Primary care physicians:

• Discuss three factors contributing to the specialty maldistribution?
• What are two changes we learned in this course that might help ease the shortage of primary care providers?

Provide an executive summary of data management and data governance plan (DMGP), briefly summarizing a plan to familiarize the reader with its contents. It should contain concise information on the healthcare, problem, alternatives and solutions as well as major conclusions.

name a healthcare issue that is new, and how it can affect our life and career in the future ahead? thank you

What should you do if a person has a neck or back injury

If you were to develop a nutrition research study, with unlimited funding, here is the conducted study and research questions! what would be your study design and method of research?

If I had the opportunity to develop a nutrition research study, it would have the following things -

1 - Importance of diet and every individual food.

2 - What is the impact on human growth.

3 - The role of nutrition in making and maintaining health.

4 - Development and reproduction.

5 - Causes of poor diet and nutrition.

Some research questions on nutrition are -

1 - What are the eating disorders and how to reduce them?

2 - What are diseases in this developing world?

3 - How does quick weight loss have a negative impact on your health?

Initial Post Instructions
For this discussion, take on the role of one of the pathogens we learned about. Give us a narrative about what you are doing in the body from the pathogen's point of view. How did you get into the body? In other words, how did the body inherit you. How do you move through the body? What path of destruction are you on? How will you wage battle against the body? How do you plan to win that battle? What will the body try to do to stop you? How will you fight back? Who wins?

Do you think it’s ethical to use disincentives to change people’s health behavior? For example, charging smokers more for life insurance, or fining a person for not wearing a safety belt or motorcycle helmet. Provide the rationale for your response. (3-4 pages)

Please respond in essay format

From our Week 2 lecture, we discussed the history of Health and Health Education. In 1850, Lemuel Shattuck wrote a Report of the Sanitary Commission of Massachusetts and shared how public health problems should be approached. Provide examples of his recommendations and explain if those approaches do or do not apply to today’s public health problems.

Answer in essay based

Give an example of control over customers or product in the following area(HEALTHCARE) in an essay at least 8 lines long. Direct quotes from the book will be penalized at cheating. Healthcare

Case 87

The Case of the Dishonest Employee

Dale Buchbinder

Dr. Jonas was examining a patient in the office who needed a dialysis access procedure performed on one of her arms. Dr. Jones reviewed the vital signs done by Ms. Smith, a med tech/secretary. Her documentation in the medical record clearly stated the blood pressure was equal in both arms. Dr. Jonas performed his own examination and realized that the radial pulse in the left arm felt diminished as compared to the right. After completing a thorough examination, he was still somewhat concerned by the discrepancy between the physical exams and the vital signs placed on the chart by Ms. Smith. He repeated the blood pressures himself. Sure enough, the systolic blood pressure in the left arm was 60 mm/hg less than the right. The patient’s left arm would have been the preferred site to perform an access procedure because the patient was right-handed. Now it was clear only the right arm would be suitable unless another intervention was performed first. If Dr. Jonas had relied on the information placed in the chart he would have conducted an access procedure in the left arm. With a low systolic blood pressure in the left arm, the access would have been doomed to either failure, or given the patient’s physical status, a severe complication such as steal.* Since he was trying to sort through the facts and what happened, Dr. Jonas asked the patient if blood pressure readings were performed in both arms. The patient replied the pressure had only been taken in the right arm. Dr. Jonas confronted his employee and told her that her blood pressures were not correct, and, in fact, the patient had stated that they had not been taken in the left arm. Ms. Smith stated that she was quite busy and felt that these pressures were never different. With her response, she admitted to having falsified the data.

Discussion Questions

1. Summarize the important aspects of this case.

2. Which theory or theories do you believe best explain Ms. Smith’s behaviors?

3. What actions would be appropriate in dealing with such falsification of patient data?

4. Should Ms. Smith be terminated, counseled, or disciplined in some other fashion?

5. What are the clinical implications of Ms. Smith’s actions?

6. What are the legal implications of Ms. Smith’s actions?

7. What should Dr. Jonas do in the future to make sure that this set of events does not recur?

The Case of the Phony PA

As a Senior Investigator at University Hospital, you were awarded a large grant to study the effects of new medications on healing leg wounds. The grant calls for either a nurse practitioner (NP) or a physician assistant (PA) who will be able to document the processes and keep the paperwork up-to-date on the grant. You interviewed several candidates and have found that Charles Tony, a PA, appeared to be the best candidate. His resume indicated that he earned a bachelor’s degree from a prestigious midwestern university, worked several years as an EMT, then went to PA school and earned an associate’s degree as a PA. He presented diplomas and copies of licensure certificates and had excellent recommendations from many reliable sources. This package was presented to you by the Human Resources Department. He was interviewed by several colleagues who would be participating in the study and was hired. He began work and appeared to be doing a good job. After a few months, some strange events started to occur. For instance, the locker he shared with one of the physicians was broken into. Multiple purchases were made on the physician’s credit cards in a very short time. Mr. Tony claimed his wallet had been stolen during that same incident. Other employees stated he was acting somewhat strange around them. He began dating an employee in the institution, then her apartment was broken into. At this point, no one was really suspicious, and Mr. Tony appeared to perform the functions of this job without any problems. Approximately 14 months after he was hired, he did not show up for work, did not answer his phone, and none of the records he was responsible for could be located. You contacted the HR Department and they began an investigation. To everybody’s surprise, you learned none of his credentials was actually checked back to their primary sources. When this check was completed after he disappeared, none of the academic institutions had ever heard of him. His references were all fraudulent. The police searched his apartment and found many missing pieces of University Hospital equipment. Mr. Tony was, however, nowhere to be found. It appears you hired a true pretender.

• Background Statement

• Major Problems and Secondary Issues

• Your Role

• Organizational Strengths and Weakness

• Alternatives and Recommended Solutions

• Evaluation

The Case of the Phony PA

As a Senior Investigator at University Hospital, you were awarded a large grant to study the effects of new medications on healing leg wounds. The grant calls for either a nurse practitioner (NP) or a physician assistant (PA) who will be able to document the processes and keep the paperwork up-to-date on the grant. You interviewed several candidates and have found that Charles Tony, a PA, appeared to be the best candidate. His resume indicated that he earned a bachelor’s degree from a prestigious midwestern university, worked several years as an EMT, then went to PA school and earned an associate’s degree as a PA. He presented diplomas and copies of licensure certificates and had excellent recommendations from many reliable sources. This package was presented to you by the Human Resources Department. He was interviewed by several colleagues who would be participating in the study and was hired. He began work and appeared to be doing a good job. After a few months, some strange events started to occur. For instance, the locker he shared with one of the physicians was broken into. Multiple purchases were made on the physician’s credit cards in a very short time. Mr. Tony claimed his wallet had been stolen during that same incident. Other employees stated he was acting somewhat strange around them. He began dating an employee in the institution, then her apartment was broken into. At this point, no one was really suspicious, and Mr. Tony appeared to perform the functions of this job without any problems. Approximately 14 months after he was hired, he did not show up for work, did not answer his phone, and none of the records he was responsible for could be located. You contacted the HR Department and they began an investigation. To everybody’s surprise, you learned none of his credentials was actually checked back to their primary sources. When this check was completed after he disappeared, none of the academic institutions had ever heard of him. His references were all fraudulent. The police searched his apartment and found many missing pieces of University Hospital equipment. Mr. Tony was, however, nowhere to be found. It appears you hired a true pretender.

Discussion Question:

1.What are the facts in this case?

2. What errors were made in the hiring of Mr. Tony?

3. What are the merits of checking on the background of any employee, especially those entrusted with the care of patients in a hospital or clinical setting?. Whose responsibility is it to check the references?.

4.How could these events have been avoided?

5. Were there red flags that should have altered you to the problem earlier?

6. Provide a detailed plan for evaluation and verification of health care professional's credentials and recommendations to avoid this type of issue in the future.

Case 87

The Case of the Dishonest Employee

Dale Buchbinder

Dr. Jonas was examining a patient in the office who needed a dialysis access procedure performed on one of her arms. Dr. Jones reviewed the vital signs done by Ms. Smith, a med tech/secretary. Her documentation in the medical record clearly stated the blood pressure was equal in both arms. Dr. Jonas performed his own examination and realized that the radial pulse in the left arm felt diminished as compared to the right. After completing a thorough examination, he was still somewhat concerned by the discrepancy between the physical exams and the vital signs placed on the chart by Ms. Smith. He repeated the blood pressures himself. Sure enough, the systolic blood pressure in the left arm was 60 mm/hg less than the right. The patient’s left arm would have been the preferred site to perform an access procedure because the patient was right-handed. Now it was clear only the right arm would be suitable unless another intervention was performed first. If Dr. Jonas had relied on the information placed in the chart he would have conducted an access procedure in the left arm. With a low systolic blood pressure in the left arm, the access would have been doomed to either failure, or given the patient’s physical status, a severe complication such as steal.* Since he was trying to sort through the facts and what happened, Dr. Jonas asked the patient if blood pressure readings were performed in both arms. The patient replied the pressure had only been taken in the right arm. Dr. Jonas confronted his employee and told her that her blood pressures were not correct, and, in fact, the patient had stated that they had not been taken in the left arm. Ms. Smith stated that she was quite busy and felt that these pressures were never different. With her response, she admitted to having falsified the data.

• Background Statement

• Major Problems and Secondary Issues

• Your Role

• Organizational Strengths and Weakness

• Alternatives and Recommended Solutions

• Evaluation

CASE 101

Social Networks and Medicine

Kevin D. Zeiler

The Riverbend Hospital, a hospital located in a rural area of the state, recently purchased laptops for all employees of the hospital system, as well as emergency responders. The goal of the purchase was to streamline medical treatment and information in real time so that patients could receive more timely care. The program has been in place for just over three months with most of the employees feeling that the new system has been a real time-saver. However, a recent leak of patient information has put the program in jeopardy. Because the laptops are provided with Internet access, many of the hospital’s employees have been using them for personal web browsing, social network updating, etc. Ambulance crews have been uploading photos from crash sites, shootings, etc., so that physicians and nurses can be made aware of the mechanism of injury and such. However, an employee in the system recently posted some of those photos to a social network site that many members of the local community share, and it has brought to light an abusive relationship that is taking place in the small community. The photos clearly show the patient and most, if not all, citizens in the small community know her. Furthermore, other providers have started to post comments about her treatment, follow-up care, and other medical conditions. The female patient is currently seeking legal advice and the future of the hospital’s new computer system has been compromised.

Discussion Questions:

1. You are the director of the electronic record delivery program at riverbend and want to see the program continue. However, given the above circumstances, what Act must you rely on to guide you in this process? What does this Act say about the use of electronic medical information?
2. What legal options does the patient have as it pertains to this case?
3. If the program does survive, what can you do as the director to ensure that something like this does not happen again?

BACKGORUND STATEMENT -

MAJOR PROBLEMS AND SECONDARY ISSUES -

YOUR ROLE -

ORGANIZATIONAL STRENGTHS AND WEAKNESS -

Organizational strength:

Organizational weakness:

ALTERNATIVES AND RECOMMENDED SOLUTIONS -

EVALUATION -