Topic 1
In 1986 President Ronald Reagan signed in to law the Health Care Quality Improvement Act. The law was legislated to protect peer review bodies from private money damage liability and to protect the public from incompetent practitioners from unsatisfactory practice behavior and from moving without full disclosure of incompetent practice measure ("NPDB - About Us," n.d.). Human Resources department should make sure that they vetting the potential physician through the National Practitioner Data Bank (NPDB). The NPDB is an electronic information repository that contains information on medical malpractice payments, and adverse actions on healthcare practitioners that were found performing inadequate medicine ("NPDB - About Us," n.d.). The
HIPAA is short for health insurance portability and accountability act of 1996. They have many requirement that’s a medical assistant could have and use to become a better assistant. They have many requirements that the policy requires covered encounters by taking reasonable steps: covered entry to develop and implement policies for its own organization. Reflecting the business practices and work force.
This question represents at least half of the medical community, and makes people question the intended and unintended consequences in a profit - driven health care system, the supposition of quality health today, and whether they
Medical professionals are liable for malpractice and could face consequences such as a lawsuit against them or being fired. These errors can be minimized by being more
The issue is that it is very difficult to assess the overall competence and voluntariness of a patient. CMA mandates that the protection of physicians is a must; and any change in law must legally protect those physicians who choose to participate from criminal, civil, and disciplinary proceedings. No physician should feel compelled to participate, and patients are free to transfer to another hospital if a physician denies a patients
Since CMS implemented the Physician Quality Reporting Initiative (now known as the Physician Quality Reporting System (PQRS) under the Tax Relief and Health Care Act of 2006 (TRHCA), there have been several changes in participation sanctions, reporting mechanisms and eligibility for incentives and bonuses. During the first two years, the program was technically a temporary, renewable initiative that sought to improve the quality of both delivery and coordination of care. The initiative became permanent when the Medicare Improvement for Patients and Providers Act (MIPPA, 2008) was enacted. The Centers for Medicare and Medicaid Services (CMS) believes the sanction-based initiative will empower consumers and providers to make better informed decisions
HIPAA Summary In 2009, the Congress created an act called Health Insurance Portability and Accountability Act (HIPAA). It is designed when people became concern about his or her personal information being stolen. With the media growing every day, it has become easier for people to hack into computer take identities and putting others at risk. The federal government made HIPAA way to reduce company’s downfalls and financial crisis due to theft.
It is the most influential source of insight for PA’s practicing in MI. Its purpose is to “encourage its members to abide by the AAPA code of ethical conduct”, “serve as a public information center with respect to its members, health professions, governments agencies, and the general public”, and “ represent its members in matters of legislation in order to maintain and further develop the practice of the profession” 2. Since the mid 1970s, MAPA has been an important advocator for its members and has not only worked on the improvement of working environments for physician assistants but is also involved in politicizing for enhancements in the scope of practice as well as raising a voice on actions that may impose a threat on the Physician Assistant occupation. At the turn of the century, the ‘Barriers to PA Practice’ list was created by MAPA in order to “overturn all of the antiquated laws disallowing PAs to practice in aspects of care or allowing negative interpretation by administrators of health plans and State agencies” 3. Since this list was created, many new public acts have been passed allowing physician assistants in Michigan to gain more independence. Some important advancements that occurred during this time included MAPA’s involvement in overturning office supervision guidelines insurances such as Blue Cross Blue Shield of Michigan imposed on physician assistants as well as overturning the insurances refusal to pay surgical PAs, Public Act 281 which allowed referrals from physician assistant to a physical therapist, and Public Acts 124-126 which approved Physician Assistants to be added to a “list of professionals able to form professional corporations (PC) and professional limited liability corporations (PLLC) and clarifies that physicians and
Fraud is all around us. Especially in the health care industry. What is being done to prevent fraud from reoccurring over and over in the health care industry? In the article “New medical codes can better catch fraud, but training is needed” by Tami Rockholt, RN, BSN; Mike Fossey; Mary McLean, BS discuses the topic of health care organizations transferring from ICD-9 to ICD-10 to help decrease fraud in the coding and billing department.
Prior to the implementation of the Affordable Care Act (ACA), few people anticipated employer-provided health care would disappear as a major player in the United State healthcare arena. However, ACA adoption and has put more than 169 million employees at risk for losing their workplace coverage. Several studies indicate employer-based coverage will decline rapidly over the next decade as the traditional US system is displaced by the healthcare exchange system. While consumers grapple with finding affordable coverage options and providers adjust to the new norms, there is another wrinkle in the mix. In January, Health and Human Services (HHS) Secretary Sylvia M. Burwell announced the agency's push toward value-based and alternative reimbursement models.
The Joint Commission is involved in making sure the health care facilities are providing the patient and family members of patients the effective and safe care that the patient needs and deserves. There is a close relationship between the National Patient Safety Goals (NPSG) and the results of the Joint Commission survey. If the facility were following the NPSG’s then the facility would have more of likelihood that the organization will receive a good survey results from the Joint Commission. There are serious consequences for the health care organization if the organization does not meet the benchmarks set by the Joint Commission. Multiple tools out there will aid this author in determining if the organization that this author works in is
This paper focuses on providing a brief history of PAs and evaluating the profession in relation to the US health system values of access, cost, and quality. Finally, patient satisfaction, crucial to MCOs in an increasingly competitive market, is discussed. Physician Assistants The physician assistant profession is a relative newcomer to healthcare. It originated in the 1960s with the return of medical corpsmen from the Vietnam War who had military medical skills they wanted to apply to the civilian health care market. These skills were seen as a way to extend the practice of a primary care physician, divert less acute or complex problems to the PA, and manage the need for primary care services in underserved areas (Benjamin et al., 1999).
On March 23, 2010, the President of the United States signed the “The Affordable Care Act” into law and the Supreme Court rendered a final decision to uphold this new law on June 28, 2012. (About the Law, 2015) But the biggest question regarding this law, is whether it is constitutional or not. "The Act establishes the basic legal protections that until now have been absent: a near-universal guarantee of access to affordable health insurance coverage, from birth through retirement. When fully implemented, the Act will cut the number of uninsured Americans by more than half. The law will result in health insurance coverage for about 94% of the American population, reducing the uninsured by 31 million people, and increasing Medicaid enrollment
Quality and measurement theories that abandon the highest levels of appropriateness, will accomplish the healthcare industry evaluates the accountability costs and impacts. Having an understanding of the scrutiny of service, responsibilities, customer satisfaction, effective service and performance, and outcome assessments are all requirements of accountability, which are part of the continuum for accountability (Ledlow & Coppola,