practices will require a set number of patients per day to maintain productivity. A capitated practice will require the APN to have a large panel of patients but also will focus on controlling costs. This can be accomplished through effective primary care that is accessible, convenient for the patients and has a method of measuring quality of care.
Write a formal paper in APA format with title page, introduction, the three required elements below, conclusion and reference page.
You are now employed as an NP in primary care. Choose one performance measure from one of the six domains of care, i.e. Adult BMI Assessment, Prenatal and Postpartum care, etc.
Develop three different patient interventions for that one performance measure and how you would specifically implement the intervention and measure the outcomes for that particular performance measure in clinical practice.
How would these primary care interventions result in improved patient outcomes and health care cost savings?
How can these interventions result in improved NP patient ratings?
Further Directions: Identify the aspects of this particular deviance and discuss its overall impact on US society and culture. Discuss accepted policies and practices in dealing with this deviance and how attitudes have changed (if they have) over time. Last, project how you see this deviance being treated with the next 10-20 year period. Is the behavior becoming normalized?
Your opinion does not determine your grade. Your grade is determined by how well you support your arguments utilizing the materials discussed in this course and research and reference material you locate on your own for this assignment.
Document your facts utilizing standard APA style.
**You should use a minimum of 5 to 7 peer reviewed sources in support of this paper.
The paper is to be in APA format and the body of the paper is to be at least 8 to 10 pages. The body of the paper does not include the title page, table of contents, abstract, any appendix or references. The paper will be based on a 100-point scale.
Describe how predictive analytics is used operationally in clinical and business processes in health care. In your response to peers, describe one or more roles of predictive analytics in the health care environment.
The paper should be about four pages minimum– not counting any title page, abstract, or references. You may choose to provide “a fix” for the Patient Protection and Affordable Care Act (also known as the ACA or Obamacare), or you may propose a general replacement for the ACA.
You should likely focus on one or two broad policies (due to the short length of the paper). You may look at what others have proposed and incorporate their thoughts into your writing with appropriate attribution and citation.
Use APA 7 style for citations.
You should have at least four sections:
An Introduction – explaining what you are proposing in general terms which should include identifying the problem you are attempting to address with your fix or replacement.
Your Proposal – this is the details of your proposal – although, in 4 to 6 pages, you likely can’t be as detailed as you would like to be.
Difficulties you see in getting your proposal through the policymaking process as we have discussed it in this class and as it is outlined in the textbook.
A Conclusion – don’t just leave me hanging. Tie everything together here and tell me again why you feel your proposal is worthwhile and what the difficulties might be.
The written portion of paper will be no longer than 6 to 7 pages and must
incorporate at least 4 to 6 (or more) reference. The format must conform to standard APA
reference format. The topic for the paper must be related to some aspect of Health Information Technology and its impact on the effective and efficient delivery of healthcare services.
2. Identify and discuss specific resources or federal agencies that you will utilize to remain informed and current in public health trends and practices.
REQ:
Please make sure you are using scholarly references and they should not be older than 5 years. Your posts/references must be in APA format.
Please follow the discussion RUBRIC to make sure you have addressed the discussion criteria.
Part 2
submit the Informed Consent Letter to the Submissions Area (please note that this is only an example and no data may be collected).
Informed Consent Letter
Procedure section is clear, described in detail, specific, and all inclusive. Written in lay language (as documented by reading level score). Includes risks and benefits relevant to study. Address assent (if applicable).
This assignment will explore compliance issues with federal and state laws and regulations governing healthcare organizations, such as the Anti-Kickback Law, the False Claims Act, the Stark Law, credentialing, medical errors, and patient safety. It is important to understand healthcare compliance for the benefit of improving patient care. It is also important to promote adherence to applicable laws, payer healthcare requirements, and to protect the organization against fraud, waste, abuse, and other potential liabilities.
Instructions
Write a 2–3 page paper in which you:
Summarize one statute, one regulation, and one guidance document that impose compliance obligations on healthcare organizations.
Explain what healthcare organizations must do to comply with legal requirements.
Describe the standards for corporate compliance programs set forth in the OIG Compliance Guidance and the Federal Sentencing Guidelines.
In addition to the textbook, provide two sources to support your writing. Choose sources that are credible, relevant, and valid. Cite each source listed on your source page at least one time within your assignment. For help with research, writing, and citation, access the library, or review library guides.
Explain why New Employee Orientation and Training is an important aspect of Health and Safety Performance Management
No more than 3 pages, calibre font 11, single space
Marks will be deducted for grammar, lack of content, esthetics, – meaning a professionally done paper
Tom is a new employee at XYZ Company Ltd which just started operating 3 months ago. The company provides administrative support to several construction contractors. On his first day Tom inquired about when he would receive his New Employee Orientation and OHS Training. His supervisor chuckled and explained to Tom that there was no need since he would be working in an office environment and was coming in with over 15 years’ experience as an Administrative Assistant. Tom was surprised at first but thought it was for the best since there was already a stack of documents for him to process waiting for him at his new desk.
All hospitals serve patients, employ physicians and nurses, and adhere to the rules and regulations defined by the legal framework for clinical services. Although nonprofit and for-profit hospitals are fundamentally similar, there are significant cultural and operational differences, such as the purpose or mission for running the hospital, strategic approaches to scale, financial strategies, and operational discipline. The culture at for-profit hospitals is business driven, and at nonprofit hospitals, it is service driven. For balanced healthcare services, both are important.
This assignment will help you explore for-profit and nonprofit hospitals, including their purpose, strategy, and services. You will identify one for-profit hospital and one nonprofit hospital in the United States. You will conduct research and compare these identified for-profit and nonprofit hospitals to analyze the strategic similarities and differences between these two categories of hospitals. This assignment will prepare you for Project Two by helping you develop skills to analyze hospitals’ financial needs and their impact on health policies and laws.
Prompt
To complete this assignment, you will create an analysis report that includes a comparison table for for-profit and nonprofit hospitals. You will research for-profit and nonprofit hospitals, collect information about their financial strategies and malpractice guidelines, and then compare these two categories and analyze their similarities and differences. Then you will summarize your analysis findings. Last, you will recommend an appropriate justification for the need for both for-profit and nonprofit hospitals in the U.S. healthcare system.
You are required to cite a minimum of three sources overall to support your claims. However, your submission must cite at least two outside sources from your own research. You may cite no more than one source from the module resources in your submission. For additional help with completing this assignment, refer to the Shapiro Library Guide: Nursing – Graduate item in the Start Here module. You may also use the Online Writing Center, located in the Academic Support module.
Business Objective: Describe the business objectives or purposes of for-profit and nonprofit hospitals, including their general mission and vision. Consider the following in your response:
What are the core objectives of for-profit and nonprofit hospitals, and how do these influence their financial needs?
What are the key differences in the mission and vision of for-profit and nonprofit hospitals?
Financial Strategy: Analyze the financial strategies of selected hospitals, explaining if their financial needs are key influencers for their business objective. Consider the following in your response:
How does tax status impact for-profit and nonprofit hospitals?
Are the financial needs of for-profit hospitals and nonprofit hospitals different?
Provision of Uncompensated Care: Describe the concept of provision of uncompensated care. Consider the following in your response:
What is uncompensated care?
Is there any difference in the provision of uncompensated care in for-profit and nonprofit hospitals?
Liability for Malpractice: Analyze liability guidelines for malpractice and its financial impact on for-profit and nonprofit hospitals. Consider the following in your response:
Are liabilities different for for-profit and nonprofit hospitals?
What is sovereign immunity law, and how does it impact liability limits for malpractice in for-profit and nonprofit hospitals?
Recommendation: Using your analysis findings to support your claim, share your recommendation about the need for both for-profit and nonprofit hospitals in the United States. Consider the following in your response:
What are the key strategic differences between for-profit and nonprofit hospitals?
How do the financial needs or objectives of for-profit and nonprofit hospitals impact the policies and laws?
Is there a need for both for-profit and nonprofit hospitals in the U.S. healthcare system? Share your recommendation with appropriate justification.
Guidelines for Submission
Your submission should be a 3- to 5-page Word document, including your completed comparison table from the provided template. You must also include an APA-style title page. Use 12-point Times New Roman font, double spacing, and 1-inch margins. Sources should be cited according to APA style.
Requirements: I would say at least 3 pages long and then add the comparison table
Not sure if it went through or not but this table needs to be filled in as well.
Synthesize Elements of Forming a Community Health Partnership
This assignment requires your synthesis and reflection of the elements needed to form your proposal for a community health partnership. Such partnerships are mandated by the ACA for nonprofit hospitals and offer benefits to both partners.
Your proposal will contain an overview of the benefits; and, using your weekly resources and assignments, you will identify the steps needed to form a partnership of this type.
You will summarize the predicted ROI for this nonprofit hospital/community health partnership from a holistic perspective in narrative form rather than a financial accounting perspective.
Lastly, you will incorporate your summary of how the 13 health leadership competencies are applied in each step and weigh the value of the abilities in each for health administrators. (collaboration, information seeking, analytical thinking, strategic orientation, accountability, performance measurement, project management, community orientation, professionalism, financial skills, innovative thinking, team leadership, and process management/organizational design)
Length: Minimum of 10 pages, not including title and reference pages
References: Include a minimum of 7 scholarly resources
Your paper should demonstrate thoughtful consideration of the ideas and concepts presented in the course and provide new thoughts and insights relating directly to this topic. Your response should reflect scholarly writing and current APA standards.
Requirements: 10 pages or more/use references & competencies (in bold) listed.
Doug and his wife Maria have three adult children, all of whom are married with young children of their own. Doug works as a regional sales representative for a chemical company that produces plastics, chemicals, and agricultural products. He has been in the position for 15 years, having moved into this job after leaving a different company doing similar work. The job requires him to travel to give demonstrations of the products across a six-state region. This requires him to fly and drive in unfamiliar areas. Maria works as a junior high school principal. Doug and Maria are financially set for retirement at age 65. Overall, they are in good health. At the age of 60, Doug received a diagnosis of Parkinson’s Disease (PD).
Early phase
In the year before his diagnosis, Doug had three minor car accidents while he was traveling in unfamiliar territory. Maria was suspicious that the accidents were related to his PD and, after consulting with the neurologist and Doug, they decided he should no longer travel alone out of his immediate area. After a few months of traveling with a colleague, he reluctantly stepped down to a district sales representative position to stay closer to home. Within the next year, Doug started experiencing exacerbated (worsened) symptoms related to fine motor coordination, changes in speech, as well as anger, anxiety, and depression. The neurologist placed Doug on short-term disability at the age of 61. After six months on short-term disability, the law mandates that the individual must apply for Social Security Disability. Therefore, due to Doug’s health continuing to decline and his inability to return to work, Maria had to file for long-term disability for Doug. At first, Maria attempted to work with Doug to complete the disability paperwork. Doug was easily frustrated with formulating the responses to the questions on the forms; he did not know how to answer the questions nor where to find the information within their household records, so Maria hired a lawyer to complete the paperwork.
Three months after submitting the application, Doug was approved for Social Security Disability Income (SSDI). This was a significant drop in income. Doug’s employment income was twice that of Maria’s; he was bringing home $7500 per month. His SSDI income is $2788 per month. Since Doug left his full-time job, he was no longer eligible for health benefits from his employer. He is not eligible for Medicare under the disability guidelines until two years after payments begin. Maria completed the paperwork to add him to the health insurance through her job, which doubled her monthly contribution to health insurance. The decrease in household income required them to utilize their retirement funds earlier than planned. In addition, Maria knows, as the disease progresses, she may have to make decisions about her own full-time work as a principal, which will further strain their financial situation.
Middle phase
Doug and Maria enjoyed playing Scrabble with their friends Susan and Bob, who lived nearby. The two couples would get together every Saturday for some friendly competition along with dessert and lively discussion. A year after his diagnosis, Doug was exhibiting stooped posture and changes in his speech, which made it difficult to understand what he said. These were clear signs the disease was progressing. In some aspects of his life, he appeared to function well enough, such as easily performing most activities of daily living, but it became clear he struggled with activities in the game of Scrabble. For example, he was having a difficult time creating words from the tiles he chose, where to place them on the board, and he could no longer add up his points correctly. In addition, Doug was embarrassed because he continually knocked tiles out of place on the board, struggled to communicate clearly and interact with friends in a social situation. Doug felt a great deal of shame due to the changes and told Maria that he no longer wanted to participate in the weekly game night. This meant that Doug and Maria had less interaction in their own community and became more socially isolated, which is not uncommon for families with a chronically ill member.
Late phase
Doug was in charge of managing his own medications, which he needs four times a day. One day, about four years after his diagnosis, Maria was away from home at noon when Doug called her to ask what he was supposed to do with the noon pills. “I’m supposed to throw them out, right?” That was an early sign of dementia. It was a signal for Maria that Doug could no longer control his own medications and that he probably shouldn’t be left alone for very long. The incident marked the start of a steep decline in Doug’s cognitive and emotional abilities, and the couple’s relationship changed from one of partners to one of patient and caregiver. Maria relied on their children and other family members to help with Doug’s care, and she began looking for support groups to help her figure out how to handle the deteriorating situation. Even though she had a rotation of helpers, most of the work of Doug’s care was Maria’s responsibility.
Doug’s condition progressed to the point of needing full-time care in a skilled nursing facility a little more than a year later, after he lost the ability to stand up, even with help. He always needed two people to help him, and that just wasn’t possible at home. In addition to the tremendous emotional stress on the family, moving Doug to a skilled nursing facility further increased the financial burden. Maria made the decision to sell the house and move to a small apartment by herself. She had to spend the proceeds from their home to pay for Doug’s nursing home care before Medicaid would help pay for his care, due to the Medicaid eligibility spend-down requirements. Doug passed away five months after moving to the skilled nursing facility. Maria was still paying for his care out of the proceeds from the sale of their home, so she never received Medicaid assistance for Doug’s care.
Address the following within the required template
Briefly define Parkinson’s Disease.
What physical changes occur related to the onset of the disease?
What are the possible psychological changes with PD?
What system(s) are affected?
What are the treatments and therapies?
The case study shared details that indicate Doug is no longer able to identify and resolve problems.
Identify two examples in the study that indicate Doug is losing this ability.
Provide two other examples that may arise as the disease progresses that are related to identifying and resolving problems.
Discuss possible feelings and stressors Doug may be experiencing as the disease progresses and he must rely on caregivers more.
Refer to the required reading list for the topics related to this assignment for ideas.
Discuss the effects of the diagnosis of PD and its progression can have on a spouse and family (micro-level).
Refer to the chapter and required readings regarding caregiving and caregiver burden (e.g., employment, psychological effects, financial stressors, role in the marriage, etc.).
Locate two services in your own community that offer assistance to people with PD and their caregivers (meso-level).
Describe the services available, cost, and eligibility requirements.
In your opinion, are Doug and Maria eligible for the services? Explain your answer based on your findings and the knowledge of Doug and Maria.
At the macro-level, research the state and federal programs, legislation and initiatives that affect chronic illnesses. Discuss the pros and cons of two of the following items as they affect patients and caregivers.
Legislation and lobbying efforts (e.g., changes to the Affordable Care Act [ACA], stem-cell research, etc.)
Requirements to qualify for Social Security Disability Income (SSDI)
Requirements to take advantage of the Family and Medical Leave Act (FMLA)
Requirements to qualify for Medicaid/Medicare.
What are the requirements of these programs in terms of paying for skilled nursing for Doug? Do Doug and Maria qualify for assistance through these programs? Why or why not?
Americans with Disabilities Act (ADA).
A program, legislation, or initiative of your finding.
Use a minimum of three scholarly sources. List references in APA format within the response box on the template.
Metaphors and other figures of speech are critical and important in explaining or describing an illness or disease
Take a stand on the claim below and make an argument for or against. (For help, review “Writing an Argument Essay” in Module 1) Please be sure to support your argument with examples from the readings provided and the main novel “Cutting for Stone”. CLAIM: Metaphors and other figures of speech are critical and important in explaining or describing an illness or disease.
Use two (2) metaphors from the book “Cutting for Stone” and two (2) metaphors from the book “Illness as a Metaphor” (pages provided in the content list for week 6) to support your argument on metaphors. Additional references from other sources are welcome.
The minimum number of words for this assignment is 500.
Consider how your organization prioritizes the use of its resources. When reviewing issues to be addressed using the quality improvement process, how does your organization prioritize? What role does research play in the decision making?
Introduction to Health Research Methods: A Practical Guide
Jacobsen, K. H. (2017). Introduction to health research methods: A practical guide (2nd ed.) Burlington, MA: Jones & Bartlett Learning. ISBN-13: 9781284094381
Using the public health issue that was selected for Week 1 (DOMESTIC VIOLENCE), describe how the issue is currently addressed by public health services and by medical practice services to include any collaborations that may exist. Using a general outline, develop a plan for how the issue could be addressed more effectively. Explain how the components of your plan that are different from current interventions would produce more effective outcomes.
Note: The focus of this assignment as it relates to your selected public health issue should be prevention and treatment.
Provide a 3 to 5-page Microsoft Word document that includes the following:
Discuss current interventions by public health and medical care professionals for the health issue that you have selected.
Develop a general plan for how the health concern could be addressed more effectively using public health and medical care organizations.
Explain why the changes that you are proposing would be beneficial to the population and to the organization providing healthcare services, thereby improving health outcomes.
You are a family nurse practitioner working in an outpatient primary care office of a large hospital system. The practice has been operating for over 15 years, and many of the administrative and clinical staff were hired when the practice opened. You have been in the practice for less than 3 months. In that short amount of time, you have witnessed several of the clinical staff engaging in heated arguments with each other, sometimes in patient areas. You overhear an argument occurring today between two staff. You pick up a patient’s chart and notice a very low blood pressure that the medical assistant failed to notify you about. When you confront the MA, she states that she was going to report the vital signs to you when she became engaged in the heated argument you overheard and forgot to notify you.
Unfortunately, this pattern of behavior is not unusual in this practice. Working with staff who cannot cooperate effectively can negatively influence your ability to spend time with patients, can impede the flow of patients through the office, and could impact patient safety.
CASE STUDY RESPONSES:
Analyze the case study for potential issues for members of the healthcare team from office conflict. Contrast the potential effects for each member of the healthcare team based upon the required readings from the week. Discuss the potential ethical and legal implications for each of the following practice members:
Summarize three quality issues in the case that resulted in fraudulent billing and coding.
Describe three violations that were stated in the case, including how the violations applied based on regulations.
Illustrate how this case could be used as a training tool for your organization. You may base your work on the Department of Health and Human Services Office of Inspector General (DHHS-OIG), the Center for Medicare and Medicaid Services (CMS), and the Department of Justice (DOJ) information on quality, fraudulent billing, and so on.
Download Chapter_015.pptx
Supplemental Materials & Resources