SUBMISSION SUMMARIES
Angela Drescher
The key issues raised by Angela Drescher in her oral submission are centred on PMBs, the lack of knowledge that medical aid scheme holders have, scenarios based on real life issues on people whose benefits were not approved to cover their illnesses and that the CMS is not fulfilling its role to protect and represent the interests of the medical scheme member. According to her submission, a PMB is a minimum cover that one receives in a government hospital, according to state hospital protocols, two-hundred and seventy illnesses are covered by the PMB. These benefits are listed or prescribed in the Medical Schemes Act, additionally, anyone on a medical aid cover has to have access to such benefits. Angela
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Her complaint was based on the failure of the psychiatrist in informing her whether or not her son’s illness is covered by PMB. Angela laid a complaint to the Department of Health on whose responsibility it was to inform the patient that the condition diagnosed is a PMB. No further answer was sent to her from the 15th of March to date. A follow up is required on this matter.
Angela does not believe that the PMB code of conduct is widely used by most of the medical schemes and that it is a live document that is being addressed continuously.
In response to Angela’s question, Craig Burton Durham said schemes have a legal obligation to inform members proactively of their benefits and where the scheme rejects a PMB claim, it has to give reasons.
Her recommendations include the communication of PMB information to be in clear, plain language, be readily available and be updated and communicated whenever changes are made. Registration of PMB coverage must be accessible and available to providers and members, including the location and contact details of designated service
Summary of Source The editorial discloses the power that the Court adheres to and whether it should be accountable for the decision making of fugitive slaves. The writer had discussed that in no way did the verdict of the Dred Scott case follow an act of law, but was merely “nullity.” During the settlement, they decided that since Dred Scott’s master had brought him on free land in Missouri or of the United States without having a citizenship, which resulted in him having no case. It continues on to say that the jurisdiction of the case was influenced by opinion, which did not involve any legalities.
Justin is the registered nurse that has been given the handover for Kelly Malone’s postoperative care in the surgical unit. Kelly Malone is a 49 female patient who has had a septoplasty and a right ethmoidectomy. Justin is working with Kelly to identify Kelly’s needs in order for Kelly to be discharged from the hospital. Kelly’s postoperative observations were a temperature of 36.2 degrees celsius; heart rate of 68 beats per minute; respiratory rate of 18 breaths per minute, blood pressure of 111 systolic over 73 diastolic millimetres of mercury; oxygen saturation at 93 percent of room air and a self-rated pain score of two out of ten. Kelly has a history of ‘not being able to breathe well through her nose’ and a history of disturbed sleep.
Ms. Alexandra Estrada is a 45 years old Hispanic female. She arrived at BHWS from HELP USA on 11/20/2013. She is currently living in the Department of Homeless Services System since 12/25/2012. Ms. Estrada stands 4”10’ inches tall and weighs approximately 100 lbs. She is of olive skinned complexion, has bleached dyed blond short hair, and has distinct scars on her forehead and left arm.
Received a report on 10/7/15 stating Ms. McGinnis was not given medication properly and scoring a 0 on MMSE. Son, Michael McGinnis reported he gave her dose of Methadone because she was hurting. Ms. McGinnis admitted to WBMC on 10/6 with chest pain and hypertension. While on medical unit, she was confused, pulling the cardiac monitor off, yelling, screaming, cursing the nurses, disrobing, and refused meds. On 10/7 she transferred to Senior Care she remained until 10/28 3:30.
ICM met with Mrs. Lampfield at JFK to assist her with her transportation and health goals. Mrs. Lampfield was schedule for an appeals hearing regarding her logisticare bus pass on 11/28/2016, however she missed her scheduled hearing. Mrs Lampfield stated that she missed her appointment because her mail was sent to the wrong address. ICM suggested that Mrs. Lampfield call logisticare in an attempt to get a new hearing date. Mrs. Lampfield informed ICM that she did not want to call logisticare as she did feel confident that she would be able to get the problem resolved and that she would prefer if the ICM called for her.
On October 1, 2003, Dawna Cantrell was arrested and charged with the murder of her husband and two counts of tampering with evidence. Ms. Cantrell’s competency was questioned after evaluation by the defense expert, Dr. Eric Westfried. After subsequent evaluation by the state’s expert, Dr. Edward Siegel, both experts found that Ms. Cantrell had a “persecutory delusional disorder” and that her mental illness precluded her from assisting her attorney in her defense. The trial court found her incompetent to stand trial and ordered a dangerousness evaluation.
Legal Analyses YEAGER v. DICKERSON Synopsis The case was based on Donna Yeager as the plaintiff on attorneys who released medical information in the course of a child custody hearing when Yeager asserts a violation of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The plaintiff claimed of wrongful death, intentional infliction of emotional distress, negligence, invasion of privacy and HIPAA violations as stated on FindLaw. However, the defendants contested that KRS 446.070 does not give Yeager a right of action where a Federal statute preempts state statutes and does not expressly provide such a right (FindLaw, n.d.).
the station under Miranda, Mr. Ricks admitted ownership of the firearm. Dossey did not record the Miranda interview and he was the only officer present during the interview. Dossey said his understanding of domestic violence laws pertaining to firearms is that officers should inquire if firearms are in the residence and then confiscate them.
I. INTRODUCTION The Plaintiff, Jessica Kemper, was injured at a Toledo Mud Hens game when an intoxicated fan, Daniel Kolleng, hit Jessica Kemper with a small wooden bat. An employee of the Toledo Mud Hens served alcohol to Kolleng when he was already intoxicated. Jessica Kemper contends this motion is made upon the grounds that there are no genuine issues of material facts. Therefore, Jessica Kemper is entitled to judgment as matter of law on her claim.
This rule adopts standards for eight electronic transactions and for code sets to be used in those transactions. It also contains requirements concerning the use of these standards by health plans, health care clearinghouses, and certain health care providers. The use of these standard transactions and code sets will improve the Medicare and Medicaid programs and other Federal health programs and private health programs, and the effectiveness and efficiency of the health care industry in general, by simplifying the administration of the system and enabling the efficient electronic transmission of certain health information. It implements some of the requirements of the Administrative Simplification subtitle of the Health Insurance.
The results of the trial in Stamford was that Mercy Disborough was temporarily convicted of witchcraft while Goody Clawson was acquitted. The consequences for Mercy Disborough were that despite months and jail and continued peer accusation, she was acquitted. The consequences for the townspeople are blurrier, but it is evident that persistent hysteria was not one of them. The results of the trial in Stamford were largely reigned in from the massive hysteria and mass convictions associated with contemporary witch trials by the law.
Although there were numerous beneficial experiences for the Consumer through the supported decision-making process, the deterioration in mental state and the concern relating to exposure of vulnerability and openness to manipulation by others could not be overlooked (Office of the Public Advocate Systems Advocacy, 2014). Dignity of risk relates to the Consumers right be able to make decisions that can involve a level of risk, however the duty of care of the primary nurse and treating team was to ensure that safeguards are in place to minimise risk of harm to the Consumer and/or others that may be effected by the decision made (Victoria Government Department of Human Services,
This patient was not treated with the ethical respectany patient should receive when seeking help/treatment. It is very alarming that a physician whose job is to take care of other humans would disregard giving a proper
Grace Costa, a victim of domestic abuse, has two versions of the story that happened on Christmas night in 2012 when her ex boyfriend broke into her home. In the first story, her son and daughter were at home eating dinner. In the second story, only she and her daughter ate dinner that night, but it might have been 2013 instead. For some reason, there was a half-eaten apple on the kitchen floor. As Costa describes the night, she cries and stops and continues describing it in disjointed phases.
Melanio A. Fortin 5856695 Assignment #2 Diane Pardu v. Dual Power Solar Diane Pardu has been an employee for Dual Power Solar for 17 years and is was fired at the age of 49. During the 17 years of employment, Diane possessed an annual wage of $51,000, an additional $10,000 for commissions, and health care benefits. Diane performed very well as an employee for Dual Power Solar, as she is very rarely late for her shifts. Although Diane was late on March 18th, she provided a notice, but displaced dishonesty to her sales manager.