Obligations of Health Care Organization’s in meeting Patients’ Legal Rights

HGMT 372

Emergency Care

Emergency Services and Care-The medical screening, examination, and evaluation by a physician, or, to the extent permitted by applicable law, by other appropriate personnel under the supervision of a physician, to determine if an emergency medical condition exists and, if it does, the care treatment or surgery for a covered service by a physician necessary to relieve or eliminate the emergency medical condition, within the service capability of a hospital.” (Public Health, 2005)

 

1. Official Title of the Law

According to research The Emergency Medical Treatment and Active Labor Act (EMTALA) was passed by the US Congress in 1986 as part of the Consolidated Omnibus Reconciliation Act (COBRA), much of which dealt with Medicare issues. The law’s initial intent was to ensure patient access to emergency medical care and to prevent the practice of patient dumping, in which uninsured patients were transferred, solely for financial reasons, from private to public hospitals without consideration of their medical condition or stability for the transfer. Although barely noticed, EMTALA has created a storm of controversy over the ensuing years, and it is now considered one of the most comprehensive laws guaranteeing nondiscriminatory access to emergency medical care and thus to the health care system. Even though its initial language covered the care of emergency medical conditions, through interpretations by the Health Care Financing Administration (HCFA) (now known as the Centers for Medicare and Medicaid Services), the body that oversees EMTALA enforcement, as well as various court decisions, the statute now potentially applies to virtually all aspects of patient care in the hospital setting. Thus, all physicians on the hospital staff, not just emergency physicians, need to be familiar with its general requirements. (NCBI, 2001)

 

Obligations of Health Care Organization’s in meeting Patients’ Legal Rights

 

References (2001, April 14). Retrieved from NCBI: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1305897/ (2005, July 15). Retrieved from Public Health: https://publichealth.gwu.edu/departments/healthpolicy/CHPR/nnhs4/PCCM/subheads/pccm116.html#:~

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Define fraud and discuss one strategy in health care to prevent financial fraud.

Answer the following the question on internal control measures and fraud based off reading Chapter 7 in our textbook.

Background: Accounting scandals and fraud, both in the United States and internationally, have re-ignited the debate over the current laws, regulation and accounting principles. The relative merits of GAAP, which takes a “rules-based” approach to accounting, versus IFRS, which takes a “principles-based” approach have been under scrutiny. In the last couple of years, the FASB announced that it intends to introduce more principles-based standards to improve general accounting principles and practices.

Discussion Question:

Organizations have internal control measures to detect fraud. In additions, organizations are subjected to required reporting of financial information to external entities. With that in mind, answer the following items in your initial discussion response:

  1. Discuss the three factors identified in our textbook that contribute to fraudulent activity.
  2. Define fraud and discuss one strategy in health care to prevent financial fraud.
  3. Identify a real-world example of an organization that has committed fraud. What happened and what were the legal ramifications?

Make sure your initial response contains 175- to 265-words.

APA Formatting: Use citations where appropriate and list references. All citations and references, if used, must be in APA format. Only 15% of the content can be source material. If you write in your own words, only the reference is required.

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To develop a nursing theory that addresses a phenomenon in the workplace

Goal: To develop a nursing theory that addresses a phenomenon in the workplace

Objectives: Students will demonstrate knowledge and competencies required for theory development. By meeting the following criteria for this theory development assignment. Students will:

1.  Read chapters 4 & 5 of course text (attached below “Nursing Theorists and Their Work” as well as attached powerpoint describing chapter 4 “theory development chapter 4 overview”

2.  Identify workplace, role and identify and define (2) concept(s), describe phenomena as abstract or concrete

Concepts & definitions

1.  Identify and define the concepts theoretically (establish meaning)

2.  Identify and define the concepts operationally (use measurable terms)

Relational statements

1.  Develop theoretical and operational relational statements or propositions to build a theory

2.  theoretical statements (relate concepts to one another; permit analysis)

3.  operational statements (relate concepts to measurements)

Linkages & Ordering provides rationale for the stated connections

1.  Build relationships with linkages between related concepts

2.  Develop theoretical linkages

3.  Develop operational linkages

15-20 SLIDES

APA STYLE

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Identify each candidate’s personality characteristics using the Big Five and the Myers-Briggs typology.

CASE STUDY 2.1: Who Would You Hire?

Worldwide Manufacturing Inc. has just weathered intense scrutiny after it was investigated and fined for violations of improper chemical storage and waste disposal. Worldwide is a special-order manufacturer that makes plastic products in whatever shapes and sizes a customer specifies. In order to do so, it makes special molds for each project for pouring and shaping the plastic into the forms requested by customers. Each order takes retooling and reorganizing of the manufacturing floor. To help prevent further issues in the future, the company has decided to add a compliance department that will ensure that not only are EPA regulations followed but also other legal regulations, from proper accounting to ensuring everything is in compliance with OSHA. You have been promoted to be the firm’s compliance officer and are now looking to hire several new members of the compliance department, including a compliance manager, compliance analyst, as well as an auditor and inspector.

You decide to begin with filling the compliance manager position. A compliance manager is a professional that keeps the legal and ethical integrity of a company intact through policy enforcement and program planning. He or she makes sure all departments of a business are complying with the rules and regulations the company is required to uphold and should regularly meet with managers in the areas of finance and accounting, cybersecurity, human resources, and operations. Compliance managers are responsible for keeping up to date with changing laws that affect the corporate world and are responsible for preparing reports to present to their upper management detailing these laws and how the policies of the company are ensuring that employees are following them. After advertising for 2 weeks on indeed.com and Monster.com, you’ve begun to look through resumes. You have two promising candidates who have made it through initial phone interviews, and you have flown them out to meet with you and see the headquarters and manufacturing operations. Now you have to review what you have learned about each candidate and make your decision.

Aarya Song

Aarya Song grew up on military bases and joined the military after completing high school. Over a 15-year career, Aarya worked with base operations managers on a team that handled everything needed for running a base. Aarya worked in supply chain management, both in procurement and disposal, in facilities planning, inventory management, and even in operations planning for setting up new bases. All of these positions required great organization and time-management skills. In addition, part of Aarya’s job was to ensure everything was to regulation and followed local regulations as well. While serving in the military, Aarya earned a bachelor’s degree in logistics and later an MBA.

After leaving the military with highest honors, Aarya worked as the transportation manager for an international manufacturer of wind turbines. However, after talking on the phone during the first round of interviews, you have learned that Aarya is now looking for a new job that will provide new challenges.

During the onsite interview, Aarya excitedly chatted with you about how Worldwide could ensure compliance and start building interorganizational teams to ensure companywide compliance. Aarya shared the logic behind these ideas, which you found impressive and well thought out. Your only concern is that Aarya seems to be very direct and no-nonsense, and while a zero tolerance stance on policy violations is likely needed after the investigation, it may be too rigid for the organization’s existing culture.

Francis Simmonne

Francis grew up in an industrial city and began working in manufacturing while in high school at a plant that made various rubber-based components for automobile assembly. After attending a regional university to learn about engineering for product design, Francis began working as a designer for a firm that designed and manufactured toys. However, Francis was better at helping the men and women on the manufacturing floor fix the problems that arose with making the first batches of new toys. After a few moderately successful products, Francis was promoted to production manager because of the skills he demonstrated on the shop floor. Three years later, Francis started working on an MBA and ended up taking a materials manager position with a construction firm. It was very important in this position that all materials were to code, and Francis took that responsibility very seriously. Five years later, Francis took a position as a work site inspector for the construction company, examining work sites and ensuring all health and safety policies as well as building codes were being followed. While these later positions had increasing responsibility, he did not have any direct reports.

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Francis is getting married and is looking to move to the city Worldwide calls home, and so has applied for the compliance manager position. When you spoke on the phone, Francis seemed practical yet reserved, a perception you had reinforced during the site interview. Francis relies on instinct more than evidence to make decisions, which helps to quickly provide a course of action. However, you have concerns that Francis might not be a firm-enough manager as he likes to work with the production teams and crews and has had very little direct management of teams or departments.

So now you have a choice: Simmonne or Song? Both candidates have strong points and weak points, and both could do the job.

Discussion Questions

1.   Identify each candidate’s personality characteristics using the Big Five and the Myers-Briggs typology.

2.   Based on personality, is there a candidate that you think would fit the position better?

3.   Why is it important to consider personality in hiring? What other individual differences should you consider in hiring?

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To evaluate, compare, and analyze menus from different agencies

NR228 Nutrition

Topic: DayCare: Preschool-aged children (Cultural mixed)

BOOK:

Grodner, M., Escott-Stump, S., & Dorner, S. (2020). Nutritional foundations and clinical applications: A nursing approach (7th ed.). Elsevier.

 

Purpose

To evaluate, compare, and analyze menus from different agencies and suggest revisions for healthier food choices based on the cultural and age group. Students in a cultural concentration will use that specific cultural focus to complete this assignment. Those students in a cultural concentration (such as the Hispanic concentration) should be grouped together for this assignment. However, should the groups be mixed (with students in the cultural concentration and students not in the cultural concentration), the RUA must explore the cultural concentration (e.g., Hispanic).

Course outcomes: This assignment enables the student to meet the following course outcomes:

CO1. Assess whether nutritional intake provides basic nutrients for optimal health and wellness. (POs 1 & 2)

CO2. Describe nutritional needs for optimal health and wellness throughout the lifespan. (POs 1 & 2)

CO3. Discuss the psychological, sociological, economical, and cultural implications of food on nutritional status. (POs 1 & 2)

CO4. Describe evidence-based practice interventions and modifications in nutrition therapy that can positively influence the outcome of disease and illness. (POs 1 & 8)

See attachment for guidelines and examples to follow, please!

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