Essay Instructions: HEALTH SYSTEMS MANAGEMENT and ELECTRONIC HEALTH RECORDS
Guidelines for Writing the Health Systems Issues and Management Paper (25 points)
Rubric for Writing and Grading the Health Systems Management Individual Paper
Individual Assignment ? Health Systems Issues and Management
25 points possible Points Possible Points Earned
Discuss a specific Healthcare System.
Identify and Define an issue in this System at the management level and the challenges, problems, situations, and opportunities that led to the proposed project, and its impact to the organization?s strategic plan.
All key elements of the assignment are covered with an introduction and provide sufficient background on the topic and previews major points to include a thesis sentence.
Paper is 7- 10 pages excluding title page and reference page.
a. State why this issue selected by the student.
b. Relate issue to healthcare management with literature review, statistical findings and why the issue is important to Senior Management of the chosen Healthcare System.
c. How does the issue impact the chosen healthcare system to include:
? Healthcare policy on the issue. Must cite and discuss a minimal of two specific policies on the issue.
? Implications on future healthcare practice and policy on the chosen System using the chosen two policies.
? Discuss the Change Process for Senior Management to make a change that would impact your issue.
Select one of the following for the discussion:
1) To solve a problem 2) To improve efficiency
3) To reduce unnecessary workload
Incorporation of Quality and Safety Education in Nursing: QSEN and relate its principles to the issue discussed for your chosen system. IMPORTANT: USE QSEN in this paper!
The paper has a structure that is clear, logical, and easy to follow headings.
Student clearly incorporates their own thoughts with real life experience or work related experiences. Beyond reference citations.
The conclusion clearly present and is logical, flows from the body of the paper, and reviews the major points.
The paper, including the title page, reference page (10 references within 5 past years) from 10 Peer Reviewed Journals, tables, and/or appendices, follows 6th edition APA guidelines for format. Not past the year 2008.
Rules of grammar, usage, and punctuation are followed.
Spelling is correct.
Must submit to Safe Assign exclude title page and reference pages Total: 25
IMPORTANT: REFERENCES MUST BE 10 PEER-REVIEWED JOURNALS, NOT PAST THE YEAR 2008.
Excerpt From Essay:
Essay Instructions: Healthcare Law and Ethics class
I would like 4 pages (APA Format) answering 3 legal healthcare questions.
North Florida Woman?s Center
?The North Florida Women?s Center (the ?Center?) is a non-profit organization that provides counseling and assistance to women in Tallahassee, Florida, and nearby areas of Florida and Georgia, Last year, the Center?s board of directors decided to expand its services by providing healthcare services to women, including to expand its services by providing healthcare services to women, including obstetric and gynecological (OB/GYN) services, family planning, contraception, and abortion. The Center will provide these services on a sliding fee scale, depending on the patient?s income and health insurance.
The Center has entered into a written contract with Mary Ellen Stuart, M.D., who is licensed to practice
Medicine in the state of Florida, and is board certified in OB/GYN. Dr. Stuart will care for large numbers
Of patients, some of whom will have no health insurance and limited financial resources. Therefore, both the Center, and Dr. Stuart intend to make extensive use of non-physician providers, such as physician assistants, family nurse practitioners, and mid-wives. They also want their patients to have a choice in childbirth. Therefore, patients will be able to choose between home birth with only a midwife or
hospital birth with dr. Stuart. Dr. Stuart does not intend to use midwives at the hospital.
In October 1996, Dr. Stuart applied for medical staff membership and clinical privileges at Tallahassee General Hospital (?General?), which is owned and operated by the county and is one of seven hospitals in
the country. Because General is close to the Georgia State line, General and its physicians treat a substantial number of patients from Georgia and Florida.
On November 15, 1996, while her application was pending, the 50 current members of General?s OB/GYN staff held a meeting, which was called for the purpose of reviewing Dr. Stuart?s application.
At the meeting, several doctors expressed their concerns about Dr. Stuart, the Centers new healthcare program, the issue of home birth, and the use of mid-wives. They were worried about having to take care of the Center?s home birth patients in an emergency. For example, if a home birth patient had a medical emergency during home delivery, the patient would be rushed to General, where she would be cared for
By the OB/GYN physician on call, even though she was not the patient of that physician and that physician had never seen the patient before the emergency. The physicians indicated that the potential
Malpractice liability under those circumstances was problematic.
At the same meeting, a few doctors expressed their concerns for the possible loss of business they would suffer with the opening of the Center?s health services program. Although they did not want to care for indigent patients, they were concerned that they would lose some paying patients because the Center
will offer more choices in childbirth and a sliding-fee scale. The administrator of General was present at the meeting and said that the hospital would lose obstetric business if the Center and Dr. Stuart gave women the option of delivering their babies at home.
Dr. Samuel Jackson, who is chief of the OB/GYN department at General, reported that he had reviewed a sample of medical records for patients treated by Dr. Stuart at another hospital, and it was his professional opinion that Dr. Stuart did not provide good-quality care. In addition, he said Dr. Stuart had
been sued for medical malpractice two years ago, and her malpractice carrier has settled the case before trial by paying the patient $ 500,000. After hearing this information at the meeting, the OB/GYN physicians voted to recommend denial of Dr. Stuart?s application for medical staff membership and clinical privileges on the grounds that she had failed to demonstrate her professional competence.
The next day, the hospital administrator notified Dr. Stuart in writing of the action taken at the meeting to recommend denial of her application for medical staff membership and clinical privileges. The administrator advised her that she had the right to a hearing on her application before the credentials committee of the medical staff. Dr. Stuart exercised her right to that hearing, at which she testified and was represented by legal counsel.
At the hearing before the credentials committee, the chief of the OB/GYN department, Dr. Jackson, testified that on the basis of his review of medical records, Dr. Stuart did not provide good-quality care. He also told the credentials committee about Dr. Stuart?s malpractice settlement. In response, Dr. Stuart testified that her care patients was appropriate and told her side of the story with regard to the malpractice case. After hearing the evidence, the credentials committee recommended that her application for medical staff membership and clinical privileges be denied, and that recommendation was adopted by the board of trustees of General on December 28, 1996. The next day, the hospital administrator notified Dr. Stuart of the decision and also reported the decision to the Florida State Board of Medical Examiners as
required by state law.
One month later, Dr. Jackson and another member of General?s OB/GYN staff, Dr. George Alexander, met with a representative of Happy Family Health Plan. The administrator of General was also present
at that meeting. The two physicians told the representative of Happy Family that they were concerned about the unsafe practices at the Center?s new healthcare program. The two physicians also stated that they hoped Happy Family would not accept the Center and Dr. Stuart as participating providers with eligibility to receive payment from Happy Family. in fact, the doctors said that they were so concerned about the Center?s unsafe practices that if Happy Family agreed to pay the Center and Dr. Stuart for services rendered to Happy Family patients, all of the other members of the OB/GYN staff would feel ethically bound to stop treating Happy Family patients.
The representative of Happy Family asked the two physicians whether all of the other OB/GYN physicians at General felt the same way. The doctors responded that all of the physicians at the meeting felt the same way. The doctors responded that all of the physicians at the meeting on November 15 had agreed that Dr. Jackson and Dr. Alexander should speak to Happy Family on their behalf. In addition, the
administrator of General stated the General might have to reevaluate its contractual arrangement with Happy Family the next time that General?s provider contract with Happy Family came up for renewal.
One week later, Happy Family wrote to the Center and Dr. Stuart to state that Happy Family would not
accept them as participating providers and therefore would not pay the Center or Dr. Stuart for services rendered to Happy Family patients.? (A)
3 questions to answered: (1), (2),(3)
Under the facts set forth above, (1) what claims could Dr. Stuart assert against the other physicians, and
(2) what defenses could the other physicians raise ? Be sure to discuss the elements of each potential claim and defense, as well as your evaluation of the likelihood of success on each claim or defense.
Note: Do not discuss any potential claims against the hospital; however, (3) you may consider the hospital?s participation as a possible conspirator.
Reading research material for this paper in (A) Chapter 9, ?Contemporary Issues In Healthcare Law and Ethics, 3rd edition, Dean M. Harris, Health Administration Press, Chicago, AUPHA Press,
Note: The Federal Antitrust Laws
Section 1 of the Sherman Act
Section 2 of the Sherman Act
Medical Staff Membership and Clinical Privileges
Excerpt From Essay:
Total Pages: 5 Words: 1435 Works Cited: 4 Citation Style: APA Document Type: Essay
Essay Instructions: Healthcare in the U.S., where is it headed? Compare with healthcare in Canada, Japan and maybe a near-eastern country. Mainly interested in population growth and cost of same. Perhaps tell what impact healthcare lobbyist's have on our congress, the people who handle our money! Bring up medicare and medicade and what an impact they have on our national budget. Care for our Veterans.
There is an entire fishtank of things that could be addressed regarding our healthcare system. Please see what you are able to put together for me.
Excerpt From Essay:
Essay Instructions: Health System Issues and Strategic Planning
1. Identify Health Systems issues (per 27 groups) for a patient
2. Collect literature on the issue and deliberating issues in health systems
3. Analyze issues in health systems
4. Writing the strategic plan integrating rigorous knowledge development
5. Summarize the key findings.
Question: Do you guys do powerpoint also?
Excerpt From Essay:
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