Description
Discussion Questions
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?
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?
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?
EMTALA Scenario Analysis
Write a 1,000-1,250 word paper in which you analyze a scenario using the Emergency Medical Treatment and Active Labor Act (EMTALA).
You are the administrator on call for Hospital A and are responsible for accepting and rejecting patients. You receive a call at 2:00 a.m. from Health Hospital B regarding a patient with a severed ear.
The ED physician is calling to arrange an EMTALA-qualified transfer from his hospital to yours, but the ENT physician on call at your hospital is refusing to accept the transfer, stating that the patient does not need a higher level of care.
You call your ENT on call, and he admits he has just had three glasses of wine and will not be available for about 6 hours. You electronically send him the record that Health Hospital B would send with the patient. The ENT physician advises that the ear looks salvageable and could easily be sutured in any ED. The ED physician at Health Hospital B is very nervous about the possibility of an EMTALA violation.
- If you decide to reject the patient, is this a violation of EMTALA? Explain.
- What decision will you make as the administrator? Explain.
- Based on this scenario, what could be implemented to prevent this type of situation from occurring in the future?
- Under what scenario would the Hospital A physician be concerned about an EMTALA situation?
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.
Read “Feds Increase EMTALA Penalties against Physician and Hospitals,” by Bitterman, from Emergency Physicians Monthly (2017), to complete the topic assignment.
URL:
http://epmonthly.com/article/feds-increase-emtala-penalties-physicians-hospitals/
Access the Primary Law page of the Emergency Medical Treatment and Active Labor Act (EMTALA) website. Click on “2008 amendments.” Read pages 48654-48657.
URL:
http://www.emtala.com/law/index.html
Antitrust Case Analysis
Using the Health Care page of the U.S. Department of Justice Antitrust Division website, locate three antitrust law cases. Write a 500-750 word analysis of each case that describes the following:
- A brief overview of the particulars of the case.
- The impact of the case on the law and powerbrokers.
- Concerns regarding the case in the role of a health care leader.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.
HLT-520
Class Code
HLT-520-O500
Criteria
Content
Percentage
70.0%
Particulars of the Case
30.0%
Impact of the Case
20.0%
Concerns Regarding the Case
20.0%
Organization and Effectiveness
20.0%
Thesis Development and Purpose
7.0%
Argument Logic and Construction
8.0%
Mechanics of Writing (includes spelling,
punctuation, grammar, language use)
5.0%
Format
10.0%
Paper Format (use of appropriate style for the
major and assignment)
5.0%
Documentation of Sources (citations, footnotes,
references, bibliography, etc., as appropriate to
assignment and style)
5.0%
Total Weightage
100%
Antitrust Case Analysis
Unsatisfactory (0.00%)
A description of the particulars of the case is not included.
A description of the impact of the case on the law and
powerbrokers is not included.
A description of the concerns regarding the case in the role of
a health care leader is not included.
Paper lacks any discernible overall purpose or organizing
claim.
Statement of purpose is not justified by the conclusion. The
conclusion does not support the claim made. Argument is
incoherent and uses noncredible sources.
Surface errors are pervasive enough that they impede
communication of meaning. Inappropriate word choice or
sentence construction is used.
Template is not used appropriately or documentation format
is rarely followed correctly.
Sources are not documented.
80.0
Less than Satisfactory (74.00%)
A description of the particulars of the case is incomplete or
incorrect.
A description of the impact of the case on the law and
powerbrokers is incomplete or incorrect.
A description of the concerns regarding the case in the role of
a health care leader is incomplete or incorrect.
Thesis is insufficiently developed or vague. Purpose is not
clear.
Sufficient justification of claims is lacking. Argument lacks
consistent unity. There are obvious flaws in the logic. Some
sources have questionable credibility.
Frequent and repetitive mechanical errors distract the
reader. Inconsistencies in language choice (register) or word
choice are present. Sentence structure is correct but not
varied.
Appropriate template is used, but some elements are missing
or mistaken. A lack of control with formatting is apparent.
Documentation of sources is inconsistent or incorrect, as
appropriate to assignment and style, with numerous
formatting errors
Satisfactory (79.00%)
A description of the particulars of the case is included but
lacks details.
A description of the impact of the case on the law and
powerbrokers is included but lacks details.
A description of the concerns regarding the case in the role of
a health care leader is included but lacks details.
Thesis is apparent and appropriate to purpose.
Argument is orderly, but may have a few inconsistencies. The
argument presents minimal justification of claims. Argument
logically, but not thoroughly, supports the purpose. Sources
used are credible. Introduction and conclusion bracket the
thesis.
Some mechanical errors or typos are present, but they are
not overly distracting to the reader. Correct and varied
sentence structure and audience-appropriate language are
employed.
Appropriate template is used. Formatting is correct, although
some minor errors may be present.
Sources are documented, as appropriate to assignment and
style, although some formatting errors may be present.
Good (87.00%)
A description of the particulars of the case is complete and
includes details.
A description of the impact of the case on the law and
powerbrokers is complete and includes details.
A description of the concerns regarding the case in the role of
a health care leader is complete and includes details.
Thesis is clear and forecasts the development of the paper.
Thesis is descriptive and reflective of the arguments and
appropriate to the purpose.
Argument shows logical progressions. Techniques of
argumentation are evident. There is a smooth progression of
claims from introduction to conclusion. Most sources are
authoritative.
Prose is largely free of mechanical errors, although a few may
be present. The writer uses a variety of effective sentence
structures and figures of speech.
Appropriate template is fully used. There are virtually no
errors in formatting style.
Sources are documented, as appropriate to assignment and
style, and format is mostly correct.
Excellent (100.00%)
A description of the particulars of the case is extremely
thorough with substantial supporting evidence.
A description of the impact of the case on the law and
powerbrokers is extremely thorough with substantial
supporting evidence.
A description of the concerns regarding the case in the role of
a health care leader is extremely thorough with substantial
supporting evidence.
Thesis is comprehensive and contains the essence of the
paper. Thesis statement makes the purpose of the paper
clear.
Clear and convincing argument that presents a persuasive
claim in a distinctive and compelling manner. All sources are
authoritative.
Writer is clearly in command of standard, written, academic
English.
Comments
All format elements are correct.
Sources are completely and correctly documented, as
appropriate to assignment and style, and format is free of
error.
Points Earned
Discussion Questions
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?
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?
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?
EMTALA Scenario Analysis
Write a 1,000-1,250 word paper in which you analyze a scenario using the Emergency Medical Treatment and Active
Labor Act (EMTALA).
You are the administrator on call for Hospital A and are responsible for accepting and rejecting patients. You receive a call
at 2:00 a.m. from Health Hospital B regarding a patient with a severed ear.
The ED physician is calling to arrange an EMTALA-qualified transfer from his hospital to yours, but the ENT physician on
call at your hospital is refusing to accept the transfer, stating that the patient does not need a higher level of care.
You call your ENT on call, and he admits he has just had three glasses of wine and will not be available for about 6
hours. You electronically send him the record that Health Hospital B would send with the patient. The ENT physician
advises that the ear looks salvageable and could easily be sutured in any ED. The ED physician at Health Hospital B is very
nervous about the possibility of an EMTALA violation.
1. If you decide to reject the patient, is this a violation of EMTALA? Explain.
2.
What decision will you make as the administrator? Explain.
3.
Based on this scenario, what could be implemented to prevent this type of situation from occurring in the future?
4.
Under what scenario would the Hospital A physician be concerned about an EMTALA situation?
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.
An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the
expectations for successful completion.
You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.
Read “Feds Increase EMTALA Penalties against Physician and Hospitals,” by Bitterman, from Emergency Physicians
Monthly (2017), to complete the topic assignment.
URL:
Feds Increase EMTALA Penalties against Physicians and Hospitals
Access the Primary Law page of the Emergency Medical Treatment and Active Labor Act (EMTALA) website. Click on
“2008 amendments.” Read pages 48654-48657.
URL:
http://www.emtala.com/law/index.html
Antitrust Case Analysis
Using the Health Care page of the U.S. Department of Justice Antitrust Division website, locate three antitrust law cases.
Write a 500-750 word analysis of each case that describes the following:
1. A brief overview of the particulars of the case.
2.
The impact of the case on the law and powerbrokers.
3.
Concerns regarding the case in the role of a health care leader.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.
An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the
expectations for successful completion.
You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.
Course Code
HLT-520
Class Code
HLT-520-O500
Criteria
Content
Percentage
70.0%
EMTALA Violations
20.0%
Administrator Decision
20.0%
Prevention Strategies
15.0%
EMTALA Concerns
15.0%
Organization and Effectiveness
20.0%
Thesis Development and Purpose
7.0%
Argument Logic and Construction
8.0%
Mechanics of Writing (includes spelling,
punctuation, grammar, language use)
5.0%
Format
10.0%
Paper Format (use of appropriate style for the
major and assignment)
5.0%
Documentation of Sources (citations, footnotes,
references, bibliography, etc., as appropriate to
assignment and style)
5.0%
Total Weightage
100%
EMTALA Scenario Analysis
Unsatisfactory (0.00%)
A description of EMTALA violations if the patient was rejected
is not included.
A description of the administrators decision is not included.
An explanation of potential prevention strategies is not
included.
A description of possible concerns related to EMTALA is not
included
Paper lacks any discernible overall purpose or organizing
claim..
Statement of purpose is not justified by the conclusion. The
conclusion does not support the claim made. Argument is
incoherent and uses noncredible sources.
Surface errors are pervasive enough that they impede
communication of meaning. Inappropriate word choice or
sentence construction is used.
Template is not used appropriately or documentation format
is rarely followed correctly.
Sources are not documented.
80.0
Less Than Satisfactory (65.00%)
A description of EMTALA violations if the patient was rejected
is incomplete or incorrect.
A description of the administrators decision is incomplete or
incorrect.
An explanation of potential prevention strategies is
incomplete or incorrect.
A description of possible concerns related to EMTALA is
incomplete or incorrect.
Thesis is insufficiently developed or vague. Purpose is not
clear.
Sufficient justification of claims is lacking. Argument lacks
consistent unity. There are obvious flaws in the logic. Some
sources have questionable credibility.
Frequent and repetitive mechanical errors distract the
reader. Inconsistencies in language choice (register) or word
choice are present. Sentence structure is correct but not
varied.
Appropriate template is used, but some elements are missing
or mistaken. A lack of control with formatting is apparent.
Documentation of sources is inconsistent or incorrect, as
appropriate to assignment and style, with numerous
formatting errors.
Satisfactory (75.00%)
A description of EMTALA violations if the patient was rejected
is included, but lacks supporting detail.
A description of the administrators decision is included, but
lacks supporting detail.
An explanation of potential prevention strategies is included,
but lacks supporting detail.
A description of possible concerns related to EMTALA is
included, but lacks supporting detail.
Thesis is apparent and appropriate to purpose.
Argument is orderly, but may have a few inconsistencies. The
argument presents minimal justification of claims. Argument
logically, but not thoroughly, supports the purpose. Sources
used are credible. Introduction and conclusion bracket the
thesis.
Some mechanical errors or typos are present, but they are
not overly distracting to the reader. Correct and varied
sentence structure and audience-appropriate language are
employed.
Appropriate template is used. Formatting is correct, although
some minor errors may be present.
Sources are documented, as appropriate to assignment and
style, although some formatting errors may be present.
Good (85.00%)
A description of EMTALA violations if the patient was rejected
is complete and includes supporting detail.
A description of the administrators decision is complete and
includes supporting detail.
An explanation of potential prevention strategies is complete
and includes supporting detail.
A description of possible concerns related to EMTALA is
complete and includes supporting detail.
Thesis is clear and forecasts the development of the paper.
Thesis is descriptive and reflective of the arguments and
appropriate to the purpose.
Argument shows logical progressions. Techniques of
argumentation are evident. There is a smooth progression of
claims from introduction to conclusion. Most sources are
authoritative.
Prose is largely free of mechanical errors, although a few may
be present. The writer uses a variety of effective sentence
structures and figures of speech.
Appropriate template is fully used. There are virtually no
errors in formatting style.
Sources are documented, as appropriate to assignment and
style, and format is mostly correct.
Excellent (100.00%)
A description of EMTALA violations if the patient was rejected
is extremely thorough with substantial supporting detail
A description of the administrators decision is extremely
thorough with substantial supporting detail.
An explanation of potential prevention strategies is extremely
thorough with substantial supporting detail.
A description of possible concerns related to EMTALA is
extremely thorough with substantial supporting detail.
Thesis is comprehensive and contains the essence of the
paper. Thesis statement makes the purpose of the paper
clear.
Clear and convincing argument that presents a persuasive
claim in a distinctive and compelling manner. All sources are
authoritative.
Comments
Writer is clearly in command of standard, written, academic
English.
All format elements are correct.
Sources are completely and correctly documented, as
appropriate to assignment and style, and format is free of
error.
Points Earned
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