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Discuss the overarching duties of the health care governing board in mitigating the effects of medical non-compliance, as they apply to the rules of practice set forth in the Well Care Hospital governing board’s manifesto.

LEGAL ASPECTS OF U.S. HEALTH CARE SYSTEM ADMINISTRATION

Assignment 1: Legal Aspects of U.S. Health Care System Administration Due Week 4 and worth 100 points
Prevailing wisdom reinforces the fact that working in U.S. health care administration in the 21st Century requires knowledge of the various aspects of health laws as they apply to dealing with medical professionals. Further, because U.S. health care administrators have to potentially interact with many levels of professionals beyond the medical profession, it is prudent that they are aware of any federal, state, and local laws that may be applicable to their organizations. Thus, their conduct is also subject to the letter of the law. They must evaluate the quality of their professional interactions and be mindful of the implications and ramifications of their decisions.
You are employed as a top health administrator at the hypothetical Well Care Hospital in Happy Town. When you were hired, your pre-employment screening involved background checks into any violation of hospital medical misconduct during the last five (5) years. The results showed that you were in good standing with the hospital administration community. During the past year, you had to undergo training in personnel conduct, as well as in inter-employee conduct with medical staff, nurses, technologists, etc. During the past six (6) months, the hospital has been under scrutiny for breach of medical compliance.
Note: You may create and / or make all necessary assumptions needed for the completion of this assignment.
Write a three to four (3-4) page paper in which you:
Articulate your position as the top administrator concerned about the importance of professional conduct within the health care setting. Justify your position. Ascertain the major ramifications of having professional staff compromise the boundaries of ethics and medical conduct. Analyze the four (4) elements required of a plaintiff to prove medical negligence. Discuss the overarching duties of the health care governing board in mitigating the effects of medical non-compliance, as they apply to the rules of practice set forth in the Well Care Hospital governing board’s manifesto. Use at least five (5) quality academic resources in this assignment. Note: Wikipedia and other Websites do not quality as academic resources.
Your assignment must follow these formatting requirements:
Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions. Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
The specific course learning outcomes associated with this assignment are:
Describe the sources of law in America, the relative legal procedure, and the related court system. Examine the various applications of the law within the health care system. Use technology and information resources to research issues in health care policy, law, and ethics. Write clearly and concisely about health care policy, law, and ethics using proper writing mechanics.

Choose any measurement and explain the extent to which your chosen measure is affected by CMS driven incentives and disincentives

Measures of Quality
Health care quality is a nationally recognized topic that is addressed through public policies, licensure, and accreditation standards for health care professionals and organizations. Throughout history, numerous organizations have been involved in developing health care quality and safety initiatives.
The Joint Commission and Centers for Medicare and Medicaid Services (CMS) developed quality and safety indicators for various health care systems. These indicators seek to establish accountability for health care organizations through a reporting system, which is available to the public. For this Discussion, explore various accrediting organizations and specific measures that pertain to quality. In your research on accrediting organizations, consider how these quality measures affect quality outcomes, support ethical principles, and influence the delivery of clinical services.
To prepare:
Select one specific quality indicator      from the Week 2 Discussion and compare it with those outlined in this      week’s Learning Resources.
Review the accrediting body standards      that pertain to your organization focusing on those standards that require      your organization to define its quality management program.
Consider regulatory requirements at      the state or national level that affect quality outcomes in your      organization.
Ask yourself: How do the Centers for      Medicare and Medicaid Services (CMS) restricted reimbursements affect      quality management or improvement efforts at my organization? How do these      standards and regulations influence or support ethical principles and      influence patient care and nursing practice?
By tomorrow Wednesday 12/13/17, write a minimum of 550 words in APA format with at least 3 references from the list below that addresses the level one & two headings as numbered and lettered below:
post a cohesive scholarly response that addresses the following:
1) Choose any measurement and explain the extent to which your chosen measure is affected by CMS driven incentives and disincentives (Pain or hospital acquired infections).
2) From a systems perspective, discuss how this measure affects:
a. Quality outcomes
b. Supports ethical principles
c. Influences patient care and nursing practice.
Required Readings
Joshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014). The Healthcare Quality Book, 3rd ed. Chicago, IL: Health Administration Press.
Chapter 5: “Data Collection”
Chapter 6: “Statistical Tools for QI”
Park, J., Konetzka, R. T., & Werner, R. M. (2011). Performing well on nursing home report cards: Does it pay off? Health Services Research, 46(2), 531–554. doi:10.1111/j.1475-6773.2010.01197.x
The study in this article evaluates whether or not nursing homes benefit from improvements in quality measures. Four financial outcomes are measured before and after the improvements are enacted. The study shows that the nursing homes that improved quality measures benefitted financially.

DISCUSS THE PURPOSE THE HEALTH CARE COMMON PROCEDURE CODING SYSTEMS CODES SET AND ITS MODIFIERS

DISCUSS THE PURPOSE THE HEALTH CARE COMMON PROCEDURE CODING SYSTEMS CODES SET AND ITS MODIFIERS

Resource: Table 5.7 of Medical Insurance: An Integrated Claims Process Approach 6th ed. Apply the appropriate Level II Health Care Common Procedure Coding System Health care common procedure coding systems code modifier for each of the following examples. Write a 350- to 700-word paper that discusses the purpose the Health care common procedure coding systems codes set and its modifiers. Explain your rationale for each selection: Injection on the left hand thumb Emergency ambulance transport and extended life support arranged for by the provider Diagnostic mammogram, left breast Cortisone 10-mg injection, right shoulder Non-electric wheelchair Intravenous catheter line, right arm Laboratory certification, cytology specimens Chest x-ray Prosthetic hip replacement, left side Electric hospital bed Cite at least 2 sources other than your textbook. For additional information on how to properly cite your sources, see the Reference and Citation Generator resource in the Center for Writing Excellence. Format your assignment according to APA guidelines.

What types of services & interventions are needed in less developed countries to help with their health issues?

   EPIDEMIOLOGY OF HEALTH AND ILLNESS. TRANSFORMING THE PUBLIC’S HEALTH CARE SYS

Epidemiology of Health and Illness.
Transforming the Public’s Health Care Systems.
Global Health
Please read chapter 4, 5 & 7 of the class textbook and review the attached Power Point presentations.  Once done answer the following questions;
1. How does the epidemiologic triad apply to health issues we see in the hospital? What are some common diagnoses in the acute care setting? What about in the community setting? How does the epidemiologic triad differ when a nurse is providing care to someone in the community or in his home? Does the nurse have more or less control in either arena?
2. Discuss the data presented regarding obesity in America in the Ethical Connection feature on page 118.  Please review the data and discuss your feelings about the role of community health nurses in community nutrition.
3. What are some of the causes for increases in healthcare costs in recent years, as outlined in the chapter?  Brainstorm some examples that you have actually witnessed in the clinical setting. Can any of these factors be modified? What could nurses do to help cut down on costs related to the different factors?
4. Why are the causes of morbidity and mortality in other countries different than in the United States? In what ways are they the same? Why do those differences exist? What types of services & interventions are needed in less developed countries to help with their health issues?
As stated in the class syllabus please present your assignment in an APA format word document, Arial 12 font attach to the thread in the discussion board title “Week 2 discussion questions”.  A minimum of 2 references no more than 5 years old are required with 2 replies to any of your peers sustained with the proper references.  A minimum of 500 words without counting the first and reference page are required.
Text and materials:
Saucier Lundy, K & Janes, S.. (2016). Community Health Nursing. Caring for the Public’s Health. (3rd ed.) ISBN: 978-1-4496-9149-3
Publication Manual American Psychological Association (APA) (6th ed.).
2009 ISBN: 978-1-4338-0561-5