Analyze the legal and ethical impacts that managed care practices have had on quality and access to patient care.

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 worth 200 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.

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