Analyze and comment on the role this professional licensing group plays in the creation of policy within the profession as well as the impact those policies potentially have on the economics of health services.
The purpose for the Texas State Medical Licensing board for Examiners is to allows physicians the right to practice medicine with the state of Texas without any interference from any advisory boards. This advisory board began regulating physicians starting in 1837, which allowed them to not only test and license medical physicians but acupuncturists, and physicians assistants as well. The advisory board is not only setup to license physicians but they are also setup to settle any disciplinary complaints, by resolving and investigating
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The medical board is at odds regarding where to place an applicant with these special needs within the system. These individuals under the Medical Practice Act are only allowed three attempts on the medical exam and could only work in a practice of administrative medicine.
Compare and contrast economic challenges and incentives among health care’s organizational models such as the licensing agency you have selected.
The medical board requires the physicians to pass an exam, the board are to address any misdemeanors or convictions, and they can authorize the surrender of a license or refuse to relicense any individual for any reason. “Cengage Learning Gale (2013) reports these boards have various names, such as Medical Examining Board or Board of Medical Examiners. A physician must earn a medical degree, complete post-graduate training, and pass a qualifying exam required in the state. Some states will recognize medical licenses from other states, while others do not provide reciprocity at all.”
An EMTALA Case Mary Carnahan HA 301 Legal Aspects Legislation in Health Care March 17, 2016 Introduction This research paper is about a case law for a federal appellate circuit for an EMTALA case. Describe the case and the EMTALA requirement(s) at issue. How does it relate to the professional standards a medical professional must follow?
When being placed in the role of a manager, it is important to understand the finances of the organization and how to read and understand the recording of finances. It is also important to understand how all the different parts of the records fit together to give us the knowledge of where the business is financially. Knowing also the different responsibility centers related to financial recording and how they function is important as a manager. Once a manager understands what and where items belong on a balance sheet, they will better understand the state that the business is in. “It provides you with a picture of the financial health of your practice or organization on a certain date.”
III. Arguments for Narrow Networks While narrow network health plans are partly the result of a response to regulations in the ACA by insurers and health systems, they are also the product of changing market conditions in the healthcare industry over the past 10 -15 years. First of all, the backlash against managed care plans in the nineties led to the effects of selective contracting being eroded as provider networks were expanded and benefit design enhanced to allow members to see providers outside the network (albeit with a higher cost share). One consequence of this expansion of provider networks has been the increase in insurance premiums. Another contributing factor to higher insurance premiums has been increased consolidation as hospitals and physician groups have merged forming larger entities and as a result increased market power which in turn has enabled these merged entities to negotiate higher prices with insurance companies (Morrisey, 2009).
Informed Consent “The Immortal Life of Henrietta Lacks” details the injustice and hardships that an African American woman endured when skin color determined the value of a person/during a time dominated by racial segregation/when racial segregation was the law of the land. Born in Roanoke, Virginia, on August 1, 1920, Henrietta Lacks was forced to follow to racial segregation laws that prohibited Blacks from interacting with Whites in such public places as bathrooms, seating areas, colleges, and hospitals. Like all African Americans, she was treated as an inferior member of society due to her skin color. At the age of thirty, Mrs. Lacks had developed cervical cancer and went to Johns Hopkins Hospital, which only treated Blacks at the time.
Currently, in health care, licensure is a regulatory process in each state to ensure its health care professionals are minimally competent and protects public safety (Thompson & Robin, 2012). Licensure is a state’s grant of legal authority to practice a profession within a designated scope of practice. Under the licensure system, states define each health care licensure by statute, the tasks and function or scope of practice of a profession and provide that these tasks may be legally performed only by those who are licensed. As such, licensure prohibits anyone from practicing the profession who is not licensed, regardless of whether or not the individual has been certified by a private organization. In this paper we contrast the Arkansas State Board of Nursing and the Arkansas State Board of Health- Section of Emergency Medical Services and how each board establishes professional standards and protect public safety.
The definition for “appropriate medical screening examination” and “necessary stabilizing treatment” were not adequately delineated within the act and lead to many different interpretations on what services encompassed compliance (Rosenbaum & Kamoie, 2003). The definition of what was acceptable medical screening and necessary treatment varied between healthcare professionals from brief and simple, to complex. This became an issue for many organizations and physicians in endeavoring to remain compliant with the law. Another result of the implementation of EMTALA was the increase of patients utilizing ER services. A number of critics have pointed to EMTALA as the cause of over-utilization of ER services, even though there have not been any conclusive studies proving that the law is the cause of increased costs and congestion within hospital ERs (Rosenbaum & Kamoie, 2003).
Physicians and Hospitals go hand in hand when it comes to the medical care of patients, and it is this relationship that allows the patients to receive the care they need and deserve. It is also this relationship that we as health care administrators need to understand. In order to fully understand this relationship we need to define the concept of the integrated physician model. We also need to explain the importance of clinical integration in the strategic planning process, and the dynamics of and controversies surrounding accountable care organizations and alternative approaches to the current health system. I will also explain the advantages and disadvantages for hospitals and physician’s models.
Mednax is an independent group practice in the United States specializing in the delivery of neonatal, pediatric subspecialty, and anesthesia services across the country. As one of the largest accountable care organizations of its kind, the company benefits from geographic and economic scale, enabling it to spread out administrative costs across a wide network of practice locations. Its increasing scale gives it strong negotiating leverage with hospitals, especially as the company 's intangible assets the high degree of specialization of its physician workforce are in high demand and difficult to replicate (Wisner, 2016). A network effect appears to be at play, both in the company 's widening practice base and through its own proprietary
and teaches me the 2. The article taught me that fitness to practice includes being accountable and being responsible to cope with stress and know how to balance the duty to care for patients with an equal duty to ensure that there fitness to practice competently does not threaten the safety of patients, coworkers or oneself (p. 8) and also knowing scope skills. 3. The article brought an understanding to me that if I am not mentally or physically fit; it’s impossible for me to care for another and meet their needs and can put patients in danger. 4.
Mapleton Family Medicine can be closely compared to countless other family medicine facilities throughout the US, a small family practice establishment struggling to keep up with providing fast but efficient care within a small city. With wanting to raise productivity without hindering patient care, the owners have hypothesized an incentive system plan to move the establishment in the right direction. However, will the plan actually be effective in accomplishing these goals? Based upon the case questions within the experiential exercise, I will work to answer any problems addressed, giving away to a better understanding of the possible obstacles within the development of their incentive system plan.
The pros for recognition of General Medicine as specialty: 1. The perspective of an European curriculum/European training programs for General Medicine, taking into account the nowadays variety of these, both in duration and in content 2. Recognition through automatic mechanism as specialty not as qualification 3. Preventing the interference of political and administrative authorities in the regulation of the Family Medicine (i.e. the intention of some governments to replace generalist practitioner physicians with nurses) 4.
1. Review of the policy with Dr. Moon 2. Partner with Dr. Moon to identify any additional deficiencies in the credentialing process for physicians and APPs 1. Review policy to ensure it is current, accurate, and contains necessary content. 2.
There are many stakeholders involved with health care administrations. Those stakeholders can be patients, health care physician, insurance providers, pharmaceutical manufactures, hospital organizations, community clinics and government. Each different stakeholder has their own individual vision of health care administration. This causes conflict due to the nature and differences in vision. which then can cause conflicts among each stakeholder involved.
Under direct contracting, providers must go beyond their traditional roles as suppliers of care to owners of integrated financing and delivery systems. This transition can be difficult for employers to compile and manage actuarial and legal mandates. A physician group can be presented as a threat to health plans, as it does business by obtaining an insurance license. This is because the subcontractor is a competitor. Providers must become active managed care partners with employers, instead of being reactive adversaries of managed care organizations on a contractual basis.
Behavioral Objectives Unit 1Terminal Learning Objective: Upon completion of this topic, students received the concepts of Law, Ethics, Bioethics, as well as patients ' and healthcare providers ' responsibilities and rights. Unit 1 Enabling Objectives: At the end of the class students should be able to: 1- Define the Law, Ethics, and Bioethics concepts. 2-List at least two differences between Law, Ethics, and Bioethics. 3-Describe at least two similarities between Law, Ethics, and Bioethics.