Week 1 DQ1A patient is in a coma that appears irreversible. His mother, who is his surrogate, firmly believes that he will recover and that God is taking a hand to work a miracle if everyone will just wait long enough. She wants everything done for the patient, including resuscitation if he arrests. She insists that he stay in the hospital, and is very upset that he was transferred out of the ICU and his care was moved to comfort measures, rather than aggressive treatment. The mother does not sp..
Week 2 DQ1
Discuss the four components of a valid contract and apply them to a contract with a vendor to purchase a new CT scanner. What would you include in the contract? How would you be sure it would be valid?
Week 2 DQ2
Since the hospital/patient relationship is considered a contract of sorts, how is it affected if the patient decides to disconnect himself from telemetry and leave the hospital for 4 hours to go score some cocaine on the street? What would you do as a hospital adm..
Week 3 DQ1
If a physician develops a history of disruptive behavior, belittling staff, cursing at coworkers, and being rude and curt to patients, what are the responsibilities of the medical staff, the hospital, and the other professionals involved? Why do you believe that so many staff may be reluctant to report a poorly behaving physician?
Week 3 DQ2
What do you see as the pros and cons of obtaining fair market value analyses on the compensation paid to physicians, especially when the ..
Week 4 DQ1
Discuss your opinion of the Stark laws, what they are designed to do, the impact of the exceptions, and whether you think they are successful in preventing unethical behavior.
Week 4 DQ2
What kinds of fraudulent or abusive behavior relating to health care services can occur in hospital operations? How does the role of the compliance committee help to monitor and prevent these?..
Week 5 DQ1
You are a hospital administrator, and you receive a call from a colleague at another hospital. Your colleague, who is a friend, informs you that he has received a demand for a stipend from the ophthalmologists who take ED calls at his hospital, and they want a sizeable raise. He asks you what you pay for that type of call, and suggests that you could both benefit by coming up with a standard rate of pay over which neither of you will go in response to physician demands. It could save..
Week 6 DQ1
Examine the concept of "employment at will" and the public policy exceptions to it. How does it fit with the issue of "wrongful discharge"?
Week 6 DQ2
What do you see as the pros and cons of a unionized environment in a health care facility? How can the right to collective bargaining by employees and the mandate to provide care to patients be reconciled?..
Week 7 DQ1
Explore the issues of how to determine if a patient is mentally competent to make his or her own decisions, especially in situations where the decisions do not appear to make sense.
Week 7 DQ2
What are the differences between a permanent vegetative state and a coma? How do these differences affect the ethical choices faced by the family and caregivers of the patient? What importance should the patient's own wishes have? How would the presence of a living will affect the decision..
Week 8 DQ1
A baby is born with anencephaly, or absence of the entire brain above the brainstem. The brainstem is intact, which means that the baby can breathe and have a heartbeat and blood pressure, but there is no chance for any human brain function or cognition, due to this birth defect. The health care team begins to educate the mother, since children with this deficit generally die shortly after birth. However, the mother is devoutly religious, and her minister has told her that if she ..
Write a 1,250-1,500 word paper in which you explore decision making methods that can be used to resolve an ethical dilemma using the scenario provided in the assigned reading, “An Unconscious Patient With a DNR Tattoo.” Describe how to use the principles of ethical decision making (reviewed in this topic) to help resolve this ethical dilemma. Address the scenario to generate your conclusions about how you would proceed.
What are the dimensions of the ethical dilemma?
What are the..
A physician is claiming injury and damages from a hospital that notified him they were not renewing his contract for services provided. The hospital gave him a 4-month notice and stated that they were exercising this right because they wanted the department in which the physician functioned "to go in a new direction." The physician has filed notice of intention to sue.
As the hospital administrator, write a paper (750-1,000-words) that explores the options for defendi..
Write a 1,000-1,250 word paper analyzing the 2016 Alaska Supreme Court case, Thomas v. Archer. Include the following in your analysis:
Did Dr. Archer breach her fiduciary duty to the Thomases?
Did the promise create an enforceable contract?
Should the promise be enforced through the doctrine of promissory estoppel?
What others issues from an administrative or legal perspective be considered here?
Prepare this assignment according to the guidelines found in the..
You are the administrator on call for Hospital A and are responsible for accepting and rejecting patients. You receive a call at 2:00 a.m. from Health Hospital B regarding a patient with a severed ear.
The ED physician is calling to arrange an EMTALA-qualified transfer from his hospital to yours, but the ENT physician on call at your hospital is refusing to accept the transfer, stating that the patient does not need a higher level of care.
You call your ENT on call, and he admits he ha..
Case 1: Oscar Insurance Company Of Florida (Plaintiff), V. Blue Cross And Blue Shield Of Florida, Inc (Defendants.)Case 2: United States Of America, et al., (Plaintiff), V. Aetna Inc., and Humana Inc., (Defendants.)Case 2: Oscar Insurance Company Of Florida (Plaintiff), V. Oklahoma State Chiropractic, Independent Physicians, Association And Larry Bridges (Defendants.)
Using the Health Care page of the U.S. Department of Justice Antitrust Division website, locate three..
Scenarios and Requirements:
Write a 750-1,000 (500 words each scenario) word paper in which you review public policy and how it affects employment. Address the following scenarios:
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
Scenario 1: Nurse Deb was due for her annual flu vaccination as mandated by her hospital’s policy. Nurse Deb is a big supporter of the antivaccination movement and ref..
Scenario and Requirements:
Scenario: You are the hospital administrator and are told by your ICU unit director of a patient in the unit that has suffered serious brain damage, but is not currently meeting the criteria for complete brain death. Half of the family is insisting that the patient “wouldn’t want to live this way” and the other half is accusing them of wanting to kill the patient. Some allegations have been raised about a substantial inheritance for some family members upon the patient..