112221, 826 PM Rubric Assessment - MHA6999-Seminar in Healt

11/22/21, 8:26 PM Rubric Assessment - MHA6999-Seminar in
Healthcare Cases SU01 - South University
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Print RubricSU MHA6999 Week 5 Project Rubric
Course: MHA6999-Seminar in Healthcare Cases SU01
Criteria
No Submission
0 points
Emerging (F through
D Range) (1–51)
51 points
Satisfactory (C
Range) (52–59)
59 points
Proficient (B Range)
(60–66)
66 points
Exemplary (A
Range) (67–75)
75 points

Criterion Score
Includes all
assignment
components and
meets graduate
level critical
thinking. A
purpose
statement is
identified for the
response.
/ 75
Student did not
submit assignment.
Work minimally
meets assignment
expectations. No
purpose statement

is provided.
Assignment meets
some expectations
with minimal depth
and breath. Purpose
statement is vague.
Assignment meets
most of
expectations with all
components being
addressed in good
depth and breadth.
Purpose statement
is present and
appropriate for the
assignment.
Assignment meets
all expectations with

exceptional depth
and breath. A
comprehensive
purpose statement
delineates all
requirements of the
assignment.
Criteria
No Submission
0 points
Emerging (F through
D Range) (1–51)
51 points
Satisfactory (C
Range) (52–59)
59 points
(60–66)
66 points
Exemplary (A
Range) (67–75)
75 points
Criterion Score

Integrates and
understands
assignments
concepts and
topics.
/ 75
Student did not
submit assignment.
Shows some degree
of understanding of
assignment
concepts.
Demonstrates a
clear understanding
of assignment
concepts.
Demonstrates the
ability to evaluate
and apply key

assignment
concepts.
Demonstrates the
ability to evaluate,
apply and integrate
key assignment
concepts.
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Criteria
No Submission
0 points
Emerging (F through
D Range) (1–51)
51 points
Satisfactory (C
Range) (52–59)
59 points

(60–66)
66 points
Exemplary (A
Range) (67–75)
75 points
Criterion ScoreCriteria
No Submission
0 points
Emerging (F through
D Range) (1–51)
51 points
Satisfactory (C
Range) (52–59)
59 points
(60–66)
66 points
Exemplary (A
Range) (67–75)
75 points
Criterion Score
Synthesizes,
analyses, and
evaluates

resources to
apply concepts
in the
assignment.
/ 75
Student did not
submit assignment.
Does not interpret,
apply, and
synthesize concepts
and strategies.
Summarizes
information gleaned
from sources to
support major
points, but does not
synthesize. Provides
minimal justification

to support major
topics. Uses one
credible resource in
the assignment.
Synthesizes and
justifies (defends,
explains, validates,
confirms)
information gleaned
from sources to
support major
points presented.
Uses a minimum of
two credible
resources in the
assignment.
Synthesizes and
justifies (defends,

explains, validates,
confirms)
information gleaned
from sources to
support major
points presented.
Uses three credible
resources for the
assignment,
including at least
one scholarly peer-
reviewed resource.
Criteria
No Submission
0 points
Emerging (F through
D Range) (1–17)
17 points
Satisfactory (C
Range) (18–19)
19 points

(20–22)
22 points
Exemplary (A
Range) (23–25)
25 points
Criterion Score
Uses correct
spelling,
grammar, and
professional
vocabulary.
Provides credible
resources using
correct APA
format.
/ 25
Student did not
submit assignment.
Contains many (≥5)
grammar, spelling,

punctuation, and
APA errors that
interfere with the
reader’s
understanding.
Contains a few (3–4)
grammar, spelling,
punctuation, and
APA errors.
Uses correct
grammar, spelling,
and punctuation
with no errors.
Contains a few (1–2)
APA format errors.
Uses correct
grammar, spelling,
and punctuation

with no errors. Uses
correct APA format
with no errors.
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Total / 250
Overall Score
No Submission
0 points minimum
Emerging (F through D Range)
1 point minimum
Satisfactory (C Range)
175 points minimum
200 points minimum
Exemplary (A Range)
225 points minimum

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Print RubricSUO Discussion Rubric (80 Points) - Version 1.2
Course: MHA6999-Seminar in Healthcare Cases SU01
Response
No Submission
0 points
Emerging (F-D: 1-
27)
27 points
Satisfactory (C: 28-
31)
31 points
Proficient (B: 32-35)
35 points
Exemplary (A: 36-
40)
40 points
Criterion Score

Quality of Initial
Posting
/ 40
No initial posting exists
to evaluate.
The information provided
is inaccurate, not focused
on the assignment’s topic,
and/or does not answer
the question(s) fully.
Response demonstrates
incomplete
understanding of the
topic and/or inadequate
preparation.
is accurate, giving a basic
understanding of the

topic(s) covered. A basic
understanding is when
you are able to describe
the terms and concepts
covered. Despite this
basic understanding,
initial posting may not
include complete
development of all
aspects of the
assignment.
is accurate, displaying a
good understanding of
the topic(s) covered. A
good understanding is
when you are able to
explain the terms and

topics covered. Initial
posting demonstrates
sincere reflection and
addresses most aspects
of the assignment,
although all concepts may
not be fully developed.
is accurate, providing an
in-depth, well thought-
out understanding of the
topic(s) covered. An in-
depth understanding
provides an analysis of
the information,
synthesizing what is
learned from the
course/assigned readings.

Participation
No Submission
0 points
Emerging (F-D: 1-
13)
13 points
16)
16 points
18 points
Exemplary (A: 19-
20)
20 points
Criterion Score
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Participation
No Submission
0 points
Emerging (F-D: 1-

13)
13 points
16)
16 points
18 points
Exemplary (A: 19-
20)
20 points
Criterion Score
Participation in
Discussion
/ 20
No responses to other
classmates were posted
in this discussion forum.
May include one or more
of the following:
*Comments to only one
other student's post.
*Comments are not

substantive, such as just
one line or saying, “Good
job” or “I agree.
*Comments are off topic.
Comments to two or
more classmates’ initial
posts but only on one day
of the week. Comments
are substantive, meaning
they reflect and expand
on what the other
student wrote.
Comments to two or
posts on more than one
day. Comments are
substantive, meaning
they reflect and expand

on what the other
student wrote.
Comments to two or
posts and to the
instructor's comment (if
applicable) on two or
more days. Responses
demonstrate an analysis
of peers’ comments,
building on previous
posts. Comments extend
and deepen meaningful
conversation and may
include a follow-up
question.
Writing
No Submission
0 points

Emerging (F-D: 1-
13)
13 points
Satisfaction (C: 14-
16)
16 points
18 points
Exemplary (A: 19-
20)
20 points
Criterion Score
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Total / 80
Writing
No Submission
0 points
Emerging (F-D: 1-
13)

13 points
Satisfaction (C: 14-
16)
16 points
18 points
Exemplary (A: 19-
20)
20 points
Criterion Score
Writing
Mechanics
(Spelling,
Grammar,
Citation Style)
and Information
Literacy
/ 20
No postings for which to
evaluate language and
grammar exist.

Numerous issues in any
of the following:
grammar, mechanics,
spelling, use of slang, and
incomplete or missing
citations and references.
If required for the
assignment, did not use
course, text, and/or
outside readings (where
relevant) to support work.
Some spelling,
grammatical, and/or
structural errors are
present. Some errors in
formatting citations and
references are present. If
required for the

assignment, utilizes
sources to support work
for initial post but not
comments to other
students. Sources include
course/text readings but
outside sources (when
relevant) include non-
academic/authoritative,
such as Wikis and .com
resources.
Minor errors in grammar,
mechanics, or spelling in
the initial posting are
present. Minor errors in
formatting citations and
references may exist. If
required for the

assignment, utilizes
for both the initial post
and some of the
comments to other
students. Sources include
course and text readings
as well as outside sources
(when relevant) that are
academic and
authoritative (e.g., journal
articles, other text books,
.gov Web sites,
professional organization
Web sites, cases,
statutes, or
administrative rules).
Minor to no errors exist

in grammar, mechanics,
or spelling in both the
initial post and comments
to others. Formatting of
citations and references
is correct. If required for
the assignment, utilizes
for both the initial post
and the comments to
other students. Sources
include course and text
readings as well as
outside sources (when
relevant) that are
academic and
authoritative (e.g., journal
articles, other text books,

.gov Web sites,
professional organization
Web sites, cases,
statutes, or
administrative rules).
74&d2l_b… 4/4
Overall Score
No Submission
0 points minimum
There was no
submission for this
assignment.
Emerging (F to D Range)
1 point minimum
Satisfactory progress has not been met

on the competencies for this
assignment.
Satisfactory (C Range)
56 points minimum
Satisfactory progress has been achieved
on the competencies for this
assignment.
64 points minimum
Proficiency has been achieved on
the competencies for this
assignment.
Exemplary (A
Range)
72 points minimum
The competencies for this
assignment have been
mastered.
MHA6999 WEEK 5 LECTURE, DISCUSSION, AND PROJECT
INSTRUCTIONSPage | 1

Healthcare Ethics (Stem Cell Research)
Technological advances over the past few decades have today
created medical possibilities without boundaries and also
invoked nightmarish science fiction imagery beyond what was
previously imagined.
Even its opponents have not denied the medical benefits of stem
cell research. Stem cell research proponents cite the promise it
holds for curing what are now incurable diseases such as
Alzheimer’s, Parkinson’s, amyotrophic lateral sclerosis (ALS)
or Lou Gehrig’s disease, and multiple sclerosis, as well as
spinal cord injuries (Pozgar, 2016). Opponents of stem cell
research argue that this practice is a slippery slope to
reproductive cloning and fundamentally devalues the worth of a
human being.
The debate surrounding human embryonic stem cell research
plays a crucial role in the culture wars. Those who embrace
post-traditional morality see no ethical problem with the
destruction of human embryos for research and therapies
(Joseph, 2013). There are an estimated hundred million people
worldwide who are afflicted by these medical conditions. As
personalized medicine and patient stratification come to the fore
and therapies are becoming more patient specific, important
questions are being raised regarding whether conclusions gained
from using a single genomic background in a drug screening
assay are globally applicable (Minger, 2013). Stem cells are
thought to hold the possibility of creating human organs, which
will match the cellular structure of the organ recipient.
Opponents of stem cell research declare the use and destruction
of life (or potential life) in the form of embryonic stem cells as
unacceptable. Opponents of embryonic stem cell research draw
a parallel to the experimentation on human beings in the World
War II concentration camps. Because the embryo must be
destroyed to obtain embryonic stem cells, and because many
opponents of stem cell research equate embryonic stem cells
with life, they conclude that such medical breakthroughs cannot
ethically be obtained at the expense of human life. On August 9,

2001, President George W. Bush announced his policy on
research involving human embryonic stem cells and proclaimed
that federal funding would be allocated only to research
involving human embryonic stem cell lines produced prior to
his announcement (Yaniv, 2008).
Medical Ethics
Ideally, for a medical practice to be considered "ethical," it
must respect all the four of these principles: autonomy, justice,
beneficence, and nonmaleficence.
Review each tab to know more.
Autonomy
Description
Requires that the patient have the autonomy of thought,
intention, and action when making decisions regarding
healthcare procedures.
When Does the Ethic Come into Play: Example
A woman enters the emergency room with stomach pain. She
undergoes a CT scan and is diagnosed with an abdominal aortic
aneurysm, a weakening in the wall of the aorta, which causes it
to stretch and bulge. (This is very similar to what led to John
Ritter's death.) The physicians inform her that the only way to
fix the problem is surgically and that the chances of survival are
about 50/50. They also inform her that time is of the essence,
and should the aneurysm burst, she would be dead in a few short
minutes. The woman is an erotic dancer; she worries that the
surgery will leave a scar that will negatively affect her work;
therefore, she refuses any surgical treatment.
Ideal Actions to be Taken to Observe or Conform to Ethic: As
per the Example
The decision-making process must be free of coercion or
coaxing. In order for a patient to make a fully informed
decision, she or he must understand all risks and benefits of the
procedure and the likelihood of success.
Justice
Description
The idea that the burdens and benefits of new or experimental

treatments must be distributed equally among all groups in
society.
A woman after a bout with uterine cancer had a hysterectomy
(surgical removal of the uterus). Before its removal, however,
she had several eggs removed for possible fertilization in the
future. Now married, the woman wishes to have a child with her
husband. Obviously, she cannot bear the child herself, so the
couple utilizes a company to find a surrogate mother for them.
The husband's sperm is used to fertilize one of the wife's eggs
and is implanted in the surrogate mother. The couple pays all of
the woman's pregnancy-related expenses and an extra $18,000
as compensation for her surrogacy. After all expenses are taken
into account, the couple pays the woman approximately $31,000
and the agency approximately $5,000. Though the surrogate
passed stringent mental testing to ensure she was competent to
carry another couple's child, after carrying the pregnancy to
term, the surrogate says that she has become too attached to
"her" child to give it up to the couple. A legal battle ensues.
per the Example
Requires that procedures uphold the spirit of existing laws and
are fair to all players involved. The healthcare provider must
consider four main areas when evaluating justice: fair
distribution of scarce resources, competing needs, rights and
obligations, and potential conflicts with established legislation.
Reproductive technologies create ethical dilemmas because
treatment is not equally available to all people.
Beneficence
Description
Requires that the procedure be provided with the intent of doing
good for the patient involved.

A woman was diagnosed with motor neuron disease (the same
disease that Stephen Hawking had) five years ago. This is a
condition that destroys the motor nerves, making control of
movement impossible, while the mind is virtually unaffected.
People with motor neuron disease normally die within four
years of diagnosis from suffocation due to the inability of the
inspiratory muscles to contract. The woman's condition has
steadily declined. She is not expected to live through the month
and is worried about the pain that she will face in her final
hours. She asks her doctor to give her diamorphine for pain if
she begins to suffocate or choke. This will lessen her pain, but
it will also hasten her death. About a week later, she falls very
ill and is having trouble breathing.
per the Example
Demands that healthcare providers develop and maintain skills
and knowledge, continually update training, consider individual
circumstances of all patients, and strive for net benefit.
Nonmaleficence
Description
Requires that a procedure does not harm the patient involved or
others in society.
A married couple wishes to have a child; however, the thirty-
two-year-old mother knows that she is a carrier for Huntington's
disease (HD). HD is a genetic disorder that begins showing
signs at anywhere from thirty-five to forty-five years of age. Its
symptoms begin with slow loss of muscle control and ends in
loss of speech, large muscle spasms, disorientation, and
emotional outbursts. After fifteen to twenty years of symptoms,
HD ends in death. It is a dominant disorder, which means that
her child will have a 50% chance of contracting the disorder.
Feeling that risking their baby's health would be irresponsible,
the couple decides to use in vitro fertilization to fertilize
several of the wife's eggs (Cases in Medical Ethics, 2005).
Several eggs are harvested, and using special technology, only

eggs that do not have the defective gene are kept to be
fertilized. The physician then fertilizes a single egg and
transfers the embryo to the mother. Approximately nine months
later, the couple gives birth to a boy who does not carry the
gene of the disorder.
per the Example
Infertility specialists operate under the assumption that they are
doing no harm or at least minimizing harm by pursuing the
greater good. However, because assistive reproductive
technologies have limited success rates, the emotional state of
the patient may be impacted negatively. In some cases, it is
difficult for doctors to successfully apply the do-no-harm
principle.
Reference
Cases in Medical Ethics. (2005). Retrieved from
https://www.scu.edu/ethics/focus-
areas/bioethics/resources/cases-in-medical-ethics-student-led-
discussions/
Ethical Issues in Healthcare Research
Ethical norms are so ubiquitous that one might be tempted to
regard them as simple commonsense. On the other hand, if
morality were nothing more than commonsense, there are so
many ethical disputes and issues in our society.
Review each topic to know more.
Adolescent Pregnancy
Example:
A fourteen-year-old requests termination of pregnancy.

Placebo Ethics
Example:
Doctors are still in disagreement about whether it is ethical to
proscribe a placebo without the patient's consent.
Intensive Treatment
Example:
The Ethical Acceptability of Limitation of Intensive Treatment:
Controversial issue deals with the ethical acceptability of
withholding or withdrawing intensive care and/or mechanical
ventilation.
References:
Joseph, T. (2013). Human embryonic stem cell research: Its
importance in the culture wars. Christian Bioethics, 19(1), 60–
71. doi:10.1093/cb/cbt001
Minger, S. L. (2013). Developing technologies to unlock the
therapeutic and research potential of human stem cells [Special
issue]. New Biotechnology, 30(4), 378–380.
doi:10.1016/j.nbt.2012.11.006
Pozgar, G. D. (2016). Legal aspects of health care
administration (12th ed.). Burlington, MA: Jones & Bartlett.
Yaniv, H. (2008). On presidents, agencies, and the stem cells
between them: A legal analysis of president Bush's and the
federal government's policy on the funding of research
involving human embryonic stem cells. Administrative Law
Review, 60(1), 65–125.
Additional Materials
From your course textbook, Cases in Health Care Management,
review the following cases:
· Case 74: Ethical Issues over DNR Orders
· Case 75: How Dare You Bring Your Girlfriend to Visit Mom?
· Case 76: Saline Splash

Universal Healthcare
Healthcare being regarded as a human right and provided to all
citizens would require the addition of a large amount of
resources. The advantages of universal healthcare for
individuals are that everyone would be provided a set standard
of preventative and recuperative care. Currently many people
are unable to afford preventative check-ups and care causing
people to wait until they are extremely sick to reach out for
help. This could easily cause whatever the issue is to be way
past an easy health solution requiring expensive procedures or
possibly being outside of the scope of help (Worstall, 2017).
Many people believe that regular access to routine check-ups
and education could prevent many negative future health
consequences.
The primary disadvantage for some individuals who are now
able to afford the costs of their healthcare is that they may no
longer be able to purchase better care with their resources. A
single payer system would likely eliminate the ability for
individuals to pay for their own care, leaving them at the mercy
of the national standard of care. Currently many people in other
countries with national healthcare systems come to the U.S.
because they are able to purchase care that they would not be
able to quickly get at home (Belluz, 2017).
A national healthcare system would increase taxes paid by its
citizens and like our current tax system, would ride heavily on
the taxation of the middle class. While the exact percentages
each person would pay, this additional cost could be a burden
for many individuals and employers. As an advantage each and
every person in the U.S. would be granted some standard of care
without seeking out their own complicated health insurance
plan. Instead of directly choosing an insurance plan from the
established insurance marketplaces, the money for each
individual health insurance would be directly pulled from their
earnings or fully subsidized by the government and taxpayer
money.
The current healthcare system is likely unprepared as is to

handle the increase in patients that would be created by the
implementation of universal healthcare. Currently many people
go to the ER for rudimentary treatment when they deem their
health situation to be an emergency or when they are without
insurance. This creates an unnecessary burden on the system
and inefficiently uses resources. Requiring all citizens to attend
scheduled medical appointments would help hospitals better
arrange their resources and allow them to develop more
efficient standards and practices to best serve those requiring
treatment.
Types of Universal Healthcare Adopted across the World
Universal healthcare is a system that provides quality medical
services to all citizens. The federal government offers it to
everyone regardless of its ability to pay.
Review each year to know more.
1912
Norway
The Norwegian healthcare system is organized on three levels,
i.e., national, regional, and local levels. The overall
responsibility for the healthcare sector rests at the national
level, with the Ministry of Health and Care Services.
Benefits and Challenges
This system is very generous, and this program also provides
sick pay. The Norwegian system will even pay for “spa
treatments” in some cases.
There are significant waiting times for many procedures. Many
Norwegians go abroad for medical treatments. The average
weight for a hip replacement is more than four months.
1967
Australia
Adopted a two-tier system. The government pays two-thirds,
and the private sector pays one-third. The public universal
system is called Medicare. Everyone receives coverage.

Those who buy private insurance before they reach thirty
receive a lifetime discount. Government regulations protect
seniors, the poor, children, and rural residents.
1966
Canada
Has a single-payer system. The government pays for services
provided by a private delivery system. The government pays for
70 percent of care. Private supplemental insurance pays for
vision, dental care, and prescription drugs. Hospitals are
publicly funded. They provide free care to all residents
regardless of the ability to pay.
Canada has high survival rates for cancer and low hospital
admission rates for asthma and diabetes. A whopping 56.3
percent of patients waited more than four weeks to see a
specialist. As a result, many patients who can afford it go to the
United States for care.
References:
Castro, E. M., Van Regenmortel, T., Vanhaecht, K., Sermeus,
W., & Van Hecke, A. (2016). Patient empowerment, patient
participation and patient-centeredness in hospital care: A
concept analysis based on a literature review. Patient Education
And Counseling, 99(12), 1923-1939.
doi:10.1016/j.pec.2016.07.026
Kayler DeBrew, J. (2015). Can being ageist harm your older
adult patients?. Nursing, 45(10), 66-67.
doi:10.1097/01.NURSE.0000471428.31828.50
McDonough, J. E. (2017). Prospects for Health Care Reform in
the U.S. Senate. New England Journal Of Medicine, 376(26),
2501-2503. doi:10.1056/NEJMp1706433

· Case 77: The Gift Catalog
· Case 78: Unapproved Treatments: Honey on the Wound
· Case 79: When Lunch Is More Than a Meal
The Emergency Medical Treatment and Active Labor Act
(EMTALA)
The purpose of the Emergency Medical Treatment and Active
Labor Act (EMTALA) is to ensure that any individual who
comes to a hospital, through the ER, is cared for, even if he or
she does not have insurance. The ability to give this care may
be threatened by insufficient capacity, inadequate community
resources, and the uninsured and underinsured who have no
other resource. Now, some patients, who do not have insurance,
have taken to use the ER as their primary care physician (The
Ethics Committee, 2005). This is one of the things the
Affordable Care Act addressed by expanding the coverage for
patients under the Medicaid program.
The Act stops hospitals from financially screening patients, but
there is still the practice of “triaging out” patients and treating
patients with true emergencies first (Moffat, 2017). So it’s
difficult for an ER physician to resolve the conflicting
obligations of the patient, the hospital, and the payments that
will be incurred by treating someone without insurance, which
is commonly filtered into the bad debt budget for the
hospital. Those costs can filter out among the rest of the
hospital with increased cost to those who do have insurance
(The Ethics Committee, 2005).
Another ethical question is how financing medical care should
influence individual medical decision making (The Ethics
Committee, 2005). This is when the third parties get
involved. Many times, a physician will want a specific scan
done, e.g., computed tomography (CT) scan and magnetic
resonance imaging (MRI). Many times, the insurance company
won’t allow it until other steps or scans have been done (The
Ethics Committee, 2005) even if the Doctor has documented

that the MRI with contrast will show the possible sign of a liver
lesion while the CT scan will show only an unclear
view. Though many times, the insurance will state that the CT
scan should be done, even though it’s inadequate, before they
will approve the MRI. It’s a difficult issue for the ER
physicians as they are ethically bound to help everyone that
comes through the ER doors, but the cost can sometimes be
overwhelming for the institution.
Limitations of the EMTALA Law
Review each tab to know more.
· Ant-Dumping
Example
Designed to prevent private hospitals from transferring
uninsured or underinsured patients to public hospitals,
enforcement and fines seem to come in waves. In 2000,
Congress made EMTALA enforcement a priority with nearly as
much in penalties in that year as in the previous ten years.
EMTALA made national headlines again in 2013 when a Nevada
psychiatric hospital was accused of sending patients to
California by bus without making arrangements for their care.

· EMTALA Law Misinterpretation
Example
Some groups are proactive and require all of their physicians to
undergo an annual EMTALA continuing medical education
(CME) course. On the other end of the spectrum, some
emergency room (ER) groups have no written policy about
EMTALA and leave it to the medical director to educate their
staff.
Medical Screening Exams
Example
Under EMTALA, everyone who comes to the emergency
department (ED) and requests medical care has a right to a
medical screening exam. This screening examination should be
reasonably calculated to uncover any emergency medical
condition. The screening examination must also be
nondiscriminatory, meaning that all patients with similar
complaints must receive similar screening exams and/or testing
(Silverman, 2015).
Reference
Silverman, M. (2015). Keeping up with EMTALA—It’s the law,
and it’s good for your patients. Retrieved from
http://epmonthly.com/article/it-s-the-law-oh-and-it-s-good-for-

your-patients/
Who Pays the Cost for EMTALA?
EMTALA is, indeed, the central factor in the “free-rider”
phenomenon. The government forces hospitals to care for these
individuals, without financially compensating hospitals for the
cost of doing so.
Hospitals in areas with a high indigent population must shift
more of the cost of unreimbursed care than those in areas of low
unreimbursed care. It’s like increasing the taxes in poor areas
and lowering taxes in affluent areas. Furthermore, since the
bills are different with each patient, some will receive a higher
proportion of shift than others. It’s like raising taxes on the
sickest patients just because they have the ability to pay.
Recent bills that offer to reform the Affordable Care Act have
included provisions for a partial tax credit to emergency
physicians who provide unreimbursed EMTALA mandated care.
The important feature of this provision is that these are tax
credits, not reductions to income such as those received for
charitable giving. Why? Again it goes to treating everyone
equally. If a wealthy tax payer who pays a higher proportion of
this income gives to charity, his or her benefit from charitable
donation is proportionally higher (Plaster, 2015). Thus, lower
income or even taxpayers who already lower their taxable
income through charity will feel a smaller effect from the
reduction of income.
Reference
Plaster, M. L. (2015). Who pays the tab for unfunded
care? Retrieved from http://epmonthly.com/article/who-pays-
the-tab/
References:
The Ethics Committee. (2005). After the medical screening
exam: Non-emergent care and the ethics of access in the
emergency department. Retrieved from American College of

Emergency Physicians website: https://www.acep.org/life-as-a-
physician/ethics--legal/ethics/after-the-medical-screening-
exam-non-emergent-care-and-the-ethics-of-access-in-the-
emergency-department/#sm.001mlw54q13oeeaaw0w1a9ljewtf9
Moffat, J. C. (2017). Appendix A: The Emergency Medical
Treatment and Active Labor Act (EMTALA). In The EMTALA
answer book (1–6). Retrieved from EBSCOhost Business Source
Complete research database.
· Case 80: No Good Deed Goes Unpunished
· Case 81: Saint or Fake?
· Case 82: When “Yes” Means “No”
Week 5 Discussion
Supporting Lectures:
Review the following lecture:
· Healthcare Ethics (Stem Cell Research)
Discussion Questions
Before beginning work on this discussion forum, please review
the link “Doing Discussion Questions Right” and any specific
instructions for this topic.
Before the end of the week, begin commenting on at least two
of your classmates’ responses. You can ask technical questions
or respond generally to the overall experience. Be objective,
clear, and concise. Always use constructive language, even in
criticism, to work toward the goal of positive progress. Submit

your responses in the Discussion Area.
Introduction:
Case Study Seventy-Four: Ethical Issues over DNR Orders
Mr. Warden, a 93-year-old white male, is admitted to
Centerville Community Hospital from Centerville Estates
Nursing Home. Mr. Warden has had multiple strokes and is only
partially responsive to painful stimuli. He does not recognize or
respond to nursing staff, physicians, or family members. In
addition, he has flexion contractures and a large infected
decubitus ulcer over his left sacral area. Further evaluation
shows Mr. Warden has extremely poor heart function and is in
congestive heart failure. The notes from Centerville Estates
Nursing Home indicate Mr. Warden has had one visitor in the
past six months; that visitor was not a family member.
Tasks:
Discussion Questions
· What are the facts in this situation?
· Autonomy, nonmaleficence, beneficence, and justice are the
cornerstones of ethical decision making. What ethical dilemmas
does this case illustrate?
· Have any principles of ethical decision making been violated
in this case? What ones have been supported? How might our
cultural upbringing, personal assumptions, and opinions
influence our decisions as health care managers? Provide
rationales for your responses.
· Based on what you know from this short case; why do you
think Mr. Warden’s daughter is so insistent on wanting
“everything” done for her father?
· What if Mr. Warden was wealthy and had a large estate?
Would that change your opinion of the son and his responses?
Provide a rationale for your response.
· If the son had no power of attorney, how could this issue be
resolved? Can a physician decide to withdraw care without the
consent of the family? Who has the final say in the care of a
patient in this condition? Provide your reflections and personal
opinions as well as your recommendations and rationale for

your responses.
Submission Details:
To support your work, use your course and textbook readings
and also use the South University Online Library. As in all
assignments, cite your sources in your work and provide
references for the citations in APA format.
Your initial posting should be addressed at 500–1000 words as
noted in the attached PDF. Submit your document to
this Discussion Area by the due date assigned. Be sure to cite
your sources using APA format.
Instructions
NCF
This final project assignment is associated with the NCF (non-
completion failure) grade. Failure to complete this assignment
will result in the issuance of a grade of NCF if the course
average would result in a failing grade in the course. Students
should contact their Academic Counselor or Program Director if
they have any questions regarding the NCF grade and its
implications.
Supporting Lectures:
Review the following lecture:
· The Emergency Medical Treatment Active Labor Act
(EMTALA)
Project
The project assignment provides a forum for analyzing and
evaluating relevant topics of this week on the basis of the
course competencies covered.
Introduction:
Robert and Roy, emergency medical technician paramedics
(EMT-P), were back on the streets after a slow afternoon of
handling administrative tasks in the office. Neither paramedic
had checked the divert status board before heading out, so they
were unaware that numerous hospitals in the city were on
emergency department (ED) divert.

Tasks:
Case Study Eighty-Three: Emergency Divert Status
Read the above case study; your task would be to evaluate this
case study utilizing the format below. Make sure to include at
least two scholarly/peer-reviewed articles to help support your
evaluation.
Case Study Evaluation
· Prepare a written report of the case using the following
format:
· Background Statement: What is going on in this case as it
relates to the identified major problem?
· What are (only) the key points the reader needs to know in
order to understand how you will “solve” the case?
· Summarize the scenario in your own words—do not simply
regurgitate the case. Briefly describe the organization, setting,
situation, who is involved, who decides what, etc. Specifically
identify the major problems and secondary issues.
· What are the real issues? What are the differences? Can
secondary issues become major problems?
· Present an analysis of the causes and effects.
· Fully explain your reasoning. Declare your role in a sentence
or a short paragraph explaining from which role you will
address the major problem and whether you are the chief
administrator in the case or an outside consultant called in to
advise.
· Regardless of your choice, you must justify in writing as to
why you chose that role. What are the advantages and
disadvantages of your selected role? Be specific.
· Recognize the strengths and weaknesses of the organization.
· Identify the strengths and weaknesses that exist in relation to
the major problem. Again, your focus here should be in
describing what the organization is capable of doing (and not
capable of doing) with respect to addressing the major problem.

Thus, the identified strengths and weaknesses should include
those at the managerial level of the problem. For example, if
you have chosen to address the problem from the departmental
perspective and the department is understaffed, that is a
weakness worthy of mentioning. Be sure to remember to include
any strengths/weaknesses that may be related to diversity
issues.
· Find out alternatives and recommend a solution.
· Describe the two to three alternative solutions you came up
with. What feasible strategies would you recommend? What are
the pros and cons? State what should be done—why, how, and
by whom. Be specific. Evaluate how you would know when
you’ve gotten there. There must be measurable goals put in
place with the recommendations. Money is easiest to measure;
what else can be measured? What evaluation plan would you put
in place to assess whether you are reaching your goals?
· TIP: Write this section as if you are trying to “sell” your
proposed solution to the organization. Convince the reader that
your proposed solution is the best available and that it will
work as planned. Make sure that the goals you identify are
worth the effort required to achieve them!
To support your work, use your course and text readings and
also use the South University Online Library. As in all
assignments, cite your sources in your work and provide
references for the citations in APA format.
Submission Details:
· Name your file as
SU_MHA6999_W5_Project_LastName_FirstName.
· Your assignment should be addressed in a 4- to 6-page
document.
· By the due date assigned, submit it to the Submissions Area.

112221, 826 PM Rubric Assessment - MHA6999-Seminar in Healt

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