...Professional Regulation and Criminal Liability HCS/430 January 6, 2015 Professional Regulation and Criminal Liability The trust and care of patients to health care providers has been on the decline for several decades (David A. Thom, 2004) Crimes committed by health care professionals, occur at all levels. Patients are more involved with their care, due to more accessible resources on the internet. Patients can research their physician criminal charges. The internet allows the patients to obtain health care information. In addition, the burden is on the health care providers. Although health care providers are aware they can review the criminal history, negligence still occurs. Despite the awareness of patient and health care providers, health care crimes, such as narcotics, are ongoing. This paper will discuss health care professional regulation and criminal liability. Health Care Professional Neurologist A Neurologist is a medical doctor who specializes in the treatment of the nervous systems, the brain, spinal cord and peripheral nerves (Educational Requirements for being a Neurologist, 2014). Dr. Lambry, a neurologist from Kaiser Permanente, stated “It takes approximately 12 years to complete your education, pre-med and internship.” The first step for potential neurologist is get a science degree, which averages three to four years (Educational Requirements for being a Neurologist, 2014). In their junior year, neurologist must take and pass the Medical...
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...is an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof. What would be considered a serious injury would be a loss of limb, or its function and, or loss of life. These events are called sentinel events because they require immediate attention from JHACO. The goal of JHACO in this area is to reduce injuries such as inpatient suicide, initiate the wrong surgery, fatal falls and infant abduction just to name a few. JHACO has established national safety goals for all health care organizations: • Improve the accuracy of patient identification. • Improve the effectiveness of communication among caregivers. • Improve the safety of using high-alert medications. • Eliminate wrong-site, wrong-patient, and wrong-procedure surgery. • Improve the safety of using infusion pumps. • Improve the effectiveness of clinical alarm systems (Franko, 2002). Therefore, if the rules are not followed by the health care organizations then they are in jeopardy of losing their accreditation. These standards are in effect to maintain universal standards nationwide in the event that a health care professional would like to work in different locations. They would be aware of the JHACO rules and regulation. The standards that any health organization must follow are any direct care related to patient safety addressing such issues as medication use, infection control, surgery and anesthesia, transfusions, restraint and seclusion, staffing and staff competence...
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...Affordable health care is a part of the “American dream.” This dream is slowly turning into a nightmare with “42.6 million Americans uninsured including 10 million children” (govspot.com, 2012). The needs of the current health care system need to be addressed and changes need to be made because many Americans are also underinsured. The issues that will be discussed are the level of current nation health care expenditures, whether spending is too much or not enough, where the nation should add or not, and why, and how the public’s health care needs are paid for and financed by various payers. The level of current nation health care expenditures is currently at $2.1 trillion. This translated into $7,026 per person and 16% of the Gross Domestic Product (GDP) (ajronline.org, 2008, pg. 1). 31% of this is for hospital spending, which is above the nationa health care expenditures. 5.9% for physician expenditures, which is currently lower than the overall expenditure rate due larglely to the 2% medicare fee for physicians. 19% for overall Medicare part D which caused a spike in prescription drugs. 8.8% in admisistravie fees, which grew faster than the overall rate because of the of the high number of members who joined the Medicare Advantage plan. Medicaid for the first time in history shrank because of the high number of people who enrolled in Medicare Part D. Heath care spending is to high and continues to grow, which means the health care growth rates continue to exceed...
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...Health Care Legal Case HCS 430 April 17, 2012 Health Care Legal Case There are many current legal issues surrounding health care in the United States. The primary one that is taking most people’s interests is the legalities of the Health Care Reform Act; however, I want to concentrate on an issue that is very controversial and sensitive for many, forced or involuntary hospitalizations. Involuntary hospitalizations are a common occurrence in the United States among mentally unstable individuals and also in a unique case, a pregnant female. Many states have laws which make it possible for people with mental illnesses to be involuntarily hospitalized when they could appear to be a threat to themselves or others around them. This might seem like it makes sense to keep people from harming themselves or others but what about keeping a pregnant woman hospitalized, against her will, and to keep her from seeking medical treatment elsewhere? Should that situation be legal and is it ethical? Samantha Burton was confined against her will for three day in a Florida hospital where she walked in on her own due to concerns with premature labor as she was in her 25th week of pregnancy (James, 2010). Burton was kept against her will by a court order which the physician she went to see obtained once there was knowledge that Burton was unwilling to be hospitalized for months as she has other children and also because she wanted...
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...1. Revenue Cycle 1.1. Who is responsible for revenue cycle functions? Describe each function by title. The revenue cycle begins with patient access. Patient access is responsible for scheduling, registering patients, obtaining their demographics and insurance information as well as collecting out of pocket patient liability. The director of patient access is responsible for this portion of the revenue cycle's function. Health information management (HIM) also plays a crucial role in the revenue cycle. The health information management department codes the accounts, enters charges, and ensures that documentation supports the services that were billed. The director of HIM oversees this area of the revenue cycle. Lastly, patient financial services are part of the revenue cycle. Patient financial services ensure that claims are billed to the payers and that follow up occurs on rejected claims to determine what needs to be done in order to resolve the issue and get them paid. This department is overseen by the director of patient financial services. 1.2. Create and attach a flow chart of the revenue cycle. See attachment A. 2. What is a Chargemaster/Claims Management 2.1. What is a Chargemaster? A Chargemaster is where all of Mercy Health's charges for services rendered within the hospital are located. 2.1.1. List the Components. The Chargemaster is comprised of: CPT/HCPCS/ICD codes, payer specific codes or insurance coverage code, revenue codes, pricing, and the Charge Description...
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...vanek-140512-620-thumb-620xauto-370865 Capitals forward Alex Ovechkin skates amid a drill at the group's preparation camp on Friday in Arlington, Va. In the first place year Capitals mentor Barry Trotz needs Ovechkin to turn into a more finish player and the initial phase, in the seat manager's eyes, is to recover the Russian objective scorer on the left wing. (Scratch Wass/Associated Press) Alex Ovechkin moved again to left wing by new mentor Barry Trotz As though he knew the inquiry was impending, Alex Ovechkin grinned when asked what his new mentor needs him to take a shot at. "On backcheck?" Ovechkin said from Arlington, Va. An alternate season, an alternate opportunity to discover whether one of the class' most gifted objective scorers can genuinely assist some all the more on resistance. The Washington Capitals opened preparing camp Friday with new mentor Barry Trotz, who says he'll work, as different mentors have before him, to make the three-time group MVP into a more finish player. On the off chance that Day 1 is any evidence, Ovechkin sounds prepared to be a co-agent understudy. "On the off chance that you need to be great," he said, "you need to chip away at everything." Step No. 1, as Trotz had shown at one time, is moving Ovechkin once more to left wing, turning around a seismic movement under past mentor Adam Oates. Ovechkin headed the NHL with 51 objectives keep going season playing generally on the right, however his in addition to short was less 35, and...
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...Weekly Overview Week One Overview Selecting a degree program is an important step in guiding your career. This week, you will look at the focus of the bachelor’s degree and how all the pieces fit together for your learning experience. A bachelor’s degree is comprised of 120 credits that include general education courses that provide a general foundation of learning. Courses in this area can include English, mathematics, history, and science. The remaining credits focus on coursework related to building your knowledge and skills in the business side of health care. In addition, you’ll look at how you can select a curriculum track or certificate to expand your career opportunities. What you will cover 1. BSHA Program Overview a. Describe the purpose of the BSHA program. 1) Program Description a) The Bachelor of Science in Health Administration (BSHA) Program is designed to integrate a framework of general education courses with a health care curriculum that prepares the graduate with the foundational knowledge needed to enter today's challenging health industry. The BSHA curriculum addresses the basic body of knowledge, understanding, and skills identified as relevant to an ever expanding and diverse health care arena. Coursework includes content in some of the following areas- management, finance, legal and ethical parameters, risk and quality management, human resources, and information systems. Upon completion of the core curriculum health care students...
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...Products No. 4097 HabiPLAST® Guides for roller chains and belts, extruded profiles and accessories Habasit - Solutions in motion Contents 2 Introduction Industries and applications Materials overview Materials technical data Notes Materials chemical resistance Guide profiles Roller chain guides Round belts guides V-belts guides Flat belts guides Metallic profiles for HabiPLAST guides Accessories for metallic profiles Extruded profiles for HabasitLINK and HabaCHAIN Machined profiles for chains C3200/C3210 Tapes in PE WS 01 Wearstrips kit Corner and straight tracks for HabaCHAIN® Notes Guides for HabaSYNC timing belts Services The Habasit Solution ® ® ® ® 3 4-5 6 7 8 9 - 11 12 13 - 21 22 23 24 25 26 27 - 48 49 50 51 52 - 55 56 57 - 61 62 63 Introduction HabiPLAST® Leader in production and sales of conveyor belts, year by year Habasit has developed a comprehensive knowledge in various sectors of production processes. To offer a more and more complete service, Habasit created the HabiPLAST® division, specialized in supplying of thermoplastic products for engineering and industrial applications like extruded profiles, machined profiles, sliding guides, wearstrips, plastic parts, ect. Industries and applications HabiPLAST® products are used in many industries like bottling, packaging, mechanics, chemistry, pharmaceutics, ceramics, glass, food, paper, etc. The new HabiPLAST® extruded profiles are the best complement for HabasitLINK® modular belts, HabaCHAIN® and HabaSYNC®...
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...Regulatory Agency Paper Sheronda Reed HCS/430 July 9, 2015 Tionette Jones Regulatory Agency Paper Agencies such as Government and Health Care Agencies are banded by law to provide each client with a safe and healthy environment. All information should be available about the agencies. In this paper I will talk about the role and quality health care provide in prisons National Commission on Correctional Health Care mission is to improve the inferiority of health care. NCCHS has offered health services since the early 1970’s.Other organization came together so that NCCHS could be independent to provide services that was needed at the facilities. NCCHS offers a lot of superiority health services. NCCHS is accredited and has been since the 1970.They offer different treatment programs and is the only accrediting agency in the prison that offers Substance Abuse and Mental Health services. NCCHS has educational program that has been successful since1977. NCCHS educate physician nurses, psychologists and other workers through education. The program consist of a 100 hours that is required each year for education purposes. There are other programs such as the CCHP Certification provides certification to all the correction professionals. CCHP-MH is dictated to providing certification to mental health workers in the prison. CCHP P Certification is designed to recognize special skills for physicians in the correctional health care. CCHP-P program is use to help doctor practice in the correctional...
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...Nursing Home Abuse Vicki Jones HCS/430 January 21, 2012 Nursing Home Abuse Elder abuse is a serious problem that affects thousands of elderly citizens each year. Nursing home abuse happens in many forms and is all damaging in one way or another. Nursing home abuse can be in form of emotional, physical, financial, homicide, sexual, neglect, inappropriate restraints, isolation, verbal, and intimidation (Nursing home abuse center, 2010). One of the biggest forms of abuse in nursing homes is neglect. Neglect can happen because of lack of training of staff, overcrowded facility with lack of aids to care for patients. When staff become overworked and have more patients to care for then they can handle they sometimes cut corners, and this results in neglect. Falls are one of the biggest problems in nursing home assisted living facilities. If a nursing home is under staffed and overcrowded with residents there might not be adequate aids to ensure that residents with walking issues are getting the help they need to get up and down. A well run nursing home should be able to prevent most falls staff should ensure all environmental issues are taken care of like wet floors for instance. Neglect is a serious condition and usually results in the decline of general health of the resident. Families can ask questions if they notice family member is not being treated right, or consistently show signs of bruising, abrasions, or cuts. Ask other residents if the family member has...
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...Article/Case Law Search HCS/430 February 4, 2013 Vanessa Williams Article/Case Law Search The aftermath of the 9/11 in 2001, has left the United States of America in frenzy. It is this particular event that has been devastating to our nation and unforgettable. Furthermore, stressing the importance of the safety and health of the general public. September 11, has caused federal and state governments to merge public health and public safety into one. This merger brought about the significance of public health preparedness. In other words, this merger created ways in which we can protect the country against future terrorist attacks and the precautions that we must now take to ensure that our nation and its people are protected (Annas, 2012). The United States Supreme Court now upholds the merger. But where problems begin is in the area of routine strip searches of those who are arrested (even those who commit a minor crime such as, not wearing a seat belt) before being confined to either jail or prison. The U.S. Supreme court had to whether or not these routine strip searches were a violation of the Fourth Amendment. According to Walenta (2010), the Fourth Amendment states: “The right of the people to be secure in their persons, houses, papers, and effects, against unreasonable searches and seizures, shall not be violated, and no Warrants shall issue, but upon probable cause, supported by Oath or affirmation, and particularly describing the place to be searched, and the persons...
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...prison healyh care paper Prison Health Care Paper Tinamarie Edwards July 11, 2012 HCS/430 Legal Issues in Health Care: Regulation and Compliance Terry Matherne Introduction Prison health care is caring for the inmates in prisons and correctional facilities around the United States. Even though a prisoner is incarcerated does not mean that a prisoner should receive any different care than a person outside the prison. The federal prison population around the United States was 217, 806 (U.S. Department of Justice, 2012). The federal agency that would handle the health care is the National Commission of Correctional Health Care (NCCHC). This agency was created in the early 1970’s as a result of a study done by the American Medical Association, which proved the correctional facilities had inadequate health care for the inmates (National Commission for Correctional Health Care, 2012). The study also showed the correctional facilities did not flow national standards as far as the health care to the prisoners. The mission of the NCCHC is to improve the quality of health care provided to inmates and the commission has the support of several other organizations such as the Academy of Pediatrics, The American Dental Association, The American Medical Association, The American Bar Association just to name a few. Structure of the Agency The structure of the agency is very important for the agency to continue the mission of the organization. The organization...
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...Article or Case Law Search Paper Maria January 27, 2014 HCS/430 The article that I have read and did my research for the article case law search is about a hospital in New York will have to pay $2.3 million dollars for overbilling the Medicaid program. Two Westchester County Hospital had overbilled the Medicaid program of $70 million dollars by improperly approving home care for Medicaid patients. The Attorney Generals Medicaid Fraud control Unit found out that the two hospitals were billing Medicaid beyond the cost of the drugs and made more than over a million dollars in profit. Both or the hospitals never admitted or denied the accusation. They decided to pay twice the fine that was against them. About 145 New York providers which includes the hospitals, physicians, group practices and individual practice have paid back an estimating amount of $19.9 million dollars back to the Medicaid Fraud Control Unit. Some health care leaders have brought up an important message regarding mistake with billing should be considered a fraud or not. In the article this is how t "A label of fraud is really not accurate and can discredit the institution in the community," Northern Metropolitan Hospital Association President and CEO Kevin Dahill told the Journal News. "Hospitals participate in these audits and agree to the findings. If they make mistakes, they correct them. That's not fraud," he said (Caramenico, Alicia; 2012, 4). In my opinion I don’t think that a mistake in billing...
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...Summary of Research for Legal Project Presentation Tammy Fergerson HCS/430 7/15/2012 Edna Wilkerson The Center for Disease Control provides leadership, guidance, and research to help control the Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS) epidemic by working alongside the communities on a state and national level. They are also partners with other countries abroad in research, surveillance and evaluation of activities among the world’s population. The activities monitored are critical to CDC due to the estimated 1.1 million Americans infected with the disease. Some of these infected populations do not know they are infected and the number increases each year. CDC’s programs help improve the medical treatment, care and outside support for individuals living with the disease. HIV/AIDS control factors and prevention is focused on individuals that do not have the virus. CDC wants to prevent the spread of the HIV/AIDS by placing the emphasis on preventing the transmission by infected people. “Ongoing, brief prevention counseling is a cost-effective measure that can be incorporated into routine care for individuals living with HIV. Prevention IS Care therefore includes tools for medical care providers to use on a daily basis with those patients who are living with HIV. Informational posters and patient education brochures develop patients' knowledge about HIV, facilitate open dialogue and information exchange, and strengthen patients'...
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...Chandra Brazier, Natasna Jiggets, and Susan Wallace November 30, 2014 HCS/430 Ann Nevers It is the policy of this organization to not base its hiring practices on any form of discrimination. Types of discrimination that is not tolerated include age, disability, equal pay, nationality, pregnancy, race, color, sex, veteran status, and religion. This organization also prohibits any act of retaliation and any form of harassment (“Laws & Guidance”, n.d.). Organization’s Position in Response to Non-discrimination Issues We do not tolerate any offensive behavior or intimidation of an employee based on the above types of discrimination. Any employee should avoid conducting themselves in a manner that could subject their fellow employees to any act of humiliation or embarrassment. Any employee who believes he/she is being subjected to any violation of this policy should immediately contact any trusted member of management. It is also appropriate for the employee to tell the person engaging in such conduct to stop if he/she feels comfortable doing so. Once this organization receives a report of discrimination or harassment, a thorough investigation will be conducted. Appropriate action will be taken. It is against this organization’s policy for any employee to retaliate against another employee if a report of discrimination or harassment has been made. All complaints will be taken seriously and all information and interviews will be handled as confidentially as possible and all information...
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