...Jessica Turner Administrative Ethics Paper Katherine Rossiter HCS/335 9/21/2013 One of the current administrative issue that is arising in the newspaper regarding patient privacy is the ability to email your physician. While technology is constantly growing every day to ability to email your physician is more convenient and getting direct results is more convenient then awaiting his phone call but is this always the most ethical decision to make? Hackers breaks into computer systems each and every day even though the fire walls are built to reduce or eliminate occurrences that happen due to the growing technology this isn’t always the best decision. This issue goes hand and hand with the ability to have patient records stored electronically while this is currently present in most hospitals the issue that occur is that anyone have access to the patient records within and outside the hospitals and numerous of other locations. The ability to share patient’s records to other hospitals via online has decreased the patient privacy dramatically. I am going to get into the issue and its impact on the population it affects most. I’m going to get into different viewpoints arguments or facts that are used in the article to support the proposed solution. I’m going to get into some of the ethical and legal issues reported for my administrative issue. I’m also going to explain the managerial responsibilities related to administrative ethical issues. And lastly I am going to identify...
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...Question Privacy laws and regulations require medical facilities to take measurable steps to ensure the confidentiality of patient information. From this case study, can you tell what Denver Health has done to ensure the confidentiality of its patient information? Your answer Denver Health did create security measures to ensure that only the proper people can access the information. Doctor’s and nurses when they first arrive to work they sign on by inserting a smart card which contains that doctors or nurses credentials, once the smart card is inserted the end user still also has to supply their login and password. The help ensures that if a card is lost or stolen a random person or a different doctor or nurse is not able to use and look at other patient information. Question Think about your school. How could it use the ThinIdentity solution to support the needs of (1) faculty and (2) students such as yourself. Your answer Columbia College could put in place something similar to what Denver Health did. In this type of solution it could be a one stop shop for both students and faculty for anything that is Columbia College related. Both students and faculty could use it for quick access to student records. As a student I could then see if what classes are open, if any are available to audit, etc. all from the thin client. It would also allow for the faculty to have greater manageability. Question In thinking about cloud computing (focusing on the public cloud), what...
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...Identify any proposed solutions. When a nurse becomes overwhelmed, they may turn to narcotics like in this case. The nurse was putting the patient’s health at risk to help her get her drugs. She would chart the patient was given the drug but in turn she was giving them saline and was taking the drugs herself. It was a flexible nurse so she didn’t have certain rooms with specific patients. The pharmacist was the one who actually figured out there was an increasing amount of narcotics signed out and the signatures were questionable. Confidentiality became an issue in this situation. Since two nurses knew of the situation and confronted the nurse about getting help. But one nurse stated all the nurse had to do was complete rehabilitation during her leave. The other nurse supervisor wanted to have a meeting with other members to discuss how it needed to be handled, let the other staff members know what had gone on and see if they know anything but didn’t say anything. Also reassuring the staff that a problem had been found and it was taken care of. To show that administration was committed to taking care of their employees and patients also run a safe practice. In certain cases such as the one, there may be circumstances that maintain the confidentiality Act places legal protection on some information. The supervisors need to consider the moral reasons for keeping information confidential or revealing...
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...The New York Times article “When Med Students Post Patient Pictures” Cohen (2011) describes a situation in which a medical student posts a comical picture of a patient with rebar in his abdomen. The student uploads the picture to Facebook with the caption “a 5-foot-9 Hispanic male walks into a bar” (para. 1). Additionally, the article states that battlefield humor is a common response by many medical professionals, but this does not diminish the doctor-patient privilege of confidentiality. Even though no identifiable patient information is on display, Cohen (2011) indicates that “the chances of that happening increase as the injuries depicted grow more grotesque and less commonplace” (para. 2). Although one can easily surmise the medical student’s actions are both illegal and unethical, his or her actions have further-reaching implications. Facts Legality Like Cohen, Hernandez (2011) agrees “the weirder and more specific the facts, the greater the chances are of identifying who’s involved” (para. 3), and the poster violates the AMA Code of Medical Ethics “which these future physicians ought to emulate” (para. 5). The American Medical Association (AMA) has many Opinions in its Code of Ethics in regard to the protection of patient privacy. However, there are three Opinions that exemplify the need for patient confidentiality. First, Opinion 5.045—Filming Patients in Health Care Setting clearly states “filming patients without consent is a violation of the patient’s privacy”...
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...Technology and Health Care Paper The product that I chose to use is the virtual physician visit. This visit would be structured to finance standard care for any patient with trivial sicknesses.Patients would be able to log onto a specified website where they would be able to openly communicate with a physician. After logging in and connecting with a physician, the patient would be able to communicate the symptoms that they are experiencing to the physician via instant messaging or leaving an email and waiting until a physician can respond to their concerns. This will allow the physician to make a diagnosis and send a prescription to the patient’s pharmacy if needed or provide the patient with specific instructions for care. If it is determined that the symptoms are more serious than the patient expected, it may be required that they go to a local hospital or urgent care to be assessed to ensure that it is nothing more serious than anticipated. This way, if the physician is unsure, the patient s not placed in grave danger for anything further to take place. The service is cost effective and paid online with a patient’s credit card which is initially less expensive than a doctor’s office visit in most cases and gives consumers around-the-clock care without having to leave their jobs or homes. Not only is it cheaper but it is more convenient. According to Robert L. Smith, Virtual care is a form of communication whose time has come and can be instrumental in fixing our current...
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...Manual Vs. Electronic Scheduling 2 In the world today, technology is an imperative part of our lives and hard to function without for most. Technology is the new era in our current generation. Instead of doing things manually, the computer has always been my first option. Computers are convenient, combined with the internet, they can be a great asset to us and we have achieved a lot from them. Although computers are nice to have, we have to think about the complications that they can bring upon us. Computers are liable to crash, shut down, or become subject to the intricacy of hackers. When doing things manually, you can never fail or have to depend on the computer. On the other hand, one has to take into consideration human errors and the need for excellent record keeping. It may take a lot of hard work to get things done manually, but it will always be a great back up to rely on. The only option to fully understand the benefits from either, would have to be discussing the pros and cons for both. There are pros and cons to electronic and manual scheduling. When scheduling electronically, for most, it is easy to use, convenient, and reduces the need for paperwork. Electronic scheduling is in popular demand. According to (Appointment-plus, 2012), “electronic/online scheduling gives the people the power to book their appointments online, it can generate automated emails and reminders reducing the need for clients to continually call...
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... however, her situation could worsen. Fetal distress is not currently critical, but it has been increasing gradually, as has RB’s own distress and fear. We have been keeping a close eye on her. I'm not sure her parents understand how dangerous her situation could get because RB and the baby may be moving toward irreversible medical danger if some intervention is not made. Ethical Issue #2 Presented During my Shift One of our ICU's patients, AT, has been unconscious for nearly a day and as yet no definitive diagnosis has been reached by doctors. AT was brought to the hospital by his domestic partner, YM, who was with him while he was in the ER, but was prevented from visiting him in the ICU by CB, the shift supervisor for the day shift. Hospital policy states that domestic partners are to be treated as married couples, for the purposes of access and, most importantly, when it must be determined who can make medical decisions for a patient unable to give their own consent. How can I best to assure the access for gay partners of Seva's patients on equal footing with straight couples? Decision-making...
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...paper, I have chosen to apply some concepts about my previous employer QS with the change of new management. The particular place was managed by someone who had a four year degree in management. The office had a doctor and nine other employees. The doctor, who was the owner of the practice, did not have any management skills and wanted things to go her way or no way. The manager was trying to implement policies that would keep the employees from leaving and also keep the patients coming in the door. There were large number of negative comment cards and also a high turnover. The ultimate problem was getting the doctor to see things the manager’s way and not her way. Application Analysis The first problem was the moral in the office. There was employee going up to the manager all the time talking about how they can’t work with the doctor, because she always have to complain about something and she was never happy. The patient could tell when she was upset because the way she presented herself to the patient and it was not pleasant. The manager would go around smiling to the employees and patient to let them see something different that may make them want to start smiling. When you implement new things, you are trying to seek a different result. The doctor felt like the manager was gaining...
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...coding errors are incorrect dates; this can cause patient information to be billed or sent to the insurance provider to soon or may be late. Double billing happens more often than not. It is sad that it has to happen this way; I believe it is caused by computer errors or misplaced information. If double billing occurs you can credit the doubled amount back to the patient if the patient has paid both amounts. There are also typos that can happen that can happen on a patient’s bill and may cause issues for the insurance carriers, the payers or the patients. The solutions to these billing and coding errors. If the errors occur on your bill, patients can review their billing statements and contact their doctor office. Or they can send a written response asking for the proper information. For typos they can call and provide the correct information and hopefully get a good response from the receptionist. If billed twice for the same amounts they can request a credit for the double charge with proof that it had happened. All coding policies come from the proper coding guidelines of the national medical societies. Thousands of coding and billing combinations are used for checking all patient claims. Correct coding initiative is able to prevent...
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...Organizational Design HCS/514 November 13, 2012 Introduction This paper will examine the internal and external factors that have had an effect on shaping and defining an organization that I previously worked for. It will also examine how the need for additional accountability has affected the behavior of the organization. One of internals factors that has affected on our organization was communication. Since we were a small company (one physician and four employees), good communication was key. We had to keep relationships open and strong. We depended on our monthly meetings, training literature and the reviewing of policies to keep us current on issues and to ensure we were all on the same page. When you "provide sufficient instructions to your subordinates, you enable them to do their jobs effectively" (Baldwin, 2012). It was also helpful during the meeting for the physician to periodically review the overall goals of the company. This would help to keep us focused on the important things, which sometimes could be forgotten in the daily rush of performing our jobs. We appreciated being filled in on changes and current events in the health care industry and having the chance to voice our opinions. We seemed to stay happier and more upbeat when we were communicating well and being considerate toward one another's needs and opinions. It was important to treat each other with respect and let each other have their turn to discuss...
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...KAMINI MURUGAN PERSONAL SUMMARY: An enthusiastic, hard working and competent healthcare professional who possess the required level of nursing experience needed to deliver high quality, customer focused, and clinically effective patient care in a modern well equipped clinical setting. Key qualities include being able to continually assessing a patient’s needs and wishes, coping with frequent interruptions in high pressure situations, and being able to respond quickly to emergencies. Having a real passion for nursing, with a strong desire to provide the highest level of care & service to patients. WORK EXPERIENCE • Flacq Hospital ( Year 2005-2009; General Nursing) • Moka Hospital ( Year 2009-upto now; Ophthalmic Nursing) |REGISTERED NURSE June 2008 – Present | | | |DUTIES: | | | |Meeting a patient’s nursing...
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...and Medical Assistant deal with patients. Home Health Aide is you’re going to the patient’s home and helping them with their personal stuff. This is what you need to do: if they did assistance with bathing, getting dressed, cleaning and cooking for them nutritional meals. Some patients need more assistant than others. Home Health Aide’s go with their patients to doctor’s appointment and also need to do food shopping and laundry. Their job is to be personal assistant for a couple of hours or 24 hours. Medical Assistant is more intense because we work in private practice or hospital. We are like nurses. We do Clinical and Administrative job, we draw blood, EKG, help the doctor in procedure, e-script prescriptions at doctors order, give appointments, do verification of insurance etc. Our job as a Medical Assistant can vary in depending on size of the practice and the amount of work the physician’s choice to give us. Also we are responsible in keeping information confidential and only discuss it only with other Medical Assistant personal who are involve in treating the patient. We deal with electronic charting for the patient could have their chart all together and it is paper less and now they can see their chart online. We also help the patient to feel ease in the physician’s office and explain what the physician orders. I liked working as a Home Health Aide, but I love being a Medical Assistant because I meet every day different patients and help them every day with them...
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...compensation, and billing guidelines this is how the plan is broken down into parts. What the plan pays, the physician fees are typically higher. The provider may still experience less revenue because the plan brings in more patient, providers also check to see if the plans protocols hinder their judgment in what treatment they give the patient. They can get more exposure, depending on the plans the providers participate with because some plans want the physician name to be advertise through the newspaper, radio, and television. It could increase the revenue for them because this would be an extra benefit to the provider. With a fee-for-service plan, the main problem is preventive care not covered. The patient can see any provider that they would like to visit. The providers are paid for all test and procedure on the patient, and this is another benefit. The most usual or common charges for these procedures and how often the procedure is performed are based on the amount that has to be paid. With the discounted fee-for-service, the physician takes the hit of receiving less money from the plan because they have negotiated at a lower rate. The physician is forced to treat the patients cost effectively instead of doing things that unnecessary, and if the patients is seen more than what is paid for the physician takes on that...
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...Dr. Goldman took a very important step by putting his failures out on the table - a step that more doctors need to be encouraged to take. His early perception that memorizing every muscle in the body and knowing the symptoms of every disease will prevent any mistakes is not uncommon in healthcare. There is no doubt that part of the prestige associated with being a doctor is that they are somehow super-human. Doctors are so heavily relied upon because they are expected to know about every detail about every disease and its treatment. When you go to a doctor, you don't expect to receive anything but the very best possible care. The harsh reality, however, is that doctors are just as human as the patient they are treating, and therefore are susceptible...
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...DIAGOSIS DATE DIAGONSIS TIME PATIENT PATIENT ID PATIENT NAME PHYSICIAN PHYSICIAN ID PHYSICAN NAME DEPARTMENT HOSPITAL MANAGEMENT SYSTEM FACILITY POLICIES BUSINESS RULES P1) Assigned N Nurse In Charge Contains Has Includes Assigned a PATIENT BILL ITEM BILL PHYSICIAN BILL TAX Admits Performs P2) 1. A HOSPITAL MANAGEMENT SYSTEM may contain one or more CARE CENTERS or may not contain no CARE CENTERS. A CARE CENTER which is a part of one and only one Hostiptal management system. 2. Each CARE CENTER has one or more STAFF.Whereas for every CARE CENTER has one STAFF assigned as a nurse in charge. Hospital STAFF are assigned to work in one or more CARE CENTERS. 3. Every CARE CENTER will contain one or more WARDS. Each WARD is assigned a WARD number. Each CARE CENTER has any number of WARDS but every WARD has one and only one CARE CENTER. 4. PHYSICIAN may perform multiple TREATMENTS for multiple PATIENTS. Conversely, PHYSICIAN may perform no TREATMENT for no PATIENT. 5. Some patients are outpatients therefore some may not be assigned to a WARD. Conversely, a WARD may or may not be assigned to a PATIENT. It is not mandatory to assign ward to every PATIENT. 6. A PATIENT may consume any number of EQUIPMENT or may consume no EQUIPMENT. 7. For every EQUIPMENT used by the PATIENT it as to be in the PATIENT BILL. For every PATIENT there should be a PATIENT BILL. 8. A PHYSICIAN may...
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