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Imagine that you are a resident of a city riddled with challenges. Crime is on the rise, schools

are failing, and the population is among the poorest in the nation. Corruption is so rampant in

local government that the state has had to intercede, wresting away control from those who had

driven the city to the brink of economic ruin.

For Jeffrey Brenner, a doctor in Camden, New Jersey, this was no fictional case study—it was

his reality. When asked to join a committee to help reform the local police, he compiled

extensive data records culled from local hospitals, trying to identify concentrations of violent

crime victims. He identified “hot spots” of criminal activity based on the data and suggested

increased police activity for those neighborhoods, but the suggestion was rejected summarily.

Undeterred, and certain that the health data could still be put to good use, he began mapping

different “hot spots.” This time, he identified neighborhoods with significantly higher than

average healthcare costs, based in large part on the number of hospital and emergency room

visits. He found that a full third of the city’s medical costs could be attributed to 1% of the total

population, an underserved subset of the city with poor health insurance that lacked

preventative healthcare services.

To prepare for this Assignment, review Dr. Brenner’s story by reviewing the article “The hot

spotters: Can we lower medical costs by giving the neediest patients better care?”, as well as

the other related Learning Resources and consider your responses to the following prompts:

How do Brenner’s actions reflect the concepts and principles of patient advocacy and

culturally sensitive healthcare, as described in the readings?

Do you find Brenner’s actions ethical? Why or why not?

Imagine that you are a hospital administrator. How would you reconcile the outcomes of the

coalition and its impact on your hospital?

Perform a SWOT analysis on Brenner’s program, identifying at least three strengths, three

weaknesses, three opportunities, and three threats faced by the program.

Running head: HEALTHCARE COST 1 Healthcare costStudent’s NameInstitution 2 HEALTHCARE COSTHealthcare costBrenner’s actionsIn the article, “The hot spotters: Can we lower medical costs by…

 

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Imagine that you are a sophomore at Premier College, living in Room 203, Graham Dormitory complex, 1212, University Road, Metropolis, West Virginia. The college requires you to maintain current medical and vaccination records as proof of your physical health. Over the past few months, you have not been well due to increased amounts of academic pressure. Also, your parents recently separated, and you found yourself unable to concentrate in class or sleep well at night. You went to the student medical center and requested some medicines to help you sleep. After consulting with the staff doctor, you were issued a prescription for the treatment of depression.

On your second day of the class, your professor tells you that he too comes from a divided family and had to take medicine to help him cope with the situation. You ask him how he knew about your situation, and he replied that all student medical records were available to every instructor and staff member at Premier College, regardless of whether they are one of your instructors or not. Hearing this, you are highly dejected and feel that your privacy rights have been violated.

You somehow wind up all your discussions with the instructor and rush towards your room. You have a sleepless night and you decide that the first thing you will do in the morning is to fight for your privacy. After researching for half a day, you learn that filing a privacy or security complaint to the OCR had been a tedious process before July 2009. You arrange for a meeting with a professional named Alex, who files such complaints.

The next morning, you visit Alex and before anything else, you ask him to explain the new regulation for filing a privacy or security complaint. Alex narrates that on July 27, 2009, the Secretary of Health and Human Services (HHS) delegated to the Director of OCR the authority to administer and enforce the HIPAA Security Rule. He explains that this action improved HHS’ ability to protect individuals’ health information by combining the authority for administration and enforcement of federal standards for health information privacy and security. Those standards are outlined in the HIPAA legislation. Alex also emphasized the fact that with the new regulation, the process of filing a privacy or security complaint has become simpler and more effective.

After hearing all this, you say goodbye to Alex and decide to file the complaint by yourself. A major reason for this is your limited financial means. You start filling out the form and realize that certain sections need clarity. Ignoring all these facts, you decide to continue filling out the form. As you fill out the form, you start getting interested in the whole process of filing a complaint. To ensure that what you are doing is right, you decide to find someone to validate your work. After pondering for a while, you think of your Uncle Samuel, who is working as a legal advisor with a well-known law firm. You write to Uncle Samuel describing all that has happened and you send him the complaint form. You share with your uncle that you would be interested in understanding the entire process.

Uncle Samuel assigns you the following tasks before he helps you understand the process:

1.    Identify the early iterations of the HIPAA act and how the law has been modified to facilitate easier access to consumer complaints and enforcement.

2.    Identify specific sections of the form that need critical attention while filing the complaint

3.    Analyze the situations that one gets into if the critical sections are not well identified.

4.    Draft a brief summary, collating all your findings for your uncle’s review.

 

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Imagine that you are advising an investor who is considering purchasing bonds from the selected company. Analyze the types of bonds the chosen company issues, and make a recommendation to the investor as to which type of bond would provide the most value. Justify your response.

 

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Imagine that you are an entrepreneur. What type of business would you open? Would you know what types of permits were required to conduct your business and which government entities had jurisdiction over your business? If not, how could you find out?

 

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