Each question is to be answered thoroughly with all sources cited. You can use the links to assist with questions, or other sources via web.
1. Reflect on what you learned in this course. What did you find the most useful for your future health services manager career? How does healthcare strategic planning change with time and technological development? How are the entry and middle-level managers involved in the strategic planning process? What is their responsibility level? How did this course help you add value to the organizational role you plan to pursue?
#1 link: https://hbr.org/2013/05/health-cares-service-fanatics
2. Patients have a bill of rights. Patients also consent to care and have a right to self-determine their care. Those who care for patients are to keep information protected.
Select one of the patient rights (ethical or legal issues) from:
Discuss with your colleagues the right, the legal and/or ethical basis for this right and how this translates into responsibility for a specific health service organization setting. Provide two specific real life legal case examples that you find on the internet or in the print media. Examples: assisted living facilities for disabled, long term care facility, a home care nursing association, a small physician practice, a hospital, a rehabilitation center, or a first responder/ambulance. Remember:
— The patient right (with proper legal citation);
— The setting; and
— The health care organization’s responsibility.
#2 link: http://www.healthsourceglobal.com/docs/patient%20bill%20of%20rights_merged.pdf
3. Health care fraud is a form of white collar crime. It involves filing illegitimate health care claims to turn an illicit profit. The 3 major laws that protect against healthcare fraud are the Anti-kickback statute, Stark, and the False Claims Act. From the readings and independent research, find one (1) specific real life legal case example of how kickback arrangements would violate the Stark Law. In addition, discuss with your colleagues how the kickback arrangements could violate trust between provider organizations and patients. From the readings and independent research, find one (1) specific real life legal case example of a breach of the False Claims Act by a health-related organization. In addition, discuss whether health care organizations are properly equipped to ensure compliance and minimize exposure risks. If not why not?
Medicare Fraud and Abuse: Prevention, Detention, & Reporting – https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/fraud_and_abuse.pdf
4. Health executives have a code of ethics and policy statements which guide their behavior. Examine one of the policy statements provided by ACHE.org and comment on how this code may differ in nature than the health care provider codes. Be specific. Do you see any ethical issues emerging out of health care reform yet are not consider in the ACHE documents?
Standards for Ethical Behavior Among Health Care Executives- http://www.ache.org/ABT_ACHE/code.cfm
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