Required Reading

Berke, D. M. (2016). Drive-by-doctoring: Contractual issues and regulatory solutions to increase patient protection from surprise medical bills. American Journal of Law and Medicine, 42(1), 170-189. http://dx.doi.org/10.1177/0098858816644720

Computers, software; minimizing Medicare fraud internally. (2015). State & Local Health Law Weekly, 23.

DuBois, J. M., Walsh, H. A., Chibnall, J. T., Anderson, E. E., Eggers, M. R., Fowose, M., & Ziobrowski, H. (2017). Sexual violation of patients by physicians: A mixed-methods, exploratory analysis of 101 cases. Sexual Abuse: A Journal of Research and Treatment. ePub. Retrieved from: http://journals.sagepub.com/doi/pdf/10.1177/1079063217712217

Hospitals sued: Claims of sexual abuse, harassment. (2016, April 1) Healthcare Risk Management, 38(4). Retrieved from the Trident Online Library.

Kim, C. J. (2014). The trial of Conrad Murray: Prosecuting physicians for criminally negligent over-prescription. American Criminal Law Review 51(517). Retrieved from: http://www.americancriminallawreview.com/files/3214/0943/7056/Kim.pdf

Licensed professional counselors sentenced for roles in $9.5 million fraudulent billing health care fraud scheme to siphon and steal money from workers’ compensation program. (2016). Lanham: Federal Information & News Dispatch, Inc.

New Jersey Board of Medical Examiners imposes 5-year suspension on former prison doctor whose ‘gross negligence’ contributed to the death of state prison inmate in 2009 (2016, Aug 04). US Fed News Service. Retrieved from the Trident Online Library.

Showalter, J. S. (2015) Chapter 1: The Anglo-American legal system. In The law of healthcare administration. Chicago: Health Administration Press.

Showalter, J. S. (2015) Chapter 15: Fraud laws and corporate compliance. In The law of healthcare administration. Chicago: Health Administration Press.

Teegardin, C., Robbins, D., Ernsthausen, J., & Hart, A. (2016) Doctors & sexual abuse. The Atlanta Journal-Constitution. Retrieved from: http://doctors.ajc.com/

U.S. Department of Justice (2016, July 6). Dental management company Benevis and its affiliated Kool Smiles Dental Clinics to pay $23.9 million to settle False Claims Act allegations relating to medically unnecessary pediatric dental services. Retrieved from: https://www.justice.gov/opa/pr/dental-management-company-benevis-and-its-affiliated-kool-smiles-dental-clinics-pay-239

Optional Reading

Benevis, Kool Smiles to pay $23.9 million in settlement with Department of Justice. (2018, Jan 12). ADA News. Retrieved from https://www.ada.org/en/publications/ada-news/2018-archive/january/benevis-kool-smiles-to-pay-239-million-in-settlement-with-department-of-justice

Dance, S. (2014, Sep 03) Dando won’t face trial: Sexual assault charges dropped; doctor gives up his state license. The Baltimore Sun. Retrieved from the Trident Online Library.

Metrick, B. (2017, Mar 02). Doctor guilty of sexual assault, drugging. Public Opinion. Retrieved from the Trident Online Library.

Sanderson, S. (2018, Jan 26) Casper doctor found guilty of sexually assaulting patients. Casper Star Tribune. Retrieved from: http://trib.com/news/local/crime-and-courts/casper-doctor-found-guilty-of-sexually-assaulting-patients/article_e323fd54-ad21-5681-a70e-639d589274f0.html#tracking-source=home-top-story-1

Temecula doctor convicted of 25 charges in sexual assault case. (2017, March 1). Temecula Patch.Retrieved from: https://patch.com/california/temecula/temecula-doctor-convicted-25-charges-sexual-assault-case

Twohey, M. (2010, Apr 30) Women charged rape; doctor still practiced: Since 2000, 7 women have accused Dr. Bruce Sylvester Smith of sexual assault. Chicago Tribune. Retrieved from: http://www.chicagotribune.com/lifestyles/health/chi-100430doctor-story.html

HOMEWORK ASSIGNMENT:

The 2018 trial of gymnastics doctor Dr. Larry Nassar has shone a light on sexual abuse and misconduct by medical professionals. After reviewing the background literature, discuss the following in a 3- to 5-page paper.

1. Choose a case focused on assault and/or sexual abuse from the background readings or from your own research and provide a brief synopsis of the case and the outcome.
2. After reviewing State Report Cards, provide an analysis of the current state of protections for victims as well as penalties for perpetrators. Be sure to provide specific examples to support your analysis.

   State report cards retrieved from: Datar, S. (2016). State report cards: How well does your state protect patients? The Atlanta Journal-Constitution. Retrieved from: http://doctors.ajc.com/states/

3. What are the ethical responsibilities of other professionals (colleagues, medical boards, employers, etc.) who may be aware of improper conduct by a medical provider? Be sure to discuss ethical principles covered earlier in the course.

Assignment Expectations

1. Conduct additional research to gather sufficient information to support your analysis.
2. Limit your response to a maximum of 3-5 pages.
3. Support your paper with peer-reviewed articles and reliable sources, and use at least 3 references. For additional information on how to recognize peer-reviewed journals, see http://www.angelo.edu/services/library/handouts/peerrev.php and for evaluating internet sources:
   https://www.library.georgetown.edu/tutorials/research-guides/evaluating-internet-content
4. You may use the following source to assist in your formatting your assignment: https://owl.english.purdue.edu/owl/resource/560/01/

 

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PLEASE NOTE:   The URLs are not active links.  To access the sources, you will need to cut-and-paste the URL into your browser.  This will take you to the selected reading. 

Creative Problem Solving:  6 Obstacles to Creative Thinking and How to Overcome Them:  Develop Problem Solving Skills for Business Success. Brian Tracy International Business Blog.  Accessed on July 31, 2015 at https://tinyurl.com/kuhocpv

Hereford, Z.  How to Think Critically and Problem Solve.  Essential Life Skills.  Accessed on July 31, 2015 at http://www.essentiallifeskills.net/thinkcritically.html

In this Module 4 Case Assignment you will build upon the Problem Scoping analysis you prepared in your Module 3 SLP assignment by:

1. Developing three alternative solutions that address the problem definition and criteria that you identified.

2. Comparing the pros and cons of those three alternatives.

3. Selecting the best alternative.

4. Developing a logical argument to support your choice.

You will apply these same analytic skills throughout your health sciences program, and they will serve you very well in your professional life.

Case Assignment

Use the Evaluate Alternative Solutions Template to complete your Case Assignment.

Note: Developing alternative solutions is essentially a brainstorming process. What can you do to solve the problem? That is an alternative. Proposed alternatives should be consistent with the problem(s) that you identified in your Module 3 SLP assignment.

Developing a list of good alternatives involves creativity and avoiding preconceived attitudes (knee-jerk solutions) and assumptions. Guidelines for alternative development include:

1. DON’T SETTLE FOR YOUR FIRST IDEA!

2. Good designers try to generate as many possible solutions as they can before choosing one that they feel is the best. This creative process of developing ideas is called ideation.

3. Methods of ideation include:

a. Examine existing solutions

b. Conduct brainstorming sessions. Remember the first rule of brainstorming – every idea is a viable one.

c. Develop as many alternatives as possible. When you are done, try to categorize your alternatives. Then develop three alternatives.

d. Sketching and doodling to create pictures of possible solutions.

 

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Home work assignment is in the attachment. 

 

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Health care in the United States is changing. A paradigm shift is occurring as more and more health care organizations are reorganizing existing business models from inpatient to outpatient services. That being said, you have been tasked to develop a proposal for the development of a health care facility that is designed to meet the rapidly changing health care needs. Within your proposal, you are required to research and discuss the following:

• The type of facility you are recommending and the rationale behind your recommendation. For example, if you chose an ambulatory care facility, explain the reasons why this type of facility would be recommended over another type.
• The type of health care delivery and services that are provided at the facility.
• The type of staff that will work in the facility. Specify the position categories and/or titles for these positions and include what are the credentials or licensures required by these positions in the state in which you live where you proposed facility would be located.

Note: You should include a minimum of 3 references, properly cited in APA format

 

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Health Care Delivery Models and Nursing Practice 

Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment.

Include the following:

1. Outline a current or emerging health care law or federal regulation introduced to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility.
2. Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.
3. Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.
4. Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care.

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.  

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not 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. Refer to the LopesWrite Technical Support articles for assistance. 

Health Care Delivery Models and Nursing Practice

No of Criteria: 9 Achievement Levels: 5CriteriaAchievement LevelsDescriptionPercentageUnsatisfactory0.00 %Less Than Satisfactory75.00 %Satisfactory79.00 %Good89.00 %Excellent100.00 %Content80.0     Current or Emerging Health Care Law or Federal Regulation and Effect on Nursing Practice, Role and Responsibility20.0Emerging health care law or federal regulation is omitted. The law or regulation presented is not relevant to health care.Emerging health care law or federal regulation is incomplete. Effect on nursing practice and nurse role and responsibility is partially described.Emerging health care law or federal regulation, and effect on nursing practice and the nurse role, and responsibility is summarized. There are some inaccuracies.Emerging health care law or federal regulation, and effect on nursing practice and the nurse role, and responsibility is described. Some information or detail is needed for clarity.Discussion on emerging health care law or federal regulation, and effect on nursing practice and the nurse role, and responsibility is well-developed.Quality Measures Pay for Performance, Patient Outcomes, and Effect on Nursing Practice20.0Discussion on how quality measures and pay for performance affect patient outcomes, and how they affect nursing practice, expectations, and responsibilities of the nursing role, is omitted.Discussion on how quality measures and pay for performance affect patient outcomes, and how they affect nursing practice, expectations, and responsibilities of the nursing role, is incomplete.Summary on how quality measures and pay for performance affect patient outcomes, and how they affect nursing practice, expectations, and responsibilities of the nursing role, is presented. There are inaccuracies or slight omissions.Discussion on how quality measures and pay for performance affect patient outcomes, and how they affect nursing practice, expectations, and responsibilities of the nursing role, is presented. Some information is needed for clarity.A thorough and insightful discussion on how quality measures and pay for performance affect patient outcomes, and how they affect nursing practice, expectations, and responsibilities of the nursing role, is presented.Professional Nursing Leadership and Management Roles20.0Discussion on professional nursing leadership and management roles and the imporantance of these roles in responding to emerging trends and patient safety and quality care is omitted.An incomplete discussion on professional nursing leadership and management roles and the imporantance of these roles in responding to emerging trends and patient safety and quality care is presented.A summary on professional nursing leadership and management roles, and the imporantance of these roles in responding to emerging trends and patient safety and quality care, is presented. There are inaccuracies or slight omissions.A discussion on professional nursing leadership and management roles, and the imporantance of these roles in responding to emerging trends and patient safety and quality care, is presented. Some detail or information is needed for clarity.A well-developed discussion on professional nursing leadership and management roles, and the imporantance of these roles in responding to emerging trends and patient safety and quality care, is presented. The discussion demonstrates a thorough understanding of the nursing profession in emerging trends and patient care in a diverse health setting.Predict Change in Nursing Roles and Nursing Practice20.0Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years to respond to upcoming trends or predicted issues in health care are omitted.Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years to respond to upcoming trends or predicted issues in health care are incomplete. The predictions are unrealistic or lack evidence for support.Insert Satisfactory CoA summary on professional nursing leadership and management roles, and the imporantance of these roles in responding to emerging trends and patient safety and quality care, is presented. There are inaccuracies or slight omissions.Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years to respond to upcoming trends or predicted issues in health care are summarized. The predictions are realistic, but there are inaccuracies or slight omissions. ntent 2 DescriptorPredictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years to respond to upcoming trends or predicted issues in health care are discussed. The predictions are generally supported and realistic.Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years to respond to upcoming trends or predicted issues in health care are thoroughly discussed. The predictions are based on evidence and highly relevant to emerging trends.Organization, Effectiveness, and Format20.0     Thesis Development and Purpose5.0Paper lacks any discernible overall purpose or organizing claim.Thesis is insufficiently developed or vague. Purpose is not clear.Thesis is apparent and appropriate to purpose.Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.Argument Logic and Construction5.0Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.Argument is orderly but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.Mechanics of Writing (includes spelling, punctuation, grammar, language use)5.0Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.Writer is clearly in command of standard, written, academic English.Paper Format (use of appropriate style for the major and assignment)2.0Template is not used appropriately, or documentation format is rarely followed correctly.Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.Appropriate template is used. Formatting is correct, although some minor errors may be present.Template is fully used; There are virtually no errors in formatting style.All format elements are correct.Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)3.0Sources are not documented.Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.Sources are documented, as appropriate to assignment and style, and format is mostly correct.Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.Total Percentage  100

 

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