Jan 17, 2018

Evaluate the changes in clinical research protocols that have been promoted by AIDS activists, and identify the potential implications of these changes.

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devry hsm542 week 2 Written Assignment latest 2016 may

Read the You Decide scenario in Week 2. Prepare a 2- to 3-page (double-spaced) paper analyzing the key issues in this case, and stating a recommendation. Check this week’s You Decide tab for detailed instruction.

Submit your assignment to the Dropbox, located at the top of this page. For instructions on how to use the Dropbox, read these .equella.ecollege.com/file/8ff9f27a-3772-48cf-9855-4bec4e6706bf/1/Dropbox.html”>step-by-step instructions.

Please
Just Turn This Thing Off!

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 Whitson

Patient, Female

Rana Vijay, MD

Cardiologist, Male

Jane Robison, MSW

Social Worker, Female

Cindy Mackin, CNHA

Rehabilitation 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.

  1. 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.

devry hsm542 week 3 Written Assignment latest 2016 may


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.

devry hsm542 week 4 Midterm latest
2016 may

1.

Question
:

(TCO G) Negligence is defined as
a failure to use ordinary or reasonable care, which leads to patient harm.
In a healthcare setting, a charge of negligence can be brought against both
physicians and organizations in the same lawsuit. Describe elements of
negligence that an attorney would have to demonstrate in a typical medical
malpractice case.

Question 2.

Question
:

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

Question 3.

Question
:

(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.

Question 4.

Question
:

(TCO B) Discuss two legal
cases that have impacted abortion in the United States. Describe the
specific ethical issue that was impacted by the outcome of the case.

Question 5.

Question
:

(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?

devry hsm542 week 5 Written
Assignment latest 2016 may

Written Assignment

Read the You Decide scenario in Week 5. You have been asked by the hospital CEO to give her a briefing on the patient situation and alternative actions that may be taken to ensure both that the rights of the patients are preserved and that 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 involved with the scenario. The strategies and recommendations should be as specific as possible and should include the resources needed for implementation. Your primary text and journal and/or website research must be used as a reference to support your analysis.

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

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.

ave 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.

e 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.

devry hsm542 week 6 Written
Assignment latest 2016 may

devry hsm542 week 6 Written Assignment
latest 2016 may

Read the You Decide scenario in Week 6. You have been asked by
the hospital’s board of directors 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 be implemented, and
strategies to overcome some of the hospital’s deficiencies. Your primary text
and journal and/or website research must be used as a reference to support your
analysis.

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

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.

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.

e 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.

devry hsm542 week 7 course projectlatest
2016 may

.equella.ecollege.com/file/eb146b74-c71d-4c10-94d2-9802720d9406/5/HSM542_CH_CourseProject.html”>Course
Project

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 TCOs will be
considered, but only as approved in advance by your instructor.

Deliverables

The course project is worth200 points(100 for the final paper and 100 for
the presentation) and is due in Week 7. See the Syllabus section “Due
Dates for Assignments & Exams” for due date information.

· 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.devry.edu/”>http://library.devry.edu/.

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.)

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 specifically. 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:

o Have you indicated an awareness of the problem of implementation
(the “how” aspect)?

o 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.”

o 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.

o What aspects of the problem remain unresolved by your solution?

o Does your recommended solution and its implementation plan
address the problems or issues and their causes identified in the previous
sections?

o Does your solution consider and resolve the identified pros and
cons?


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