HLT 520 GCU Entire Course Legal and Ethical Principles in Health Care
HLT 520 GCU Entire Course Legal and Ethical Principles in Health Care
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HLT 520 GCU Entire Course Legal and Ethical Principles in Health Care
HLT520
HLT 520 GCU
Full Course
Legal and Ethical
Principles in Health Care
GCU HLT 520 Week 1
Discussion 1
A patient is in a coma
that appears irreversible. His mother, who is his surrogate, firmly believes
that he will recover and that God is taking a hand to work a miracle if
everyone will just wait long enough. She wants everything done for the patient,
including resuscitation if he arrests. She insists that he stay in the
hospital, and is very upset that he was transferred out of the ICU and his care
was moved to comfort measures, rather than aggressive treatment. The mother does
not speak English and is strong in her religious beliefs. The physicians for
the patient are very upset and concerned about continuing to provide care that
they believe is futile. The patient is developing a serious pneumonia, and the
mother wants it treated aggressively. The physicians are reluctant. Analyze
this case from the ethical principles of justice, benevolence, non-malfeasance,
and autonomy.
GCU HLT 520 Week 1
Discussion 2
In this time of limited
financial resources and reduced government payments for health care services,
what are the ethical issues of limiting care? How much uncompensated care can
hospitals absorb? Where do people with no resources go for care? What is the
state’s responsibility to ensure health care services? What are the ethical
considerations that should be taken into account?
GCU HLT 520 Week 2
Discussion 1
Discuss the four
components of a valid contract and apply them to a contract with a vendor to
purchase a new CT scanner. What would you include in the contract? How would you
be sure it would be valid?
GCU HLT 520 Week 2
Discussion 2
Since the hospital/patient
relationship is considered a contract of sorts, how is it affected if the
patient decides to disconnect himself from telemetry and leave the hospital for
4 hours to go score some cocaine on the street? What would you do as a hospital
administrator in this situation?
GCU HLT 520 Week 3
Discussion 1
If a physician develops a
history of disruptive behavior, belittling staff, cursing at coworkers, and
being rude and curt to patients, what are the responsibilities of the medical
staff, the hospital, and the other professionals involved? Why do you believe
that so many staff may be reluctant to report a poorly behaving physician?
GCU HLT 520 Week 3
Discussion 2
What do you see as the
pros and cons of obtaining fair market value analyses on the compensation paid
to physicians, especially when the market rates are benchmarked against
national standards? How could this information be used in negotiating rates
with physicians?
GCU HLT 520 Week 4
Discussion 1
Discuss your opinion of
the Stark laws, what they are designed to do, the impact of the exceptions, and
whether you think they are successful in preventing unethical behavior.
GCU HLT 520 Week 4
Discussion 2
What kinds of fraudulent
or abusive behavior relating to health care services can occur in hospital
operations? How does the role of the compliance committee help to monitor and
prevent these?
GCU HLT 520 Week 5
Discussion 1
You are a hospital administrator, and you receive a call from a colleague at
another hospital. Your colleague, who is a friend, informs you that he has
received a demand for a stipend from the ophthalmologists who take ED calls at
his hospital, and they want a sizeable raise. He asks you what you pay for that
type of call, and suggests that you could both benefit by coming up with a
standard rate of pay over which neither of you will go in response to physician
demands. It could save your hospitals $300,000 to do this. What is your
response, and what is the rationale for it?
GCU HLT 520 Week 5
Discussion 2
Do you think that hospitals who engage in group purchasing organizations are
engaging in a form of price-fixing? If yes, then why? If no, then why not?
GCU HLT 520 Week 6
Discussion 1
Examine the concept of
“employment at will” and the public policy exceptions to it. How does it fit
with the issue of “wrongful discharge?”
GCU HLT 520 Week 6
Discussion 2
What do you see as the
pros and cons of a unionized environment in a health care facility? How can the
right to collective bargaining by employees and the mandate to provide care to
patients be reconciled?
GCU HLT 520 Week 7
Discussion 1
Explore the issues of how
to determine if a patient is mentally competent to make his or her own
decisions, especially in situations where the decisions do not appear to make
sense.
GCU HLT 520 Week 7
Discussion 2
What are the differences
between a permanent vegetative state and a coma? How do these differences
affect the ethical choices faced by the family and caregivers of the patient?
What impacts should the patient’s own wishes have? How would the presence of a
living will impact the decision?
GCU HLT 520 Week 8
Discussion 1
A baby is born with
anencephaly, or absence of the entire brain above the brainstem. The brainstem is
intact, which means that the baby can breathe and have a heart beat and blood
pressure, but there is no chance for any human brain function or cognition, due
to this birth defect. The health care team begins to educate the mother, since
children with this deficit generally die shortly after birth. However, the
mother is devoutly religious, and her minister has told her that if she prays
hard enough to God, that God will work a miracle and her baby’s brain will heal
itself. She is insistent that all possible care be given to her baby, including
a months-long stay in the ICU, constant care by a caregiver, regular brain
scans, and other expensive modalities. The hospital, finding her adamant, asks
the court for guardianship of the baby, with the medical plan to provide only
maintenance care with no life-prolonging techniques until the baby dies. What
are the ethical issues at play here? How do the principles of autonomy,
beneficence, nonmalfeasance, and justice manifest themselves? If you were
called as an ethical consultant, what would you do/recommend?
GCU HLT 520 Week 8
Discussion 2
A 94-year-old woman is
admitted to your hospital with dehydration, trouble breathing, and possible
kidney failure. She is clearly in advanced Alzheimer’s, weighs about 95 pounds,
and shows multiple bruises on her body. She cannot talk. Her caregiver
attributes the bruises to a blood disorder that reduces clotting. What are your
thoughts about this situation? What kind of investigation would you conduct?
What actions would you take to be in compliance with ethical principles
GCU HLT 520 Week 1 Ethical
Study Review
Details:
Scenario: A 96-year-old
male patient is admitted to the ICU with terminal liver cancer. He is confused
and disoriented, very skinny and appears underfed, and is covered with bruises,
which are common in patients with liver disorders. His daughter, who is a
naturopathic physician, insists that she can cure her father by administering
unknown substances, some of which smell like feces and look like tar, down his
NG tube. He is clearly in pain after she does this. She insists that these are
life-saving interventions on her part, but the nursing and physician staff
caring for the patient are very upset and concerned that she is hastening his
death. They have come to you for help.
1) Write a paper
(1,250-1,500 words) that describes how to use the method of ethical decision
making, reviewed in the module, to help resolve this ethical dilemma. Address
the following to generate your conclusions about how you would proceed:
- a) What are
the dimensions of the ethical dilemma?
- b) What are
the issues?
- c) Apply the
four core ethical principles and the process of ethical decision making.
2) Prepare this assignment
according to the APA guidelines found in the APA Style Guide, located in the
Student Success Center. An abstract is not required.
3) This assignment uses a
grading rubric. Instructors will be using the rubric to grade the assignment;
therefore, students should review the rubric prior to beginning the assignment
to become familiar with the assignment criteria and expectations for successful
completion of the assignment.
GCU HLT 520 Week 2 Law
Suit Recommendation Paper
Details:
Scenario: A physician is
claiming injury and damages from a hospital that notified him they were not
renewing his contract for services provided. The hospital gave him a 4-month
notice and stated that they were exercising this right because they wanted the
department in which the physician functioned “to go in a new direction.” The
physician has filed notice of intention to sue.
1) As the hospital
administrator, write a paper (750-1,000-words) that explores the options for
defending the suit in court, going to arbitration, going to mediation, or
structuring a settlement. Include the pros and cons of each option and end with
a recommendation to your board of directors on which avenue to pursue.
2) Prepare this assignment
according to the APA guidelines found in the APA Style Guide, located in the
Student Success Center. An abstract is not required.
3) This assignment uses a
grading rubric. Instructors will be using the rubric to grade the assignment;
therefore, students should review the rubric prior to beginning the assignment
to become familiar with the assignment criteria and expectations for successful
completion of the assignment
GCU HLT 520 Week 2
Respondeat Superior Paper
Details:
Scenario: A patient had
surgery and the nurse-anesthetist administered the anesthesia. The patient
subsequently arrested and died while under anesthesia. An investigation concluded
that the patient was not receiving the needed amount of oxygen and the
nurse-anesthetist missed the changes in the vital signs until the patient was
close to cardiac arrest. The surgeon initially had assisted in positioning the
patient and had helped to administer some of the initial anesthetic.
1) Write an analysis
(750-1,000 words) of the situation and argue whether the doctrine of
“respondeat superior” would cause the surgeon to have vicarious liability for
the patient’s death.
2) Prepare this assignment
according to the APA guidelines found in the APA Style Guide, located in the
Student Success Center. An abstract is not required.
3) This assignment uses a
grading rubric. Instructors will be using the rubric to grade the assignment;
therefore, students should review the rubric prior to beginning the assignment
to become familiar with the assignment criteria and expectations for successful
completion of the assignment
GCU HLT 520 Week 3
Assignment
Details:
1) Read the case study,
“Hospital’s Duty to Ensure Competency” on pages 183-184 in the textbook.
2) Write a paper
(1,250-1,500 words) that addresses the case study’s two Discussion prompts.
Include a detailed rationale for your answers.
3) Prepare this assignment
according to the APA guidelines found in the APA Style Guide, located in the
Student Success Center. An abstract is not required.
4) This assignment uses a
grading rubric. Instructors will be using the rubric to grade the assignment;
therefore, students should review the rubric prior to beginning the assignment
to become familiar with the assignment criteria and expectations for successful
completion of the assignment.
GCU HLT 520 Week 4
Assignment
Details:
Scenario: You are the
administrator on call for a local hospital and you receive a call at 2:00 a.m.
from another local hospital regarding a patient with a broken upper arm. The ED
physician’s assistant is calling to arrange an EMTALA transfer from his
hospital to yours, but the orthopedic physician on call at your hospital is
refusing to accept the transfer, stating that the patient doesn’t need a higher
level of care. When you ask him about that, he tells you the fracture is not
displaced, and can be splinted and seen in the office. The ED physician at your
hospital is very nervous about the possibility of an EMTALA violation.
1) Write an analysis
(1,000-1,500 words) of the situation, how it is impacted by EMTALA, and what
decision you will make as the administrator, along with your rationale and
thought process.
2) Prepare this assignment
according to the APA guidelines found in the APA Style Guide, located in the
Student Success Center. An abstract is not required.
3) This assignment uses a
grading rubric. Instructors will be using the rubric to grade the assignment;
therefore, students should review the rubric prior to beginning the assignment
to become familiar with the assignment criteria and expectations for successful
completion of the assignment.
GCU HLT 520 Week 5
Assignment
Details:
1) Read the case study
(“Contract Violates Antitrust Laws”) on pages 100-101 in the textbook and
answer the two discussion questions.
2) Write a paper
(1,000-1,500 words) that addresses the discussion questions. Include a detailed
rationale for your answers.
3) Prepare this assignment
according to the APA guidelines found in the APA Style Guide, located in the
Student Success Center. An abstract is not required.
4) This assignment uses a
grading rubric. Instructors will be using the rubric to grade the assignment;
therefore, students should review the rubric prior to beginning the assignment
to become familiar with the assignment criteria and expectations for successful
completion of the assignment.
GCU HLT 520 Week 6 Chapter
20 Review Questions
Details:
1) Write a paper (500-750
words) that addresses the Review Questions 2 and 3 in chapter 20 of the
textbook. Include a rationale for your answers.
2) Prepare this assignment
according to the APA guidelines found in the APA Style Guide, located in the
Student Success Center. An abstract is not required.
3) This assignment uses a
grading rubric. Instructors will be using the rubric to grade the assignment;
therefore, students should review the rubric prior to beginning the assignment
to become familiar with the assignment criteria and expectations for successful
completion of the assignment.
GCU HLT 520 Week 7 Brain
Death Scenario Assignment
Details:
Scenario: You are the
hospital administrator and are told by your ICU unit director of a patient in
the unit that has suffered serious brain damage, but is not currently meeting
the criteria for complete brain death. Half of the family is insisting that the
patient “wouldn’t want to live this way” and the other half is accusing them of
wanting to kill the patient. Some allegations have been raised about a substantial
inheritance for some family members upon the patient’s death. The battle is
becoming intense and it is beginning to disrupt the medical and nursing staff.
1) Write an analysis
(1,250-1,500 words) of the situation from an ethical and legal perspective. Address
the following questions:
- a) What are
the ethical issues?
- b) What are
the legal issues?
- c) What are
the medical care issues?
- d) What
actions would you take? Why? How?
- e) What
resources would you tap?
2) Prepare this assignment
according to the APA guidelines found in the APA Style Guide, located in the
Student Success Center. An abstract is not required.
3) This assignment uses a
grading rubric. Instructors will be using the rubric to grade the assignment;
therefore, students should review the rubric prior to beginning the assignment
to become familiar with the assignment criteria and expectations for successful
completion of the assignment.
GCU HLT 520 Week 8
Bioethics Interview Assignment
Details:
1) Contact the chair of a
local hospital’s bioethics committee and interview him/her regarding the use of
the committee at that facility, how the committee functions, how it makes
decisions and recommendations, and the chair’s views on the impact the
committee has had on the facility. If possible, attend one of the committee’s
meetings.
2) Write a paper
(1,250-1,500 words) that describes your findings and observations. Include
additional resources that support, reinforce, or even challenge your findings
and observations.
3) Prepare this assignment
according to the APA guidelines found in the APA Style Guide, located in the
Student Success Center. An abstract is not required.
4) This assignment uses a
grading rubric. Instructors will be using the rubric to grade the assignment;
therefore, students should review the rubric prior to beginning the assignment
to become familiar with the assignment criteria and expectations for successful
completion of the assignment.
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