...Government regulation is a rather complex system that helps in providing better protection to the individuals wellbeing or to their environment. Health care regulations are necessary and implemented at all levels of government in order to better protect those that are seeking health as well as the health care organizations and the providers that deliver health care. These regulations help to ensure the delivery of quality health care for individuals and their families. In addition to the quality of the health care being provided, the right balance of government regulation also helps to produce more of the outcomes that we desire (Guterman, 2017). The key is finding and implementing the right balance of government regulation for the...
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...Health Care Law and Regulations University of Phoenix Louise Underhahl HCS 545 Health Care Law and Ethics 2012 Health Care Law and Regulations One of the areas that are currently affecting the Health Care industry is Regulatory agencies. There is much dissatisfaction over the current state of healthcare in the U.S. Within all of our organizations, regulatory agency surveys are conducted to better the organizations as well as its employees. The purpose of the regulatory surveys is to focus on the areas that need improvement as well as promoting better health care access to the people in the community. Regulatory agencies serve as authority as well as enforcement to regulate laws from the government. Some examples of regulatory agencies are Food and Drug Administration (FDA), Agency for Healthcare Research and Quality (AHRQ), and Occupational Safety Health Administration (OSHA). There are many examples of laws and regulations that are currently being faced in health care. Analysis of health care laws and regulations help one understand their influences on the provider. There are many ways that laws and regulations affect our lives and community. The FDA is responsible for the oversight of drugs, medical devices, vaccines, blood products and biologics, establishing rules for testing, clinical trials and approval of new products. The AHRQ is a federal agency under Health & Human Services working to improve the quality, effectiveness and safety of health care...
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...Health Law and Regulations Stephanie Sauceda HCS/545 March 17, 2014 Mary Cummings Health Law and Regulations Health care in the United States has changed over the years and the federal government saw need to establish regulatory agencies such as the Centers for Medicare & Medicaid Services (CMS) to ensure the elderly, disabled and low income receive quality and cost-effective health care. As a result of health care costs sharply increasing, the government determined it needed to have oversight on the health care industry and pushed for the establishment of managed care organizations (MCO). CMS enforces the Emergency Medical Treatment & Labor Act (EMTALA); this act was created to ensure health care organizations provide a minimum of a medical screening exam to determine if complaint is emergent or not. Most importantly for EMTALA is the obligation to treat emergent cases regardless of the patient’s ability to pay for services. In 1996, the Health Insurance Portability and Accountability Act (HIPAA) was approved by the United States Congress to regulate the use of and protect patient health records and the Department of Health & Human Services oversees the compliance and violations of HIPAA (Department of Health & Human Services, n.d.). The intentions of many of these regulatory agencies is to oversee that the health care industry is providing quality, affordable health care and treating patients with fairness and privacy. In 2008, the Centers for Medicare...
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...Health Law and Regulations Paper Veronica Jenkins HCS/544 May 26, 2014 Professor: Kelly Gantt In the health care industry, regulations play an important role “Through various regulatory bodies, the Department of Health and Human Services (HHS) protects the public from a number of health risks and provides programs for public health and welfare” (fiercehealthcare.com). Implementing these two helps protect health care agencies and also regulate public health on every level. “The Centers for Medicare and Medicaid (CMS), founded in 1965, oversee most of the regulations related directly to the healthcare system” (fiercehealthcare.com). CMS provide numerous programs through the government. The health care industry has numerous regulations in healthcare. One example of laws and regulations facing health care is HIPPA. The transformation from paper charts to electronic records raises a great concern in the breach of security. “In addition, interoperability of systems is expected to create yet more breaches, as information is traded between networks. Laptop theft is the most common type of data breach, accounting for 24 percent of reported breaches, according to HHS. Desktop computers were involved in 16 percent of breaches and portable devices such as smart phones were involved in 14 percent” (beckershosiptalreview.com). Human and Health Service (HHS) require individual to notify patients when their information was breach. “The regulations, developed...
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...Running head: PATIENT COMPLIANCE AND PATIENT EDUCATION / HOMEWORK MODULE 1 Patient Compliance and Patient Education / Homework Module 1 Shanna Lea Benson Grand Canyon University Advanced Patient Care HLT 306 Dr. Barb Marsh-Jones, NMD May 26, 2011 Patient Compliance and Patient Education / Homework Module 1 When a patient follows all instructions that is given to them in reference to their condition and/or procedures, which includes but is not limited to, postoperative instructions, medications, follow-up appointments, wound care, and any questions they may have after going home, is considered to be patient compliance. As an Registered Medical Assistant (RMA), patient compliance starts with me. As a healthcare professional, it is my job to make sure that there is a positive relationship that is developed by helping patient's to feel more comfortable and educated, in which in the end, will help them to be more compliant. The role of a healthcare professional in patient compliance comes from what you can do as the patient's (client's) mentor, to make sure they understand all the information that is given to them. There are many ways that you as the healthcare professional can do that may actually contribute to noncompliance of your patient. For example, 1) not building that bond with your patient giving them the confidence to want to follow through with their treatment recommendations, 2) giving a lack of adequate information, with detailed explanations...
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...Continuum of Care Presentation Thesis Tricia Leo HCS/235 March 30th 2015 Facilitator Dr. Delores Usea Continuum of Care Presentation Thesis Thesis statement: Is Outpatient care generating or losing money during the change for hospitals and facilities? I chose two articles from the peer review to help me prove my thesis statement. Article (1) “This article examines benefits provided by health care plans for inpatient and outpatient surgery, and discusses the plans' incentives for encouraging outpatient surgery. It also explores some reasons for and against choosing outpatient, rather than inpatient, surgery. The price of health care increased 109 percent between 1981 and 1991--more than twice the rise in the price of all items in the Bureau of Labor Statistics Consumer Price Index. The cost of hospital care rose 135 percent”. Grant, R. B. (1992, November). Outpatient surgery: helping to contain health care costs. Monthly Labor Review, v. 115,(pp. 33-36). http://www.bls.gov/opub/mlr/# Article ( 2 ) “ how grant money affects cost shifting and extend the empirical analysis of cost shifting to outpatient clinics, using data from publicly funded clinics in California is explored. The results are consistent with cost shifting, and indicate that the cause may be that the Medicare payment system cuts revenues more than costs, forcing clinics to subsidize the care of Medicare patients by increasing prices to other patients.” Rosenman, R., Li, T., & Friesner...
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...individual who is aged 18 or over, who is in need of care and support form care services, who is experiencing, or is at risk of significant abuse or neglect and who is unable to protect themselves against harm or exploitation. There are a number of vulnerable groups within society which are: the frail and elderly, the less abled and individuals with mental health problems or learning difficulties, visual or hearing impairments or with some form of disease. It is important that the promotion of safeguarding adults is carried out by health care professionals. Safeguarding adults involves protecting individuals at risk of harm. Society today is very diverse, within Britain there are many different races and individuals of different nationalities. These groups of individuals, along with vulnerable adults can be seen as at higher risk of discrimination. Therefore, there are a number of existing legislations set out to protect certain groups of individuals. According to the dictionary of Cambridge legislation is “a law or set of laws suggested by a government and made official by a parliament”. It is the system of rules which a particular country or community recognises as regulating the actions of its members and which it may enforce by the imposition of penalties. Within health and social care, safe practice is very important particularly to the promotion of dignity in care. There are a number of legislations and policies to support health and safety at work. They intend to protect individuals...
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...Health Law and Regulations Overview This paper discusses the design of regulation agencies and the roles that they play in health care. There will also be a discussion on the current laws that health care face today, and an analysis on how these laws affect the hospital, clinic or insurer. This paper also includes how the population has little access to health care and an understanding of how HIPPA works and the role that it plays in the health care field. Healthcare The purpose of regulations is the constant need to balance the objectives of enhancing the quality, expanding access, and controlling costs in healthcare. Regulation plays a major role in the healthcare industry and healthcare insurance coverage. Through various regulatory bodies, the Department of Health and Human Services (HHS) protects the public from a number of health risks and provides programs for public health and welfare. Together, these regulatory agencies protect and regulate public health at every level ( Fierce Healthcare, 2014, para. 1). When it comes to health care there are many agencies that play a role in the management of the health care industry such as, Centers for Medicare and Medicaid (CMS) which deals with most of the regulations that deal directly to the healthcare system, they also “provides government subsidized medical coverage through a number of programs: Medicare, Medicaid, and State Children’s Health Insurance program (SCHIP)” (Fierce Healthcare, 2014, para. 2). Health...
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...Health Law and Regulations Crystal Sullivan HCS/545 October 6, 2014 Terry Matherne Health Law and Regulations According to "About Hhs" (2014), the purpose of governmental regulatory agencies in healthcare is “for protecting the health of all Americans and providing essential human services, especially for those who are least able to help themselves” (para. 1). Governmental regulatory agencies have taken on the problems of both consumers and health care providers in an attempt to find solutions that will meet everyone’s needs. They take their ideas and the ideas of the public, and create rules and regulations for the healthcare industry. Regulation plays a critical part in the healthcare industry. The U.S. HHS (the Department of Health and Human Services) has developed several public health regulations to protect the citizens of the United States. The job of the HHS to determine which laws and regulations will be in the best interest of the public. “Through various regulatory bodies, the Department of Health and Human Services (HHS) protects the public from a number of health risks and provides programs for public health and welfare. Together, these regulatory agencies protect and regulate public health at every level” ("Healthcare Regulation", 2014). The government uses federal regulations to implement public policies. The federal government healthcare agencies are allowed to issue rules during the rulemaking process with the approval of congress. There are several...
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...Health Law and Regulations Federal regulations play a major role in the health care industry. Federal laws and regulations protect the American public from a number of health risks and administer programs for public welfare. Federal regulations also regulate the health insurance industry by implementing cost-containment measures. Through various regulatory bodies, Department of Health and Human Services (HHS) protects and regulates public health at every level. HHS is the United States principal federal agency for protecting the health of Americans and providing essential human services. HHS administers more grant dollars than all other federal agencies combined. Medicare program administered by HHS is nation’s largest health care insurance. HHS governs more than 300 programs administered by its 11 operating divisions (Department of Health & Human Services, 2011). In addition, Office of the Inspector General (OIG) is also part of the HHS. Description of each 300 programs is beyond the scope of this paper. However, it is imperative to understand the role of each operating agency and how it affects the health care industry. Role of Federal Regulatory Agencies Each operating division consists of sub-divisions making health care system a complex maze. Main 11 operating agencies are: Administration for Children and Families (ACF) The ACF provides funding for family assistance, child support, and childcare. The state, county, and city governments provide these services (Department...
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...Health Laws and Regulations Melissa Rodriguez HCS/545 September 7, 2014 Louise Underdahl Introduction Laws and regulation in today’s health care is vast. The health and well-being of our society depends upon these laws and regulations. To try to understand and keep up with all of the laws and regulations would by a full time job. The information available is very vast and the types of laws and regulations can vary depending on what type of health care facility or physicians practice that are being addressed. The government whether it is local federal or state are where these laws and regulation are made and implemented. There are also private sectors and organizations who help to develop regulations. To try and understand what the laws or regulations are about or who or what they might be meant for, there needs to be an understanding of what the agencies are that regulate them. When we look at the federal jurisdiction there are some that once said many people are familiar with such as Center for Medicare and Medicaid, CDC (Centers for Disease Control and Prevention, and the FDA(Food and Drug Administration). The state level agencies would consist of the following, welfare department, insurance, and the health department. The private sector brings organizations in which play important roles when it comes to health care laws and regulations. The following are part of the private sector organizations NCQA (National Committee of Quality Assurance) and JCHAO (Joint...
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...Health Care Law, Regulations and Policy HCS/545 November 23, 2015 Health Care Law, Regulations and Policy Health Care law and legislation came about to define the scope of acceptable practice of clinicians, while protecting the public’s individual rights. Miller and Hutton states “Law can be defined as a system of principles and processes by which people who live in a society attempt to control human conduct to minimize the use of force in resolving conflicting interests.” When creating laws, conflicting interest often takes into consideration the basis ethical principles that includes autonomy, beneficence, nonmaleficence, and justice to name a few. Laws, particularly health care laws are often in the form of a statutes, such as the nurse practice act, that serves as a guidance for nurses to know what defines and limits our practice. As such, the law also regulates how statures must be enforced. Administrative agencies, such as the Center for Medicaid and Medicare Services under the auspices of the Health and Human Services, have created rules and regulations to enforce statutory laws. When we look at laws in nursing and other industries, it is an extension to address ethical issues that universally affects our society. Health care agencies are mandated to adhere to the rules that are created by regulatory agencies that can come in the form of laws, regulations, or codes, and are enforced through controls that make sure that these rules are adhered...
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...Health Law and Regulations Governmental Regulatory Agencies HCS/545 December 16, 2013 Governmental Regulatory Agencies A regulatory agency is a government body formed or mandated under the term of a legislative act to ensure compliance with the provisions of the act, and in carrying out its purpose. “The role of government regulator agencies in health care is to monitor health care practitioners and facilities, provide information about industry changes, promote safety and ensure a legal compliance and quality services” (2013). Health care industry rules and regulations are determined by regulatory agencies, local, federal and state with mandatory oversight. Accreditation agencies require participation that is voluntary because certification of quality provides important ranking. Large private organization and the government help develop and enforce health care regulations. Role Governmental regulatory agencies in health care are the “Food and Drug Administration (FDA), The Agency for Healthcare Research & Quality (AHRQ), The Centers for Medicare & Medicaid Services (CMS), The Centers for Disease Control and Prevention (CDC), and The...
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...Patient Protection and Affordable Care Act Diana Gonzalez Perez Florida International University Introduction The Patient Protection and Affordable Care Act (PPACA) was signed into law on March 23, 2010 by President Barack Obama. The PPACA was enacted to address the lack of quality health care delivery to the 49 million uninsured Americans, a number which has grown with the slow economic growth our country is experiencing (Rattue, 2011). As part of this legislation there are ten provisions, all which are important to comprehensive healthcare reform. Each provision addresses specific functions of the current healthcare delivery system including insurance, reimbursement, medications, and taxes. In this paper, specific provisions of the PPACA will be discussed as well as the legal implications of the legislation. Provisions The PPACA has ten provisions which supply legal guidance for the health care reforms expected to take place from 2010-2014. These provisions will continue to affect the Nation as healthcare continues to evolve. Title I. The quality, affordable health care for all Americans provision includes subtitles A-F. Title I sets the basic guidelines required to implement the PPACA legislation. Subtitle A. Subtitle A sets specific guidelines to be followed by health plans including the prohibition of establishing lifetime limits or annual limits for any participant or beneficiary after January 1, 2014, but permits a restricted annual limit for plans...
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...HCA 340- MANAGING HEALTH & HUMAN SERVICES SONYA PEDRO WEEK 4 FINAL PROJECT OUTLINE- 2 Topic selection: Analyze ethical and legal concepts, including specific federal regulations, required of health care organizations to ensure the delivery of high quality health care that protects patient safety 1. Title: The ethics and legalities of the modern healthcare system in the United States 2. Abstract 3. Body Thesis statement I. Ethical and legal aspects of healthcare a. Past aspect b. Present aspects c. Anticipated future changes II. Regulations a. State regulations b. Federal regulation c. Privacy Acts III. Medicare a. Pros b. Cons IV. Medicaid WEEK 4 FINAL PROJECT OUTLINE- 3 a. Pros b. Cons V. Higher care quality a. Patient safety b. Patient care c. The price of quality care VI. The US vs. Canada’s quality of health care VII. Recommendations to improve the quality of care 4. Conclusion 5. Citations * Better Health, Better Care, Lower Costs: Reforming Health Care Delivery | HealthCare.gov. (n.d.). Home | HealthCare.gov. Retrieved March 10, 2013, from http://www.healthcare.gov/news/factsheets/2011/07/deliverysystem07272011a.htm * Obtaining Greater Value From Health Care: The Roles Of The U.S. Government . (n.d.). Health Affairs. Retrieved March 10, 2013, from http://content.healthaffairs.org/content/22/6/183.full * Regulations. (n.d.). United States Department of Health and Human Services...
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