Write a 175- to 265-word response to the following:
300 words max
Epidemiology, the basic science of public health, studies the occurrence of disease by observing who gets a disease, and where and when the disease occurs.
Book for the course is Schneider, M. (2016). Introduction to Public Health (5th ed.). Burlington, MA: Jones & Bartlett Learning.
Instructions: Review each question and provide your response in paragraph form in a separate Word document.Make sure the question number and your response are together.Partial credit will be given.The exam is due at the end of Module 5.
1. A 35-year-old woman was in ABC Hospital psychiatric ward last week after trying to commit suicide.She was released today and wants her complete medical record.As the HIM Manager how do you respond?
2.Shirley Denton has written to request an amendment to her PHI from Bon Voyage Hospital, stating that incorrect information is present on the document in question.The document is an incident report from Bon Voyage Hospital, which was erroneously placed in Ms. Denton’s health record.The covered entity declines to grant her request based on which privacy rule provision?
3. Dr. Smith, a member of the medical staff, asks to see the medical records of his adult daughter who was hospitalized in your institution for a tonsillectomy at age 16. The daughter is now 25.Dr. Jones was the patient’s physician. As the health information manager, how do you respond to this request?
4. St. Joseph’s Hospital has a psychiatric service on the sixth floor of the hospital.A 31-year-old male has come to the HIM department and requested to see a copy of his medical record.He has told your clerk he was a patient of Dr. Schmidt, a psychiatrist, and was on the sixth floor of St. Joseph’s for the last two months.These records are not psychotherapy notes.What would be the best course of action for you to take, as the HIM director?
5. A competent adult female has a diagnosis of ovarian cancer and while on the operating table suffers a stroke and is in a coma. Her son would like to access her health records from a clinic she recently visited for pain in her right arm. The patient is married and lives with her husband and two grown children. According to the Uniform Health-Care Decision Act (UHCDA) who is the logical person to request and sign an authorization to access the woman’s health records from the clinic?
6. What protection does HIPAA provide regarding access and disclosure of health information?
7. As an HIT you are reviewing the health record for data quality audit and notice that a particular physician consistently obliterates information in the record when he makes a mistake.You are asked to review the proper process for handling an incorrect entry made in a patient record with this physician.What steps would take to prevent this from happening in the future?
8. You walk down the halls of the medical unit of your facility.The equipment for documenting in the CPR hangs outside the patient’s room.You notice one computer screen is on and a patient’s information is on the screen.What are your concerns about this situation and what steps would you take to resolve it?
9. You play golf with Dr. Stewart and several other friends.Dr. Stewart is concerned about one patient and starts to tell you about some of the patient’s problems. The doctor even mentions the patient’s name.To be consistent with applicable ethics, rules, regulations and laws, what should you do?
10.The following case appeared in the Office for Civil Rights website (http://www.hhs.gov/ocr) describing a well-known Midwestern medical clinic that was subsequently investigated by the OCR.
An employee inappropriately accesses PHI affecting potentially 1,740 individuals.The category of the breach as reported to the OCR was Unauthorized Access/Disclosure.Following the breach, the clinic conducted an investigation, terminated the employee, and re-educated its employees regarding its policies on patient privacy and access to PHI. They also enhanced their supervision and monitoring of employee’s access activity and notified the patients they reasonably believed had been affected and offered them identify theft protection services at no cost.They also, as required by the rule, placed the breach notice on their website and in the local newspaper as the breach affected over 500 individuals.
What security safeguards should be in place to prevent a breach such as this?
Reimbursement for services rendered by providers (physicians, physician assistants, and other providers) is generally made under one of two payment types: fee-for-service or episode of care reimbursement. Fee-for-service methodology is based on the premises that providers receive payment for each service rendered and is based on a set amount or price for each service. Included in this methodology are self-pay payments, retrospective payments, and managed care contracts.Under the episode of care methodology, providers receive one lump sum for all services provided related to a given condition or disease. Understanding each method of payment, its benefits and drawbacks, as well as its impact on cost control and resource utilization is important for those working in the health industry, as reimbursement impacts many decisions made about budgets, forecasts, strategy, and service line capacities.In this assessment, you will demonstrate your understanding of various reimbursement options within the context of a new patient consult. For this assessment, assume the role of a reimbursement specialist for a large primary care office. While you are aware that your providers are reimbursed in several different ways, the providers are uncertain as to what each reimbursement type means for the practice in terms of collections. They have requested that you outline the different reimbursement options to which the practice is subject for the providers in the group.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
This assessment is based on the following scenario:
In your role as the reimbursement specialist for a large primary care office, outline the different reimbursement options to which the practice is subject for the providers in the group.Support your assertions with at least three academic sources. This may require you to do additional independent research. You may wish to consult the Health Care Administration Undergraduate Library Research Guide before you begin any additional research.This assessment has two parts.
Present (at least) the four main reimbursement options that your provider in the scenario would likely have for a new patient consult. Describe the options and comment on potential drawbacks or additional considerations to take into account with each model. Also, consider the likelihood and challenges of recouping the entirety of the consult charges for the patient.Relevant scoring guide criteria:
One potential way to organize this part would be as follows:
Identify and explain the potential payment options that would be available to the patient and your care provider if the patient in for the new patient consult had been uninsured. Also, be sure to discuss the ways that a patient could qualify for specific payment options, as well as the rationale for the associated appointment charge.Relevant scoring guide criteria:
One potential way to organize this part would be:
Use the scoring guide to understand how your assessment will be evaluated.VIEW SCORING GUIDE
| CRITERIA | NON-PERFORMANCE | BASIC | PROFICIENT | DISTINGUISHED |
|---|---|---|---|---|
| Describe drawbacks of the fee-for-service reimbursement model. | Does not identify any drawbacks of the fee-for-service reimbursement model. | Attempts to describe drawbacks of the fee-for-service reimbursement model, but the description is inaccurate or incomplete. | Describes drawbacks of the fee-for-service reimbursement model. | Explains drawbacks of the fee-for-service reimbursement model, including the likelihood and challenges of recouping the entirety of the consult charges for the patient. |
| Describe drawbacks of the capitation reimbursement model as it relates to providing comprehensive services. | Does not identify any drawbacks of the capitation reimbursement model as it relates to providing comprehensive services. | Attempts to describe drawbacks of the capitation reimbursement model as it relates to providing comprehensive services, but the description is inaccurate or incomplete. | Describes drawbacks of the capitation reimbursement model as it relates to providing comprehensive services. | Explains drawbacks of the capitation reimbursement model as it relates to providing comprehensive services, including the likelihood and challenges of recouping the entirety of the consult charges for the patient. |
| Describe how pay-for-performance impacts reimbursement rates. | Does not identify how pay-for-performance impacts reimbursement rates. | Attempts to describe how pay-for-performance impacts reimbursement rates, but the description is inaccurate or incomplete. | Describes how pay-for-performance impacts reimbursement rates. | Explains how pay-for-performance impacts reimbursement rates, including examples supported by citations to professional or scholarly literature. |
| Describe how resource-based relative value scale or case-based payment encourages an overuse of services. | Does not attempt to identify how resource-based relative value scale or case-based payment encourages an overuse of services. | Attempts to describe how resource-based relative value scale or case-based payment encourages an overuse of services, but the description is inaccurate or incomplete. | Describes how resource-based relative value scale or case-based payment encourages an overuse of services. | Explains how resource-based relative value scale or case-based payment encourages an overuse of services and provides specific examples and sources. |
| Explain payment options for uninsured patients, including how the patient would qualify for each option. | Does not attempt to describe payment options for uninsured patients. | Attempts to describe payment options for uninsured patients, but the description is inaccurate or incomplete. | Explains payment options for uninsured patients, including how the patient would qualify for each option. | Explains payment options for uninsured patients, including how the patient would qualify for each option, and provides examples and relevant resources to support the examples. |
| Adhere to the rules of grammar, usage, and mechanics. | Does not adhere to the rules of grammar, usage, and mechanics. | Errors in grammar, usage, and mechanics inhibit readability and comprehension and detract from good scholarship. | Adheres to the rules of grammar, usage, and mechanics. | Exhibits strict and nearly flawless adherence to the rules of grammar, usage, and mechanics. |
| Apply APA formatting to in-text citations and references. | Does not apply APA formatting to in-text citations and references. | Applies APA formatting to in-text citations and references incorrectly or inconsistently, detracting noticeably from good scholarship. | Applies APA formatting to in-text citations and references. | Exhibits strict and nearly flawless adherence to APA formatting of in-text citations and references. |
What was missing from the reference list/ Portfolio provided in terms of evidence, information, and data I I will send you the portfolio list provided by my teacher)
Portfolio provided was to assist with evaluating the rolling case scenario: A Vector-borne diseases prevention program (mosquitos and tick) in a poor community, addressing disparities among the Latino community groups due to lack of Spanish speaking physicians and public health educators.
Specifically, you will write a paper that describes what was missing and how this information would assist you in addressing the problem or issue you were charged to address.
Your paper should be 4-5 double-spaced pages in APA format.
Just FYI: My colleges submits all assignment to Turnitin
Individual Project
Health Care Policy and Political, Social, and Cultural Environments
Wed,1/27/21
Numeric
100
Points Earnednot available
3-4 pages, not including title or reference pages
View objectives for this assignment
The United States created Medicaid—a publicly funded health care program—to assist people in obtaining health care services. Write a paper of 3-4 pages that explores Medicaid and the Children’s Health Insurance Program (CHIP) and that addresses the following:
Note: Your paper should be formatted in APA style, and it should include 4 references, 2 of which are peer-reviewed sources from health care journals and published within the last 5 years.
write 400–600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.
You will submit a reflection of the status of your final project. Include any issues, positive experiences, and questions to the instructor for further clarification. You may submit a draft of Section III: Measures and Benchmarks, Section IV: Process Improvements, and Section V: Evaluation and Reporting of your final project for review by your instructor.
The Plan-Do-Study/Check-Act (PDSA or PDCA) cycle is useful to apply in projects to improve patient safety and quality. You will add to your quality improvement project by describing a PDSA cycle. (ACUTE CARE FACILITY)
Thinking about the goals and timeline you developed in Module Six, and considering major challenges in healthcare and how they can be improved, identify a patient safety or a patient quality issue (such as falls, infections, interdepartmental communications, etc.) and use the Plan-Do-Study/Check-Act (PDSA/CA) tool to describe the steps you would take for the issue you identified. Write your PDSA/CA cycle in narrative format using the Module Seven Short Paper Template. However, you may find the PDSA/CA table below helpful in outlining the ideas for your paper prior to writing it: PDSA/CA Table Cycle Step Activities Time Frame To Complete (months, quarters, or years) Plan Do Study/ Check Act Rubric Guidelines for Submission: Your short paper should be a submitted as a 3- to 4-page Microsoft Word document (in addition to title and reference pages) with double spacing, 12-point Times New Roman font, one-inch margins, and sources cited in APA format. 7th Edition
response Posts:
When responding to your peers, highlight any existing connections between the ethical issue you identified and the issues identified in your peers’ posts. Do you believe the strategies they proposed for avoiding or resolving the issues could be impactful? Respectfully agree or disagree. What strategies or actions can you propose for avoiding or resolving the ethical issues identified by your peers?
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