...Reporting Practices and Ethics of Health Care Oscar Derry Brown HCS405 March 9th 2013 Donna Nanovski Reporting Practices and Ethics of Health Care This paper will explain the practices and ethics of the health care system. Within the past few years there has been countless of fraud and abuse in the Medicare and Medicaid systems. Many false practices by doctors and health care staff to make the extra dollar. On the other hand there are health care providers who follow the right proto-call to stay honest with his or her patients and practices. This paper will summarize the many financial elements and the ethical standards of the health care providers. Financial Management As the health care system enters to the new century, there is a tidal wave effect within the system. With so many changes, such as the older generation are working and living longer the health care system has to change. Reorganizing (organization) the health care system over the past 10 years has changed completely the procedure of delivery and financing. Better future planning however has been a challenged for the health care system. There are several factors cost cutting, services continue to reduced, the growth of revenues and return on the investments. This can be called mismanage care that has decreased cost (M. Cipriano-Silva, 1998). The health care workforce is the fastest growing career in America. Eleven million plus strong employees is most powerful workforce...
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...Reporting Practices and Ethics paper | HCS/405 – Louis Eubank | | Reporting Practices and Ethics Financial Management This paper will go over the various steps involved in financial reporting practices as well as the ethical standards in healthcare financing. Financial management is a major part of the health care facility running smoothly. There are numerous financial decisions made on a daily basis regarding business transactions and even some accounts (patient accounts, accounts concerning revenue). There are some ethics that those that are managing and reporting financial information should keep in mind. They are often referred to as the generally accepted accounting principles (GAAP). Each organization may have a different way of doing things but they do have to follow the organizations rules as well as the state and federal regulations. We will touch on that shortly. There are four aspects that take place in financial planning/management. I will be breaking down the elements and explaining each step and I will follow suit with the accounting code of ethics. Elements of financial management: The four aspects of financial management are: planning, controlling, organizing and directing and lastly decision making. Planning: This is the first step of the process and it is where the financial managers start to develop a plan with projections in revenue for each area in the facility. This is the area where expectations and goals are set. Employees are provided with...
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...secure environment and taking all essential steps to prevent maltreatment. 1.2 Explain your role and responsibilities in safeguarding individuals. As a diligent care worker, my responsibility in safeguarding entails keenly observing and promptly reporting any indications of mistreatment or disregard, upholding the safeguarding protocols and procedures...
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...income, and other varying factors (“Arroyo Fresco,” 2006). The facility guides its decision making process for organizational strategies with the combination of FOCUS and SWOT analysis. This allows for a well-rounded check and balance system to manage and prepare for current and future strategies for short term and long term processes. The increase in financial demands, consumer expectations, partnerships and mergers, quality of care given, and health care reform restructuring have placed a lot of expectations on health care facilities (“Creating an ethical culture,” 2011). The organizational strategy proves to be an important structure in order to provide a clear definition on how AF can change over time in order to successfully deliver a strategy and action plan that will benefit the short term and long term projections within the company (“Executive Insight,” 2008). AF has an found areas to improve the job descriptions, relationships, and management processes (Miles, Snow, Meyer, and Coleman, 2013). The organization strives to establish a strategic set of goals that will monitor, advance, and demonstrate health care results within a continuously changing and competitive market. Arroyo Fresco Community Health Center Case Study Analysis Knowledge State of the Economy Arizona has been fighting through the economic crisis, but its development climate is stronger and more robust than many may think. 50% of Arizona’s population is between 25 and 54 years of age. This age range...
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...Primark and Ethical Business Introduction Primark the leading clothing retailer Rapid changes in media, transport and communications technology have made the world economy more interconnected now than in any previous period of history. Nowhere is this more evident than in the world of textile manufacture and clothing distribution. Consumers want fashionable clothes at affordable prices. Much of high street fashion is produced in various countries across the world. Businesses source clothes from countries like India, China, Bangladesh and Turkey because of lower material and labour costs in these countries. In order to meet consumer demand, Primark works with manufacturers around the world. Primark is part of Associated British Foods (ABF), a diversified international food, ingredients and retail group. Primark has almost 200 stores across Ireland, the UK, Spain, Netherlands, Germany, Belgium and Portugal. Primark’s annual turnover accounts for a significant proportion of ABF”s revenues and profit. Primark’s target customer is fashion-conscious and wants value for money. Primark can offer value for money by: • Sourcing products efficiently • Making clothes with simpler designs • Using local fabrics and trims • Focusing on the most popular sizes • Buying in volume • Not spending heavily on advertising. The largest Primark store is located on Market Street, Manchester, England. Some 100,000 sq ft (9,300 m2) of retail space is spread across its three floors. It took...
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...TASK Introduction: This assignment requires that I develop and thoroughly analyze a public policy in order to advocate for one that improves the health of the public and/or the nursing profession globally (local, state, national or international). To do this, I must reflect on several aspects of being a policy maker within the nursing profession. I was instructed to consider the following: · Why did I select the health or nursing profession policy issue? · How does this issue affect nursing practice, healthcare delivery and health outcomes for individual, families and/or communities? · What are the values and the ethical positions that underpin my perspectives? · What criteria will I use to evaluate the success (outcomes) of my proposed policy change? I will use both, a top-down and bottom-up approach, in order to analyze and bring the nursing perspective to policy makers and stakeholders. By identifying the values and ethical perspectives that underpin my position, I will develop criteria to evaluate the success of my work which will lead to the creation of a policy brief that can be sent to decision makers and create a plan to work with an organization/community to promote policy change at the local level. Nursing research to support my position is vital in guiding me to my conclusion and will include principles of community based participatory research (CBPR). Keywords/Terminology: · Top-down approach – one in which a person or regulatory agency (an authority) sets...
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...Excerpted from The Tracks We Leave: Ethical and Management Dilemmas in Healthcare, Second Edition, by Frankie Perry, RN, LFACHE (Health Administration Press, 2013) CHAPTER 1 Understanding Your Ethical Responsibilities Hea lt h c a re l eader s and those aspiring to be leaders must recognize first and foremost that character and integrity constitute the very cornerstone of leadership. Organizations have failed and promising careers have been derailed when ethics have been relegated to secondary importance or, worse yet, ignored in the pursuit of more bottom-line considerations. Healthcare managers must understand their role and responsibility in creating an ethical healthcare environment that is honest, just, and always in the best interests of those being served. Whether you are the CEO, an assistant administrator, a department head, a program manager, or a clinician, if you are “in charge,” you have the ultimate responsibility for establishing the culture and setting the standards of conduct in your sphere of influence. This task is not always an easy one. Nor is it easy for well-intentioned managers to always make ethical decisions themselves. BARRIERS TO ETH ICAL D ECIS I O N M A K I NG In our book Healthcare Leadership Excellence: Creating a Career of Impact, James Rice and I identify some of the common barriers to ethical decision making and seven pitfalls for managers to avoid (Rice and Perry 2013, 29–37). We then make recommendations for building...
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...Consumer Healthcare Ltd. | | Conduct on Behalf of the firms | 1 | Relations with Home Govt | It is the Company’s policy to comply fully with all applicable laws and regulations governing contact and dealings with government employees and public officials, and to adhere to high ethical, moral and legal standards of business conduct. This policy includes strict compliance with all local, state, federal, foreign and other applicable laws, rules and regulations. If you have any questions concerning government relations, contact the Company’s Legal Department at Complianceandethics@infosys.com. | GSK employees must ensure that dealings with Government Officials are carried out according to the highest standards of integrity required for all GSK business and in compliance with all relevant laws and regulations. | How should the top management behave with respect to ….. | 2 | Relations with Customers | Customer Relationships If your job requires interfacing or contacting any Company customers or potential customers, it is critical to remember that you represent the Company to the people with whom you are dealing. Act in a manner that creates value for our customers and help build a relationship based upon trust. The Company and its employees have provided services for many years and have built up significant goodwill over the years. This goodwill is one of our most important assets, and you must act to preserve and enhance our reputation. | Interactions with Healthcare Organisations...
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...Introduction As a future information security professional, it is vital that you understand the scope of an organization’s legal and ethical responsibilities. To minimize liabilities and reduce risks from electronic, physical threats and reduce the losses from legal action, the information security practitioner must understand the current legal environment, stay current as new laws and regulations emerge, and watch for issues that need attention. Law and Ethics in Information Security As individuals we elect to trade some aspects of personal freedom for social order. Laws are rules adopted for determining expected behavior in modern society and are drawn from ethics, which define socially acceptable behaviors. Ethics in turn are based on cultural mores: fixed moral attitudes or customs of a particular group. Some ethics are recognized as universal among cultures. Slides 9 Types of Law Civil law represents a wide variety of laws that are recorded in volumes of legal “code” available for review by the average citizen. Criminal law addresses violations harmful to society and is actively enforced through prosecution by the state. Tort law allows individuals to seek recourse against others in the event of personal, physical, or financial injury. Private law regulates the relationship between the individual and the organization, and encompasses family law, commercial law, and labor law. Public law regulates the structure and administration of government agencies...
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...E ROLE OF LAW IN THE U.S. HEALTHCARE SYSTEM USING THE LAW TO PROMOTE OUR POLICY GOALS AND ETHICAL PRINCIPLES The study of law is more than simply memorizing a list of activities that are illegal, such as Medicare fraud or price-fixing. It is more than memorizing the penalties for particular violations, such as the number of years in prison one can receive for a class B felony or the fine for driving 50 miles per hour in a 35 mile per hour zone. It is more than trying to remember the names of court cases or the citations to statutes and regulations. Instead, law is a policy discipline and a social science. Moreover, the law is not cast in stone, but is subject to change. For hundreds or perhaps thousands of years, people have reconsidered and changed the rules that govern their activities. In a democratic society, we have the power to make further changes in the laws by which we live. Therefore, as students and scholars of law, we not only study the current state of the law, but also what we think the law should be. In particular, we consider how we can use the law to accomplish our goals of public policy. We begin this type of analysis by identifying a practical problem. For example, we may want to focus on discrimination, violence, environmental pollution, or inadequate access to healthcare services. Then, we try to figure out how to use the law and the legal system to solve that particular problem by creating a new law or by changing an existing law. ...
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...CORPORATE SOCIAL RESPONSIBILITY IN THE PHARMACEUTICAL INDUSTRY: BETWEEN TREND AND NECESSITY by Cecile Oger BSc. (Honours) Chemistry with Business Administration Kingston University London, UK, 1995 A thesis presented to Ryerson University In partial fulfillment of the requirements for the degree of Master of Business Administration In the program of Master of Business Administration Toronto, Ontario, Canada, 2009 © Cecile Oger 2009 Library and Archives Canada Bibliothèque et Archives Canada Published Heritage Branch Direction du Patrimoine de l’édition 395 Wellington Street Ottawa ON K1A 0N4 Canada 395, rue Wellington Ottawa ON K1A 0N4 Canada Your file Votre référence ISBN: 978-0-494-59035-5 Our file Notre référence ISBN: 978-0-494-59035-5 NOTICE: AVIS: The author has granted a nonexclusive license allowing Library and Archives Canada to reproduce, publish, archive, preserve, conserve, communicate to the public by telecommunication or on the Internet, loan, distribute and sell theses worldwide, for commercial or noncommercial purposes, in microform, paper, electronic and/or any other formats. . The author retains copyright ownership and moral rights in this thesis. Neither the thesis nor substantial extracts from it may be printed or otherwise reproduced without the author’s permission. L’auteur a accordé une licence non exclusive permettant à la Bibliothèque et Archives Canada de reproduire, publier...
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...towards a given organization. The risk assessments portion of the paper will discuss areas such as a process for an effective fraud risk assessment which includes defining a risk scope, risk treatments (acceptance, avoidance, transfer, mitigate, or a combination approach), and most importantly risk monitoring and review through controls. The paper then discusses in detail the importance of proper risk modeling then finished with an analysis on an actual fraudulent activity around the abuses with SNAP benefits. Risk Assessments: Merriam-Webster defines fraud as the “intentional perversion of truth in order to induce another to part with something of value or to surrender a legal right.” Some type of fraud scheme or business exploit is in the news headlines every day. Anything from employees stealing money out of cash register to multibillion dollar pyramid schemes is seeming becoming a common segment on the news right next to this week’s weather forecast. The opportunity for a common person or company to fall victim to fraud is paramount. Often times a business simply doesn’t know where their most susceptible operations reside. This limitation causes billions of dollars of fraud to commence every year, and often times the company won’t know they aren’t being scammed until it’s too late. A good defense against fraud is often times a deep and proactive offense. Understanding the psychology of how good people become criminals; in addition to performing proper risk assessments...
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...2.1 REVIEW OF LITERATURE & ANALYSIS OF PREVIOUS RESEARCH The concept of social responsibility is not new. Although the idea was considered in the early part of the twentieth century, the modern discussion of social responsibility got a major impetus with the book "Social Responsibilities of the Businessman" by Howard R. Bowen. Bowen suggested that business should consider the social implications of their decisions. Fortune magazine annually assess America's most Admired Corporations and does so by evaluating over 300 organisations against 8 criteria, one of the eight used is "Community and Environmental Responsibility". Firms such as Merck, Rubber maid, Procter and Gamble, Wal-mart, Pepsico, Coca-cola and 3 M have received consistently high overall ratings. The presence of strong social values such as social responsibility has a powerful impact on organisations and their actions. It leads them to use a socio-economic model of decision making in which both social costs and benefits are considered along with the traditional economic and technical values. “Corporate social responsibility in the form of corporate philanthropy, or donating to charities, has been practiced since early 1800 at least in the US (Sethi, 1977). It was legitimate in so far that it directly benefited the shareholders, and corporate donations were mostly on the agenda of those companies that could afford it. Today’s concept of corporate social responsibility was developed primarily during...
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...sector. Square Pharmaceuticals Ltd., the flagship company, is holding the strong leadership position in the pharmaceutical industry of Bangladesh since 1985 and is now on its way to becoming a high performance global player. It was established in 1958 and converted into a public limited company in 1991. The sales turnover of SPL was more than Taka 5 Billion (US$ 90 million) with about 15% market share (April 2003 – March 2004) having a growth rate of about 16%. Besides fulfilling domestic demand it exports a huge amount of drugs in abroad. It is now exporting medicine in 20 countries. It has achieved the trust of the domestic and foreign people. SQUARE’s Mission is to produce and provide quality &innovative healthcare relief for people, maintain stringently ethical standard in business operation also ensuring benefit to the shareholders, stakeholders and the society at large. As a very large and formal company Square uses different management practices in their corporate world. It does the works of planning, organizing, leading and controlling. Square Pharmaceuticals Ltd. follows a systemic way to take a particular decision. Based on the present & previous available data and information the decision is made, focusing & predicting the future consequences. The Planning mechanism of Square involves focusing on the goal and developing the overall strategy for achieving the goal. Strategy involves long term decision making to get a long term benefit. We did SOWT analysis...
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...Business Model and Strategic Plan A company that has a clear vision and mission statement is setup to be successful. The mission of Magellan Health is to provide its customer’s with greater insights into their health, while keeping healthcare affordable, and returning value to its shareholders. Those are three very different goals. What may benefit their customers may not benefit their shareholders. Additionally by keeping costs lost their institutional plan members may benefit but at the expense of the patients or physicians. This paper will outline the various steps Magellan will take to deliver on all three of these principles. Target Outcomes and Measuring Results The most obvious thing a business can do to be successful is to maintain its profitability. Without turning a profit and maintaining cash flow the business would be forced to close its doors. Therefore, financial objectives are one of the most important considerations. With the recent passage of the Affordable Care Act, an insurer can no longer deny coverage for pre-existing conditions. Additionally all members of the public are required to be insured by 2014 as there are penalties for, not purchasing health insurance. This influx of new additional clients has created a boon for the healthcare industry, (La Monica 2015), insurance companies will face rising costs as more people join plans with pre-existing conditions. To ensure that the risks associated with new and existing members of their plans appropriately match...
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