Module 5 Case StudyManaging the Healthcare Profession.  ***see attachments for book and case study directions***AssignmentSee the attached Case Study and the tutorials for assistance with APA.Review

Introduction to Health Care Management, Third Edition Sharon B. Buchbinder and Nancy H. Shanks Case Study Guide 1 Managing Health C are Professionals CASE FOR CHAPTER 11 By Sharon B. Buchbinder and Dale Buchbinder Summary In e ach of t he scenari os below, put yourself into the crisis scenario as the Healthcare Administrator who manages the Human Resource aspec t of the facility. Each of these scenarios is a real -world event that has been fictionalized for the text. You may experience any one of these an d many more situations in your first job and you need to be prepared for the unexpected. Choose three of the scenarios to use in your assignment . Submit your written response to the scenario s you chose below based on factual data, not personal opinion , as the solution will likely be linked to a heal th law and/ or health ethic . You want to avoid expensive litigation and the damage that unwanted behavior will have in the public perception of your practice. You are welcome to utilized the resources at the bottom of the page, and/or includ e scholarly resources of your own. A minimum of 3 scholar ly sources is expected in APA format. Answer the followin g objectives for each scenario,  Summary of case : This should include not only what was in the case, but additional research you conduct on the outcomes of the case. What happened? Who was found Introduction to Health Care Management, Third Edition Sharon B. Buchbinder and Nancy H. Shanks Case Study Guide 2 responsible? What were the legal ramifications?  Analysis and assessment : What are the quality -control problems in this case? This will come from whichever quality assessment technique you chose.  Performance improvement plan (PIP) : This is where you say what SHOULD be done to prevent this error from occurring again, based on your analysis.  Methods to incorporate or overcome local, contemporary , and corporate cultures : List and describe a few (no more than five [5]) validated approaches to accomplish this.  Identify and overcome other barriers to implementation success : Aside from culture, what else could be a barrier? Education? Training? Lack of resources, including money?  Develop a maintenance plan : What will you do to be sure the organization never forgets? Will you require onboarding orientation that addresses this issue? Will you require annual refresher courses for current employees?  Develop an assessment plan : What METRICS will you use to evaluate the effects of the PIP? How will you know when you have accomplished what you set out to do? Scenario 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 your hospital, has just reported for duty. The nurse manager suspects that Dr. Smith is intoxicated. What do you do? Scenario 2 You are the CEO of Sleepy Hollow Retirement Community and Nursing Center. A resident’s Introduction to Health Care Management, Third Edition Sharon B. Buchbinder and Nancy H. Shanks Case Study Guide 3 family has come to you to complain that their loved one, who is on pain medication, is in intolerable pain. Her medications appear not to be working anymore. One of the family members states, “My 90 -year -old mother saw the nurse put the pain medicine in her pocket.” What do you do? Scenario 3 You are the practice manager of Docs R Us, Ltd., a large multispecialty medical practice employing more than 100 physicians. You are conducting a random review of billing for doctors in the practice and you discover that one of the internists in your group who treats mostly Medicare recipients has been checking off the wrong code for her procedures on t he billing form. The procedures on the patient record do not match the billing form codes. You pull up her files from the past 3 months and find a pattern of up -coding . When you meet with her to review this miscoding, she becomes very defensive and angry. What do you do? How could you have prepared better for the meeting with the physician? Scenario 4 You are the assistant director of the hospital medical staff office at the Rural Outreach Community Hospital in a tiny town in Arkansas. It is your job to verify physician credentials for staff p rivileges. Your hospital receives an application from a physician for staff privileges. On his application, it states that he graduated from medical school in El Salvador. When you call to verify this, you are told that the medical school burned down two y ears ago and all the records were destroyed. What do you do? Scenario 5 You are a new administrator at a hospital, well -known for pulmonary medicine. The physicians in the Intensive Care Unit ( ICU ), the Emergency Room ( ER ), and the department of pulmonary Introduction to Health Care Management, Third Edition Sharon B. Buchbinder and Nancy H. Shanks Case Study Guide 4 medicine have demanded to meet with you about the shortage of respiratory therapists. You stall them for 48 hours so you can gather data. What types of information will you need to collect to have an intelligent conversation with this powerful group of physicians? Scenario 6 Dr. White ordered an unusual dose of a medication. May Patterson, RN, sees the order and believes it to be the wrong dose. She calls Dr. White, who insists that she g ive the medication — as written. Nurse Patterson calls you, the administrator on call for the weekend, to resolve this Resources American Medi cal Association (AMA). (1992). Opinion 9.031 - Reporting impaired, incompetent, or unethical colleagues. Retrieved from https://www.ama - assn.org/ama/pub/physician -resources/medical -ethics/code -medical -ethics/opinion9031.page ? Brady, S. , & Keene, S. (2008). Respiratory therapists can facilitate positive change with institutional support. The Internet Journal of Health Administration, 6 (1) , 1–5. Bureau of Labor Statistics (BLS). (2014). Respiratory therapists. Occupational outlook handbook , 2014 –15 edition. Retrieved from http://www.bls.gov/ooh/healthcare/respiratory - therapists.htm Centers for Disease Control and Prevention. (n.d.). Risks of healthcare -associated infections from drug diversion. Retrieved from http://www.cdc.gov/injectionsafety/drugdiversion/ Eiler, M. A. (2006). Helping doctors help patients for 100 years: Happy birthday AMA physician masterfile. AMA Physician Credentialing Solutions , 9 (2). Geruso, M. , & Layton, T. Upcoding : Evidence from Medicare on squishy risk adjustment. National Bureau of Economic Research (NBER) Working Paper No. 21222. Retrieved from http://www.nber.org/papers/w21222 Introduction to Health Care Management, Third Edition Sharon B. Buchbinder and Nancy H. Shanks Case Study Guide 5 Government Accounting Office (GAO). (2010, January). VA health care: Improved oversight and compliance ne eded for physician credentialing and privileging processes . Report number GAO -10 -26. Washington , DC: Author. Retrieved from http://www.gao.gov/new.items/d1026.pdf InformationWeek Healthcare. (2014, Jan 13) . Feds must prioritize EHR billing fraud, watchdogs say. Retrieved from http://www.informationweek.com/healthcare/electronic -health -records/feds - must -prioritize -ehr -billing -fraud -watchdogs -say/d/d -id/1113403 Mallow, Peter J. , Pandya, Bhavik, Horblyuk, Ruslan , Kaplan, Harold S . (2013) Prevalence and cost of hospital medical errors in the general and elderly United States populations. Journal of Medical Economics 16 , 1367 -1378 Mossman, D. (2011, September). Physician impairment: When should you report? Current Psychiatry, 10 (9). Retrieved from http://www.currentpsychiatry.com/home/article/physician - impairment -when -should -you -report/b96b78e7be21952839fac3aef998fbb8.html National Association of Drug Diversion Investigators (NADDI). (n.d. ). Retrieved from http://www.naddi.org/aws/NADDI/pt/sp/home_page National Board for Respiratory Care (NBRC). (2015). Examinations. Retrieved from https://www.nbrc.org/Pages/examinations.aspx National Practitioner Data Bank (NPDB). (2015). National practitioner data bank: About us . Retrieved from http://www.npdb.hrsa.gov/topNavigation/aboutUs.jsp Keers, Williams, Cooke, and Ashcroft (2013) . Causes of Medication Administration Errors in Hospitals: a Systematic Review of Quantitative and Qualitative Evidence. Drug Saf . 2013; 36(11): 1045 –1067. Retrieved from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3824584/ Introduction to Health Care Management, Third Edition Sharon B. Buchbinder and Nancy H. Shanks Case Study Guide 6 Occupational Safety and Health Administration (OSHA). (2015). Guidelines for preventing workplace violence for health care & social service workers. Retrieved from https://www.osha.gov/Publications/osha3148.pdf Office of the Inspector General (OIG). (n.d. ). Spotlight on drug diversion. Retrieved from http://oig.hhs.gov/newsroom/spotlight/2013/diversion.asp Perz, J. (2014, June 2). Drug diversion in healthcare se ttings. Retrieved from http://www.medscape.com/viewarticle/825801 Pinalla, Murillo, Carrasco, and Humet (2006). Case -control analysis of the financial cost of medication errors in hospitalized patients. Eur J Health Econ. 2006 Mar;7(1):66 -71. Reichgott, M. J. (2005). The impaired physician. Retrieved from https://www.einstein.yu.edu/uploadedfiles/education/gme/the%20impaired%20physician%20reich gott%20version3(1).ppt The Joint Commission (TJC) . (2008, July 9). Behaviors that undermine a culture of safety . Sentinel Event Alert, Issue 40. Retrieved from http://www.jointcommission.org/sentinel_event_alert_issue_40_behaviors_that_undermine_a_cul ture_of_safety/ The Joint Commission (TJC) . (2009). The Joint Commission guide to improving staff communication (2nd ed.). Oak Brook, IL: Joint Commission Resources. The Joint Commission (TJC). (2010, June 3). Preventing violence in the health care setting. Sentinel event alert. Issue 45. Retrieved from http://www.jointcommission.org/assets/1/18/sea_45.pdf The Joi nt Commission (TJC). (2014, August). Preventing violence and criminal events. QuickSafety: An advisory on safety & quality issues, Issue Five. Retrieved from http://www.jointcommission.org/assets/1/23/Quick_Safety_Issue_Five_Aug_2014_FINAL.pdf Introduction to Health Care Management, Third Edition Sharon B. Buchbinder and Nancy H. Shanks Case Study Guide 7 Van Den Bos , Rustagi, Gray, Halford, & Ziemkiewicz, (2011) The $17.1 Billion Problem: The Annual Cost Of Measurable Medical Errors. Health Affairs April 2011 vol. 30 no. 4 596 -60. Retrieved from http://content.healthaffairs.org/content/30/4/596.full