HCA 675 Grand Canyon All Week Discussions
HCA 675 Grand Canyon All Week Discussions
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HCA 675 Grand Canyon All Week Discussions
HCA675
HCA 675 Grand Canyon Week
1 Discussion 1
Discuss your viewpoints on
the question of whether patients can adequately understand and judge the
quality of the health care services they receive. Use examples to explain your
rationale and include any action items that you think would improve the current
situation.
HCA 675 Grand Canyon Week
1 Discussion 2
What is your assessment of
the origins and validity of physician resentment toward the push by a variety
of health care entities to standardize care? If you were a physician, how would
you be planning your practice for the future?
HCA 675 Grand Canyon Week
2 Discussion 1
What are the pros and cons
of a DRG payor system, and a capitated payor system? If you were a health care
czar, which one would you favor and why?
HCA 675 Grand Canyon Week
2 Discussion 2
Discuss the impacts of a
large portion of the population being uninsured and how this affects the health
care system. If this continues, how do you anticipate that the health care
system will respond to it? What are the ethical issues and the practical ones?
HCA 675 Grand Canyon Week
3 Discussion 1
After you read the module
information regarding new technologies, answer the following questions: What
are the issues surrounding selection and implementation of new types of technology?
Focus on public demand, physician reaction, and issues of cost, among other
concerns.
HCA 675 Grand Canyon Week
3 Discussion 2
Discuss your thoughts and
ideas about the newer trend of pharmaceutical and medical supply companies
marketing directly to the consumer (e.g., ads about new medications, billboards
for new hip and knee implants, etc.). What do you see as the pros and cons?
HCA 675 Grand Canyon Week
4 Discussion 1
What are the differences
you see between a culture of accountability, where people are held accountable
for the mistakes they make, and the Just Culture approach, where mistakes are
not punished, but seen as methods of learning? What are the pros and cons of
each?
HCA 675 Grand Canyon Week
4 Discussion 2
What are the risks of
revealing mistakes in an open culture, as a way of being transparent with
patients and families? What are the risks of concealing mistakes and errors?
HCA 675 Grand Canyon Week
5 Discussion 1
What do you see as the
conflicts between customizing patient care to the needs of an individual
patient and standardizing care based on research?
HCA 675 Grand Canyon Week
5 Discussion 2
Discuss the concept of
“waste” from the Deming perspective. How do you think it could apply to
hospitals and other health care entities?
HCA 675 Grand Canyon Week
6 Discussion 1
Given the different
perspectives on change by those who like it and those who dread it, discuss how
you would develop readiness for change in a group that mixes both types of
people.
HCA 675 Grand Canyon Week
6 Discussion 2
In health care, change
agents are faced with the challenge of engaging both employed staff and
physicians in change initiatives. Frequently they have different perspectives
and different agendas. Discuss your thoughts on how this can be managed so that
everyone can feel that they are heard and that some common ground can be
achieved.
HCA 675 Grand Canyon Week
7 Discussion 1
Your hospital has been
placed on alert for receiving patients from a local explosion at a large
factory. Reports from the scene are spotty in terms of numbers killed or
injured, and you do not know how many patients you may be getting. News reports
are calling for casualties in the 100s, but local fire responders are sending
in conflicting reports. You need to know what your ED will be receiving, so you
can determine whether to close surgery to elective cases and to go on ED bypass
for regular patients. Rumors are swirling inside the hospital and the chain of
command about how severe the incident is and what it will do to your ability to
function. What thoughts do you have about how to learn what you need to know in
order to structure the hospital’s preparations and continue regular functioning
at the same time? What resources can you tap in order to learn more accurately
about the situation at the scene and what you can expect to come to your ED?
How would you manage this situation to cause the minimum disruption to regular
hospital functioning?
HCA 675 Grand Canyon Week
7 Discussion 2
When faced initially with a
disaster situation in a health care setting, what do you think your first five
steps need to be? Why?
HCA 675 Grand Canyon Week
8 Discussion 1
What are the major
positives that you see in the PPACA legislation? What are the major negatives
that you see in the PPACA legislation? Provide rationale for your answer.
HCA 675 Grand Canyon Week
8 Discussion 2
What are your thoughts
about the emerging accountable care organizations? In what ways do you think
they will affect the current health care delivery system? How do you think the
practice patterns of primary care physicians will change under the new models
of health care? What are the biggest problems that this could bring to primary
care practices?
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