Managed Care Case Study

Name That Liability The name of the responsibility is negligence due to falls of patients in intensive care unit. The liability may occur due to the medical staff that forget to put the brakes on the beds, put in a low position, the call light within reach and personnel items easily reach to every patient. These falls can bring a lot of injuries to patients and fractures (loss of continuity of bone tissue. It ranges from a small crack to total bone fracture displacement of the two ends of the bone fracture), trauma to the skull and face (injuries to the skull and face are especially important, since the intensity of the shock can affect the central nervous system (CNS), located within the cranial cavity), trauma to the extremities (as a result

The Effects of Regulations on Managed Care and IDS Managed Care is a health care delivery system organized to manage cost. The legal and business imperatives of managed care pervade our national healthcare system, the regulation of managed care depends on who contributes to the plan and who bears the risk for paying for the insured services. More than 170 million Americans receive health care coverage or benefits through some type of "managed care" setting.1 By 2007 about 20 percent of these services are directly provided by a health maintenance organization (HMO), while the majority are served through other managed arrangements, 60 percent in Preferred Provider Organizations (PPO) and 13 percent in Point of Service (POS) plans. Beginning

Negligence is when a nurse who is fully capable of caring does not care in the way a reasonably prudent nurse would, and as a result the

" In that type of situation the staff wanted to eliminate more of the problem. If only the disaster plan had been calculated correctly, less lives would have been lost or should I say taken. I appreciate this story. As hard as it is to read and digest, I know malpractice knows no bounds.

“Managed Care is a health care delivery system organized to manage cost, utilization, and quality (Medicaid, n.d).” Managed care is set up for easy affordable access to healthcare, the care is regulated so that needed procedures are performed on the patients within the limits of network providers available. There are many undesirable and helpful aspects of managed care. For example, a managed care system provides lower costs, quality service, employer opportunities to make available insurance for their employees, in network provider connections allowing for easy finds of doctors for the patient’s specific plan (Cyrene, n.d). There are however many disadvantages, those include not having the accurate provider or lack of provider for the required

I agree that managed care insurance made an impact in health care by lowering costs without sacrificing quality of care provided. The term managed care is basically described as a system and techniques that’s used to deliver health care to a particular population obtained through health insurance plans by state Medicaid agencies and managed care organizations (Kongstved & Fox, 2012). Managed care helps to promote health through integrating the financing and delivery of proper health care using a complete set of service to people registered to a particular health care plan.

Liability Issues Primarily, Caring Memorial Hospital will be held liable in this malpractice case under the premise of respondeat superior. “Under respondeat superior an employer is liable for the negligent act or omission of any employee acting within the course and scope of his employment” (Thornton, 2010, para. 2). The risk manager Susan Post, JD and the quality assurance director Amy Green were both aware of the potential for increased risk on the Oncology unit. They had been making observations several months prior to incident that related to deficiencies in staffing and safety standards. Per, ASCO and ONS (2012) new staff are required to demonstrate competency and receive comprehensive chemotherapy education.

 Avoid clinical disaster Regulators are dedicating themselves to setup early warning and action plan to mitigate and prevent risks. The unanticipated risks have become more easier to be picked up and mitigated by utilising

In a standard libel

Name two types of defamation. Defamation is a tort, a wrongful act where somebody has made false statements and the intent of the statement is to harm a person’s good name and/or reputation. Defamation can be either one of the two types: slander, which are written defamatory statements or libel which are defamatory statements made

In this case, McCann, the plaintiff, argued the defamatory words written in the article affected him as the representative of the City of Pembroke. However, the general rule states comments attacking substantially larger groups cannot sue for defamation unless the publication singles a particular member of the group. Since the article does not state any specific identifiers nor includes an innuendo about the mayor, his allegation failed to complete the second part of the test. As the court stated, “an action for defamation is uniquely personal, and is based on injury to one’s personal reputation.” Therefore, his claim for defamatory words towards his persona is unverifiable and not actionable.

You are a new physician setting up your practice in a new town. You are researching the different MCOs offered in your area and are considering becoming a physician for one of these networks. You have also invited the sales representatives of several healthy plans to speak with you about the benefits of choosing their plans.

Hence, this is a sentimental event because this unanticipated event resulted in death to a patient, not related to the natural source of the patient's illness. Therefore, the threat and error management model should be used to determine both training needs and organizational strategies to improve the management of threats to safety. What defenses in the system failed in this case? Can you construct a Swiss cheese analysis of the system defenses and what occurred?

Over the last few decades, managed health care has revolutionized the way medicaid beneficiaries treat essential healthcare services such as family planning and parenthood programs. The term managed care is a health insurance plan or system that allocates the provisions, quality and cost of caring for an individual. It has an significant role when it comes to providing health care services to medicaid members and the ways it’s utilized. Managed care plans create contracts with health care providers and medical institutions that help provide services at a lower and more affordable cost to their members. Additionally, managed care plans tend to pay health care providers directly so that it’s members don’t have to pay out of pocket for services

(2016) in the Philippines utilizing cross-sectional study shows that there is a gap appreciating disaster nursing protocol in their own workplace. While, Romer & Hebda (2013) enumerates roles of bedside nurses during a disaster utilizing five tier triage systems. The study putted thrust on how nurses should respond in times of disaster focusing on the safety of the patient as well as the nurses’ safety. However, it has not test the level of compliance to the hospital protocol in order to assess implication to existing incident command systems.