Analyze the following topics, describing how the topic has impacted and influenced healthcare delivery while reducing risk. Cite your resources to support your opinion.
The Right to Be Admitted
Who has the “authority” to admit patients to hospitals? Is it anyone at the hospital, i.e., administration, or any doctor at the hospital? Does the hospital give that authority to a specific person?
Do patients have a “right” to be admitted to a hospital? Can admission be denied? If denied, by whom or for what reason(s)?
What is a hospital’s responsibility to provide care to the indigent? Is the hospital responsible to provide care to everyone regardless of ability to pay? If so, why, or why not?
How does a hospital’s responsibility to provide care to an individual differ depending on the type of care (emergency versus non-emergency)?
How does a hospital’s responsibility to provide care to an individual differ depending on the type of hospital (Public? Private? For-profit? Not-for-profit? Tax exempt?)?
Nondiscrimination in Health Services
What is the Hill-Burton Act?
What is the Hill-Burton Act’s mandates on “uncompensated care” and “community service” obligations?
What is the Emergency Medical Treatment and Active Labor Act (EMTALA) and its impact on emergency room services and operation?
How does the Hill-Burton Act mandates differ from those of the Emergency Medical Treatment and Active Labor Act (EMTALA)?
Admission and Treatment of Mentally Ill Patients
What is the process, under the Florida Mental Health Act (also known as the Baker Act) for involuntary admission of persons who are mentally ill?
Does the FMHA/Baker Act provide a process for follow up care for the person, if identified during admission? What, if any, process is identified? Why or why not does it have follow-up procedures for someone identified at risk to themselves or others?
How does the Florida Mental Health Act compare to that of other states, for example, Georgia? What are the similarities or differences between states?
Think about the recent mass shootings around the nation. What aspects of the Baker Act would be applicable? Are there any sections of the Baker Act that could have been used to prevent these tragedies?
Discharge of a Patient
Describe the practice of utilization review. Using the concept of utilization review, how does it control risk for patient admission and discharge? What are the key components of chart review?
What are two issues that may present a liability to a hospital and physician when discharging a patient? Analyze and contrast the risk associated with each?
How does chart review reduce risk associated with discharge?
Distinguish the difference between utilization review and a chart review, including your interpretation of the purpose served by each in reducing risk.
In your summary, provide your opinion, based upon fact on your understanding of how medical errors have prompted the development of the risk management field. Don’t forget to cite your resources.
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