Questions and Answers of The Economics Of Health And Health Care

Greenville Community Hospital (GCH) was located in an affluent suburb of a metropolitan area. A large psychiatric hospital was geographically adjacent. In fact, the two hospitals shared facilities,
1. You are a new administrator at Jonestown Medical Center. You receive a telephone call from the nurse manager of the emergency room. Dr. Smith, an emergency room physician who is an employee of
“Dr. Griffith, Dr. Williams called and asked if you would join him on the golf course this afternoon,” Sandra the office manager said to Dr.Griffith.“Of course I’ll be there, I may have to
Allen Smith is a recent graduate of one of the most reputable schools in the North East Region. He completed his Master’s in Health Administration and his undergraduate studies in Economics. Allen
Dr. Jones develops an outpatient vascular surgical procedures center attached to his office. He equips the center with a fluoroscopy unit, and all the requirements for a single specialty operating
You are the CEO of a large health services organization (HSO) in Florida. Your HSO has inpatient and outpatient facilities, home health care services, and every other service your patient population
In July 2015, an elderly woman being treated for several health issues attended a local health clinic. The medications for her chronic diseases placed her in an immuno-compromised status. While
It was Saturday evening and Joe Johnson, VP of Patient Services, was relaxing with his family after dinner and watching a situation comedy. As the administrator on call (AOC), he was grateful things
Dr. Rose, a 65-year-old woman, goes to her six month appointment for a dental cleaning. Upon arrival, the receptionist requests her insurance card, driver’s license, and an updated health form. On
Delmar Orthopedics is a 42-physician orthopedic group; its physicians command the local market in terms of the orthopedic specialty—operating in several of the nearby hospitals and seeing patients
Dr. O’Connor was known for his hot temper and drinking. Although he claimed never to come to work under the influence, nurses, physicians, and other coworkers had their doubts, and several
Nurse Practitioner Nancy Masters broke up with her control freak boyfriend, Joe Jerque, after a three-year relationship that was going nowhere but down. Despite her repeated pleas for counseling, he
South Street Hospital (SSH) is one of 12 hospitals in the Great West Hospital System, a not-for-profit health care system. SSH serves a largely blue-collar and elderly population. This
Mrs. Davenport is a vivacious septuagenarian living in Whispering Willows Continuing Care Retirement Community. An attractive lady, she spends her days with a large group of friends, playing cards
Mr. Nathan, an elderly male patient hospitalized for prostatic surgery, woke up in the middle of the night, dressed himself, and attempted to leave the nursing unit. An RN approached him to ask him
Last Chance Hospital (LCH) is a 254-bed, community hospital located in a small, affluent suburb just outside of San Diego, California. The hospital has historically been well-received by the local
Windmill Long Term Care is a regional corporation serving the Midwest, “the Great Plains” region of the U.S. They are known for their top-notch consulting in which they provide industry-specific
Allison began her health care career with an established general dentistry practice consisting of one dentist, Dr. Gable. Shortly after she started her job, Dr. Gable decided to add a second dentist,
It was my first time sitting on the other side of the desk. I have been asked by my Dean to serve as the Interim Director of the Marilyn Magaram Center (MMC), a Food Science, Nutrition, and Dietetics
Feedback is a critical management skill that pervades everything we do in organizations. Feedback is information about the effect we have on others. It is used to tell employees how well their
You have learned some management lessons by examining social motivations in the workplace. Review social motivations (Textbox 18-1) and prepare to participate as part of your hospital’s management
Hospitals across the country have seen an increase in Methicillin-resistant Staphylococcus Aureus (MRSA), a bacterial infection that is highly resistant to some antibiotics. Patients who contract
It is Sunday night in Labor and Delivery. An obviously pregnant fullterm mother, Mrs. Ford, presents herself, saying her doctor, Dr. Jones, told her to come to the hospital to deliver her baby. The
Margaret Burns is a 63-year-old woman who has suffered a left occipital hemorrhagic infarct, a cerebrovascular event. In addition to this recent stroke, Margaret has a history of rheumatoid
Roger Young is a 43-year-old male hospitalized following a motor vehicle accident in which he was an unrestrained driver. Roger sustained a left femur fracture which required an open reduction and
A growing, profitable internal medicine practice of 10 physicians, 2 physician assistants, a physical therapist, and a massage therapist is located in a city of 150,000 people. The clinical personnel
A long-term care facility (50 beds) in the Midwestern U.S. has just been acquired by a larger acute care hospital/health care system in the nearby city because they want to offer services across the
Highly variable health care and patient outcomes occur in different regions of the U.S. According to a report from the American Cancer Society, deaths from colon cancer have declined in all but three
I’m in a pickle. My Baby Boomer parents are on the verge of turning 65. They just received their copy of Medicare & You in the mail from the Centers for Medicare and Medicaid Services at the
A young entrepreneur, Ima Newby, has been working in the health information technology field for a number of years, both as a developer and user of electronic health records (EHRs) for dental
University Healthcare System (UHS) has been a major player and been successful for over 100 years in a large west coast metropolitan area. It operates an EMS system, is a Level 1 trauma facility, is
Annie is the manager of a Health and Wellness Center at Tippy Canoe University Medical Center (TCUMC), a facility that has been known regionally in the mid-west for its research and cutting-edge
In health care organizations, the business interests of clinicians and management are intricately tied to one another. This is particularly the case in the process of making capital purchase
Capsule endoscopy is used to examine parts of the gastrointestinal tract that cannot be seen with other types of endoscopy. The process uses a very small camera attached to a long flexible tube to
You are the director of strategic planning and marketing in a large, multihospital-based health system. The office includes 10 professional positions (including yours), and you currently have five
Bob Biller is an aspiring health care student who is fascinated by the complex world of medical billing and coding. Since his childhood, Bob has been excited about working in the world of finance,
Working in the billing department for a large, for-profit health care organization has been a dream come true for Nicki Knowitall and she is excited about her future opportunities. Nicki has been
Helping others has always been your passion and the fact that you are working in a cancer care center, as a medical assistant, is a dream come true. You are also completing your undergraduate degree
What are the differences among an onsite team, a virtual team, a task force, and a committee? What are some of the potential differences in dynamics between people in these different groups?
What are the pros and cons of virtual teams? What are some of the potential legal issues an organization can encounter with virtual teams?
Compare and contrast disciplinary, interdisciplinary, and crossfunctional teams.
The hospital where you are completing your internship is located in an inner city neighborhood with a multi-lingual, diverse population. Recently, the local newspaper has been running a series about
What are some of the unique challenges associated with teamwork in health care? How do you see teamwork fitting in with the accountable care organization (ACO) mandates? Describe three benefits and
After working in a hospital for 6 months, you have been selected to head up the team to conduct hand-washing audits on all the nursing units. Whom do you want on your team and why? A month later, a
List and describe five potential strategies for conflict resolution in teams. Which method is likely to be most successful if your manager likes to be involved in every decision?
What are the five stages of team development? Describe each stage and how those stages may appear as behaviors in a health care setting.
Based on the past year’s patient grievances which identified significant staff attitude issues in the ED, the VP for Service Excellence at Brownsville Community Hospital has decided the ED needs
Over the past month, every member of the Intravenous (IV)Therapy Team has complained to you about the IV Team supervisor. Her direct reports, all RNs, agree that she is technically superb. However,
Explain why cultural competence alone cannot address health disparities.
What are the benefits of implementing programs to address cultural competence within a health care organization? What are the costs of not implementing such programs?
What are some of the limitations of the term “cultural competence”? Which term do you prefer and why?
Describe a time when you witnessed or experienced cultural incompetence in the delivery of health care. Knowing what you now know, what do you think could have been done to avoid that incident?
Describe how you would put in place initiatives for cultural proficiency at an inner city pediatric clinic.
How do you convince a reluctant health care professional to participate in cultural proficiency training?
What public policies might help to address health inequities or the social determinants of health?
Provide several examples of legal behavior and ethical behavior. In what instances are the two similar, and in what instances are they different?
How do the legal concepts discussed in this chapter, that is, criminal, tort, civil, and so on, work to dictate the ways in which organizations must operate?
As you think about the new health care reform bill, what type of lawmaking action instituted it? In other words, was it developed from the common law, executive order, or legislative process? Was
Think of several examples of both ethical and legal circumstances where you can apply the concepts of beneficence and nonmaleficence. How do these concepts work within your examples to provide
There are numerous end-of-life issues that we have all heard about in the news, but how are these laws established? Is it okay for a patient and provider to make these decisions on their own, outside
What do you see for the future of health care reform as the law applies? Will health care reform spawn new laws, or will new laws be enacted to guide reform?
Return to the tort section in your text and answer the following question based on the information provided by the chapter. Is reporting child abuse a legal obligation or an ethical one? Does it
Look back at Table 15-2 and try to determine where tort and contract law come together and in what areas there may be conflict between law and ethics. Explain your thinking and final decisions.
In thinking about biomedical issues, address the following questions: How do we decide which patient will receive an organ transplant? Can we be positive that a particular combination of genetics,
Why have “Right to Try” laws been more successful than right to die laws?
Is an expansion of EMTALA policies better or worse for patients?
Stephen Hawking, the world-renowned physicist, and occasional guest star on a popular comedy TV show was diagnosed with motor neuron disease in 1963 at the age of 21 and was given two years to live.
Discuss the differences between fraud and abuse. During your discussion, provide examples of each and how health care managers might deal with them.
How has the history of health care compliance changed since its inception? ( Look at the ways in which penalties have increased in various ways.) What do you think will be the key to getting control
Choose one of the recent laws that have been enacted that are included in the chapter and discuss why it is or isn’t an effective stop-gap to health care fraud and abuse.
EMTALA is a far-reaching act; explain several of its benefits and describe how it is effective at preventing fraud and abuse as opposed to detecting it.
Describe your responsibilities as a health care manager as they apply to fraud and abuse. What if you were a unit manager? A department manager? A member of the executive division?
As you try to understand the fact that tens of billions of dollars are lost to fraud, is it the number that is troublesome or the fact that nobody can agree on an estimate? What is being done and can
You are the new compliance manager for a health care organization. Describe the steps you will take to ensure that your compliance plan is legal and effective.
A physician and his colleague decide to set up a laboratory owned by a dummy corporation in their wives’ names and begin to refer patients to this laboratory. What (if any) laws have they violated?
A psychiatrist bills for 10 hours of psychotherapy and medication checks for a deceased woman. Has he committed fraud or abuse? Can the deceased woman’s estate press charges if the bills were sent
An attorney sees a plastic surgeon and is so happy with her face-lift that she begins to refer all her friends and family. At her 6-month follow-up, she says, “So, Doc, I’ve sent you all these
While working on your homework for this course and surfing the Internet to check out all the fascinating links, you realize the person who manages the branch of the new durable medical equipment
Looking at the chart of vaccine-preventable contagious diseases, provide a prioritized list of required vaccinations for health care employees. Be sure to provide a rationale for your rankings, as
A patient presents in the ED complaining of vague discomforts: nausea, vomiting, stomach pain, watery diarrhea, fever, and chills. The patient reports he has not travelled outside of the U.S. Since
Request an interview with a health care executive and explore his perceptions of risk and disaster preparedness for his organization. Ask to see the health care organization’s all hazards plan.
The nurses in the ED of your hospital have recently suffered an increase of injuries from assaultive patients and family members. One nurse had to be hospitalized with head injuries after the most
A young woman presents to the ED with an older woman accompanying her. The older woman acts as the younger woman’s interpreter and states her charge fell down a flight of stairs. The triage nurse
Would you opt to become a medical tourist yourself or have a family member become one? Provide the rationale for your decision.
Should organizations become involved in outbound medical tourism? Why or why not?
Thinking about the location where you live, provide an example of inbound and/or intrabound medical tourism and explain what expertise that organization provides and who utilizes their services.
What type of consumer are you? How do you approach the health care system? Are there ways you can become a better consumer?
What changes do you see that are indicators of retailers entering the health care delivery market in your community? Provide specific examples and justification for them.
Define health care management and health care managers.
Delineate the functions carried out by health care managers and give an example of a task in each function.
Explain why interpersonal skills are important in health care management.
Compare and contrast three models of organizational design.
Why is the health care manager’s role in ensuring high performance so critical? Explain.
Characterize the health care manager’s role in change management and assess the extent to which this has an impact on the success of the change process.
What are the key differences between leadership and management?
Are leaders born, or are they trained? How has the history of leadership in the U.S. evolved to reflect this question?
List and describe the contemporary models of leadership. What distinguishes them from past models?
What are the leadership domains and competencies? Can you be a good leader and not have all the competencies listed in this model?
Why do health care leaders have a higher need for ethical behavior than might be expected in other settings?
Do health care leaders have a responsibility to be culturally competent? Why or why not?

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