Discuss the pros and cons of being a whistle blower. If you were aware of fraudulent issues in your healthcare organization why would you NOT report the issues?

Research Project “A”– Due Week 3, Day 1:

What are the critical healthcare policy issues related to [1]access to care,[2] cost of care, and [3]quality of care within an organized hospital system? Research and Evaluate this question from the perspective of EACH of the following:

1. A hospital administrator

2. A physician

3. A patient

4. A politician

5. A tax payer

6. Board Member

7. Staff

Be sure to LABEL each part of the answer.

See Rubric for detailed instructions.

Research Project “B” – Due Week 5, Day 1

Surgical site infections (SSIs) are a big issue which generated unnecessary deaths, unnecessary readmissions, and increased costs to your health organizations. YOU are the Chief Safety Officer (CSO) of an Ambulatory Care Facility. YOU were assigned by the Chief Executive Officer (CEO) to develop a Continuous Quality Improvement (CQI)plan to improve the facility’s surgical Site Infections (SSIs) that has increased from 7% to 12% in the last quarter.

Prepare a presentationto present to the CEO and Medical Executive Committee (MEC). Include the following:

Title page and Reference Page
Introduction
Description of Current issues with SSI [Research required]
Discussion of the financial impact of SSI [Research required]
Your facility’s SSI data AND comparative SSI data [Research required]
CQI plan to improve your facility’s data [Research required]
Conclusion
Be sure to LABEL each part of the answer.

See Rubric for detailed instructions.

The four basic functional components of the U.S. health care delivery system include
· financing,

· insurance,

· delivery; and

· quality.

Review four (4) DIFFERENT pieces ofnew [2011-2012 ONLY] or pending legislation related to health care at the local, state, or federal level, one for each of the four components [One legislation for finance, one different legislation for insurance, one different legislation for delivery, and one different legislation for quality] of the U.S. health care delivery system. NOTE: DO NOT include the Obama Healthcare Plan!

Be sure to include the name and number of the Bill, plus who, when, what, and why of EACH chosen piece of legislation for the four [finance, insurance, delivery, quality] components:

· The BILL: BOTH the Name and Bill/legislation number,

· The WHO introduced the legislation [Complete name of person NOT organization or lobbyist],

· The WHEN it was proposed or enacted [complete date within the Year of 2011-2012 ONLY],

· The WHAT the legislation is about, and

· The WHY this legislation is needed.

RE-STATE and then Answer the 2 follow up questions:

1. Which of these components is more important than the other three? Why?

2. What type of organization would best lobby for your chosen component? Why?

MAXIMUM length: 8 pages.

Be sure to LABEL each section and include an introduction, conclusion and appropriate sources properly cited and referenced. See rubric for specific details.

FYI: A table or chart format is recommended but not required.

The assignment is due on Day 1 of Week 7.

week 1
An aging population, an increased demand for chronic long-term care, as well as an trend toward the development of new technologies that support alternative delivery systems (ADS) have all decentralized medical decision-making and embraced private innovations inhealthcare for senior citizens and taxpayers. As the Chief Executive Officer (CEO) of your facility, discuss the implication (both positive and negative) of decentralized medical services on caring for an increasing aging population and increased costs of new technologies. Name at least two strategies that may keep your organization viable.

week 1 reflection

Reflect on the week’s activity andanswer the following question: Do you believe today’s consumers are more informed about the disease process and its treatment or are they relying too much on media to provide viable treatment suggestions? Defend your answer.

week 2
The False Claims Act contain qui tam or whistleblower provisions.Discuss the pros and cons of being a whistle blower. If you were aware of fraudulent issues in your healthcare organization why would you NOT report the issues?

reflection

Reflect on the week’s activity andanswer the following question: If you were aware of fraudulent issues in your healthcare organization, do you agree that reporting such an issue should be mandatory and should penalties be imposed if the fraudulent activity is not reported? Defend your answer.

week 3
The burden of rising healthcare costs is more disconcerting to rural healthcare organizations. With that in mind, how does rural tele-health efforts keep up with that of the urban tele-health movement.

reflection

Reflect on the week’s activity andanswer the following question: What part does Healthcare Information Technologyplay in healthcare reform?

week 4
The textbook indicated that “inpatient care will diminish and hospitals are likely to downsize with continued advances in medicine.” The text also stated that the hospital “…will play a very different role in the future as part of an integrated collection of providers and site of care.” Describe what the hospital of the future looks like. Are hospitals important community assets that should be maintained at any cost? Or should they be allowed to close if they are not financially viable?

reflection

Reflect on the week’s activity andanswer the following question: Research has indicated that although the government is aware of possible infectious epidemic attacks [For example think Eboli], local healthcare systems are not prepared to respond to this type of bioterrorist attack. Why is this a true statement?

week 5
In spite of nursing’s vital importance to hospitals, nurses face excessive paperwork, managerial and staffing responsibilities, as well as supervision of lesser trained techs and aides. These tasks [and other duties as assigned] require an inordinate amount of time spent in functions other than direct patient care. These frustrations are combined with long work hours, stagnant salaries, and other difficulties. As the Chief Nursing Officer for your health organization, provide three [3] possible solutions to these growing issues.

reflection

Reflect on the week’s activity andanswer the following question: Congress is cutting hospital reimbursements, and hospital systems are merging to survive. Ambulatory care settings provide healthcare on an outpatient basis. In fact more than half of all surgical procedures are now performed in ambulatory surgery facilities. How has the quality of patient care been affected by these unconventional ambulatory healthcare settings?

week 6

Healthcare materials manufacturers and distributors are moving from a supply oriented service to value oriented service and supply process. Why? Explain the difference. To assist facilities in managing rising costs, a reduction of cost is necessary. However, this reduction comes at the expense of the patient/client. Why does cost reduction hurt the patient [or does it] and is this transition from supply to value oriented service really necessary? Defend your answer.

reflection

Reflect on the week’s activity andanswer the following question: Combining Patient laboratory results from various locations [testing sites] with clinical information from other disciplines and sources is a challenge. How can healthcare organizations successfully manage all of this clinical data and maintain patient confidentiality?

week 7
Find and summarize in 1 – 2 paragraphs an article that best describes your hope for the future of healthcare in the USA. For credit be sure to attach the article or article link [NOT website!] Remember; No article – No points!

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