Argosy University Week 3 Heal

Healthcare Regulations

The Emergency Medical Treatment and Labor Act (EMTALA) is one of the most critical yet misunderstood regulations in Healthcare. What is Anti Dumping? Who is intended to be protected by this act?

  • Outline what is guaranteed as well as what is not guaranteed within this act.
  • Discuss the fines provided for by the act and include examples of hospitals which have been fined for not complying with this act.
  • Describe and analyze the conditions under which a hospital is permitted to transfer a patient without healthcare coverage.

Use resources from the Week 1 assignment and the following from South University Library as necessary.

Terp, S., Seabury, S. A., Arora, S., Eads, A., Lam, C. N., & Menchine, M. (2017). Enforcement of the emergency medical treatment and Labor act, 2005 to 2014. Annals of Emergency Medicine, 69(2), 155-162.e1. doi:10.1016/j.annemergmed.2016.05.021

Zuabi, N., Weiss, L. D., & Langdorf, M. I. (2016). Emergency medical treatment and labor act (EMTALA) 2002-15: Review of office of inspector general patient dumping settlements. The Western Journal of Emergency Medicine, 17(3), 245-251. doi:10.5811/westjem.2016.3.29705

McDonnell, W. M., Gee, C. A., Mecham, N., Dahl-Olsen, J., & Guenther, E. (2013). Does the emergency medical treatment and labor act affect emergency department use? The Journal of Emergency Medicine, 44(1), 209. doi:10.1016/j.jemermed.2012.01.042

To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Submission Details:

  • Your assignment should be addressed in a 2- to 3-page document.
  • Submit your document to the Submissions Area by the due date assigned.

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TURNITIN®Turnitin® enabledThis assignment will be submitted to Turnitin®.INSTRUCTIONS

Before beginning work on this assignment, please review the expanded grading rubric for specific instructions relating to content and formatting.

You have been presented an outstanding opportunity to serve as a graduate student intern for the chief executive officer (CEO) of a large HCO. The HCO is an HMO model and originated approximately a century ago as a small rural hospital. Due to the rural setting, the HMO model flourished and, over the years, expanded throughout the region. Today, the HMO has a presence in over eighteen counties and has a number of competing interests from for-profit and not-for-profit HCOs in the region.

The board of directors recently approved the acquisition of two regional hospitals. First, the HCO decided to acquire a small rural critical-care-access hospital in a relatively remote county. The interest in acquiring the hospital is to service the existing population and expand the reach of the HMO. Second, the HCO decided to acquire a private full-service hospital in a moderate-size city (population forty-two thousand). The HCO’s move is strategic in nature, preventing the sale of the hospital to its for-profit competitor, and will gain the region its sole emergency department level 2 (two) trauma center with helicopter transport while giving the HCO the ability to service its growing HMO membership in the area.

Based on the above information:

  • Evaluate the various HMO models (staff, group, and network) and identify the model that would probably be best suited for the region. Justify your answer.
  • Research and comment on the importance and applicability of the various levels of emergency department trauma care. Investigate the exemptions afforded to a critical care rural hospital with respect to Medicare reimbursement and accreditation.

The following resources are provided for this assignment: 

  1. American Trauma Society, (2017). Trauma center levels explained. Retrieved from: http://www.amtrauma.org/?page=traumalevels
  2. American College of Surgeons. (2017). Verified trauma centers FAQ’s.  Retrieved from: https://www.facs.org/quality%20programs/trauma/vrc…

To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

SUBMISSION DETAILS:

  • Your assignment should be addressed in a 2- to 3-page document.
  • Submit your document to the Submissions Area by the due date assigned.
  • Week 2 AssignmentINSTRUCTIONSBefore beginning work on this assignment, please review the expanded grading rubric for specific instructions relating to content and formatting.UNCOMPENSATED CARE
    The plight of uncompensated care is of extreme concern, especially in regard to the impact on hospitals as frontline caregivers.Select two different types of hospitals. Identify the institutional similarities and differences in dealing with uncompensated care delivery. Discuss ways in which uncompensated care delivery might impact organizational structure, management policies, and financial issues for each facility. Incorporate articles from peer-reviewed journals and the Federal Register as references for this assignment. Office of the Federal Registry (n.d.) The daily journal of the federal government. Federal Register. Retrieved from: https://www.federalregister.gov Two hospitals within the United States routinely treat (medically and surgically) their patients without regard to collection of any payment. They are Shriners and St. Jude Hospitals. Select one of these hospitals and discuss its services and target patient population. Review its annual report and report on the hospital’s income sources and liabilities. Summarize by explaining the hospital’s mission statement. To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.SUBMISSION DETAILS:

    • Your assignment should be addressed in a 2- to 3-page document.
    • Submit your document to the Submissions Area by the due date assigned.
    • Week 4 Assignment
    • Turnitin®Turnitin® enabledThis assignment will be submitted to Turnitin®.InstructionsBefore beginning work on this assignment, please review the expanded grading rubric for specific instructions relating to content and formatting. HCO’s Board
      Identify the various committees of a HCO (Health Care Organization) board and evaluate the function of each committee. Please first read “Physicians on Hospital Boards: Time for New Approaches” (2011, February) and then discuss the Joint Commission requirement: “Joint Commission requires that medical staff members to be eligible for full membership” on the hospital board—but does not mandate that any medical staff officer or other physician be a voting or nonvoting board member. To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.Submission Details:

      • Your assignment should be addressed in a 2- to 3-page document.
      • Submit your document to the Submissions Area by the due date assigned.
      • Week 5 Assignment
        Before beginning work on this assignment, please review the expanded grading rubric for specific instructions relating to content and formatting. Medicare Patients—Benefits and Costs
        Assess the differences in benefits and costs, which are available to Medicare patients based upon the patent selecting either the “Traditional” Medicare program or Medicare Part C (Advantage Plan). Once a patient makes a choice, is he or she locked into the choice?

        • Evaluated at least two valuable elements to both programs and two negative elements to both programs.
        • Demonstrate which program would be more attractive to a physician and to a hospital as well as why.
        • Discuss Capitation and evaluate if either program reimburses using a capitation model.
        • Resources: Use these and others from the library.Berenson, R. A., Sunshine, J. H., Helms, D., & Lawton, E. (2015). Why medicare advantage plans pay hospitals traditional medicare prices. Health Affairs, 34(8), 1289-1295. doi:http://dx.doi.org.southuniversity.libproxy.edmc.ed… Afendulis CC, Landrum MB, Chernew ME. The Impact of the Affordable Care Act on Medicare Advantage Plan Availability and Enrollment. Health services research. 2012;47(6):2339-2352. doi:10.1111/j.1475-6773.2012.01426.x. To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.Submission Details:
        • Your assignment should be addressed in a 8- to 10-page document.
        • Submit your document to the Submissions Area by the due date assigned.

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