HSM542 Health Rights Responsibilities

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HSM 542 Health Rights Responsibilities
A nursing assistant wheels Margie Whitson back to her room at Golden Oaks…

Description

HSM542 Health Rights Responsibilities

HSM542 Health Rights Responsibilities

A+ Entire Course: You Decide Week 2, 5, 6 | Written Assignment Week 3 | Midterm Exam | Course Project Week 7 | Discussions Week 1-7 | Final Exam

Please Just Turn This Thing Off!You Decide Week 2

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Scenario Summary

A nursing assistant wheels Margie Whitson back to her room at Golden Oaks Rehabilitation Center and helps her back into bed. Golden Oaks is located on the grounds of Marion General Hospital, owned and operated by the hospital board of directors.

It has been a very difficult day. Margie takes a deep sigh as she leans back into bed and says, “I’ll get into night clothes in a few minutes if that’s alright. I’d just like to sit here and think for a little while.” The nursing assistant nods in agreement

Margie has just attended the funeral of her son William, who died this week after several years of poor life quality in the same nursing facility. William’s first stroke happened 3 years prior; two more strokes followed, and he lingered in poor health at the center over the intervening time. Margie is now 95 years of age, and William was 73 when he passed this week.

The last 5 years have simply been devastating for Margie. First her husband Earl passed on at the age of 88. They had been married for 68 years, most of them wonderful and successful years together, until the medical problems began. They had one other son, Jacob, who died in a motor vehicle accident in his 30s.

As Margie sits in the quiet of her nursing home room, she faces the reality that she is utterly and completely alone in the world. She and Earl had hoped for grandchildren, but that never happened, and Margie’s family is simply all gone now. Margie’s own health is poor. A hip fracture 10 years ago slowed her down significantly, and a heart attack 2 years ago nearly took her life. But she survived due to good emergency medical care and quick placement of an electronic pacemaker. Margie’s heart rhythm is now 100% paced, meaning that her heart will not function effectively without the pacemaker; she is completely dependent on the pacemaker for her survival.

Margie is a woman of great personal faith, raised that way, and she raised her sons that way. She believes strongly that Earl, William, and Jacob are waiting for her in heaven. And as she sits alone in her nursing home room, the realization comes to her—the only thing keeping her from joining her family in heaven is this pacemaker. And the pacemaker is nothing more than an electrical device. It was turned on to save her life 2 years ago, and now it can be turned off. She should have the right to turn it off! Margie presses the nurse call button and says, “I need to see that lady who’s in charge of this place, and right now please.”

When Nursing Home Administrator Cindy Mackin enters the room and listens to Margie, she can hardly believe what she is hearing. “I’m telling you I just want you to turn it off. I’ve had enough; there is nothing left for me here on earth and I just need to go now and be with my family.” Cindy responds, “Now, Margie, you’ve had a terrible time lately, and naturally you are grieving the loss of your son right now. Things will look better tomorrow.” But Margie does not think so. She says, “Call Dr. Vijay for me; he turned this thing on, and he can turn it off. I insist.”

Cindy realizes that Margie does have a right to discuss this or any other matter with her doctor, and she arranges a visit for the following week. At the cardiology clinic, Margie is increasingly insistent about her demand to deactivate the pacemaker. Dr. Vijay comments, “Margie, I’ve practiced cardiology for nearly 20 years now, and frankly I have never had this request. The pacemaker is keeping you alive, and that is of course what we do in medicine—we save lives. I do not feel that I can ethically deactivate your pacemaker. I know that you have had some very difficult experiences lately, and perhaps you will feel differently with a little time passing.”

Returning to Golden Oaks, Margie is absolutely fuming, and now she is determined. The same determination that carried her through life and made her such a great wife and mother is now rising in her to make her own decision about how and when to end her own life. She asks to see the Golden Oaks social worker, and Jane Robison, MSW, is summoned. After more than an hour of discussion and exploration of every option that Jane can imagine, Margie persists in her request. “Well, Margie, we do actually have a process to help in difficult situations like this, when patients, families, and doctors disagree, through the hospital ethics committee, and I think that we should take your case there for review. I happen to know that the ethics committee meets next Friday, and the chairman is a colleague of mine who is our director of social services.”

Your Assignment

You are David Jamison, MHA, ethics committee chairman at Marion General Hospital. Coming before your committee today is the case of Margie Whitson, age 95, who wishes to have her pacemaker deactivated. Her physician, Dr. Rana Vijay, has declined to honor her request in this matter, citing ethical concerns with such an action. It will be your job to thoroughly analyze the issues in this case and to make a recommendation from the ethics committee.

Key Players

Margie WhitsonPatient, Female
Rana Vijay, MDCardiologist, Male
Jane Robison, MSWSocial Worker, Female
Cindy Mackin, CNHARehabilitation Center Administrator, Female
David Jamison, MHA (This is your role.)Ethics Committee Chairman, Male

You Decide

Activity or Assignment

Prepare a two–three page paper analyzing the key issues in this case and stating a recommendation. Be sure to include the following steps in your analysis.

  1. Identification

Identify the dilemma. What morals are involved? What morals are in conflict?

  1. Information

Get as much information as possible about the dilemma. Often this step is taken too quickly, without enough solid and detailed information, leading to bad decisions.

  • Communication

Talk with other healthcare professionals on the case. Do they agree that there is a dilemma? Do they concur with your understanding of the dilemma? Do you know everything that they know about the case, and vice-versa?

  1. Choice

When all the talking is done, a choice needs to be made about what to do regarding the dilemma. A choice must be made. Even choosing not to decide is a decision!

Your role here is to prepare a recommendation on behalf of the ethics committee, with input from all participants, considering the best outcome for the patient as the ultimate goal and highest priority.

Grading Rubric

CategoryPointsDescription
Understanding20Demonstrate a strong grasp of the problem at hand.

Demonstrate an understanding of how the course

concepts apply to the problem.

Analysis20Apply original thought to solving the problem.

Apply concepts from the course material correctly

toward solving the problem.

Execution10Write your answer clearly and succinctly using

strong organization and proper grammar. Use citations

correctly.

Total50A quality paper will meet or exceed all of the above

requirements.

Preview:

In the scenario provided for this paper, Margie Whitson, a patient at Golden Oaks Rehabilitation Center, located on the grounds of Marion General Hospital, wanted the pacemaker that kept her alive to be turned…

HSM542 Health Rights Responsibilities

ISSUE 9: Should a Pregnant Woman Be Punished for Exposing Her Fetus to Risk? Assignment Week 3 

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Read Issue 9 from Unit 3 in the Kaebnick textbook, “Should a Pregnant Woman Be Punished for Exposing Her Fetus to Risk?” Assume that you are a healthcare administrator, and you find yourself dealing with this exact issue regarding a patient giving birth in your facility. Prepare a 500-word paper, double-spaced and in APA style or another approved DeVry-Keller format or style, that presents the most important legal and ethical issues relevant to this topic from both perspectives. And then state your position on this issue and describe how you will handle it in your hospital. It is important to present this information in an objective and factual manner. You may use research other than the Kaebnick text to support your analysis and summary paper. Please review the Grading Rubric for the Written Assignment in the Files section of the Course Menu.

Preview:

In the case Ankrom v. State of Alabama, Hope Elisabeth Ankrom was indicted for chemical endangerment of a child, specifically for recklessly, knowingly, or intentionally causing or permitting a child to be exposed, inhale…

HSM542 Health Rights Responsibilities

Midterm Exam 

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(TCO G) You are the risk manager for a large hospital and recently have been assigned to review a potential malpractice case for Dr. Johnson. The hospital CEO has asked you to assess whether the physician and hospital are negligent in the care of the patient. Discuss and describe the elements you will be looking for to determine if negligence may have occurred.

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The elements that I would need to look at to determine if negligence occurred include…

(TCO C) What do medical professionals mean when they utilize the expression “futility of treatments?” How does this concept relate to do-not-resuscitate orders (DNR) and established patient advance directives such as the living will and durable power of attorney for healthcare?

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Futility of care refers to the physician’s recognition that treatment is no longer effective and can…

(TCO F) Discuss three federal regulations that impact the supervision and management of a healthcare staff. Provide at least one example of how an organization would violate the regulation.

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Three of these federal regulations that impact healthcare staff supervision and…

(TCO B) Discuss at least one legal challenge made to the 1973 Roe v. Wade decision in state or federal courts. Provide analysis regarding the basis for the legal challenge and the outcome of the challenge.

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The Roe v. Wade decision led to the legalization of abortion in order to protect the…

(TCO D) Describe and discuss the role of a hospital, physician, and patient in getting informed consent. What are the ramifications of not getting the proper informed consent?

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It is the physician’s and medical professionals role to provide the patient with information regarding…

HSM542 Health Rights Responsibilities

Little Falls Hospital – You Decide Week 5 

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Scenario Summary

You are the new director of risk management at Little Falls Hospital, which is a 450-bed tertiary care facility in a major urban area in the Northeast. The hospital is an integrated health system that provides the full array of inpatient and outpatient services. The hospital enjoys a reputation for quality care in the area.

As the new risk manager, you have been briefed about a patient care case that needs your attention.

  • The patient is a 45-year-old woman, Lydia, who is currently paralyzed and can only communicate through head nods as a result of a car accident over six months ago.
  • The patient is currently on a ventilator for respiratory assistance and receives tube feedings.
  • The professionals in the hospital are uncertain as to whether the patient is capable of understanding information and making her own decisions.
  • It is reported that the patient has an advance directive, but no one has been able to secure a copy of the document.

Your Assignment

You have been asked by Felicia Larue, the hospital CEO, to give a briefing on the patient situation and alternative actions that may be taken by the hospital to ensure that the rights of the patients are preserved and the risks to the hospital are minimized. Prepare a 500-word summary of the important components of this case, the laws that may have an impact on this case, and alternative courses of action that the hospital may pursue to satisfy the parties that are involved with the scenario. The strategies and recommendations should be as specific as possible and include the resources needed for implementation. Your primary text and journal and website research must be used as a reference to support your analysis.

Key Players

Mr. Bevins—Patient’s Spouse

Lydia and I have been married for 4 years, and I know that she would not want to be kept alive in this fashion. She and I have had many conversations and discussions about end-of-life decisions, and living like this would not be her choice. I do not know the whereabouts of the advance directive, because she did this prior to our marriage, and my attempts to obtain a copy have failed. I am her guardian, and therefore the decision should be mine.

Eileen Redfield—Patient’s Mother

I am Lydia’s mother and it hurts me to see my daughter laying there so incapacitated. Ending her life is not the answer. A couple of the physicians have implied that she might get better and live a better life, although others have given me little hope for recovery. A miracle is always possible, and I want to give my child every chance she can to live.

Dr. Bob Pritchard—Patient’s Physician

I have been taking care of Lydia for the past 90 days. Although she does demonstrate progress in very small increments, her level of functioning has not significantly improved. This is compounded by the fact that Lydia also suffers from breast cancer—a condition diagnosed and treated successfully before the accident. I am not sure what advice to give the family about the patient’s long-term survival.

Grading Rubric

CategoryPointsDescription
Understanding20Demonstrate a strong grasp of the problem at hand. Demonstrate understanding of

how the course concepts apply to the problem.

Analysis20Apply original thought to solving the business problem. Apply concepts from

the course material correctly toward solving the business problem.

Execution10Write your answer clearly and succinctly using strong organization and

proper grammar. Use citations correctly.

Total50A quality paper will meet or exceed all of the above requirements.

Preview:

In this scenario, the patient Lydia is a 45-year old woman who is paralyzed and can communicate only by means of head nods.  However, the medical professionals who care for her cannot be sure that she…

HSM542 Health Rights Responsibilities

Joint Commission – You Decide Week 6 

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Scenario Summary

The Joint Commission has recently visited Little Falls Hospital for its accreditation visit. Overall, the survey went well except for the standards related to the 2010 National Patient Safety Goals. The Joint Commission surveyors indicated that the hospital has not devoted enough resources and staff into achieving these goals.

As the new risk manager, you are aware of the following issues:

  • There is no specific plan on how Little Falls Hospital will address and achieve these goals. This has been handled on a department by department basis.
  • Recently, there has been a significant plaintiff settlement paid by the hospital’s insurance carrier, which involved a patient death related to the incorrect medication being administered.
  • The costs of the hospital’s professional liability insurance continue to escalate, and the policy is due to expire in 6 months. Little Falls Hospital has had the same health professional liability insurance policy for 10 years.
  • The hospital is facing financial constraints and does not have a significant amount of cash on hand to invest in new technologies.

Your Assignment

You have been asked by the hospital’s board of director’s to prepare a risk management plan that will help to develop a culture of safety throughout Little Falls Hospital. The plan should address the National Patient Safety Goals and strategies to be implemented throughout the organization. Prepare a 750-word summary of the important components of the plan, the resources that are required to implement, and strategies to overcome some of the hospital’s deficiencies. Your primary text and journal and website research must be used as a reference to support your analysis.

Key Players

Mr. Howard—Joint Commission Surveyor

Overall, I believe that Little Falls Hospital provides good quality care to its patients. The hospital scored very high in many aspects of the survey, but it did not seem focused on the Joint Commission National Patient Safety standards. The knowledge and understanding of these goals was inconsistent among staff; however, some of the departments had little awareness on how these goals impact the operations. Communication is definitely a problem.

Barbara Gillium—Director of Radiology

I have attended several conferences in the last couple of years and these goals have always been an important topic of discussion. The radiology department has always prided itself in quality care, and we do everything we can to make sure our patient care is not only the highest quality but also the safest possible.

Max Dillon—Hospital Pharmacist

The pharmacy department has always been one of the best departments in the hospital. I keep asking for the money to invest in technology but I always get denied. I think that our current systems are more effective than the latest technology. You invest all that money, but it is the same humans who are providing care and dispensing medicines. I think sometimes that computerized systems give staff a false sense of security, when they should be doing their jobs accurately anyway.

Grading Rubric

CategoryPointsDescription
Understanding20Demonstrate a strong grasp of the problem at hand. Demonstrate understanding of how the course concepts apply to the problem.
Analysis20Apply original thought to solving the business problem. Apply concepts from the course material correctly toward solving the business problem.
Execution10Write your answer clearly and succinctly using strong organization and proper grammar. Use citations correctly.
Total50A quality paper will meet or exceed all of the above requirements.

HSM542 Health Rights Responsibilities

Course Project Week 7 

Why the U.S. Healthcare System Needs a Centralized System for Tracking Medical Errors

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COURSE PROJECT OVERVIEW

Health Rights and Responsibilities

Objective

This Course Project gives you the opportunity to select a relevant healthcare topic with legal and/or ethical implications and analyze it in greater depth in a written format. The paper should critically analyze the issues related to the topic within the context of the current healthcare environment. Both web references and professional journals should be considered as references. Don’t overlook the Keller Online Library as an important source of information for your paper.

Guidelines

The Course Project has two deliverables due in Week 7: a final paper and a PowerPoint presentation.

Specifically, the final paper should provide

  • a description of your chosen issue and how it affects the delivery of healthcare;
  • a discussion of the impact of this issue on the healthcare consumer and the healthcare institution;
  • a critical analysis of the issues related to the topic;
  • proposed solutions for improving or alleviating the issue, including recommended policy changes; and
  • a discussion of how the healthcare administrator or manager can effectively be involved in or impacted by this issue.

See the more detailed Grading Rubric below.

The length of the final paper should be approximately 8–10 pages, double-spaced in MS Word 2007 (or later versions, e.g., MS Word 2010).

The PowerPoint presentation is based upon the content of the final paper. The student is responsible for developing a professional presentation that highlights the content of the paper and the course. The delivery of the presentation should reflect the highest form of professionalism. The importance of rehearsing the presentation multiple times in advance cannot be emphasized enough. See the more detailed Grading Rubric below.

Possible Course Project Topics

  1. Describe and evaluate the ethical issues involved in Medicare-funded organ transplants.
  2. Assess the intent and impact of publicity-oriented legal challenges to physician-assisted suicide.
  3. Identify the potential impact of genetic engineering on the future course of a selected chronic disease or group of diseases.
  4. Evaluate the changes in clinical research protocols that have been promoted by AIDS activists, and identify the potential implications of these changes.
  5. Develop a position paper on which to base a public policy imposing restrictive criteria upon publicly funded renal dialysis cases.
  6. Analyze the effectiveness of society’s delegation of ethical standards and the supervision of professional conduct to the professions of medicine and nursing.
  7. Assess the medical profession’s compliance in honoring patients’ living wills and durable powers of attorney.
  8. Evaluate the relative merits of the traditional indemnity insurance system versus the managed care system with regard to quality of care and efficiency.
  9. Assess the pros and cons of our acceptance of entrepreneurial and for-profit organizational structures for the provision of healthcare in the United States, with special attention to the characteristics of access and quality.
  10. Describe the current healthcare cost milieu and evaluate the need to ration the availability of healthcare services.
  11. Analyze the effectiveness of the Adverse and Sentinel Events reporting program developed by the Joint Commission on the Accreditation of Healthcare Organizations to provide a safe, effective, and efficient environment of care.
  12. Analyze the recent legislation outlining minimum safe staffing standards for healthcare organizations; suggest follow-up strategies.
  13. Develop a position paper on the Institute of Medicine’s recommendation for the establishment of a centralized system for tracking medical errors; suggest follow-up strategies.
  14. Choose one particular form of complementary medicine and describe an ethical or legal issue regarding its use in treatment and what it brings to healthcare providers.
  15. Analyze the legal and ethical impacts that managed care practices have had on quality and access to patient care.

NOTE: Other topics related to course content and COs will be considered, but only as approved in advance by your instructor.

Deliverables

The course project is worth 200 points (100 for the final paper and 100 for the presentation) and is due in Week 7.

  • Introduce the issue.
  • Define the problem.
  • Search the literature.
  • Analyze the problem.
  • Offer possible solutions.
  • Propose a single solution.
  • Develop an implementation plan.
  • Justify why and how your solution will solve the identified problem.

Your paper must include, but is not limited to, the following sections.

Background (5 possible points)

Describe the problem, organization, or situation you selected; identify the specific issues of interest or controversy; and present the background or facts of the problem, organization, or situation that will enable the reader to clearly understand the issue.

Define the Problem (5 possible points)

Identify and clearly state the problem or the management issue in which an element of the identified problem or situation is not meeting expectations. Remember that what appears to be the problem may actually just be a symptom of a bigger problem—dig deep to be sure you’ve identified the real problems. If there appears to be more than one problem or issue, decide if they are separate or related issues.

State the problem in the form of a question. For example, if a work group is not performing effectively, an effective problem statement might be, “How can the staff shortage be improved?” rather than simply “Short staff problems.

Literature Review (15 possible points)

Present what you discovered in your search of the literature. Review issues, theories, concepts, and studies discussed in class and in our textbook. Also review what other writers and researchers have to say about the subject of your analysis. Discuss the concepts, ideas, or insights that are most valuable in helping you make sense of your project. What theories can you use? What writers say something of value? Why is it of value? What models are the least helpful? Why? What theories or concepts will you challenge or criticize because your findings are different? In short, demonstrate an understanding of the literature and apply it sensibly to the problem. This is not a course in applied commonsense; however, such practical intelligence is important, especially in the application stage.

A literature review is like playing a video game in which you are in a chamber with many doors. As you open each door, you uncover clues to help you progress to the next level. Similarly, in a literature review, your objective is to open the doors that can point the way to solving your business problem. Begin your literature review with a broad look at your field of interest, then narrow your focus until you zero in on the essential issue(s) of concern.

NOTE: A literature review is a required element of this assignment. A good rule of thumb is to review at least 10 resources, beyond the textbook and class readings, to ensure the effectiveness of your research.

SUGGESTION: Begin your literature survey by accessing Keller’s online library at library…

Problem Analysis (20 possible points)

This section should provide a detailed analysis of the causes of the problem(s) or issue(s) you identified in Section II. A major objective is to clearly illustrate how you are using the healthcare course concepts (as well as what your learned from your literature review) to better understand the causes of the problem(s) or issue(s). Show that you are applying course material!

(Note: Use subheadings to identify each factor you address.)

HSM542 Health Rights Responsibilities

Possible Solutions (15 possible points)

Explore three solutions that could be appropriate ways to solve the identified problem or issue. Be sure these solutions are logical, based on your analysis, and effectively treat the problem, not the symptoms. Also, discuss the anticipated outcomes (both positive and negative) of implementing each of the possible solutions you identified.

Solution and Its Implementation (20 possible points)

Outline your recommended solution to the problem or issue, one of the alternatives explored in Section V, or a combination of those alternatives. State your solution clearly and  specialty.  Describe exactly what should be done and how it should be done, including by whom, with whom, and in what sequence. Here are some points to keep in mind as you write this section:

  • Have you indicated an awareness of the problem of implementation (the “how” aspect)?
  • Have you been specific enough? For example, a general solution might state, “The healthcare manager needs to realize that his or her style should match the situation.
  • A specific solution would state what style is most appropriate for the situation and how you will attempt to have the manager realize the appropriate style.
  • What aspects of the problem remain unresolved by your solution?
  • Does your recommended solution and its implementation plan address the problems or issues and their causes identified in the previous sections?
  • Does your solution consider and resolve the identified pros and cons?
  • How will you evaluate the effectiveness of the implemented recommended solution?
  • What process checks or procedures will you put in place to institutionalize the improvement?
  • Could your solution cause other problems or issues? What risks are inherent in the solution you recommend? What contingency plans do you recommend?
  • Assess the realism of your proposed action plan. For example, is there adequate time, money, or other resources for your solution? In addition, does your solution place too much reliance on other people being reasonable, on what you think is reasonable?

Justification (10 possible points)

Justify why your recommended solution and its implementation will solve the identified problem or issue in the organization or unit you selected. An important element of this section is to show very clearly how you applied course concepts to arrive at a workable solution and a successful implementation. Apply appropriate course material; support your conclusions with appropriately referenced facts, quotes, and readings; and be sure your justification addresses identified pros and cons.

References (10 possible points)

All citations in the paper must appear in the reference list, and all references must be cited in the text of the paper. Choose references judiciously and cite them accurately. Citations of an author’s work in the text of your work briefly identifies the source for readers and enables readers to locate the source of information in the alphabetical reference list at the end of the paper. To use the ideas or words of another without crediting the source is plagiarism.

Plagiarism in its purest form involves copying of entire passages, either verbatim or nearly verbatim, with no direct acknowledgment of the source. The most common (and unconscious) form of plagiarism is when a direct quotation is simply paraphrased. Paraphrasing does not relieve you of the obligation to provide proper identification of source data. The best way to avoid plagiarism is to make sure all quotes, ideas, or conclusions not your own are given proper acknowledgment in your text.

Preview:

Background: Medical errors are a growing problem in the United States healthcare system. According to statistics, they are now the third leading cause of death in the country, next only to cardiovascular diseases and cancer (Sternberg, 2016).  These errors result…

11 PowerPoint Slides with Speaker Notes Included

HSM542 Health Rights Responsibilities

Discussions Week 1-7 All Students Posts 1055 Pages 

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Intentional Torts in Healthcare and Most Pressing Ethical Issues Discussions Week 1 All Students Posts 174 Pages 

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Intentional Torts in Healthcare – 86 Pages 

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Select one of the intentional torts discussed in your text and provide an example of how this tort takes place in healthcare. As leader of your own healthcare facility, what steps could you take and what processes could you implement to reduce the risk of this tort occurring in your own facility?

There are many different types of torts. This discussion will focus on intentional torts that take place in healthcare. An example of an intentional tort that could…

HSM542 Health Rights Responsibilities

Most Pressing Ethical Issues – 88 Pages 

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What do you see as the most pressing ethical issue in healthcare today? Tell us why you see this issue as particularly compelling from an ethical perspective.

There are many very important ethical issues that surface everyday where healthcare administrators need to take action. Our text within chapter 16 expands on the “scope of healthcare ethics” and suggests…

Delineation of Clinical Privileges and Ethics Committee Discussions Week 2 All Students Posts 154 Pages 

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Delineation of Clinical Privilege – 77 Pages 

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How does a hospital medical staff determine that a physician applicant is qualified and competent to perform all procedures requested on his or her delineation of clinical privileges? By way of process, what happens next once the medical staff has completed this assessment process? Why is regular reappointment to the medical staff important for patient safety?

As our text suggests the credentialing of physicians is a very detailed and arduous process.  It can take as long as three to six months in order to have all required items reviewed and approved. Within…

HSM542 Health Rights Responsibilities

Ethics Committee – 77 Pages 

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Identify an issue that an institutional ethics committee may have to face in a healthcare setting. Discuss what the ethics committee might do in that scenario and how its decision might impact the operations and policies of the healthcare organization.

Healthcare ethics committees (HEC) begin in the 1960’s and were initially tasked with resolving disputes of complex ethical concerns in such areas as end-of-life…

Roe V. Wade and New Reproductive Technologies Discussions Week 3 All Students Posts 153 Pages 

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Roe V. Wade – 77 Pages 

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What were the key elements of the court’s holding in Roe v. Wade? Should the stage of pregnancy determine a woman’s right to an abortion? What are the rights of fathers? Regardless of your personal opinions and religious beliefs on abortion, try to identify the legal principles and parameters outlined in your readings; we’ll refer to these as we continue our discussion this week.

During the Roe v. Wade case in 1973, the Supreme Court ruled that “A woman has a right to privacy in the context of matters relating to her own body, including how a pregnancy would end. The Supreme Court has also…

New Reproductive Technologies – 76 Pages

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Advances in reproductive technology have brought about new opportunities for prospective parents, but they also pose some significant ethical challenges. Select any one of these new reproductive technologies to discuss. Do you feel that this approach is an appropriate and ethical way to achieve parenthood? Support your view. What are some potential pitfalls of your selected technology, and how might these be avoided?

One type of reproductive technology is in-vitro fertilization (IVF).  According to the Victorian Assisted Reproductive Treatment Authority (2016), In-vitro fertilization “Is often…

HSM542 Health Rights Responsibilities

Informed Consent and Patient self-Determination Act Discussions Week 4 All Students Posts 142 Pages 

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Informed Consent – 74 Pages 

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Explore what is meant by informed consent, from a legal perspective. What are the key elements that must be covered in order to obtain legal informed consent? And why is this concept so important to patients, providers, and healthcare organizations?

Informed consent is giving the patient the rights to know the risks, benefits and alternatives from the medical treatment that will be performed.  It should be noted that this covers a wide…

Patient Self-Determination Act – 68 Pages 

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What are the key provisions of the Patient Self-Determination Act (PSDA)? Why was this legislation enacted and what were the goals? What must hospitals and other healthcare providers do to ensure their compliance with PSDA?

The Patient Self-Determination Act was passed in 1990 and became officially instituted in 1991. The act gives encouragement to patients to make their own decisions and…

Death with Dignity ACT and Schiavo Case Discussions Week 5 All Students Posts 160 Pages 

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Death with Dignity ACT – 84 Pages 

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Discuss the legal and moral implications of physician-assisted suicide. What are the key provisions of Oregon’s Death with Dignity Act? What has been the experience with this process in Oregon since passage of the act in 1997?

Life” and “death” are fundamental philosophical categories that play an important role in the construction of modern biological ethics. The phenomenon of euthanasia is a product of contradictory interweaving of…

Schiavo Case – 76 Pages 

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Read the account of the 2003 Terri Schiavo case on pp. 443-444 in the Pozgar text.  If you were the CEO of the organization that cared for Terri Schiavo, what issues would you consider most critical for your ethics committee to consider in that case?

This case is very complex; however, the committee should look at the issue as to how the state views the spouse as to decision making regarding health.  If the person doesn’t have a directive, the spouse is…

HSM542 Health Rights Responsibilities

Professional Liability and Risk Management Discussions Week 6 All Students Posts 141 Pages 

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Professional Liability – 74 Pages 

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How does the existing U.S. legal system, as well as the need for professional liability insurance coverage, impact patient care, physician behavior, and healthcare costs?

With the rise of liability insurance premiums are part of the reason for increasing medical care costs, as doctors attempt to pass on the additional costs of...

Risk Management – 67 Pages

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You’ve been appointed as chair of your hospital’s risk management committee. Describe the most pressing issues that should be considered by your committee related to risk management, corporate liability, ethical compliance, and medical error prevention. What strategies would you adopt to minimize organizational exposure to risk in each of these areas?

Concern about medical errors is running high in the wake of an Institute of Medicine (IOM) report. Print and electronic media have sustained coverage; state and federal lawmakers have debated proposed legislation…

HSM542 Health Rights Responsibilities

Healthcare Reform and Healthcare War Rooms Discussions Week 7 All Students Posts 131 Pages 

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Healthcare Reform – 72 Pages 

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Based upon your learning in this course and your own personal and/or professional experiences, what are the essential reforms that must occur in the U.S. healthcare system in order to improve access, cost, and quality of care for all Americans?

Reform is needed to address the quality and access of care for individuals on Medicaid, which was enacted in 1965 along with Medicare to provide healthcare for low-income individuals…

Healthcare War Rooms – 59 Pages

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What is a healthcare war room? As CEO of your own healthcare facility, how would you go about creating your own war room, and how would you utilize this place in the leadership of your facility?

A healthcare war room is a designated area of an organization used by the healthcare professionals to brainstorm ideas.  Particularly brainstorm ideas in which to improve patient care by the facility…

HSM542 Health Rights Responsibilities

Final Exam 

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(TCO H) As hospital CEO, you have been asked by the board of directors to compose an organization-wide ethics committee to effectively deal with ethical considerations encountered by patients, families, and staff. Identify the important components and the intended role of the ethics committee.

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Healthcare ethics committees are formed to address the legal-ethical issues that come up during the…

(TCO D) The Quinlan case from the state of New Jersey was instrumental in promoting a patient’s right to self-determination. Discuss the impact of the Quinlan case on an individual’s right to make choices regarding medical care versus the state’s right to preserve human life.

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A patient’s right to self-determination means that the patient has the right to be informed of all the…

(TCO G) Identify and discuss two risks related to providing medical care that are covered under a malpractice insurance policy. For each risk identified, provide a specific example that may occur in a hospital setting related to the risk.

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Two types of risks covered by a medical malpractice insurance policy are claims of medical negligence

(TCOs E and F) Identify two legal actions or cases that involved managed care. Discuss how these actions or cases impacted access to care or influenced the operations of managed care organizations.

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One legal action that involved managed care is the enactment of the Affordable Care Act. In particular…

(TCO G) Discuss the differences between risk management and continuous quality improvement. How do the goals of each program differ? What are the similarities between the functions of each?

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Continuous quality improvement refers to the constant examination of patient outcomes and healthcare processes...

(TCOs A and B) What do you consider the most pressing ethical issues surrounding genetic testing? Provide at least two examples, and explain why you consider these most important.

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The two ethical issues I consider most pressing about genetic testing are the following: 1.) It can cause parents…

(TCO C) Identify and discuss the four components of HIPAA. For each component, identify a violation that may occur in a healthcare setting that might lead to an investigation by the OIG.

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The four components of HIPAA are: 1.) Electronic transactions and code sets standards requirements; 2.) Privacy…

HSM542 Health Rights Responsibilities

Keller