Physician Issues

IN NOT LESS THAN 200 WORDS DISCUSS using as references:

Title: The Law of Healthcare Administration 

Edition: 8th (2017) 

Author: Showalter 

Publisher: Health Administration Press Book 

ISBN: 978-1567938760 

 

Chapter 8: Medical Staff Privileges and Peer Review

ALSO

Inside Health Law The following article 

Haines, S., Ammann, R., Beehrle-Hobbs, D., & Groppi, J. (2010). Protected professional practice evaluation: A continuous quality-improvement process. American Journal Of Health-System Pharmacy, 67(22), 19331940.

You are the CEO of Acme Hospital, a small rural facility. On your staff, there is a physician (OB-GYN), Dr. Thomas Cole, with whom you have been having some problems. 

Dr. Cole:

  • does not finish his morning rounds on a regular basis
  • does not attend medical staff meetings
  • often very late in arriving to deliver babies
  • most of the time, the nurses on duty in the delivery room deliver the majority of Dr. Coles babies

You know that these issues must be addressed but there are other connecting problems.

  • First, Dr. Cole is the son of Dr. Frederick Cole who just retired after 55 years of service with Acme Hospital.
  • Dr. Fred was much beloved among hospital staff and before he left, he used his charm and status to make certain staff members (you were not one) promise to help and to protect his son, the younger Cole.

You know that when you begin raising these issues there will likely be resistance to take any action.

Please discuss the following:

  1. What are the possible liability issues that the younger Dr. Cole is exposing the facility to?
  2. How would you manage the staff that promised to help the younger Dr. Cole?
  3. Would you approach the elder Dr. Cole? Why or why not?
  4. Is this a problem that can be fixed? If so, how can it be fixed? Are you willing to give the younger Dr. Cole the time to fix the issues as the CEO?

In two different paragraph with no less than 75 words give your personal opinion to Marivette Bedoya and Crystal Moore 

Crystal Moore 

The liability issues that Dr. T. Cole is exposing the facility to is unprofessional conduct and malpractice. Dr. T. Cole’s unprofessionalism is due to his excessive tardiness, incompletion of his duties, and failure to properly care for his patients. 

As CEO of Acme Hospital I would facilitate a required 1:1 staff meeting, individually speaking with the staff to allow them a safe place to talk without prejudice. I would ask specific question regarding how they feel about Dr. T. Cole’s ability to safely care for their patients. Any of the the staffs information (such as name and details that could comprise their identity) would be strictly confidential and I would only use the details about Dr. T. Cole’s work ethic when presenting my case to the Medical Staff Organization. 

I would not approach Dr. F. Cole because his son is an individual and works on his own. It is not the responsibility of Dr. T. Cole’s father to intervene. I would however approach Dr. T. Cole only after discussing matters with the Board. I would approach him because this type of behavior is not warranted for Acme Hospital and we will not allow it to continue. Acme Hospital has a reputation to uphold and that reputation is to provide exceptional quality of care to our patients. Dr. T. Cole has violated a myriad of issues and having the nurses deliver his patients for instance questions respondeat superior issues like jeopardizing the nurses licensure by placing them in a position to practice outside of their scope. According to Showalter, other respondeat superior issues in a hospital setting are but not limited to: licensure, credentialing, medical supervision, professional liability insurance, and health plan coverage (Showalter, 2017). Research has shown that higher infant mortality rates arise when there lacks an OB specialists during the birth of a child. The journal of Maternal and Child Health noted that in 2011, Georgia had the nations highest infant mortality rate due to a lack of OB specialists which forced nurses to advance their career and become certified mid-wives and yet complicated deliveries led to infant death (Spelke, 2016). This example proves how important it is for Dr. T. Cole to be present at the delivery of his patients and not rely on the nursing staff to follow through. The medical staff needs to work as a team allowing each individual to practice according to their level of education and training. 

Yes, this is a problem that can be fixed. There will have to be an intervention with the Board, Dr. T. Cole and myself and these issues must cease to exist. I would be willing to give Dr. T. Cole a redemption period of 45-days in order to correct his issues and seek help if necessary. During this time Dr. T. Cole will be under a watchful eye and there will be a zero tolerance for any issues that occur. Any relapse during the 45-day probation period will result in immediate termination. After the 45-day period Dr. T. Cole must maintain this new work ethic and any relapses or new issues will be presented before the Board for review of his continued employment with Acme Hospital.

References

Showalter, J. S. (2017). The Law of Healthcare Administration (8th ed.). Chicago, IL: Health Administration Press. 

Spelke, B., Zertuche, A. D., & Rochat, R. (2016). Obstetric Provider Maldistribution: Georgia, USA, 2011. Maternal And Child Health Journal20(7), 13331340.

 

 Marivette Bedoya 

The possible liability issues that the younger Dr. Cole is exposing the facility to would include the risk of the Acme Hospital to be involved in a negligent or malpractice legal proceedings. The reason being is because Dr. Cole is late for deliveries of expecting mothers causing the nurses to deliver the children. Resulting in nurses to carry out the responsibility of the physician when it is not their responsibility to do so. If something were to go wrong without a physician present, this event would reflect not only the poor quality of the nurse but also of the hospital and the leading physician (Dr. Cole). 

Managing stand that promised to help the younger Dr. Cole can be challenging. However, I would start out by sending compliance memos. Each situation or case would be felt with individually. As time passes by and situation begin to appear and evidence appears that indicate staff members were protecting or covering for Dr. Cole, those staff members would receive disciplinary action and possible termination, if appropriate. 

Personally, I would approach the elder Dr. Cole if the younger Dr. Cole does not get his act together after a given amount of time. The reason being for approaching the elder Dr. Cole is because maybe he can be of some influence to his son to be a proper and professional doctor, since his father has experience and wisdom. However, approaching the elder Dr. Cole can have some disadvantages. The elder Dr. Cole can possibly provide the wrong feedback to his son from what I would expect or maybe the lecture from the father may not influence the son at all. 

Overall, this is a problem that can be fixed if the younger Dr. Cole is willing to abide by the rules and regulations of the facility. It can begin to be fixed by Dr. Cole arriving on time to patient deliverys and being professional in all work areas. If it is not done properly and his actions continue to spiral out of control by not following the organization rules and regulations, then this issue can be fixed by terminating the doctor and replacing him with a more approbate professional. However, I would be willing to give Dr. Cole time to adequately adjust his behavior and way of thinking to better himself and the patients. 

References:

Showalter, J. S. (2017). The law of healthcare administration. Chicago, IL: Health Administration Press.

Few more details for below questions to answer correclty about myself

1) Pursuing Master’s information systems security in university of cumberlands

 

2) Completed Master’s in information technology management from campbellsville university

3) Completed Master’s in Computer Science from Northwestern polytechnic university

4) Completed Undergraduate in computer science & engineering 

 

Academic Carrier 

1) Bachelor’s in computer Science Technology ( Jawaharlal Nehru Technological University Hyderabad)

Subjects: 

PROBABILITY AND STATISTICS, 

MATHEMATICAL FOUNDATION OF COMPUTER SCIENCE, DATA STRUCTURES THROUGH C++, 

DIGITAL LOGIC DESIGN, 

ELECTRONIC DEVICES & CIRCUITS

COMPUTER ORGANIZATION, 

DATA BASE MANAGEMENT SYSTEMS, 

OBJECT ORIENTED PROGRAMMING, 

ENVIRONMENTAL STUDIES, 

FORMAL LANGUAGES & AUTOMATA THEORY, DESIGN & ANALYSIS OF ALGORITHMS 

LINUX PROGRAMMING , SOFTWARE TESTING METHODOLOGIES, 

DATA WAREHOUSING AND DATA MINING 

COMPUTER GRAPHICS 

MOBILE COMPUTING 

DESIGN PATIERNS 

2) Master’s in Computer Science ( Northwestern Polytechnic University,Fremont,CA, USA)

Subjects: Data Modeling and Implementation Techniques, Java and Internet Applications, Advanced Structured Programming and Algorithms, UNIX/Linux Network Programming 

Network Analysis & Testing, Network Security i’undamentals and Computer Science Capstone Course 

3) Master’s in Information Technology Management (Campbellsville University, Louisville,KY,USA)

Subjects: 

Project Management,

Information System Infrastructure,Management Information Systems,Information System Security,

Team Management,

Negotiation and Conflict Mgt.

Current & Emerging Technology,

Disaster Recovery Planning,

Cyberlaw, Regulations, & Compliance, ITM Capstone

Presently Pursuing Subjects( University of cumberlands masters in Information Systems Security):

1) Access Control

2) Telecom Network Security

Current Job: Lead Software Engineer (Qlik)

Doctoral candidates should provide an authentic personal statement to each of the five following questions/prompts reflecting on their own personal interest. In the event that any outside resources are used, resources should be cited in APA format. Submissions should be a maximum of 500 words or 125 words per question/prompt. It is best to response to each prompt/question individually for clarity of the reviewer. Writing sample should be submitted in Microsoft Word format and include candidates name.

PhD IT

  1. Tell us about yourself and your personal journey that has led you to University of the Cumberlands.
  2. What are your research interests in the area of information technology? How did you become interested in this area of research?
  3. What is your current job/career and how will this program impact your career growth? 
  4. What unique qualities do you think you have that will help you in being successful in this program?
  5. How can obtaining a doctorate impact your contribution to the practices of information technology? Where do you see yourself after obtaining a doctorate from UC?

 

Complexities in Leadership

At your hospital, the Committee on Medical Ethics is a medical staff committee. It answers to the Medical Executive Committee and the medical staff president, and its members are jointly appointed by the president of the Medical Staff and committee chair.

Although it is a Medical Staff Committee, its membership is multidisciplinary, including physicians, nurses, social workers, lawyers, and members of the lay public (for community representation).

Most members of the committee have received training in clinical ethics consultation, and were chosen because of their interest in resolution of ethical issues and their interpersonal qualities with patients and staff.

The hospital administration has engaged a consulting firm to modernize its structure. The consultants have advised converting the old social worker approach to the contemporary position of case manager. The consultants note that three social workers sit on the Ethics Committee.

The social worker members of the Ethics Committee were advised that they will no longer serve on said committee, and that their place will be taken by the manager of case management, who has no experience in ethics consultation, nor does she know anything about the history of Ethics Committee activities at your hospital.

The chair of the Ethics Committee is informed that three of his committee members are out. The chair is livid, and there is also an immediate reaction from all the rest of the committee members, most especially the medical staff members of the committee something about separation of powers is mentioned.

You have been assigned by the hospital administrator to handle this mess. How would you go about doing so? If you had been told to handle the proposed committee reconfiguration from the very beginning, what would you have done differently from what was done? What change management practices would you have implemented to have these adjustments be handled better?

Describe your answer in detail, write in a response to each case scenario. Your Journal entry should be at least 500 words.

Using as reference:

Title: Leadership For Health Professionals 

Edition: 3rd (2017) 

Author: Ledlow, Coppola 

Publisher: Jones & Bartlett Book 

ISBN: 978-1-2841-0941-2 

Read Chapter 9: Leadership and the Complex Health Organizations: Strategically Managing the Organizational Environment Before it Manages You 

Discuss in not less than 200 words 

Explain how you would integrate the current external environment factors in the health industry. Translate your interpretation into a critical list of action items for a health organization. Develop this list for the organization in terms of a strategic plan, directional strategies, external and internal environment, organizational culture, and any other factors that you deem important for organizational positioning and survival. 

In two different paragraph with no less than 75 words give your personal opinion to Benjamin Schortgen and Kerri Collins 

Kerri Collins 

It is important for leaders in healthcare to understand the external environment and how it affects the organization.  There are macro and micro forces of the external environment.  Examples of macro forces include legal, political, and economic forces.  Examples of micro factors include technology, research and education, public policy, and healthcare financing.  These multiple forces help influence change in healthcare. (Gerald R. Ledlow, James H. Stephens, 2018)

A healthcare leader must consider all these external factors and create plans for the constant changes they present.  Finances is one of the most pressing action items as this contributes to the success of any organization.  Assessing the threats and opportunities of the Affordable Care Act and its impact on the organization is key.  With different government administrations come changes to the ACA.  An ongoing SWOT analysis to analyze these threats and opportunities is imperative.  Another action item would be to assess the legal and ethical forces of the organization.   Understanding the threats of legal and ethical issues is important to the success of the organization.  With ethical issues, organizational culture is also important.  A leader can develop a culture towards the mission and vision of the organization with ethical decision-making being at the core.  Another action item is ensuring the healthcare organization is promoting prevention and wellness.  Even amongst the healthcare employees, prevention and wellness are important.  Threats and opportunities could also be assessed with the possibility of offering employee health services within the organization.  This is just a small list of action items to consider as there are many that affect healthcare daily. (Mohammad, 2014)

Mohammad, A. (2014, February). Factors Affecting Medical Service Quality. Retrieved from NCBI: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4450689/

Gerald R. Ledlow, James H. Stephens. (2018). Leadership for Health Professionals. Burlington: Jones & Bartlett Learning.

 

Benjamin Schortgen 

Epidemics and Pandemics are a part of human history.  Currently as I write this discussion post in preparation for Unit 5 A virus has emerged from China and is spreading.  The Coronavirus is a human to human contagion, and it is safe to say that the effects could become global.

            Hospitals and health systems are going to need to be on high alert and likely have policies available to deal with these outbreaks.  Some actions I would take would include:

  1. Review current protocol and policy and start training now on infection control and pandemic/epidemic standard operating procedures.
  2. Train and prepare to receive ill persons while maintaining safety for non-infected hospital wings and areas.
  3. Research and prepare for CDC and WHO requirements and comply with all quarantine and reporting rules
  4. Establish and begin public education as soon as possible
    1. Infection prevention
    2. Travel information
    3. Proper in-home procedures to identify and protect possible infected individuals and the rest of the household

History tends to repeat itself, the black plague that ripped across Europe, the Spanish Flu in the early 20th century, and Ebola in the early 21st are all examples of possible devastating external factors that we should not fear but should be ready for. 

1. Research and discuss a recent example on one of the following attacks: brute-force, buffer overflow, content spoofing, credential/session prediction, cross-site scripting, cross-site request forgery, denial of service, format string, fingerprinting, HTTP response smuggling, HTTP response splitting, HTTP request smuggling, HTTP request splitting, integer overflows, or LDAP injection.

2.Assume you are all working as the security team in the IT department of a company. The upper-level management is considering the use of an effective approach to analyze and profile their systems. Possibly with the help of online research, post something about a strategy, tool, or issue related to this that can aid the company in making a decision.

APA format. Use references.

 

 

A customer relationship model attempts to enhance the relationship between the organization and the customer. The goal is to improve customer loyalty while identifying any potential opportunities.

In this week’s assignment, please find a local healthcare organization that specializes in treating specific patients (ex: cancer, pediatrics, catastrophic injuries) or illnesses. Research the organization, and build a Customer Relationship Model for the organization.

The assignment must be submitted in a PowerPoint format (maximum 5 slides) and explains the needs of the customer.

RUBRICS: Submitted in a PowerPoint format (maximum 5 slides) and explains the needs of the customer. APA Format , Grammar.  

26 (26.00%) – 30 (30.00%)

Content meets objective. Has a professional tone and has very few or no grammatical errors.

 Provided overview of facility chosen, with a detailed customer relationship model. 31 (31.00%) – 40 (40.00%)

Facility chose is described in detail with a focused and easy to understand customer relationship model

 Slides are engaging and explains the needs of the customer  

26 (26.00%) – 30 (30.00%)

Content has good flow and slides are relevant

 

  • Link: video on corporate branding: 

What are the issues and root causes that necessitates the enactment and/or establishment of Federal, state and local government laws, and the establishment of regulations and policies for access control? Cite such laws, regulations and policies in your particular state.

Discussion Question requirement: Note that the requirement is to post your initial response no later than Thursday and you must post one additional during the week (Sunday). I recommend your initial posting to be between 200-to-300 words. The replies to fellow students and to the professor should range between 100-to-150 words. All initial posts must contain a properly formatted in-text citation and scholarly reference.

APA Style

300-400 Words minimum

2 peer-reviewed resources

Based on topic for research proposal

Discussion 1:

Your problem statement, research questions, and hypotheses help determine the types of data you need to collect for your applied Research Project. Thinking about your own research study, answer the following questions:

1. What are the main research hypotheses or questions you would hope to examine by conducting your proposed research study?

2. What information would you need to collect in order to test each hypothesis or answer each research question (explain for each hypothesis/question)?

3. What research subjects or units will provide the most relevant information to address the research hypotheses/questions? Why?

Discussion 2:

  

1. What type of data would you need to collect (qualitative, quantitative or both) to address you stated hypotheses? Explain.

2. What type(s) of data collection techniques (experiments, surveys/questionnaires, field research, participant observation, content analysis, existing data research, or evaluation research) will you use to address your problem statement? Why?

3. How will the data collection techniques you select effectively address your research hypotheses? Explain.