Fraud and Abuse in Healthcare.docx
•Download as DOCX, PDF•
0 likes•3 views
Fraud is rampant in the healthcare industry due to its large size, scope, and complexity. Individuals and organizations have defrauded third-party payers, government agencies, and individuals by fraudulently billing for services not provided and keeping some of the money for themselves. This widespread fraud has stolen billions of taxpayer dollars and prevented some people from receiving needed care. However, federal, state, and local agencies have recovered over $2.5 billion annually through intensified anti-fraud investigations and prosecutions. Healthcare leaders must understand regulations against fraud and establish compliance processes to recognize and address potential fraud situations.
Report
Share
Report
Share
Recommended
Law and Ethics in COVID-19 PandemicStudent’s.docx
Law and Ethics in COVID-19 Pandemic
Student’s Name
Running Head: LAW AND ETHICS IN COVID-19 PANDEMIC 1
Institutional Affiliation
Health Care Ethics and Covid-19
Previous Resource Allocation Ethics
Different ethical frameworks allocate resources during pandemics (Hübner et al., 2020). These frameworks are useful in guiding the present health situation of COVID-19. However, the application of ethical frameworks should take into consideration the pandemic stage, health care resource type, and context of the health care system. Should the allocating resources for COVID -19 utilize previous frameworks for control of influenza pandemics is an ethical question that needs clarification? The reason for exploring the application of ethical principles and allocation of resources in COVID-19 is due to the various contextual circumstances and decisions required in resource allocation for different pandemics. For instance, COVID-19 is known to have significant implications on those aged beyond sixty years, an essential characteristic for prioritizing the COVID-19 resource allocation.
The legal framework governing resource allocation in COVID-19 includes the obligation of hospitals in the provision of health care to everyone needing their services, which is dependent on illness severity (DePergola, 2020). For instance, the NRW, section two of the hospital design act, stipulates the health care worker's obligation in the treatment of patients. Additionally, hospitals are also under the obligation to complete treatment on their patients following the obligation contract for monopolistic positions on individual case circumstances. Also, according to section 7 of MBO-A, individual doctors are legally obligated to treat ill individuals during emergencies.
Ethics of Random Allocation
LAW AND ETHICS IN COVID-19 PANDEMIC 5
The ethical and legal considerations for medical countermeasures consisting of personal protective equipment and therapeutics may be different. Therefore exploring the different values
and principles that apply for PPE, vaccines, and therapeutics should help in justifying their use in the control of the COVID -19 pandemic (Hübner et al., 2020). For instance, the discovery of an effective and safe vaccine should prioritize its application within populations at the highest risk and health care workers. The ethical question that needs clarification is whether utilization of random allocation is justified with limited medical resources in a given group assuming the recipients receive equal benefits within that group. However, the allocation of resources may be different from the use of ventilators, with some individuals receiving more benefits than others.
In circumstances where the needs of patients affected with Covid-19 exceeds that of the available scarce resources, conflict of duty, and emergency is justified (DePergola, 2020). For instance, with the spread of COVID-19 in many countries, the intens.
Hca 305 week 5 discussion questions
This document contains discussion questions and assignments for an HCA 305 healthcare administration course. It includes questions about factors that impact healthcare expenditures in the US and how US healthcare spending compares to other countries. It also addresses healthcare reform, quality improvement in hospitals, choosing healthcare providers, and the Patient Protection and Affordable Care Act. Students are asked to discuss, analyze, and provide opinions on these healthcare administration topics.
HLTH 4530 Walden University Healthcare Trends Discussion.docx
This document discusses a discussion prompt for an HLTH 4530 healthcare trends course at Walden University. Students are asked to choose one of several healthcare trends, like telemedicine, workforce shortages, or the Affordable Care Act, and analyze how it impacts patients, providers and payers. They are also asked to suggest a policy recommendation and respond to classmates' posts on different trends. The reading materials provided cover ethics, international systems, health policy and future trends.
7Expenditures, Cost Containment, and Quality of CareiSt.docx
7Expenditures, Cost Containment, and Quality
of Care
iStockphoto/Thinkstock
Learning Objectives
After reading this chapter, you should be able to
1. Discuss the relationship between expenditures and quality of care.
2. Explore the causes of inefficiency, waste, and cost overruns in American health care.
3. Outline the legal methods used to control, monitor, and remedy cost and quality problems in
American health care today.
4. Examine process improvement methods used by health care facilities that are designed to
eliminate redundancy and waste.
© 2019 Bridgepoint Education, Inc. All rights reserved. Not for resale or redistribution.
Section 7.1The Current State of Affairs
Introduction
During the past century or so, medical care in the United States has shifted from individual
doctor–patient interactions, typically within an office setting, to interactions in health care
facilities that continue to grow larger and more complex. Modern American health care has
become more highly specialized, technology centered, and fragmented—a phenomenon that
has been anticipated since the mid-19th century. The English sociologist Herbert Spencer
(2004) observed that as society increases in complexity, so do its social institutions. The
bureaucratic explosion within health care, therefore, seems less a symptom of inefficiency
and institutionalized excess and more a part of the necessary, long-term development of spe-
cialized sectors within advanced industrialized society (Toulmin, 1990).
Today, early 20th-century forecasts seem to aptly describe the current state of affairs. Physi-
cians increasingly work in large, complex medical centers and practice settings and tend to
see their scope of professional discretion minimized and finitely defined. The fear of going
beyond those clear limits frequently causes physicians to practice medicine defensively,
sometimes forgoing the ends of patient care to do so. Practicing under such constraints has its
advantages but can also distract physicians from their professional duties. For many patients,
medical care has become akin to conveyer-belt production. Continuity of care once meant
having the same health care professionals in a lifelong relationship with the patient. In the
new era of medicine, care is more likely to involve patients being scuttled between sometimes
dozens of different caregivers, very few of whom will even remember the patient’s name or,
in some cases, even meet with the patient one on one. As a result, patients may become suspi-
cious of their caretakers, sometimes even assuming an adversarial stance where once there
would have been warm acceptance (Phillips & Benner, 1994).
Most health care administrators and managers enter the profession with clear priorities on
patient care but soon feel incessant economic and regulatory pressures to protect their insti-
tution’s finances and public image. This is certainly part of any good health care administra-
tor’s job d ...
Hca 305 entire course
This document contains the course materials for HCA 305, including discussion questions, assignments, and readings for each week. The materials cover topics like cost, quality and access in healthcare; stakeholders in the healthcare system; improving quality in hospitals; choosing healthcare providers; the Patient Protection and Affordable Care Act; diversity in the healthcare workforce; and supply and demand of healthcare professionals. The document provides resources for students to analyze issues, complete assignments, and discuss topics related to the U.S. healthcare system.
Legal and Ethical Issues Related to Psychiatric EmergenciesT.docx
Legal and Ethical Issues Related to Psychiatric Emergencies
The diagnosis of psychiatric emergencies can include a wide range of problems—from serious drug reactions to abuse and suicidal ideation/behaviors. Regardless of care setting, the PMHNP must know how to address emergencies, coordinate care with other members of the health care team and law enforcement officials (when indicated), and effectively communicate with family members who are often overwhelmed in emergency situations. In their role, PMHNPs can ensure a smooth transition from emergency mental health care to follow-up care, and also bridge the physical–mental health divide in healthcare.
In this week’s Assignment, you explore legal and ethical issues surrounding psychiatric emergencies, and identify evidence-based suicide and violence risk assessments.
To Prepare
· Review this week’s Learning Resources and consider the insights they provide about psychiatric emergencies and the ethical and legal issues surrounding these events.
The Assignment
In 2–3 pages, address the following:
· Explain your state laws for involuntary psychiatric holds for child and adult psychiatric emergencies. Include who can hold a patient and for how long, who can release the emergency hold, and who can pick up the patient after a hold is released.
· Explain the differences among emergency hospitalization for evaluation/psychiatric hold, inpatient commitment, and outpatient commitment in your state.
· Explain the difference between capacity and competency in mental health contexts.
· Select one of the following topics, and explain one legal issue and one ethical issue related to this topic that may apply within the context of treating psychiatric emergencies: patient autonomy, EMTALA, confidentiality, HIPAA privacy rule, HIPAA security rule, protected information, legal gun ownership, career obstacles (security clearances/background checks), and payer source.
· Identify one evidence-based suicide risk assessment that you could use to screen patients.
· Identify one evidence-based violence risk assessment that you could use to screen patients.
Attach copies of or links to the suicide and violence risk assessments you selected.
NOTE: MY STATE IS ILLINOIS
2
Final Project : Policy Research and Organizational Analysis Report
Precious Teasley
Southern New Hampshire University
IHP-620-Q1591 Economic Principles- healthcare 22TW1
Dr. Scott
October 20, 2022
Introduction
The purpose of this report is to focus on economic principles and how they apply to the field of healthcare. Healthcare facilities need to make economic decisions because they need financial resources to run. They need economic consultants that will help in making strategic economic decisions that will guide healthcare facilities on where and how to spend their money (Hicks, 2020). This ensures that they are wise in their undertakings. This report focuses on Jackson Memorial Hospital, a facility that has more than 1,500 li.
Dearth of funding transparency among patient advocacy groups
Patient organizations are an increasingly powerful voice in helping shape health policy. However, a new analysis found that there’s often minimal transparency among these groups - and many have a great deal of industry backing.
A systematic review published in BMJ showed that although up to 83% of patient advocacy groups received industry funding, only about a quarter disclosed that fact on their websites.
Health Care SpendingNo one is immune to the rising costs of heal.docx
Health Care Spending
No one is immune to the rising costs of health care. Consider the following news stories:
“In 2008, the average premium for a family plan purchased through an employer was $12,680, nearly the annual earnings of a full-time minimum wage job” (Halle & Seshamani, 2009, Introduction, para. 1).
“President Obama’s health care law is putting new strains on some of the nation’s most hard-pressed hospitals, by cutting aid they use to pay for emergency care for illegal immigrants, which they have long been required to provide” (Bernstein, 2012, para. 1).
“Doctors in America are harboring an embarrassing secret: Many of them are going broke. This quiet reality, which is spreading nationwide, is claiming a wide range of casualties, including family physicians, cardiologists and oncologists…Doctors list shrinking insurance reimbursements, changing regulations, rising business and drug costs among the factors preventing them from keeping their practices afloat” (Kavilanz, 2012, para. 1, 2, 5).
In this Discussion, you examine the overall state of health care costs in America, the different factors impacting the finances of health care organizations, and the effect of rising costs on all stakeholders.
To prepare:
Review the Learning Resources on the level of health care spending in the United States.
Consider the ramifications of continuing at this level of spending as well as issues involved with reducing spending.
Reflect on which stakeholders (payers, providers, and the general population) should be responsible for making decisions on health care spending.
I need to Post an assessment of the consequences (on payers, providers, and the general population) of continuing current levels of health care spending in the United States as well as the potential consequences of reducing the level of spending. Explain which stakeholders should make health care spending decisions and why.
And
Read a selection of my colleagues’ responses and Respond to at least two of your colleagues on two different days using one or more of the following approaches:
Ask a probing question, substantiated with additional background information, and evidence.
Offer and support an alternative perspective using readings from the classroom or from your own review of the literature in the Walden Library. (I will send the responses soon)
Validate an idea with your own experience and additional sources.
Required Readings
Baker, J., & Baker, R. W. (2014). Health care finance: Basic tools for nonfinancial managers (4th ed.). Burlington, MA: Jones and Bartlett Learning.
Chapter 1, “Introduction to Health Care Finance” (pp. 3–10)
In this chapter, you are introduced to the four key elements of financial management as well as the two types of accounting. These help set the stage for the weeks to come.
Chapter 4, “Revenues (Inflow)” (pp. 31–40)
This chapter focuses on how health organizations receive revenue for services and highlights the different sources of revenu.
Recommended
Law and Ethics in COVID-19 PandemicStudent’s.docx
Law and Ethics in COVID-19 Pandemic
Student’s Name
Running Head: LAW AND ETHICS IN COVID-19 PANDEMIC 1
Institutional Affiliation
Health Care Ethics and Covid-19
Previous Resource Allocation Ethics
Different ethical frameworks allocate resources during pandemics (Hübner et al., 2020). These frameworks are useful in guiding the present health situation of COVID-19. However, the application of ethical frameworks should take into consideration the pandemic stage, health care resource type, and context of the health care system. Should the allocating resources for COVID -19 utilize previous frameworks for control of influenza pandemics is an ethical question that needs clarification? The reason for exploring the application of ethical principles and allocation of resources in COVID-19 is due to the various contextual circumstances and decisions required in resource allocation for different pandemics. For instance, COVID-19 is known to have significant implications on those aged beyond sixty years, an essential characteristic for prioritizing the COVID-19 resource allocation.
The legal framework governing resource allocation in COVID-19 includes the obligation of hospitals in the provision of health care to everyone needing their services, which is dependent on illness severity (DePergola, 2020). For instance, the NRW, section two of the hospital design act, stipulates the health care worker's obligation in the treatment of patients. Additionally, hospitals are also under the obligation to complete treatment on their patients following the obligation contract for monopolistic positions on individual case circumstances. Also, according to section 7 of MBO-A, individual doctors are legally obligated to treat ill individuals during emergencies.
Ethics of Random Allocation
LAW AND ETHICS IN COVID-19 PANDEMIC 5
The ethical and legal considerations for medical countermeasures consisting of personal protective equipment and therapeutics may be different. Therefore exploring the different values
and principles that apply for PPE, vaccines, and therapeutics should help in justifying their use in the control of the COVID -19 pandemic (Hübner et al., 2020). For instance, the discovery of an effective and safe vaccine should prioritize its application within populations at the highest risk and health care workers. The ethical question that needs clarification is whether utilization of random allocation is justified with limited medical resources in a given group assuming the recipients receive equal benefits within that group. However, the allocation of resources may be different from the use of ventilators, with some individuals receiving more benefits than others.
In circumstances where the needs of patients affected with Covid-19 exceeds that of the available scarce resources, conflict of duty, and emergency is justified (DePergola, 2020). For instance, with the spread of COVID-19 in many countries, the intens.
Hca 305 week 5 discussion questions
This document contains discussion questions and assignments for an HCA 305 healthcare administration course. It includes questions about factors that impact healthcare expenditures in the US and how US healthcare spending compares to other countries. It also addresses healthcare reform, quality improvement in hospitals, choosing healthcare providers, and the Patient Protection and Affordable Care Act. Students are asked to discuss, analyze, and provide opinions on these healthcare administration topics.
HLTH 4530 Walden University Healthcare Trends Discussion.docx
This document discusses a discussion prompt for an HLTH 4530 healthcare trends course at Walden University. Students are asked to choose one of several healthcare trends, like telemedicine, workforce shortages, or the Affordable Care Act, and analyze how it impacts patients, providers and payers. They are also asked to suggest a policy recommendation and respond to classmates' posts on different trends. The reading materials provided cover ethics, international systems, health policy and future trends.
7Expenditures, Cost Containment, and Quality of CareiSt.docx
7Expenditures, Cost Containment, and Quality
of Care
iStockphoto/Thinkstock
Learning Objectives
After reading this chapter, you should be able to
1. Discuss the relationship between expenditures and quality of care.
2. Explore the causes of inefficiency, waste, and cost overruns in American health care.
3. Outline the legal methods used to control, monitor, and remedy cost and quality problems in
American health care today.
4. Examine process improvement methods used by health care facilities that are designed to
eliminate redundancy and waste.
© 2019 Bridgepoint Education, Inc. All rights reserved. Not for resale or redistribution.
Section 7.1The Current State of Affairs
Introduction
During the past century or so, medical care in the United States has shifted from individual
doctor–patient interactions, typically within an office setting, to interactions in health care
facilities that continue to grow larger and more complex. Modern American health care has
become more highly specialized, technology centered, and fragmented—a phenomenon that
has been anticipated since the mid-19th century. The English sociologist Herbert Spencer
(2004) observed that as society increases in complexity, so do its social institutions. The
bureaucratic explosion within health care, therefore, seems less a symptom of inefficiency
and institutionalized excess and more a part of the necessary, long-term development of spe-
cialized sectors within advanced industrialized society (Toulmin, 1990).
Today, early 20th-century forecasts seem to aptly describe the current state of affairs. Physi-
cians increasingly work in large, complex medical centers and practice settings and tend to
see their scope of professional discretion minimized and finitely defined. The fear of going
beyond those clear limits frequently causes physicians to practice medicine defensively,
sometimes forgoing the ends of patient care to do so. Practicing under such constraints has its
advantages but can also distract physicians from their professional duties. For many patients,
medical care has become akin to conveyer-belt production. Continuity of care once meant
having the same health care professionals in a lifelong relationship with the patient. In the
new era of medicine, care is more likely to involve patients being scuttled between sometimes
dozens of different caregivers, very few of whom will even remember the patient’s name or,
in some cases, even meet with the patient one on one. As a result, patients may become suspi-
cious of their caretakers, sometimes even assuming an adversarial stance where once there
would have been warm acceptance (Phillips & Benner, 1994).
Most health care administrators and managers enter the profession with clear priorities on
patient care but soon feel incessant economic and regulatory pressures to protect their insti-
tution’s finances and public image. This is certainly part of any good health care administra-
tor’s job d ...
Hca 305 entire course
This document contains the course materials for HCA 305, including discussion questions, assignments, and readings for each week. The materials cover topics like cost, quality and access in healthcare; stakeholders in the healthcare system; improving quality in hospitals; choosing healthcare providers; the Patient Protection and Affordable Care Act; diversity in the healthcare workforce; and supply and demand of healthcare professionals. The document provides resources for students to analyze issues, complete assignments, and discuss topics related to the U.S. healthcare system.
Legal and Ethical Issues Related to Psychiatric EmergenciesT.docx
Legal and Ethical Issues Related to Psychiatric Emergencies
The diagnosis of psychiatric emergencies can include a wide range of problems—from serious drug reactions to abuse and suicidal ideation/behaviors. Regardless of care setting, the PMHNP must know how to address emergencies, coordinate care with other members of the health care team and law enforcement officials (when indicated), and effectively communicate with family members who are often overwhelmed in emergency situations. In their role, PMHNPs can ensure a smooth transition from emergency mental health care to follow-up care, and also bridge the physical–mental health divide in healthcare.
In this week’s Assignment, you explore legal and ethical issues surrounding psychiatric emergencies, and identify evidence-based suicide and violence risk assessments.
To Prepare
· Review this week’s Learning Resources and consider the insights they provide about psychiatric emergencies and the ethical and legal issues surrounding these events.
The Assignment
In 2–3 pages, address the following:
· Explain your state laws for involuntary psychiatric holds for child and adult psychiatric emergencies. Include who can hold a patient and for how long, who can release the emergency hold, and who can pick up the patient after a hold is released.
· Explain the differences among emergency hospitalization for evaluation/psychiatric hold, inpatient commitment, and outpatient commitment in your state.
· Explain the difference between capacity and competency in mental health contexts.
· Select one of the following topics, and explain one legal issue and one ethical issue related to this topic that may apply within the context of treating psychiatric emergencies: patient autonomy, EMTALA, confidentiality, HIPAA privacy rule, HIPAA security rule, protected information, legal gun ownership, career obstacles (security clearances/background checks), and payer source.
· Identify one evidence-based suicide risk assessment that you could use to screen patients.
· Identify one evidence-based violence risk assessment that you could use to screen patients.
Attach copies of or links to the suicide and violence risk assessments you selected.
NOTE: MY STATE IS ILLINOIS
2
Final Project : Policy Research and Organizational Analysis Report
Precious Teasley
Southern New Hampshire University
IHP-620-Q1591 Economic Principles- healthcare 22TW1
Dr. Scott
October 20, 2022
Introduction
The purpose of this report is to focus on economic principles and how they apply to the field of healthcare. Healthcare facilities need to make economic decisions because they need financial resources to run. They need economic consultants that will help in making strategic economic decisions that will guide healthcare facilities on where and how to spend their money (Hicks, 2020). This ensures that they are wise in their undertakings. This report focuses on Jackson Memorial Hospital, a facility that has more than 1,500 li.
Dearth of funding transparency among patient advocacy groups
Patient organizations are an increasingly powerful voice in helping shape health policy. However, a new analysis found that there’s often minimal transparency among these groups - and many have a great deal of industry backing.
A systematic review published in BMJ showed that although up to 83% of patient advocacy groups received industry funding, only about a quarter disclosed that fact on their websites.
Health Care SpendingNo one is immune to the rising costs of heal.docx
Health Care Spending
No one is immune to the rising costs of health care. Consider the following news stories:
“In 2008, the average premium for a family plan purchased through an employer was $12,680, nearly the annual earnings of a full-time minimum wage job” (Halle & Seshamani, 2009, Introduction, para. 1).
“President Obama’s health care law is putting new strains on some of the nation’s most hard-pressed hospitals, by cutting aid they use to pay for emergency care for illegal immigrants, which they have long been required to provide” (Bernstein, 2012, para. 1).
“Doctors in America are harboring an embarrassing secret: Many of them are going broke. This quiet reality, which is spreading nationwide, is claiming a wide range of casualties, including family physicians, cardiologists and oncologists…Doctors list shrinking insurance reimbursements, changing regulations, rising business and drug costs among the factors preventing them from keeping their practices afloat” (Kavilanz, 2012, para. 1, 2, 5).
In this Discussion, you examine the overall state of health care costs in America, the different factors impacting the finances of health care organizations, and the effect of rising costs on all stakeholders.
To prepare:
Review the Learning Resources on the level of health care spending in the United States.
Consider the ramifications of continuing at this level of spending as well as issues involved with reducing spending.
Reflect on which stakeholders (payers, providers, and the general population) should be responsible for making decisions on health care spending.
I need to Post an assessment of the consequences (on payers, providers, and the general population) of continuing current levels of health care spending in the United States as well as the potential consequences of reducing the level of spending. Explain which stakeholders should make health care spending decisions and why.
And
Read a selection of my colleagues’ responses and Respond to at least two of your colleagues on two different days using one or more of the following approaches:
Ask a probing question, substantiated with additional background information, and evidence.
Offer and support an alternative perspective using readings from the classroom or from your own review of the literature in the Walden Library. (I will send the responses soon)
Validate an idea with your own experience and additional sources.
Required Readings
Baker, J., & Baker, R. W. (2014). Health care finance: Basic tools for nonfinancial managers (4th ed.). Burlington, MA: Jones and Bartlett Learning.
Chapter 1, “Introduction to Health Care Finance” (pp. 3–10)
In this chapter, you are introduced to the four key elements of financial management as well as the two types of accounting. These help set the stage for the weeks to come.
Chapter 4, “Revenues (Inflow)” (pp. 31–40)
This chapter focuses on how health organizations receive revenue for services and highlights the different sources of revenu.
Medical TourismMedical tourism is a much more common practice to
Medical Tourism
Medical tourism is a much more common practice today for receiving affordable health care services. As the cost of health care continues to rise in the United States, increased numbers of potential patients are flocking to other countries to receive affordable health care services. While medical tourism might affect the financial posterity of your health care organization, it too might be a reflection of an industry's commitment to fostering increased access to affordable health care services. From your perspective as a current or future health care administration leader, is medical tourism a social good?
For this Discussion, reflect on the media pieces in this week's resources, which highlight medical tourism. Consider the potential benefits and consequences of medical tourism from both a consumer and a health care administration leader's perspective.
With these thoughts in mind:
Post an explanation of how the role of medical tourism might relate to social change. Be specific, and provide examples for both the consumer and the health care administration leader.
Discussion
Continue the Discussion and respond to your colleagues' posts (250 words or more), suggesting one challenge your colleague should consider in addressing medical tourism for his or her health care organization.
Colleague
As a healthcare administrator, I will have to consider the potential physical and mental risks first of medical tourism for consumers. I have looked for enough evidence-based research to help me to decide that this would be a choice that I would recommend. However, I did not find what I was looking for to say that I would without reservation and good judgment recommend a client to fly to India or Costa Rica for major surgery. I understand that the cost is so much less for various surgeries and companies and clients can save tons of money (ABC News (Producer), 2013).
I understand that this country’s expensive healthcare prices are driving patients and companies to participate in traveling outside of the country for medical procedures. “Organization for Economic Co-operation and Development (OECD) put the price of a knee replacement in the U.S. at $48,000. Travel to India and the same operation will cost $8500, more than 80% cheaper. A heart bypass that costs $113,000 in the U.S. can be bought for just $3250 in Mexico, while operations in Malaysia are typically 65-80% cheaper” (Lunt, Smith, Exworthy, Green, Horsfall, & Mannion, 2011). So, I see that the cost of healthcare is causing many Americans to file bankruptcy and America pays too much for a healthcare system that is not working. Also, companies who are not at the Fortune 500 status would like to find a way to save money on employee benefits.
Therefore, I would say my thoughts on getting on board with this would be when another country has a life-saving procedure that cannot be performed in this country for various reasonings like a personal moral view of a political party in charge ...
In responding to your classmates, do you agree or disagree with thei
In responding to your classmates, do you agree or disagree with their conclusions on how economic principles should be balanced in healthcare decision making? Are there some industries, such as healthcare, where market principles should not apply?
Post # 1 :
Eric Staudter
Hello class,
My name is Eric and I am from Long Island, New York. My background is in exercise science, however I currently work in the pharmaceutical industry as a sales and service representative for a company that handles expired medication returns and controlled substance destruction for pharmacies, hospitals, and other clinics. I hope to gain a strong understanding of how the healthcare industry functions to be a profitable business throughout this course.
Applying these principles to the healthcare industry is important and comes with both positive and negative impacts. Scarcity is a situation that arises when the demand for goods or services is exceeded by what is actually available (Henderson, 2019). High-quality medical resources are mainly concentrated in large hospitals in big cities, making it difficult for patients in rural and remote areas to access them. Medical resources of high value are relatively scarce, presenting the problem of unbalanced supply and demand (Ye, et al 2019). This intense competition for high-value medical resources has been shown to have a significant positive impact on the adoption of telehealth (2019). This increases the availability of some medical resources to anyone with the means to access them virtually.
Supply and demand in healthcare serves as its economic foundation. The goal is to reach equilibrium which would maximize access to healthcare services at a price consumers and suppliers have a willingness to use. If a gap exists between supply and demand that disrupts equilibrium, it is not only contributing to a delay in meeting patients’ needs, but it can also be expensive and generate waste in the system (Institute for Healthcare Improvement). Since March 2020, the demand for many goods and services in hospitals plummeted due to voluntary social distancing and mandatory stay-at-home orders (Roberts, 2020). Discharge volume decreased across which increased the demand for beds however it actually prevented new patients from being seen due to the lack of supply. The sudden increase in demand for a hospital bed and the decrease in supply is related to a decrease in revenue in hospitals throughout the United States (2020). Under normal circumstances, supply and demand can be anticipated though.
I think that there are difficult situations in healthcare when attempting to apply economic principles to it. The market characteristics of healthcare are different from a perfectly competitive market. In healthcare, the product is heterogeneous, meaning the consumer could experience a range of outcomes (Scott, Solomon, & McGowan, 2001). There is also a lack of a market price and the insured have third-party payers covering their d ...
Healthcare Trends Discussion.docx
1) Telemedicine is a healthcare trend that could significantly impact patients, providers and the healthcare system. It allows for remote delivery of care which improves access but also changes the traditional patient-provider relationship.
2) A policy recommendation to address this trend is expanding telemedicine reimbursement policies to improve access for patients in rural and underserved areas. This could help address healthcare provider shortages.
3) Widespread adoption of telemedicine will be both an opportunity and challenge as it changes dynamics for all stakeholders in the system. Proper policies are needed to maximize the benefits and protect quality of care.
Week 9 AssignmentContinue on with building your final applicatio.docx
The document provides guidance for a final paper on developing a health advocacy campaign. It instructs the student to combine their previous two papers on identifying a population health concern and approach to advocacy with an analysis of ethical considerations and applicable laws. This week, the student is asked to research relevant ethics provisions and lobbying laws and consider potential ethical dilemmas for their selected advocacy campaign. They will revise their previous papers and add a section addressing the new requirements to complete their final paper.
Walden Pertinent Healthcare Issue Analysis.docx
This document provides instructions for an assignment analyzing a pertinent healthcare issue. Students are asked to select a national healthcare issue/stressor, review research addressing change strategies by healthcare organizations, and write a 3-4 page white paper to organizational leadership about the issue. The paper should describe the issue's impact, summarize strategies from research, and explain how strategies could impact the organization positively and negatively.
IOM-Conflict-of-Interest-Disclosure
This document discusses the need to harmonize the process for reporting potential conflicts of interest in health care and life sciences. It notes that individuals are currently required to provide this information to various organizations in non-identical, time-consuming ways. The document proposes creating a common set of disclosure elements and a standardized digital format that individuals can use to easily report relationships to multiple requesting organizations. This would reduce burden on individuals and allow organizations to access standardized data more efficiently. It outlines goals and approaches discussed by working groups to define common elements and a process for centralized storage and retrieval of disclosure information.
Achieving Universal Health Coverage.docx
This document provides instructions for a discussion on achieving universal health coverage. Students are asked to identify a recently proposed health policy, describe the policy and issue it addresses, and analyze whether there is an evidence base to support the proposed policy. References are provided for students to support their discussion posts. An example discussion response is also included that analyzes a proposed bill to increase mental health resources and access through emergency departments.
Week 3 Assignment Template Sustainable Living Guide Contribut.docx
Week 3 Assignment Template
Sustainable Living Guide Contributions, Part Three of Four:
Sustaining our Water Resources
Instructions: Using the term that you have selected from the list provided in the classroom, please complete the following three-paragraph essay. Write a minimum of 5 to 7 well-crafted, original sentences per paragraph. In your response, you are expected to cite and reference, in APA format, at least two outside sources in addition to the class text. The sources must be credible (from experts in the field of study); at least one scholarly source (published in a peer-reviewed academic journal) is strongly encouraged. Delete all instructions before submitting your work to Waypoint.
Your Term: [type your term here]
[First Paragraph: Thoroughly define your term, using your own words to do so. In your definition, be sure explain why the term is important to know. Be as specific as possible and provide examples as necessary to support your ideas.]
[Second Paragraph:Discuss how the term affects living beings (including humans) and/or the physical environment. Provide examples as needed.]
[Third Paragraph: Suggest two clear, specific actions that you and the other students might take to promote environmental sustainability in relation to this term. Be creative and concrete with your suggestions. For example, you might recommend supporting a particular organization that is active in the field of your term. Explain exactly how those actions will aid in safeguarding our environment in relation to your chosen term.]
References: Following your essay, list all references you cited, in APA format.
After proofreading your assignment carefully, please submit your work to Waypoint for evaluation.
The Pricing Of U.S. Hospital
Services: Chaos Behind A Veil
Of Secrecy
An economist’s insights into what causes the variation in pricing, and
what to do about it.
by Uwe E. Reinhardt
ABSTRACT: Although Americans and foreigners alike tend to think of the U.S. health care
system as being a “market-driven” system, the prices actually paid for health care goods
and services in that system have remained remarkably opaque. This paper describes how
U.S. hospitals now price their services to the various third-party payers and self-paying pa-
tients, and how that system would have to be changed to accommodate the increasingly
popular concept of “consumer-directed health care.” [Health Affairs 25, no. 1 (2006): 57–
69]
A
s k e d b y a wa l l s t r e e t j o u r n a l r e p o r t e r to explain how U.S. hos-
pitals price their services, William McGowan, chief financial officer of the
University of California, Davis, Health System and thirty-year veteran of
hospital financing, responded: “There is no method to this madness. As we went
through the years, we had these cockamamie formulas. We multiplied our costs to
set our charges.”1
Exhibit 1 illustrates his point. Although the list prices reflected in Exhibit 1
vary by only a factor of sli ...
Case Review PaperThis assignment will need to be typed, double-s.docx
Case Review Paper
This assignment will need to be typed, double-spaced with a cover page, font should be Times New Roman size 12, and inclusive of traditional (normal) one-inch margins. Any references you use need to be completed in APA formatting. For this assignment: (1) APA style must be used correctly, (2) All required relevant course readings and materials must be used, (3) At least 6 scholarly sources used (beyond course materials).The paper must be clear, well organized, and should be 10-15 pgs. not including cover page, references, and any other attachments.
This assignment provides an opportunity for students to complete a thorough case review of a client (Lisa). Students will assess Lisa’s case through a case study that provides several vignette’s regarding Lisa’s experience child welfare and substance usage. This case study illustrates the journey made by Lisa, a parent involved in the child welfare and addiction treatment systems. Students will follow Lisa through treatment program interviews and subsequent treatment, having to meet deadlines, and her recovery process with typical challenges and a relapse.
This assignment will allow you to demonstrate how you would distinguish, appraise, and integrate multiple sources of knowledge (including research –based knowledge and practice wisdom). Students will demonstrate their ability to apply Human Behaviors theories to guide basement and practice interventions. It is encouraged that you re-familiarize yourself with theories learned in Human Behaviors & Social Environment as well as Psychopathology courses (ex: Brief
Solution
Focused, Cognitive Behavioral Theory, Attachment Theory, Racial Identity Theory, Ego Psychology, Trauma Informed Theories).
Lisa’s story illustrates clinical issues, observations and decisions made by child welfare and addiction professionals, confidentiality processes and procedures, and decision points related to her children and competing requirements.
After reading Lisa’s Case Study (attached), please adhere to the following guidelines:
For this assignment, students will be expected to answer a series of questions that correspond to each stage of Lisa’s progress through the substance abuse child welfare system. These questions can be found at the bottom of every page of the case study.
Please be sure that your answer for each section is supported with peer-reviewed resources or course literature. Also, please remember to integrate course material throughout your answers.
There must be a theoretical support section in which students must
compare and contrast TWO theories and provide a through explanation and rationale for why one of the theories works best to support their work with the client.Please remember that you should specify the concepts and propositions from each theory that support, explain, and assist in your work with the client. Theories include
Respondent Learning theory, Operant Learning theory, Cognitive-Behavioral.
1Health Insurance MatrixAs you learn about health care del.docx
1
Health Insurance Matrix
As you learn about health care delivery in the United States, it is necessary to understand the various models of health insurance to develop important foundational knowledge as you progress through the course and for your role as a future health care worker. The following matrix is designed to help you develop that knowledge and assist you in understanding how health care is financed and how health insurance influences patients and providers. Fill in the following matrix. Each box must contain responses between 50 and 100 words and use complete sentences.
Model
Describe the model
How is the care paid or financed when this model is used?
What is the structure behind this model? Is it a gatekeeper, open-access, or combination of both?
What are the benefits for providers in using this model?
What are the challenges for providers in using this model?
Health Maintenance Organization (HMO)
Preferred Provider Model
Point-of-Service Model
Provider Sponsored Organization
High Deductible Health Plans and Savings Options
Cite your sources below.
References
H 235: Health Care Services
Textbook: Niles, N. J. (2014). Basics of the US health care system (2nd ed.). Burlington, MA: Jones & Bartlett Learning.
Shi, L., & Singh, D.A. (2015) Delivering health care in America: A systems approach (6th ed.). Burlington, MA: Jones & Bartlett Learning.
Instructions: Please ensure to substantiate your response with scholarly sources and/or also a personal account of your own experience in the work place or personal life. Cite and reference work! QUESTIONS 1 – 11 USE TEXBOOK ABOVE & FOR QUESTIONS 1, 4 & 5 PLEASE SEE ATTACHED DOCUMENTS.
1. Read Chapter 8 Healthcare Financing and discuss what you found the most or least interesting. See Chapter 8 attached. Must be 200 word count.
1. Glenn: This chapter covers the different types and costs of health care. According to our reading, the cost of health care increases about 6% annually, and the new concentration of the health care industry is controlling overall cost. In the past, health care spending was not controlled, so providers could submit a claim for reimbursement and be automatically reimbursed with no penalty or incentive to control spending. I am sure that many claims were summited that were grossly over estimated, leading to higher health care costs for insurance companies and the consumers. I thought that the portion CDHPs was interesting. CDHPs allow consumers to control health care costs by giving them the opportunity to save money for health care, by letting consumers bank tax free money from paychecks to use towards medical expenses. I wish the data was more up to date, because I seem to remember reading somewhere in the Los Angeles Times that health care costs were due to increase well above the average annual increase in 2015. I know that a lot of those costs get passed on to the consumer, and it would be interesting to see just how much of tha ...
1 day agoJessica Dunne RE Discussion - Week 10COLLAPSET.docx
1 day ago
Jessica Dunne
RE: Discussion - Week 10
COLLAPSE
Top of Form
NURS 6050C: Policy and Advocacy for Improving Population Health
INITIAL POST
Resource Allocation for an Aging Population
Technological advances in medicine and preventative care means that Americans are living longer lives than ever before. Hayutin, Deitz, and Mitchell (2010) assert that by the year 2030 Americans over the age of 65 will account for 20% of the population. There will soon be more elderly Americans than children, and the number of working adults is expected to decrease concurrently. This shift in the population will yield significant economic, political and social challenges. Healthcare needs are also changing. Death and disability rates are declining, yet the incidence of chronic illness within the elderly population continues to rise (Hayutin, Deitz, & Mitchell, 2010). Crippen and Barnato (2011) contend that 20% of the population assume 80% of all healthcare-related costs. As much as 75% of these costs are attributable to chronic diseases (Crippen & Barnato, 2011). Revenues for healthcare are projected to decrease while expenditures are expected to increase. Healthcare providers, policymakers, and industry experts need to work towards solutions that will optimize healthcare dollars and create sustainability for future generations.
Ethical Considerations
The dynamics of healthcare are complicated; financial resources seem insignificant when making life and death decisions. Nonetheless, resources are finite, and therefore, distribution and allocation of funds must be ethical. According to Craig (2010), the theory of distributive justice requires that people with the same health needs have equitable access to all available resources. However, distributive justice also requires that the associated costs also be shared equitably. Fairness is another ethical principle that should be applied in the allocation of healthcare resources. Policies that are fair must be transparent, understandable, and there must be regulatory process to address complaints and resolve conflicts. The idea that healthcare is a human right is outlined in the declaration of independence which guarantees citizens the right to life, liberty, and the pursuit of happiness. The need of the patient should also be considered. A burn patient needs plastic surgery more than a patient that wants rhinoplasty (Craig, 2010).
Nurses provide the best possible care to every single patient regardless of gender, ethnicity, sexual orientation, ability to pay, or age. The American Nurses Association (2012) provides ethical guidelines for nurses to employ in their practice. Provisions one, two, and three promote the principle of beneficence, and the obligation nurses have to advocate for the best interests of their patients. Provisions seven, eight, and nine focus on providing social justice for clients through practice and policy (American Nurses Association, 2012). Nurses should also promote aut.
Epidemiologists spend much of their time analyzing data and eval.docx
Epidemiologists spend much of their time analyzing data and evaluating the validity of the sources of their data. Measure of occurrence refers to the quantifying (count, ratio, proportion, rate, prevalence, and incidence) of events (Friis & Sellers, 2021). Data sources are critical elements that provide foundation and grounding for research. It is important to attain and evaluate the validity of data sources. Data sources require analysis and interpretation.
In this Assignment, you are presented with a scenario in the “To prepare for this Assignment” section, where you are asked to search and interpret the meaning of the data. You will also determine the probable source and validity of the data. You will search in the Walden Library for scholarly articles and identify data using the sources of data provided to you in the Learning Resources to complete this Assignment.
Reference:
Friis, R.H., & Sellers, T.A. (2021)
. Epidemiology for public health practice
(6th ed). Jones & Bartlett Learning.
To prepare
for this Assignment:
Refer to the health issue you selected in Week 1.
Perform a search in the Walden Library, and identify
at least two
recent scholarly articles (no older than 3 years of publication) related to the health issue you have chosen.
Perform a search of sources of data provided to you in the Learning Resources to identify data relevant to the health issue you have chosen.
Review the following scenario:
Imagine that you work for a state health department monitoring trends in the occurrence of various reportable infectious diseases, as well as major chronic diseases. As you compare this year's trends with last year's, you notice an increase in the occurrence of the disease that you chose.
Keep in mind, that some factors may cause an increase in incidence but, not necessarily, represent a true increase nor an epidemic.
With this scenario in mind, write a 2- to 3-page paper that addresses the following:
Identify ebola the health issue you have selected.
Identify and describe
at least two factors
that might lead to an increase of new cases (incidence) of your health issue but not represent an outbreak or epidemic. Explain your thinking.
Example factors include screenings, testing, changes in diagnostic criteria, policies, laws, campaigns, etc.
Identify and describe the descriptive epidemiologic factors (person/place/time) you would use to evaluate populations at risk (i.e., what factors are relevant for your health issue within the categories of person, place, and time). Using the scholarly resources that you identified, support and explain your thinking.
Identify and explain who is more at-risk for the health issue based on the epidemiologic factors. Provide data and statistical evidence from the sources you identified to support your response. Explain your thinking.
Note
: Be sure to support your work with specific citations from this week's Learning Resources and additional scholarly so.
Health Care Policy Discussion.pdf
This document discusses implementing a policy to improve discharge practices in emergency departments to reduce return visits. It proposes requiring all patients to have health insurance, which would help ensure quality care and reduce costs. The stakeholders in this policy include government officials, hospital managers, healthcare providers, and insurance companies. Requiring insurance could help provide access to care, smooth hospital processes, and reduce readmission rates and healthcare costs overall.
Health Care Policy Discussion.pdf
This document discusses implementing a health care policy to improve discharge practices in emergency departments and reduce return visits. It proposes requiring all patients to have health insurance to ensure quality care and prevent incomplete payments or discharge failures for uninsured patients. Having insurance coverage would provide security, smooth access to care, and cost savings. Evidence suggests dual Medicare eligibility is linked to lower readmission rates. The key stakeholders in this policy include government officials, hospital managers, medical personnel, insurers, and patients.
The candidates will develop a substantive understanding of six components.docx
The candidates will develop a substantive understanding of the six components of reading by creating a 7-10 page paper. The paper must define and explain each of the six components of reading: comprehension, oral language, phonological awareness, phonics, fluency, and vocabulary. It must also include evidence-based practices that promote development in each reading area and have at least five references from journals or textbooks.
Women in The Testament of the Bible shows.docx
The document discusses several powerful and influential women in the Old Testament of the Bible, including Miriyam who helped lead the Israelites out of Egypt, Devorah who led the Israelites in battle as a judge, Yael who killed an enemy general, Yudit who saved her people by killing an invading general, Huldah who was a prophetess that King Josiah consulted, and Hadassah (Esther) who saved the Jewish people from annihilation.
Write a article more than 2 pages in.docx
Genesis chapters 1-11 are meant to be taken literally as historical accounts based on how other biblical authors reference and treat the people and events described in Genesis. The Bible outside of Genesis, such as references in the New Testament or other books, corroborate the literal and historical nature of Genesis chapters 1-11 by directly citing or building their own doctrines upon the characters and events described.
Write a memo to the CIO that describes how to.docx
The memo outlines an implementation plan for a new information system, addressing available resources, change management strategy, necessary equipment and software, training needs, workflow during transition, and potential resistance. It acknowledges limitations and provides evidence the assessment is accurate and complete, with the goal of gaining approval from a skeptical CIO for the proposed 3-5 page implementation plan.
The topic is In the Western Catholic The.docx
The document discusses the differences and similarities between lay persons and clergy in the Western Catholic Church. Both lay persons and clergy are baptized and committed to baptismal promises. However, lay persons cannot perform sacraments like confession, celebrate mass, or perform confirmation like clergy. Another difference is that lay persons can be married while clergy cannot. Ultimately, both aim to please God, though lay persons must also please their spouse.
Video if makes the speech compelling.docx
The document discusses a YouTube video of a speech given by Steve Jobs where he knows he is dying. It asks 6 questions about the speech: 1) What makes it compelling beyond the emotional appeal? 2) Why did Jobs eliminate certain topics? 3) Why did he choose the topics he did? 4) How does he support his ideas? 5) What did we learn about speech making from this speech? 6) What is the most valuable thing we learned in the communication course?
watch the video on The Role of HR Has.docx
The document discusses the importance of developing a global mindset for HR leaders. It recommends watching two videos on the evolving role of HR and profiles of global HR leaders. Developing a global mindset requires understanding how to work across cultures, which is an intellectual and emotional learning process. Readers are asked to respond to questions from a case study that describes management training challenges in Malawi, explaining how a global mindset could help address the HR issues and applying effective training methods in their analysis.
There is a relationship between an emotionality and their.docx
Individual decisions are influenced by both emotion and reason. When calm, rational thinking guides decisions, but strong emotions constrain clear thinking and increase impulsivity. Emotions can influence decisions and judgments in several ways. They can create tunnel vision or a narrow mindset, lead to jumping to conclusions, cause attention and memory biases that filter information processing, and distort time perception. Emotions are also catchy and can be transferred from others or triggered by unrelated background events.
More Related Content
Similar to Fraud and Abuse in Healthcare.docx
Medical TourismMedical tourism is a much more common practice to
Medical Tourism
Medical tourism is a much more common practice today for receiving affordable health care services. As the cost of health care continues to rise in the United States, increased numbers of potential patients are flocking to other countries to receive affordable health care services. While medical tourism might affect the financial posterity of your health care organization, it too might be a reflection of an industry's commitment to fostering increased access to affordable health care services. From your perspective as a current or future health care administration leader, is medical tourism a social good?
For this Discussion, reflect on the media pieces in this week's resources, which highlight medical tourism. Consider the potential benefits and consequences of medical tourism from both a consumer and a health care administration leader's perspective.
With these thoughts in mind:
Post an explanation of how the role of medical tourism might relate to social change. Be specific, and provide examples for both the consumer and the health care administration leader.
Discussion
Continue the Discussion and respond to your colleagues' posts (250 words or more), suggesting one challenge your colleague should consider in addressing medical tourism for his or her health care organization.
Colleague
As a healthcare administrator, I will have to consider the potential physical and mental risks first of medical tourism for consumers. I have looked for enough evidence-based research to help me to decide that this would be a choice that I would recommend. However, I did not find what I was looking for to say that I would without reservation and good judgment recommend a client to fly to India or Costa Rica for major surgery. I understand that the cost is so much less for various surgeries and companies and clients can save tons of money (ABC News (Producer), 2013).
I understand that this country’s expensive healthcare prices are driving patients and companies to participate in traveling outside of the country for medical procedures. “Organization for Economic Co-operation and Development (OECD) put the price of a knee replacement in the U.S. at $48,000. Travel to India and the same operation will cost $8500, more than 80% cheaper. A heart bypass that costs $113,000 in the U.S. can be bought for just $3250 in Mexico, while operations in Malaysia are typically 65-80% cheaper” (Lunt, Smith, Exworthy, Green, Horsfall, & Mannion, 2011). So, I see that the cost of healthcare is causing many Americans to file bankruptcy and America pays too much for a healthcare system that is not working. Also, companies who are not at the Fortune 500 status would like to find a way to save money on employee benefits.
Therefore, I would say my thoughts on getting on board with this would be when another country has a life-saving procedure that cannot be performed in this country for various reasonings like a personal moral view of a political party in charge ...
In responding to your classmates, do you agree or disagree with thei
In responding to your classmates, do you agree or disagree with their conclusions on how economic principles should be balanced in healthcare decision making? Are there some industries, such as healthcare, where market principles should not apply?
Post # 1 :
Eric Staudter
Hello class,
My name is Eric and I am from Long Island, New York. My background is in exercise science, however I currently work in the pharmaceutical industry as a sales and service representative for a company that handles expired medication returns and controlled substance destruction for pharmacies, hospitals, and other clinics. I hope to gain a strong understanding of how the healthcare industry functions to be a profitable business throughout this course.
Applying these principles to the healthcare industry is important and comes with both positive and negative impacts. Scarcity is a situation that arises when the demand for goods or services is exceeded by what is actually available (Henderson, 2019). High-quality medical resources are mainly concentrated in large hospitals in big cities, making it difficult for patients in rural and remote areas to access them. Medical resources of high value are relatively scarce, presenting the problem of unbalanced supply and demand (Ye, et al 2019). This intense competition for high-value medical resources has been shown to have a significant positive impact on the adoption of telehealth (2019). This increases the availability of some medical resources to anyone with the means to access them virtually.
Supply and demand in healthcare serves as its economic foundation. The goal is to reach equilibrium which would maximize access to healthcare services at a price consumers and suppliers have a willingness to use. If a gap exists between supply and demand that disrupts equilibrium, it is not only contributing to a delay in meeting patients’ needs, but it can also be expensive and generate waste in the system (Institute for Healthcare Improvement). Since March 2020, the demand for many goods and services in hospitals plummeted due to voluntary social distancing and mandatory stay-at-home orders (Roberts, 2020). Discharge volume decreased across which increased the demand for beds however it actually prevented new patients from being seen due to the lack of supply. The sudden increase in demand for a hospital bed and the decrease in supply is related to a decrease in revenue in hospitals throughout the United States (2020). Under normal circumstances, supply and demand can be anticipated though.
I think that there are difficult situations in healthcare when attempting to apply economic principles to it. The market characteristics of healthcare are different from a perfectly competitive market. In healthcare, the product is heterogeneous, meaning the consumer could experience a range of outcomes (Scott, Solomon, & McGowan, 2001). There is also a lack of a market price and the insured have third-party payers covering their d ...
Healthcare Trends Discussion.docx
1) Telemedicine is a healthcare trend that could significantly impact patients, providers and the healthcare system. It allows for remote delivery of care which improves access but also changes the traditional patient-provider relationship.
2) A policy recommendation to address this trend is expanding telemedicine reimbursement policies to improve access for patients in rural and underserved areas. This could help address healthcare provider shortages.
3) Widespread adoption of telemedicine will be both an opportunity and challenge as it changes dynamics for all stakeholders in the system. Proper policies are needed to maximize the benefits and protect quality of care.
Week 9 AssignmentContinue on with building your final applicatio.docx
The document provides guidance for a final paper on developing a health advocacy campaign. It instructs the student to combine their previous two papers on identifying a population health concern and approach to advocacy with an analysis of ethical considerations and applicable laws. This week, the student is asked to research relevant ethics provisions and lobbying laws and consider potential ethical dilemmas for their selected advocacy campaign. They will revise their previous papers and add a section addressing the new requirements to complete their final paper.
Walden Pertinent Healthcare Issue Analysis.docx
This document provides instructions for an assignment analyzing a pertinent healthcare issue. Students are asked to select a national healthcare issue/stressor, review research addressing change strategies by healthcare organizations, and write a 3-4 page white paper to organizational leadership about the issue. The paper should describe the issue's impact, summarize strategies from research, and explain how strategies could impact the organization positively and negatively.
IOM-Conflict-of-Interest-Disclosure
This document discusses the need to harmonize the process for reporting potential conflicts of interest in health care and life sciences. It notes that individuals are currently required to provide this information to various organizations in non-identical, time-consuming ways. The document proposes creating a common set of disclosure elements and a standardized digital format that individuals can use to easily report relationships to multiple requesting organizations. This would reduce burden on individuals and allow organizations to access standardized data more efficiently. It outlines goals and approaches discussed by working groups to define common elements and a process for centralized storage and retrieval of disclosure information.
Achieving Universal Health Coverage.docx
This document provides instructions for a discussion on achieving universal health coverage. Students are asked to identify a recently proposed health policy, describe the policy and issue it addresses, and analyze whether there is an evidence base to support the proposed policy. References are provided for students to support their discussion posts. An example discussion response is also included that analyzes a proposed bill to increase mental health resources and access through emergency departments.
Week 3 Assignment Template Sustainable Living Guide Contribut.docx
Week 3 Assignment Template
Sustainable Living Guide Contributions, Part Three of Four:
Sustaining our Water Resources
Instructions: Using the term that you have selected from the list provided in the classroom, please complete the following three-paragraph essay. Write a minimum of 5 to 7 well-crafted, original sentences per paragraph. In your response, you are expected to cite and reference, in APA format, at least two outside sources in addition to the class text. The sources must be credible (from experts in the field of study); at least one scholarly source (published in a peer-reviewed academic journal) is strongly encouraged. Delete all instructions before submitting your work to Waypoint.
Your Term: [type your term here]
[First Paragraph: Thoroughly define your term, using your own words to do so. In your definition, be sure explain why the term is important to know. Be as specific as possible and provide examples as necessary to support your ideas.]
[Second Paragraph:Discuss how the term affects living beings (including humans) and/or the physical environment. Provide examples as needed.]
[Third Paragraph: Suggest two clear, specific actions that you and the other students might take to promote environmental sustainability in relation to this term. Be creative and concrete with your suggestions. For example, you might recommend supporting a particular organization that is active in the field of your term. Explain exactly how those actions will aid in safeguarding our environment in relation to your chosen term.]
References: Following your essay, list all references you cited, in APA format.
After proofreading your assignment carefully, please submit your work to Waypoint for evaluation.
The Pricing Of U.S. Hospital
Services: Chaos Behind A Veil
Of Secrecy
An economist’s insights into what causes the variation in pricing, and
what to do about it.
by Uwe E. Reinhardt
ABSTRACT: Although Americans and foreigners alike tend to think of the U.S. health care
system as being a “market-driven” system, the prices actually paid for health care goods
and services in that system have remained remarkably opaque. This paper describes how
U.S. hospitals now price their services to the various third-party payers and self-paying pa-
tients, and how that system would have to be changed to accommodate the increasingly
popular concept of “consumer-directed health care.” [Health Affairs 25, no. 1 (2006): 57–
69]
A
s k e d b y a wa l l s t r e e t j o u r n a l r e p o r t e r to explain how U.S. hos-
pitals price their services, William McGowan, chief financial officer of the
University of California, Davis, Health System and thirty-year veteran of
hospital financing, responded: “There is no method to this madness. As we went
through the years, we had these cockamamie formulas. We multiplied our costs to
set our charges.”1
Exhibit 1 illustrates his point. Although the list prices reflected in Exhibit 1
vary by only a factor of sli ...
Case Review PaperThis assignment will need to be typed, double-s.docx
Case Review Paper
This assignment will need to be typed, double-spaced with a cover page, font should be Times New Roman size 12, and inclusive of traditional (normal) one-inch margins. Any references you use need to be completed in APA formatting. For this assignment: (1) APA style must be used correctly, (2) All required relevant course readings and materials must be used, (3) At least 6 scholarly sources used (beyond course materials).The paper must be clear, well organized, and should be 10-15 pgs. not including cover page, references, and any other attachments.
This assignment provides an opportunity for students to complete a thorough case review of a client (Lisa). Students will assess Lisa’s case through a case study that provides several vignette’s regarding Lisa’s experience child welfare and substance usage. This case study illustrates the journey made by Lisa, a parent involved in the child welfare and addiction treatment systems. Students will follow Lisa through treatment program interviews and subsequent treatment, having to meet deadlines, and her recovery process with typical challenges and a relapse.
This assignment will allow you to demonstrate how you would distinguish, appraise, and integrate multiple sources of knowledge (including research –based knowledge and practice wisdom). Students will demonstrate their ability to apply Human Behaviors theories to guide basement and practice interventions. It is encouraged that you re-familiarize yourself with theories learned in Human Behaviors & Social Environment as well as Psychopathology courses (ex: Brief
Solution
Focused, Cognitive Behavioral Theory, Attachment Theory, Racial Identity Theory, Ego Psychology, Trauma Informed Theories).
Lisa’s story illustrates clinical issues, observations and decisions made by child welfare and addiction professionals, confidentiality processes and procedures, and decision points related to her children and competing requirements.
After reading Lisa’s Case Study (attached), please adhere to the following guidelines:
For this assignment, students will be expected to answer a series of questions that correspond to each stage of Lisa’s progress through the substance abuse child welfare system. These questions can be found at the bottom of every page of the case study.
Please be sure that your answer for each section is supported with peer-reviewed resources or course literature. Also, please remember to integrate course material throughout your answers.
There must be a theoretical support section in which students must
compare and contrast TWO theories and provide a through explanation and rationale for why one of the theories works best to support their work with the client.Please remember that you should specify the concepts and propositions from each theory that support, explain, and assist in your work with the client. Theories include
Respondent Learning theory, Operant Learning theory, Cognitive-Behavioral.
1Health Insurance MatrixAs you learn about health care del.docx
1
Health Insurance Matrix
As you learn about health care delivery in the United States, it is necessary to understand the various models of health insurance to develop important foundational knowledge as you progress through the course and for your role as a future health care worker. The following matrix is designed to help you develop that knowledge and assist you in understanding how health care is financed and how health insurance influences patients and providers. Fill in the following matrix. Each box must contain responses between 50 and 100 words and use complete sentences.
Model
Describe the model
How is the care paid or financed when this model is used?
What is the structure behind this model? Is it a gatekeeper, open-access, or combination of both?
What are the benefits for providers in using this model?
What are the challenges for providers in using this model?
Health Maintenance Organization (HMO)
Preferred Provider Model
Point-of-Service Model
Provider Sponsored Organization
High Deductible Health Plans and Savings Options
Cite your sources below.
References
H 235: Health Care Services
Textbook: Niles, N. J. (2014). Basics of the US health care system (2nd ed.). Burlington, MA: Jones & Bartlett Learning.
Shi, L., & Singh, D.A. (2015) Delivering health care in America: A systems approach (6th ed.). Burlington, MA: Jones & Bartlett Learning.
Instructions: Please ensure to substantiate your response with scholarly sources and/or also a personal account of your own experience in the work place or personal life. Cite and reference work! QUESTIONS 1 – 11 USE TEXBOOK ABOVE & FOR QUESTIONS 1, 4 & 5 PLEASE SEE ATTACHED DOCUMENTS.
1. Read Chapter 8 Healthcare Financing and discuss what you found the most or least interesting. See Chapter 8 attached. Must be 200 word count.
1. Glenn: This chapter covers the different types and costs of health care. According to our reading, the cost of health care increases about 6% annually, and the new concentration of the health care industry is controlling overall cost. In the past, health care spending was not controlled, so providers could submit a claim for reimbursement and be automatically reimbursed with no penalty or incentive to control spending. I am sure that many claims were summited that were grossly over estimated, leading to higher health care costs for insurance companies and the consumers. I thought that the portion CDHPs was interesting. CDHPs allow consumers to control health care costs by giving them the opportunity to save money for health care, by letting consumers bank tax free money from paychecks to use towards medical expenses. I wish the data was more up to date, because I seem to remember reading somewhere in the Los Angeles Times that health care costs were due to increase well above the average annual increase in 2015. I know that a lot of those costs get passed on to the consumer, and it would be interesting to see just how much of tha ...
1 day agoJessica Dunne RE Discussion - Week 10COLLAPSET.docx
1 day ago
Jessica Dunne
RE: Discussion - Week 10
COLLAPSE
Top of Form
NURS 6050C: Policy and Advocacy for Improving Population Health
INITIAL POST
Resource Allocation for an Aging Population
Technological advances in medicine and preventative care means that Americans are living longer lives than ever before. Hayutin, Deitz, and Mitchell (2010) assert that by the year 2030 Americans over the age of 65 will account for 20% of the population. There will soon be more elderly Americans than children, and the number of working adults is expected to decrease concurrently. This shift in the population will yield significant economic, political and social challenges. Healthcare needs are also changing. Death and disability rates are declining, yet the incidence of chronic illness within the elderly population continues to rise (Hayutin, Deitz, & Mitchell, 2010). Crippen and Barnato (2011) contend that 20% of the population assume 80% of all healthcare-related costs. As much as 75% of these costs are attributable to chronic diseases (Crippen & Barnato, 2011). Revenues for healthcare are projected to decrease while expenditures are expected to increase. Healthcare providers, policymakers, and industry experts need to work towards solutions that will optimize healthcare dollars and create sustainability for future generations.
Ethical Considerations
The dynamics of healthcare are complicated; financial resources seem insignificant when making life and death decisions. Nonetheless, resources are finite, and therefore, distribution and allocation of funds must be ethical. According to Craig (2010), the theory of distributive justice requires that people with the same health needs have equitable access to all available resources. However, distributive justice also requires that the associated costs also be shared equitably. Fairness is another ethical principle that should be applied in the allocation of healthcare resources. Policies that are fair must be transparent, understandable, and there must be regulatory process to address complaints and resolve conflicts. The idea that healthcare is a human right is outlined in the declaration of independence which guarantees citizens the right to life, liberty, and the pursuit of happiness. The need of the patient should also be considered. A burn patient needs plastic surgery more than a patient that wants rhinoplasty (Craig, 2010).
Nurses provide the best possible care to every single patient regardless of gender, ethnicity, sexual orientation, ability to pay, or age. The American Nurses Association (2012) provides ethical guidelines for nurses to employ in their practice. Provisions one, two, and three promote the principle of beneficence, and the obligation nurses have to advocate for the best interests of their patients. Provisions seven, eight, and nine focus on providing social justice for clients through practice and policy (American Nurses Association, 2012). Nurses should also promote aut.
Epidemiologists spend much of their time analyzing data and eval.docx
Epidemiologists spend much of their time analyzing data and evaluating the validity of the sources of their data. Measure of occurrence refers to the quantifying (count, ratio, proportion, rate, prevalence, and incidence) of events (Friis & Sellers, 2021). Data sources are critical elements that provide foundation and grounding for research. It is important to attain and evaluate the validity of data sources. Data sources require analysis and interpretation.
In this Assignment, you are presented with a scenario in the “To prepare for this Assignment” section, where you are asked to search and interpret the meaning of the data. You will also determine the probable source and validity of the data. You will search in the Walden Library for scholarly articles and identify data using the sources of data provided to you in the Learning Resources to complete this Assignment.
Reference:
Friis, R.H., & Sellers, T.A. (2021)
. Epidemiology for public health practice
(6th ed). Jones & Bartlett Learning.
To prepare
for this Assignment:
Refer to the health issue you selected in Week 1.
Perform a search in the Walden Library, and identify
at least two
recent scholarly articles (no older than 3 years of publication) related to the health issue you have chosen.
Perform a search of sources of data provided to you in the Learning Resources to identify data relevant to the health issue you have chosen.
Review the following scenario:
Imagine that you work for a state health department monitoring trends in the occurrence of various reportable infectious diseases, as well as major chronic diseases. As you compare this year's trends with last year's, you notice an increase in the occurrence of the disease that you chose.
Keep in mind, that some factors may cause an increase in incidence but, not necessarily, represent a true increase nor an epidemic.
With this scenario in mind, write a 2- to 3-page paper that addresses the following:
Identify ebola the health issue you have selected.
Identify and describe
at least two factors
that might lead to an increase of new cases (incidence) of your health issue but not represent an outbreak or epidemic. Explain your thinking.
Example factors include screenings, testing, changes in diagnostic criteria, policies, laws, campaigns, etc.
Identify and describe the descriptive epidemiologic factors (person/place/time) you would use to evaluate populations at risk (i.e., what factors are relevant for your health issue within the categories of person, place, and time). Using the scholarly resources that you identified, support and explain your thinking.
Identify and explain who is more at-risk for the health issue based on the epidemiologic factors. Provide data and statistical evidence from the sources you identified to support your response. Explain your thinking.
Note
: Be sure to support your work with specific citations from this week's Learning Resources and additional scholarly so.
Health Care Policy Discussion.pdf
This document discusses implementing a policy to improve discharge practices in emergency departments to reduce return visits. It proposes requiring all patients to have health insurance, which would help ensure quality care and reduce costs. The stakeholders in this policy include government officials, hospital managers, healthcare providers, and insurance companies. Requiring insurance could help provide access to care, smooth hospital processes, and reduce readmission rates and healthcare costs overall.
Health Care Policy Discussion.pdf
This document discusses implementing a health care policy to improve discharge practices in emergency departments and reduce return visits. It proposes requiring all patients to have health insurance to ensure quality care and prevent incomplete payments or discharge failures for uninsured patients. Having insurance coverage would provide security, smooth access to care, and cost savings. Evidence suggests dual Medicare eligibility is linked to lower readmission rates. The key stakeholders in this policy include government officials, hospital managers, medical personnel, insurers, and patients.
Similar to Fraud and Abuse in Healthcare.docx (14)
Medical TourismMedical tourism is a much more common practice to
Medical TourismMedical tourism is a much more common practice to
In responding to your classmates, do you agree or disagree with thei
In responding to your classmates, do you agree or disagree with thei
Week 9 AssignmentContinue on with building your final applicatio.docx
Week 9 AssignmentContinue on with building your final applicatio.docx
Week 3 Assignment Template Sustainable Living Guide Contribut.docx
Week 3 Assignment Template Sustainable Living Guide Contribut.docx
Case Review PaperThis assignment will need to be typed, double-s.docx
Case Review PaperThis assignment will need to be typed, double-s.docx
1Health Insurance MatrixAs you learn about health care del.docx
1Health Insurance MatrixAs you learn about health care del.docx
1 day agoJessica Dunne RE Discussion - Week 10COLLAPSET.docx
1 day agoJessica Dunne RE Discussion - Week 10COLLAPSET.docx
Epidemiologists spend much of their time analyzing data and eval.docx
Epidemiologists spend much of their time analyzing data and eval.docx
More from write31
The candidates will develop a substantive understanding of six components.docx
The candidates will develop a substantive understanding of the six components of reading by creating a 7-10 page paper. The paper must define and explain each of the six components of reading: comprehension, oral language, phonological awareness, phonics, fluency, and vocabulary. It must also include evidence-based practices that promote development in each reading area and have at least five references from journals or textbooks.
Women in The Testament of the Bible shows.docx
The document discusses several powerful and influential women in the Old Testament of the Bible, including Miriyam who helped lead the Israelites out of Egypt, Devorah who led the Israelites in battle as a judge, Yael who killed an enemy general, Yudit who saved her people by killing an invading general, Huldah who was a prophetess that King Josiah consulted, and Hadassah (Esther) who saved the Jewish people from annihilation.
Write a article more than 2 pages in.docx
Genesis chapters 1-11 are meant to be taken literally as historical accounts based on how other biblical authors reference and treat the people and events described in Genesis. The Bible outside of Genesis, such as references in the New Testament or other books, corroborate the literal and historical nature of Genesis chapters 1-11 by directly citing or building their own doctrines upon the characters and events described.
Write a memo to the CIO that describes how to.docx
The memo outlines an implementation plan for a new information system, addressing available resources, change management strategy, necessary equipment and software, training needs, workflow during transition, and potential resistance. It acknowledges limitations and provides evidence the assessment is accurate and complete, with the goal of gaining approval from a skeptical CIO for the proposed 3-5 page implementation plan.
The topic is In the Western Catholic The.docx
The document discusses the differences and similarities between lay persons and clergy in the Western Catholic Church. Both lay persons and clergy are baptized and committed to baptismal promises. However, lay persons cannot perform sacraments like confession, celebrate mass, or perform confirmation like clergy. Another difference is that lay persons can be married while clergy cannot. Ultimately, both aim to please God, though lay persons must also please their spouse.
Video if makes the speech compelling.docx
The document discusses a YouTube video of a speech given by Steve Jobs where he knows he is dying. It asks 6 questions about the speech: 1) What makes it compelling beyond the emotional appeal? 2) Why did Jobs eliminate certain topics? 3) Why did he choose the topics he did? 4) How does he support his ideas? 5) What did we learn about speech making from this speech? 6) What is the most valuable thing we learned in the communication course?
watch the video on The Role of HR Has.docx
The document discusses the importance of developing a global mindset for HR leaders. It recommends watching two videos on the evolving role of HR and profiles of global HR leaders. Developing a global mindset requires understanding how to work across cultures, which is an intellectual and emotional learning process. Readers are asked to respond to questions from a case study that describes management training challenges in Malawi, explaining how a global mindset could help address the HR issues and applying effective training methods in their analysis.
There is a relationship between an emotionality and their.docx
Individual decisions are influenced by both emotion and reason. When calm, rational thinking guides decisions, but strong emotions constrain clear thinking and increase impulsivity. Emotions can influence decisions and judgments in several ways. They can create tunnel vision or a narrow mindset, lead to jumping to conclusions, cause attention and memory biases that filter information processing, and distort time perception. Emotions are also catchy and can be transferred from others or triggered by unrelated background events.
What is required to petition is a formal letter the.docx
To petition for readmission after dismissal from Maryville University, a formal letter is required that describes the circumstances that impacted the student's success, what the student would do differently to be successful if readmitted, and the student's current academic goals at Maryville and why consideration should be granted based on those goals and circumstances.
what is mental illness as an officially recognized.docx
Mental illness is officially recognized as a category of deviance in society. It downplays the social foundations of conditions seen as deviant. The most commonly identified mental illness today in the US is depression. The perspective of "Pharmacracy" views mental illness as primarily a biological condition to be treated with medication. Goffman's book Asylums was important for policy as it shed light on the social environment of institutions and how that impacted patients. Stress from social inequality and lack of social support is most likely to lead to mental illness. The mentally ill employ "stigma management strategies" like passing or covering to avoid discrimination.
With you have learned about the cell DNA.docx
Cancer is caused by mutations in DNA that cause cells to multiply uncontrollably. While scientists have made progress in understanding cancer and developing treatments, curing cancer is challenging because of the complexity of the human body and diversity of cancer types. With continued research into genetics, cell biology, and new therapies, scientists hope to find cures for more cancer types in the future.
TO EACH POST 100 WORDS MIN This.docx
The document discusses several models of radicalization and analyzes the USS Cole terrorist attack. It addresses the following key points:
1) The USS Cole attack in 2000 was clearly an act of terrorism carried out by al-Qaeda operatives in Yemen with the goal of forcing US withdrawal from the Middle East.
2) The attack served as al-Qaeda in Yemen's major initiation and revealed capabilities prior to the 9/11 attacks. Both US and Yemeni responses to the attack were inadequate and allowed al-Qaeda to strengthen.
3) Radicalization is generally a complex process involving multiple behavioral, psychological, social, and political factors that can lead one to extremist views over time rather than suddenly. The
TO EACH POST MIN 100 WORDS In.docx
This document discusses two pathways to terrorism - top-down and bottom-up - as explained by Professor Mohammed Hafez. The top-down process involves centralized organizations that promote radical ideology through social services, while the bottom-up process occurs when individuals have personal grievances and seek out radical groups. The document also examines case studies of Ted Kaczynski and Timothy McVeigh, analyzing which radicalization models best describe their paths to committing acts of terrorism.
Take a look back at your DPP and the Belmont.docx
The document advises to review the Detailed Project Plan (DPP) and Belmont Report to ensure clarity on the purpose of the research and adherence to ethical principles of protecting participants, as outlined in the Belmont Report, rather than having a good or bad hypothesis.
Stakeholder support is necessary for successful project Consider your.docx
Stakeholder support is crucial for successful project implementation. Both internal stakeholders within the healthcare setting considering a change proposal, as well as external stakeholders outside the setting, require support. Their backing is necessary for success, so determining why it is needed and how to obtain it is important.
The OSI data link layer is responsible for physical.docx
The OSI data link layer is responsible for physical addressing, network topology, error notification, sequencing of frames and flow control. IEEE has defined numerous protocols used with TCP/IP at the OSI data link layer, including various IEEE 802 standards. These standards require certain network devices, media, and topologies to implement them in a network.
This assignment is intended to help you use leadership skills.docx
This assignment aims to help students practice leadership skills by gathering a cross-functional mock project team and guiding them using project management tools. Students must create a 10-12 slide PowerPoint presentation with speaker notes that outlines the project description, management charts, improved process flowchart, meeting schedule, metrics, financial considerations, and reporting structure while citing references and using APA format.
What are the different portals of entry for a pathogen.docx
The document discusses different topics related to disease and immunity including portals of entry for pathogens, categories of disease outbreaks, types of immunity, classes of vaccines, and differences between hypersensitivity reactions and autoimmune diseases. Specifically, it asks about the different ways pathogens can enter the body, defines endemic, sporadic, epidemic and pandemic, describes innate versus adaptive immunity and which type is longer lasting and more specific, differentiates between active and passive immunity and which is longer or shorter lasting, lists the five classes of vaccines used for active immunity, and asks to define and differentiate hypersensitivity reactions from autoimmune diseases with an example of each.
You are the Social Media Manager for Savannah Technical.docx
The Social Media Manager for Savannah Technical College should measure internal and external engagement with the college by tracking data on reach, frequency, sentiment and engagement that can be realistically obtained from social media platforms. This data would allow further analysis of how effectively the college is engaging its various audiences and what messaging is most successful online.
When you are engaging it is important to understand.docx
To engage a specific community, one must understand both geographical and non-geographical factors. The document instructs the reader to describe the strengths, challenges, and reasons for community membership of their identified community to an potential employer. They are to advocate for their community's offerings while being honest about its challenges. The description should analyze the impact of community membership on members and identify elected and unelected leaders to support community engagement efforts.
More from write31 (20)
The candidates will develop a substantive understanding of six components.docx
The candidates will develop a substantive understanding of six components.docx
Write a memo to the CIO that describes how to.docx
Write a memo to the CIO that describes how to.docx
There is a relationship between an emotionality and their.docx
There is a relationship between an emotionality and their.docx
What is required to petition is a formal letter the.docx
What is required to petition is a formal letter the.docx
what is mental illness as an officially recognized.docx
what is mental illness as an officially recognized.docx
Stakeholder support is necessary for successful project Consider your.docx
Stakeholder support is necessary for successful project Consider your.docx
The OSI data link layer is responsible for physical.docx
The OSI data link layer is responsible for physical.docx
This assignment is intended to help you use leadership skills.docx
This assignment is intended to help you use leadership skills.docx
What are the different portals of entry for a pathogen.docx
What are the different portals of entry for a pathogen.docx
You are the Social Media Manager for Savannah Technical.docx
You are the Social Media Manager for Savannah Technical.docx
When you are engaging it is important to understand.docx
When you are engaging it is important to understand.docx
Recently uploaded
Digital Artifact 1 - 10VCD Environments Unit
Digital Artifact 1 - 10VCD Environments Unit - NGV Pavilion Concept Design
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
Denis is a dynamic and results-driven Chief Information Officer (CIO) with a distinguished career spanning information systems analysis and technical project management. With a proven track record of spearheading the design and delivery of cutting-edge Information Management solutions, he has consistently elevated business operations, streamlined reporting functions, and maximized process efficiency.
Certified as an ISO/IEC 27001: Information Security Management Systems (ISMS) Lead Implementer, Data Protection Officer, and Cyber Risks Analyst, Denis brings a heightened focus on data security, privacy, and cyber resilience to every endeavor.
His expertise extends across a diverse spectrum of reporting, database, and web development applications, underpinned by an exceptional grasp of data storage and virtualization technologies. His proficiency in application testing, database administration, and data cleansing ensures seamless execution of complex projects.
What sets Denis apart is his comprehensive understanding of Business and Systems Analysis technologies, honed through involvement in all phases of the Software Development Lifecycle (SDLC). From meticulous requirements gathering to precise analysis, innovative design, rigorous development, thorough testing, and successful implementation, he has consistently delivered exceptional results.
Throughout his career, he has taken on multifaceted roles, from leading technical project management teams to owning solutions that drive operational excellence. His conscientious and proactive approach is unwavering, whether he is working independently or collaboratively within a team. His ability to connect with colleagues on a personal level underscores his commitment to fostering a harmonious and productive workplace environment.
Date: May 29, 2024
Tags: Information Security, ISO/IEC 27001, ISO/IEC 42001, Artificial Intelligence, GDPR
-------------------------------------------------------------------------------
Find out more about ISO training and certification services
Training: ISO/IEC 27001 Information Security Management System - EN | PECB
ISO/IEC 42001 Artificial Intelligence Management System - EN | PECB
General Data Protection Regulation (GDPR) - Training Courses - EN | PECB
Webinars: https://pecb.com/webinars
Article: https://pecb.com/article
-------------------------------------------------------------------------------
For more information about PECB:
Website: https://pecb.com/
LinkedIn: https://www.linkedin.com/company/pecb/
Facebook: https://www.facebook.com/PECBInternational/
Slideshare: http://www.slideshare.net/PECBCERTIFICATION
Assessment and Planning in Educational technology.pptx
In an education system, it is understood that assessment is only for the students, but on the other hand, the Assessment of teachers is also an important aspect of the education system that ensures teachers are providing high-quality instruction to students. The assessment process can be used to provide feedback and support for professional development, to inform decisions about teacher retention or promotion, or to evaluate teacher effectiveness for accountability purposes.
The Diamonds of 2023-2024 in the IGRA collection
A review of the growth of the Israel Genealogy Research Association Database Collection for the last 12 months. Our collection is now passed the 3 million mark and still growing. See which archives have contributed the most. See the different types of records we have, and which years have had records added. You can also see what we have for the future.
Natural birth techniques - Mrs.Akanksha Trivedi Rama University
Natural birth techniques - Mrs.Akanksha Trivedi Rama UniversityAkanksha trivedi rama nursing college kanpur.
Natural birth techniques are various type such as/ water birth , alexender method, hypnosis, bradley method, lamaze method etcHow to Build a Module in Odoo 17 Using the Scaffold Method
Odoo provides an option for creating a module by using a single line command. By using this command the user can make a whole structure of a module. It is very easy for a beginner to make a module. There is no need to make each file manually. This slide will show how to create a module using the scaffold method.
A Survey of Techniques for Maximizing LLM Performance.pptx
A Survey of Techniques for Maximizing LLM Performance
How to Fix the Import Error in the Odoo 17
An import error occurs when a program fails to import a module or library, disrupting its execution. In languages like Python, this issue arises when the specified module cannot be found or accessed, hindering the program's functionality. Resolving import errors is crucial for maintaining smooth software operation and uninterrupted development processes.
Your Skill Boost Masterclass: Strategies for Effective Upskilling
Your Skill Boost Masterclass: Strategies for Effective UpskillingExcellence Foundation for South Sudan
Strategies for Effective Upskilling is a presentation by Chinwendu Peace in a Your Skill Boost Masterclass organisation by the Excellence Foundation for South Sudan on 08th and 09th June 2024 from 1 PM to 3 PM on each day.CACJapan - GROUP Presentation 1- Wk 4.pdf
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
RPMS TEMPLATE FOR SCHOOL YEAR 2023-2024 FOR TEACHER 1 TO TEACHER 3
RPMS Template 2023-2024 by: Irene S. Rueco
Azure Interview Questions and Answers PDF By ScholarHat
Azure Interview Questions and Answers PDF By ScholarHat
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...National Information Standards Organization (NISO)
This presentation was provided by Steph Pollock of The American Psychological Association’s Journals Program, and Damita Snow, of The American Society of Civil Engineers (ASCE), for the initial session of NISO's 2024 Training Series "DEIA in the Scholarly Landscape." Session One: 'Setting Expectations: a DEIA Primer,' was held June 6, 2024.A Strategic Approach: GenAI in Education
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
The History of Stoke Newington Street Names
Presented at the Stoke Newington Literary Festival on 9th June 2024
www.StokeNewingtonHistory.com
Recently uploaded (20)
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
Assessment and Planning in Educational technology.pptx
Assessment and Planning in Educational technology.pptx
Natural birth techniques - Mrs.Akanksha Trivedi Rama University
Natural birth techniques - Mrs.Akanksha Trivedi Rama University
How to Build a Module in Odoo 17 Using the Scaffold Method
How to Build a Module in Odoo 17 Using the Scaffold Method
A Survey of Techniques for Maximizing LLM Performance.pptx
A Survey of Techniques for Maximizing LLM Performance.pptx
Your Skill Boost Masterclass: Strategies for Effective Upskilling
Your Skill Boost Masterclass: Strategies for Effective Upskilling
RPMS TEMPLATE FOR SCHOOL YEAR 2023-2024 FOR TEACHER 1 TO TEACHER 3
RPMS TEMPLATE FOR SCHOOL YEAR 2023-2024 FOR TEACHER 1 TO TEACHER 3
Azure Interview Questions and Answers PDF By ScholarHat
Azure Interview Questions and Answers PDF By ScholarHat
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
Fraud and Abuse in Healthcare.docx
- 1. Fraud and Abuse in Healthcare Fraud and Abuse in HealthcareFraud and Abuse in HealthcareFraud is rampant in the healthcare industry. The size, scope, and complexity of the healthcare industry can attract individuals and organizations intending to defraud third-party payers, government agencies, and individuals. This fraud is perpetrated by those looking to access the billions of dollars available for legitimate medical care to patients needing services at all levels. By fraudulently billing for services that were not provided, kicking back monies to individuals, and carrying out other dishonest and unethical practices, individuals have stolen taxpayer funds and potentially prevented people in need from receiving necessary care. This multi- billion-dollar fraud has come under increasingly intense investigation, enforcement, and prosecution by a multitude of federal, state, and local agencies. Through their activities, billions are being recovered. According to the U.S. Department of Justice, more than $2.5 billion was collected in settlements and judgments from cases involving fraud and false claims in the healthcare industry during 2016. For the seventh consecutive year, healthcare fraud recoveries exceeded $2 billion.CLICK HERE TO ORDER YOUR ASSIGNMENTHealthcare leaders must be familiar with the agencies, regulations, statutes, and practice codes that impact the delivery of healthcare. Today’s healthcare leaders must understand the importance of establishing proactive compliance processes and be able to recognize and address potential situations at risk for fraud and abuse.BY DAY 7 OF WEEK 2This week, assigned Presenters should post a PowerPoint presentation with a detailed notes section that contains the following:Incorporation and analysis of the Learning Resources from this 2-week unit, including identification of any apparent gaps in the literatureAn original research topic related to the week’s literature (the proposed research topic can be related to the general topic for the week or to gaps in the literature for the week, or it can be related to a specific reading for the week)Background information on the research topic, including identification of principal schools of thought, tendencies in the academic literature, or commonalities that define the academic scholarship regarding your topicEvaluation of the main concepts with a focus on their application to business/management practice and their impact on positive social changeA minimum of 10 peer-reviewed, scholarly new referencesNote: The presentation must be in APA format and must incorporate direct evidence of addressing the Learning Objectives from this 2-week unit. Each of the content slides must include detailed notes/paragraphs with appropriate citation of peer-reviewed, scholarly references.list of resources:Pozgar, G. D. (2016). Legal and ethical issues for health professionals (4th ed.). Burlington, MA: Jones & Bartlett Learning.Chapter 2, “Contemporary
- 2. Ethical Dilemmas” (pp. 66–120)Chapter 13, “Patient Abuse” (pp. 417–436)Allen, L. P. (2013). Fighting Medicare fraud under the False Claims Act. Health Law Litigation, 10(2), 2¬–6. Retrieved from http://www.americanbar.org/publications/litigation…Note: You will access this article from the Walden Library databases.Beimers, T., Disenhaus, J., Kanner, S., Smith, C., Trilling, H., Wisor, R., Andonova, E., Furlow, A., & Thiess, D. (2017). OIG finalizes wide-ranging amendments to civil monetary penalties regulations and Anti-Kickback Statute safe harbors. Journal of Health Care Compliance, 19(1), 9–52. Retrieved from https://lrus.wolterskluwer.com/store/products/jour…Note: This article is 8 non- consecutive pages in length. You will access this article from the Walden Library databases.Holland, R. (2014). Of discounts and dangers: Swapping, discounting, and the Anti-Kickback Statute. Journal of Health Care Compliance, 16(1), 37–40. Retrieved from https://lrus.wolterskluwer.com/store/products/jour…Note: You will access this article from the Walden Library databases.Mathews, C. (2015). The hospital readmission reduction program: Fraud and abuse concerns. DePaul Journal of Health Care Law, 17(1), 31–46. Retrieved from http://via.library.depaul.edu/jhcl/Note: You will access this article from the Walden Library databases.Pham, G. (2015). 2014 healthcare False Claims Act developments. Health Law Litigation, 12(2), 5–9. Retrieved from http://www.americanbar.org/publications/litigation…Note: You will access this article from the Walden Library databases.Sidhu, A. S. (2015). The growing threat of qui tam litigation against healthcare providers. Health Law Litigation, 12(1), 12–19. Retrieved from http://www.americanbar.org/publications/litigation…Note: You will access this article from the Walden Library databases. Westling, C. R., Walsh, T., & Nelson, W. A. (2017). Perceived ethics dilemmas among Pioneer accountable care organizations. Journal of Healthcare Management 62(1), 18–27. Retrieved from https://www.ache.org/pubs/jhm/jhm_index.cfmNote: You will access this article from the Walden Library databases.apa_presentation_template.pptusw1_ddba_presentationf