...The relationship between a physicians their patient could be governed by four distinct models in which the degree of autonomy varies. The case of Don Cowart brought up this issue into light knowing what the patient, Don Cowart, had gone through. Don Cowart was a pilot at the U.S. Air Force Reserve who had an accident that lead burning over 65% of his skin and the loss of vision, proper use of hands, and his ears even after several medical interventions. The accident was due to gas leak which filled the whole area surrounding them with propane gas and when they turned the ignition it was a massive fire. In that accident, his father was accompanying him but did not make it out alive. When a stranger rushed in to help, his first request was to hand him a gun so Don could kill commit suicide. He did not see a value for life in his current impairments. The stranger refused and had called for an ambulance. When Don arrived to the hospital, he requested not to get medical...
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... : Dr katuna Working ours : Maximum 5 hours per day Patients per day : Maximum 16 patients per day Numbers of patients we observed : 4 patients We went to MCN clinical centre, which it is situated in vazha pshavela.It is a primary health care centre, Beause its medical facility that mainly focuses on the initial treatment of medical ailments. During our clinical sessions we observed that most of patients came there for just medical consultations. Structure of the MCN: General consultation service Diagnostics and medications General medical test services (Urine tests, ECG...etc) Dental surgery unit Patients of the clinic: During our session we noticed that most of are adults, age up to year 35. Most of them were equipped with their own insurance schemes. Therefore they going to paid with their insurance cards. Further diagnostic with special clinics: We unable to find out that our Doctor going to transfer their patient to special clinics. but she told that MCN can act as a facilitator for patients transfer to the upper level of clinics for their further examinations. On the other hand MCN doesn’t equipped with a surgical facilities, if it patient required to any surgical approach to overcome his or her disorder, he or...
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...Ashley Rassbach LP2: Staff Model vs. Group Model HMOs HMOs provide several benefits to both physicians and patients alike; however, both Staff Model HMOs and Group Model HMOs offer different types of benefits for both. Group Model HMOs are centered around multi-specialty medical groups that focus on the performance of the group as a whole; they tend to be a bit less structured than the Staff Model HMOs. Many Group Model HMOs have ties to hospitals in the areas in which they practice, but are legally independent of those hospitals. New physicians to group practices must sign a Non-Compete Clause to prevent stealing of patients and often face an entry barrier due to the reverence given to senior members of the HMO. Staff Model HMOs are health systems that employ physicians directly; either through direct recruitment or the purchase of a pre-existing practice. Staff models are comprehensive health systems that include hospitals and several other correlated healthcare organizations. Healthcare is provided in HMO-owned facilities by HMO-employed physicians. There is a high degree of control over the care that is delivered; often stressing quality and efficiency. Physicians would be attracted to Group Model HMOs because of strength in numbers; the focus on the performance of the group as a whole creates unity among the members of the group. Individual physicians also have the ability to control their income based on their productivity. As a senior member of a group HMO...
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...Concierge Care In today’s healthcare climate, concierge medicine is gaining ground and increasing in popularity. Patients are opting to either pay in cash for services rendered or pre-pay a monthly or annual fee for more personalized services and 24/7 access to their physician. Both physicians and patients are driving much of the growth attributed to concierge medicine (Spooner, 2007). Many physicians are dissatisfied with their reimbursement contracts and heavy patient loads that limit the amount of time spent with their patients. Patients feel that the level of quality of care provided by traditional medicine is declining and are increasingly dissatisfied with impersonal care, long waits for appointments, short duration of appointments and the greater use of mid-level practitioners (Spooner, 2007). Despite the growing trend of concierge medicine, simply opening up an office will not guarantee success. There are many variables to be considered when deciding to form a concierge practice, including market competition, customer demand, ensuring value, continuity of care as well as financial, staff and ethical considerations. Competition exists in every industry and the concierge care industry is no different. Certainly, being the first concierge practice in the area to market more personalized services will be an advantage. The risk of losing existing patients looking for a higher level of service to other concierge practices in the vicinity significantly decreases (Specialdocs...
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...VIRGINIA MEDICAL CENTER (Abridged) History: • Opened by two physicians same vision (comprehensive care for any medical issues under one roof)- Integrated Health Services Invented • 80 Bed Clinic • Provide quality outcomes working as a team- cell layout • Operated for Decades as a Physician Partnership and recruited top tier doctors • Partners were incentivized to make money- If hospital made/lost money the physicians shared the burden • 1986- Became Non-profit 9physicians did not have financial burden) • Leadership moved to a board but physicians held the power 1998-1999 • Center Lost money (first time in history)- DOUBLE DIGIT MILLIONS LOSS • Moral Became Low • New Hospitals moving in area (increased competition with new technology/medical advantages) 2000 • 1980’s-2000 Lindeman CEO • Became 501(c)(3) • 2000- Kaplan became CEO • Kaplan Eliminated Board appointing duties- CEO now Appointed and Board held power to elect following CEO’s Kaplan Plan- cut cost on academic travel and research, consolidation of profit maximizing medical procedures, renegotiated contracts with commercial payers (insurance) 2005 • 3600 Bed Clinic • 5000 Employees • 400 Physicians • 45 different medical, surgical, and diagnostic fields PHSICIAN COMPACT • Problems: Physicians value autonomy and feel they can do whatever they please, professional entitlement and ego played a huge barrier, it’s difficult to tell highly trained professionals how to do their job. (This...
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...Connecting with Patients J. Scott Joslyn, PharmD, MBA ABSTRACT Electronically connecting with patients is a challenging frontier at which technical hurdles are probably exceeded by political, legal, and other barriers. The rise of consumerism, however, compels a response focused more on revenue and strategic advantage than on pure cost savings. Among the difficulties faced by providers is choosing among various models of connectivity and component function. Emerging models include “freefloating” personal medical records largely independent of the office-based physician, systems with compatible and intertwined physician and consumer relationships using an application services provider office practice system, and systems that connect patients and providers through e-mail, office triage, prescription refills, scheduling, and so on. This article discusses these and other combinations of technology that significantly overcome the barriers involved and that may be woven together to provide solutions uniquely suited to various competitive situations. KEYWORDS • Consumerism • Patient-provider relationship • Data ownership • Application service providers • Time and cost savings The Internet has created both opportunities and threats that providers of all stripes must eventually confront to remain viable businesses in the new economy. Although business-to-business (B2B) innovations offer great hope in reducing costs and providing other efficiencies, electronically connecting with patients is a particularly...
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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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...through a practical and repeatable decision model. Ethical Issue #1 Presented During my Shift Near the beginning of my shift last night, we admitted a 16-year-old mother, RB. She's in her tenth hour of labor now. Her parents have been with her, and they have chosen to limit the amount of medication and other medical assistance we've administered for personal reasons. Given the length of her labor, 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? ...
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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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...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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...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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