...Moore Medical Corporation Case Study Questions 1. What are the problems at Moore Medical? What is the fundamental transition the company is attempting to make? From strategic point of view, Moore Medical faces a situation to grow or go. It is presently caught in the middle between big distributors, such as Schein and PS&S who offer a significantly larger product line and more sales representative, and smaller, more specialty-dedicated suppliers. The success and future of the company depends heavily on a clear and definable vision of the company, along with specific goals, objectives, and needs. Its current objective “to differentiate itself by its dedication to service, ease of ordering and knowledgeable, friendly operators, as well as its ability to provide one-stop shopping” (pg 5) is not being achieved. The most obvious need at hand is to integrate the technology in effort to improve the company’s ability to sense and respond to customer desires to increase distribution of the “perfect order” to every customer in every instance. The fundamental question is not whether or not to invest in ERP/CMS software, but instead how to allocate their resources to best realize a positive return on their investment. Current options include whether to purchase the “Bolt-on” software products to correct shortcomings of existing system, or a new CRM system (and from who-- Clarify or another company) and how extensive of an implementation (a completely new system or just a supplement...
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...DQ 1 1. In the Moore case, a dissented judge wrote: “one searches…in vain for a description of “unprofessional conduct” even in general terms. Herein lies the difficulty with the instant matter. A hospital should not be permitted to adopt standards for the exclusion of doctors which are so vague and ambiguous as to provide a substantial danger of arbitrary discrimination in their application. “Do you believe the author of that opinion would dissent in the Leach case as well? Why or why not? Both cases are different and based on the information provide a lot was left assumed. Moore was terminated by the Board due to unprofessional actions not utilizing sterile products “gloves”. There was nothing else mentioned regarding Moore. No other expert witnesses addressing Moore ability to perform, physical ailments, or mental condition referenced. The judge’s decision was clearly based on no sufficient supporting evidence. Moore could have been reprimanded at the hospital level for failing to follow standard operating procedures as a first time offense. However performing a surgery without sterilization can use patient harm or death. “Unprofessional conduct” from the hospitals definition needed to be reviewed by HR and clarified to all. In Leach’s case his continuous behavior prompted suspension of duties/licenses and approval by the staff and Board. There are processing in place to proving “unprofessional conduct” that provides several options to hospitals (i.e. documenting behavior...
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...extracting cells for medical research. Since there has been interest in conducting in vitro studies, the issue of how cells will be obtained for these studies have been of utmost concern. With that comes the legislative issue of declaring who has legal possession of these cells. The most notable case is that of the HeLa cell line created from the genome of the tumor cells found in Henrietta Lacks in the 1950s. Henrietta Lacks was the unwitting donor of the cells that found significant new information and treatment of cervical cancer. She did not have...
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...a T-shirt. Scientific research relies heavily on patient donations in order to gain insight into common health care strategies and to study disparate medical conditions; yet, a large amount of controversy exists regarding patient compensation. The most famous case regarding this controversy concerns Henrietta Lacks, a patient whose cancerous cells, taken without consent, became a worldwide tool for scientific research, and led way for Biotech companies to earn billions while Henrietta and her family received nothing. In The Immortal Life of Henrietta Lacks, the author Rebecca Skloot investigates Henrietta’s case, and includes asides of other research patients’ experiences regarding compensation. With consent now as convention, a relevant question arises in Skloot’s text: Should the research enterprise compensate patients who donate tissues for research, both in and outside of the course of medical care? This question demands reverent reflection, as the response will likely set a precedent for years to come. In order to examine whether patients in the course of medical care should receive compensation for tissue donations to research, we can turn to Skloot’s aside on John Moore. While undergoing treatment for spleen cancer, Moore’s physician found that his patient’s spleen cells were splendidly unique. In Skloot’s text, Moore states that his physician "offered to pay for the plane tickets...
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...| | ASSIGNMENT COVER SHEET(adapted for LAW1100 major essay submission purposes) | UNITCode: LAW1100TITLE: Legal Framework I | NAME OF STUDENT (PRINT CLEARLY) fisher shane FAMILY NAME FIRST NAME | STUDENT ID. NO.10104032 | NAME OF LECTURER (PRINT CLEARLY)brad moore | DUE DATE18/4/2011 | Topic of assignmentDuty of Care IN THE LAW OF NEGLIGENCE | Group or tutorial (if applicable) | Courselegal framework 1100 | Campusmt lawley | I certify that the attached assignment is my own work and that any material drawn from other sources has been acknowledged. Copyright in assignments remains my property. I grant permission to the University to make copies of assignments for assessment, review and/or record keeping purposes. I note that the University reserves the right to check my assignment for plagiarism. Should the reproduction of all or part of an assignment be required by the University for any purpose other than those mentioned above, appropriate authorisation will be sought from me on the relevant form. | OR, if submitting this paper electronically as per instructions for the unit, place an ‘X’ in the box below to indicate that you have read this form and filled it in completely and that you certify as above. Please include this page in/with your submission. Any electronic responses to this submission will be sent to your ECU email address (or, where relevant, the digital dropbox for the Blackboard site for LAW1100).Agreement X ...
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...Larceny on cells. Doctors, often unknowingly to the patient, use a patient’s cells to further scientific studies and to make profit. Doctors accumulate enormous profit from stolen cells, and the patient does not have any say in who or where the cells go to. Cases such as Henrietta Lacks and John Moore have been brought into the eye of the public in order to show the misuse of cells. Ted Slavin’s case show the benefits of the patient and doctor working together toward a common goal. Doctors should be required to notify and obtain permission to use patient samples for research other than its original purpose, and the patient or their family should have control over who uses the samples to ensure proper usage and benefits of all involved parties. Twenty years went by before the Lack’s family discovered that Henrietta Lacks had not truly died, but that her cells continued to live on....
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...Johns Hopkins. Johns Hopkins was the only place that treated colored people at the time. February 5, around the age of 30 Henrietta received a phone call telling her that her tumor was malignant and she needed to come in for treatment. George Gey had tried for decade to grow and cultivate cells but the cells had always died. For some strange reason Henrietta's cells never died, they are still alive today. Growing in labs all over the world. If you were to gather all of her cells to this day they would weight over 1 million metric tons. Henrietta felt lucky she was getting any help at all through Hopkins top cancer center in the country. African Americans attitudes back then in the 1950's felt that they were lucky to be getting any medical treatment at all. The only reason she went there was because it was the only place that would accept African Americans. Hopkins had a public ward where they saw the poor, African American, and others who couldn't pay their bills. They saw them when other hospitals would not. Henrietta was seen in the colored ward, put in colored exam rooms, when they took blood her blood it was put into the colored refrigerator, even when she died she went into the colored freezer. Everything was segregated including hospitals. Chief virologist, Chester Southam was working at Sloan-Kettering Institute for Cancer Research during the 1950's. Southam was conducting research, and he wanted to test his theories of cancer either being caused by a virus,...
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...man-made and were created by man and rate a patent. The position that the lawyers took resulted in Chakrabarty being granted the patent and “patenting cell lines didn’t require informing or getting permission from the ‘cell donors.’” With John Moore, he had hairy cell leukemia resulting in his spleen having to be removed surgically, by a doctor that spent seven years marketing a cell line called Mo named after John Moore. Dr. Golde filed for several patents on special proteins that were of value being produced by Moore’s cell without Moore’s consent. Even though Moore signed a consent form saying the hospital can dispose of any tissue or membrane by cremation, the contract obviously violated by the doctor. Later in the treatment, Moore received a letter from his doctor requesting that Moore sign his rights away and all responsibility of his family both present and future to his cell line or any product thereof. John Moore did not sign resulting in Dr. Golde vehemently ordering him to sigh. Still, Moore did not. In 1984, Moore sued Golde and UCLA for deception and using body for research without consent. In addition, the lawsuit was for property rights over his body and tissue. When the adjudication concluded, the court ruled in favor of Moore and he became the first person to legally stake claim to tissue and sue for profit and damages. In the start of the lawsuits that were of cells and human tissue many scientists were worried and...
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...Introduction The concept of illness throughout our society can be closely associated with Marxism. According to a Marxist perspective, the social inequality that exists in society runs parallel with the various inequalities in the health system. With reference to the latter, exploitation of lower level assembly line workers or the proletariat working class can have a significant impact on workers’ health, particularly for the achievement of profit. Furthermore, in our contemporary society, medical professions have subjugated individuals illness’s within a capitalist society, disregarding health interests for the product of business. Additionally, Marxists analyses argue vigorously that class is a significant determinant of inequality with regard to illness and that the illness is implicated in a wider process of social oppression; determine by environmental factors, education and economic institutions into which one is born. All in all, from analysis of these topics there is no doubt that illness is very much a social phenomenon. Marxism and Workplace Illnesses The Marxist approach to health and illness relies heavily on the relationship they have with capitalism and class. Marx believed there were two essential classes in society; the capitalist class, who make up the minority of society, and the proletariat, also known as the working class who make up the majority. Vincent Navarro provides one of the most influential accounts of the centrality of social class and...
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...Henrietta Lacks was not given informed consent at all, she had tissue stolen from her with no idea of what was happening by none other than John Hopkins Hospital, the hospital promising that “the indigent sick of this city and its environs...who require surgical or medical treatment...who are stricken down by any casualty, shall be received...without charge.” The idea of informed consent first emerges in the section called “Diagnosis and Treatment.” This chapter is discussing a doctor named TeLinde, and his theories about cervical cancer that he believes could save many women’s lives. However, first he must prove to the medical community that his theory is correct and won’t harm any patients. In order to do so, TeLinde...
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...question, however the short answer is that nurse with a BSN degree has more opportunities to work in a variety of health care settings that offer an extensive array of opportunities for professional growth. (Moore, 2009) BSN student learn skills at a higher level that are required for exceptional practice. (Huston 7) The difference between the ADN nurse and the BSN nurse is not limited to the opportunities allotted but spans out to the education. The BSN nurse completes a curriculum that has a different focus than that of the ADN curriculum. The BSN curriculum emphasizes evidence based practice, leadership, critical thinking, and public/community health. (Moore, 2009) As part of this curriculum you receive crucial training in key areas like communication, leadership, and critical thinking- enhanced knowledge that will become ever more valuable in the complex and changing future of health care delivery. (Simons, 2012) BSN nurses can be and are not limited to bedside nurses, educators, case managers, discharge planners, administrators, and work in public health, home health, and community clinics. If you are thinking of joining any branch of the military, you will need to have your BSN. The BSN degree is not only a minimum for the military but also a minimum for most medical institutions, as it is the preferred degree. The ADN nurse has learned the...
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...adequately for the sick.” The Hippocratic Oath is a powerful document, binding medical practitioners to a certain set of morals they must adhere to when assisting their patients on matters of life and death. With so much at stake, nothing should come between a doctor and his responsibility to his patient as defined by this document - in theory. However, there is always one uncertainty that tarnishes this idealistic dedication of the physician:...
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...Medical Malpractice How is the Standard of Care in Medical Malpractice Applied in the State of Texas? Any medical professional who actively participates in the treatment and care of patients has an obligation and duty to adhere to a professionally established standard of care. When a professional fails to comply with the standard of care, the results can be devastating for the patient and the family. This can result in medical malpractice cases against the medical care provider(s). There is no medical definition for “standard of care” although the term is firmly established in law and is defined as “the caution that a reasonable person in similar circumstances would exercise in providing care to a patient” (The Dictionary.com, 2007). To the physicians, the “standard of care” is the diagnostic and treatment process that a doctor should practice for a given illness, patient, and set of circumstances. The term “standard of care” represents an essential component of an action in medical malpractice in proof that the doctor in question failed to provide the required standard of care under the circumstances (Sullivan, W., 2003). Medical malpractice is a broad term generally used to describe any treatment, lack of treatment, or other departure from accepted standards of medical care, health care, or departure in safety on the part of a health care provider that causes and/or results in harm to a patient. In law, medical malpractice is...
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...operating table, a sample of her cancerous cervical tissue was taken without her knowledge or consent and given to Dr. George Gey, the head of tissue research. Gey was conducting experiments in an attempt to create an immortal line of human cells that could be used in medical research. Those cells, he hoped, would allow scientists to unlock the mysteries of cancer, and eventually lead to a cure for the disease. Until this point, all of Gey’s attempts to grow a human cell line had ended in failure, but Henrietta’s cells were different; they never died.” (USF 2013-14 Common Reader, The immortal Life of Henrietta Lacks, Pg1) The cells, called HeLa, became one of the most important tools in medical research, vital for developing the polio vaccine, cloning, gene mapping, and more. Less than a year after her initial diagnosis, Henrietta’s cancer was too much for her to bare, and the cancer took over her body. Because of her poverty she was buried in an unmarked grave on her family’s land. She was only thirty-one years old. Her family never knew, at that time that a portion small piece of Henrietta was still living, and that small piece would change the course of healthcare in American and the world, and the course of medical ethics. Although their mother’s cells have been bought and sold by the billions, the Lacks family have received nothing from those cell lines, and cannot even afford health insurance today. This book traces the history of cell research and examines the ethical (racial...
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...and others which were never informed and consented. The case was settled out of court and recognized that researchers illegally used tissue samples outside the scope of authorized use (NCIA 2010). In the case of Moore v. Regents of the University of California (Dorney 1990), the subject was treated for leukemia and had his infected spleen removed. He had blood, bone marrow, skin and sperm extracted and thought they were necessary to monitor his condition. His physician then patented and commercialized his cell line from those extractions. Moore sued the UCLA and physician for lack of informed consent and breach of their duty. In this case, the court ruled in favor of the physician and University of California that Moore had no initial interest in property and financial profit of the samples taken from his body, so he could not share the commercial profit of the research....
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