HLT 520 Legal and Ethical Principles in Health Care Entire Course

HLT 520 Legal and Ethical Principles in Health Care Entire Course

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HLT 520 Legal and Ethical Principles in Health Care Entire Course

HLT520 Week 1 Discussions 1 & 2

dq 1

A patient is in a coma that appears irreversible. His mother, who is his surrogate, firmly believes that he will recover and that God is taking a hand to work a miracle if everyone will just wait long enough. She wants everything done for the patient, including resuscitation if he arrests. She insists that he stay in the hospital, and is very upset that he was transferred out of the ICU and his care was moved to comfort measures, rather than aggressive treatment. The mother does not speak English and is strong in her religious beliefs. The physicians for the patient are very upset and concerned about continuing to provide care that they believe is futile. The patient is developing a serious pneumonia, and the mother wants it treated aggressively. The physicians are reluctant. Analyze this case from the ethical principles of justice, benevolence, non-malfeasance, and autonomy.

dq 2

In this time of limited financial resources and reduced government payments for health care services, what are the ethical issues of limiting care? How much uncompensated care can hospitals absorb? Where do people with no resources go for care? What is the state’s responsibility to ensure health care services? What are the ethical considerations that should be taken into account?

HLT520 Week 2 Discussions 1 & 2

dq 1

Discuss the four components of a valid contract and apply them to a contract with a vendor to purchase a new CT scanner. What would you include in the contract? How would you be sure it would be valid?

dq 2

Since the hospital/patient relationship is considered a contract of sorts, how is it affected if the patient decides to disconnect himself from telemetry and leave the hospital for 4 hours to go score some cocaine on the street? What would you do as a hospital administrator in this situation?

HLT520 Week 3 Discussions 1 & 2

dq 1

If a physician develops a history of disruptive behavior, belittling staff, cursing at coworkers, and being rude and curt to patients, what are the responsibilities of the medical staff, the hospital, and the other professionals involved? Why do you believe that so many staff may be reluctant to report a poorly behaving physician?

dq 2

What do you see as the pros and cons of obtaining fair market value analyses on the compensation paid to physicians, especially when the market rates are benchmarked against national standards? How could this information be used in negotiating rates with physicians?

HLT520 Week 4 Discussions 1 & 2

dq 1

Discuss your opinion of the Stark laws, what they are designed to do, the impact of the exceptions, and whether you think they are successful in preventing unethical behavior.

dq 2

What kinds of fraudulent or abusive behavior relating to health care services can occur in hospital operations? How does the role of the compliance committee help to monitor and prevent these?

HLT520 Week 5 Discussions 1 & 2

dq 1
You are a hospital administrator, and you receive a call from a colleague at another hospital. Your colleague, who is a friend, informs you that he has received a demand for a stipend from the ophthalmologists who take ED calls at his hospital, and they want a sizeable raise. He asks you what you pay for that type of call, and suggests that you could both benefit by coming up with a standard rate of pay over which neither of you will go in response to physician demands. It could save your hospitals $300,000 to do this. What is your response, and what is the rationale for it?
dq 2

Do you think that hospitals who engage in group purchasing organizations are engaging in a form of price-fixing? If yes, then why? If no, then why not?

HLT520 Week 6 Discussions 1 & 2

dq 1

Examine the concept of “employment at will” and the public policy exceptions to it. How does it fit with the issue of “wrongful discharge?”

dq 2

What do you see as the pros and cons of a unionized environment in a health care facility? How can the right to collective bargaining by employees and the mandate to provide care to patients be reconciled?

HLT520 Week 7 Discussions 1 & 2

dq 1

Explore the issues of how to determine if a patient is mentally competent to make his or her own decisions, especially in situations where the decisions do not appear to make sense.

dq 2

What are the differences between a permanent vegetative state and a coma? How do these differences affect the ethical choices faced by the family and caregivers of the patient? What impacts should the patient’s own wishes have? How would the presence of a living will impact the decision?

HLT520 Week 8 Discussions 1 & 2

Week 8 discussion

A baby is born with anencephaly, or absence of the entire brain above the brainstem. The brainstem is intact, which means that the baby can breathe and have a heart beat and blood pressure, but there is no chance for any human brain function or cognition, due to this birth defect. The health care team begins to educate the mother, since children with this deficit generally die shortly after birth. However, the mother is devoutly religious, and her minister has told her that if she prays hard enough to God, that God will work a miracle and her baby’s brain will heal itself. She is insistent that all possible care be given to her baby, including a months-long stay in the ICU, constant care by a caregiver, regular brain scans, and other expensive modalities. The hospital, finding her adamant, asks the court for guardianship of the baby, with the medical plan to provide only maintenance care with no life-prolonging techniques until the baby dies. What are the ethical issues at play here? How do the principles of autonomy, beneficence, nonmalfeasance, and justice manifest themselves? If you were called as an ethical consultant, what would you do/recommend?

DQ2

A 94-year-old woman is admitted to your hospital with dehydration, trouble breathing, and possible kidney failure. She is clearly in advanced Alzheimer’s, weighs about 95 pounds, and shows multiple bruises on her body. She cannot talk. Her caregiver attributes the bruises to a blood disorder that reduces clotting. What are your thoughts about this situation? What kind of investigation would you conduct? What actions would you take to be in compliance with ethical principles

HLT520 Week 1 Ethical Study Review Assignment

Details:

Scenario: A 96-year-old male patient is admitted to the ICU with terminal liver cancer. He is confused and disoriented, very skinny and appears underfed, and is covered with bruises, which are common in patients with liver disorders. His daughter, who is a naturopathic physician, insists that she can cure her father by administering unknown substances, some of which smell like feces and look like tar, down his NG tube. He is clearly in pain after she does this. She insists that these are life-saving interventions on her part, but the nursing and physician staff caring for the patient are very upset and concerned that she is hastening his death. They have come to you for help.

1) Write a paper (1,250-1,500 words) that describes how to use the method of ethical decision making, reviewed in the module, to help resolve this ethical dilemma. Address the following to generate your conclusions about how you would proceed:

1.     a) What are the dimensions of the ethical dilemma?

2.     b) What are the issues?

3.     c) Apply the four core ethical principles and the process of ethical decision making.

2) Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

3) This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

HLT520 Week 2 Law Suit Recommendation Paper Assignment

Details:

Scenario: A physician is claiming injury and damages from a hospital that notified him they were not renewing his contract for services provided. The hospital gave him a 4-month notice and stated that they were exercising this right because they wanted the department in which the physician functioned “to go in a new direction.” The physician has filed notice of intention to sue.

1) As the hospital administrator, write a paper (750-1,000-words) that explores the options for defending the suit in court, going to arbitration, going to mediation, or structuring a settlement. Include the pros and cons of each option and end with a recommendation to your board of directors on which avenue to pursue.

2) Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

3) This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment

HLT520 Week 2 Respondeat Superior Paper Assignment

Details:

Scenario: A patient had surgery and the nurse-anesthetist administered the anesthesia. The patient subsequently arrested and died while under anesthesia. An investigation concluded that the patient was not receiving the needed amount of oxygen and the nurse-anesthetist missed the changes in the vital signs until the patient was close to cardiac arrest. The surgeon initially had assisted in positioning the patient and had helped to administer some of the initial anesthetic.

1) Write an analysis (750-1,000 words) of the situation and argue whether the doctrine of “respondeat superior” would cause the surgeon to have vicarious liability for the patient’s death.

2) Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

3) This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment

HLT520 Week 3 Assignment

Details:

1) Read the case study, “Hospital’s Duty to Ensure Competency” on pages 183-184 in the textbook.

2) Write a paper (1,250-1,500 words) that addresses the case study’s two Discussion prompts. Include a detailed rationale for your answers.

3) Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

4) This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

HLT520 Week 4 Assignment

Details:

Scenario: You are the administrator on call for a local hospital and you receive a call at 2:00 a.m. from another local hospital regarding a patient with a broken upper arm. The ED physician’s assistant is calling to arrange an EMTALA transfer from his hospital to yours, but the orthopedic physician on call at your hospital is refusing to accept the transfer, stating that the patient doesn’t need a higher level of care. When you ask him about that, he tells you the fracture is not displaced, and can be splinted and seen in the office. The ED physician at your hospital is very nervous about the possibility of an EMTALA violation.

1) Write an analysis (1,000-1,500 words) of the situation, how it is impacted by EMTALA, and what decision you will make as the administrator, along with your rationale and thought process.

2) Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

3) This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

HLT520 Week 5 Assignment

Details:

1) Read the case study (“Contract Violates Antitrust Laws”) on pages 100-101 in the textbook and answer the two discussion questions.

2) Write a paper (1,000-1,500 words) that addresses the discussion questions. Include a detailed rationale for your answers.

3) Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

4) This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

HLT520 Week 6 Chapter 20 Review Questions 2-3 Assignment

Details:

1) Write a paper (500-750 words) that addresses the Review Questions 2 and 3 in chapter 20 of the textbook. Include a rationale for your answers.

2) Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

3) This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

HLT520 Week 7 Brain Death Scenario Assignment

Details:

Scenario: You are the hospital administrator and are told by your ICU unit director of a patient in the unit that has suffered serious brain damage, but is not currently meeting the criteria for complete brain death. Half of the family is insisting that the patient “wouldn’t want to live this way” and the other half is accusing them of wanting to kill the patient. Some allegations have been raised about a substantial inheritance for some family members upon the patient’s death. The battle is becoming intense and it is beginning to disrupt the medical and nursing staff.

1) Write an analysis (1,250-1,500 words) of the situation from an ethical and legal perspective. Address the following questions:

1.     a) What are the ethical issues?

2.     b) What are the legal issues?

3.     c) What are the medical care issues?

4.     d) What actions would you take? Why? How?

5.     e) What resources would you tap?

2) Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

3) This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

HLT520 Week 8 Bioethics Interview Assignment

Assignment 8 Bioethics Interview

Details:

1) Contact the chair of a local hospital’s bioethics committee and interview him/her regarding the use of the committee at that facility, how the committee functions, how it makes decisions and recommendations, and the chair’s views on the impact the committee has had on the facility. If possible, attend one of the committee’s meetings.

2) Write a paper (1,250-1,500 words) that describes your findings and observations. Include additional resources that support, reinforce, or even challenge your findings and observations.

3) Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

4) This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.