MHC6301 ALL DISCUSSIONS AND ASSIGNMENTS

• Week 1 Discussion
Discussion Topic

Due September 24 at 11:59 PM
Before beginning work on this discussion forum, please review the link “Doing Discussion Questions Right,” the expanded grading rubric for the forum, and any specific instructions for this topic.
Before the end of the week, begin commenting on at least two of your classmates’ responses. You can ask technical questions or respond generally to the overall experience. Be objective, clear, and concise. Always use constructive language, even in criticism, to work toward the goal of positive progress. Submit your responses in the Discussion Area.
Prepare a Brief: Healthcare Delivery
Identify and describe a healthcare delivery organization or hospital close to you or for which you have a special interest. Review its annual report online and compile a brief that responds to each of the elements listed below:
• Name, address, Web address, organization type, and method of care delivery (out-patient, in-patient, etc.)
• The organization’s mission statement
• Who owns the organization?
• What type(s) of facility/organization is it designated (for profit, not for profit, etc.)
• How many patients are served monthly? How many beds are staffed vs. licensed for?
• What is the maximum patient load/occupancy rate daily?
• What are the major departments?
• What services does it offer?
• Does it offer charity care? If so, what are the standards used to determine who receives care?
• Does it receive any local, state, or federal subsidies?
To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Your initial posting should be addressed at 300-500 words. Submit your document to this Discussion Area by the due date assigned. Be sure to cite your sources using APA format.
Respond to your peers throughout the week. Justify your answers with examples, research, and reasoning. Follow up posts need to be submitted by the end of the week.
Use the following rubric as a guide to complete your discussion responses.
• Week 1 Project
Assignment

Due September 28 at 11:59 PM
Before beginning work on this assignment, please review the expanded grading rubric for specific instructions relating to content and formatting.
You have been presented an outstanding opportunity to serve as a graduate student intern for the chief executive officer (CEO) of a large HCO. The HCO is an HMO model and originated approximately a century ago as a small rural hospital. Due to the rural setting, the HMO model flourished and, over the years, expanded throughout the region. Today, the HMO has a presence in over eighteen counties and has a number of competing interests from for-profit and not-for-profit HCOs in the region.
The board of directors recently approved the acquisition of two regional hospitals. First, the HCO decided to acquire a small rural critical-care-access hospital in a relatively remote county. The interest in acquiring the hospital is to service the existing population and expand the reach of the HMO. Second, the HCO decided to acquire a private full-service hospital in a moderate-size city (population forty-two thousand). The HCO’s move is strategic in nature, preventing the sale of the hospital to its for-profit competitor, and will gain the region its sole emergency department level 2 (two) trauma center with helicopter transport while giving the HCO the ability to service its growing HMO membership in the area.
Based on the above information:
• Evaluate the various HMO models (staff, group, and network) and identify the model that would probably be best suited for the region. Justify your answer.
• Research and comment on the importance and applicability of the various levels of emergency department trauma care. Investigate the exemptions afforded to a critical care rural hospital with respect to Medicare reimbursement and accreditation.
The following resources are provided for this assignment:
3. American Trauma Society, (2017). Trauma center levels explained. Retrieved from: http://www.amtrauma.org/?page=traumalevels
4. American College of Surgeons. (2017). Verified trauma centers FAQ’s. Retrieved from: https://www.facs.org/quality%20programs/trauma/vrc/faq
To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Submission Details:
• Your assignment should be addressed in a 2- to 3-page document.
• Submit your document to the Submissions Area by the due date assigned.
• Week 2 Discussion
Discussion Topic

Due October 1 at 11:59 PM
Before beginning work on this discussion forum, please review the link “Doing Discussion Questions Right,” the expanded grading rubric for the forum, and any specific instructions for this topic.
Before the end of the week, begin commenting on at least two of your classmates’ responses. You can ask technical questions or respond generally to the overall experience. Be objective, clear, and concise. Always use constructive language, even in criticism, to work toward the goal of positive progress. Submit your responses in the Discussion Area.
Start reviewing and responding to the postings of your classmates as early in the unit as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. You can ask technical questions or respond generally to the overall experience. Be objective, clear, and concise. Always use constructive language, even in criticism, to work toward the goal of positive progress. Cite sources in your responses to other classmates.
Review your lectures. Then:
• Identify, how many Americans remain uninsured despite the PPACA (Patient Protection and Affordable Care Act), using the most current scholarly resource available.
• Identify how many Americans are currently signed up for and have paid premium for the PPACA.
• Discuss the current cost to Americans in subsidies, which are financially supporting the PPACA. What is the current fine charged by the IRS to those without insurance and how much will it increase in 2016? Will this fine increase have a negative or positive impact? Explain why.
Review the following articles from South University Library:
Lurie, I. Z., & McCubbin, J. (2016). What can tax data tell us about the uninsured? evidence from 2014. National Tax Journal, 69(4), 883-904. doi:http://dx.doi.org.southuniversity.libproxy.edmc.edu/10.17310/ntj.2016.4.08
Impact of obamacare on coverage: Reduction in the number of uninsured. (2016). Congressional Digest, 95(3), 7.
Jost, T. S., & Pollack, H. A. (2016). Making health care truly affordable after health care reform. The Journal of Law, Medicine & Ethics, 44(4), 546-554. doi:10.1177/1073110516684785
To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Your initial posting should be addressed at 300-500 words. Submit your document to this Discussion Area by the due date assigned. Be sure to cite your sources using APA format.
Respond to your peers throughout the week. Justify your answers with examples, research, and reasoning. Follow up posts need to be submitted by the end of the week.
Use the following rubric as a guide to complete your discussion responses.
• Week 2 Project
Assignment

Due October 5 at 11:59 PM
Before beginning work on this assignment, please review the expanded grading rubric for specific instructions relating to content and formatting.
Uncompensated Care
The plight of uncompensated care is of extreme concern, especially in regard to the impact on hospitals as frontline caregivers.
Select two different types of hospitals. Identify the institutional similarities and differences in dealing with uncompensated care delivery. Discuss ways in which uncompensated care delivery might impact organizational structure, management policies, and financial issues for each facility. Incorporate articles from peer-reviewed journals and the Federal Register as references for this assignment.
Office of the Federal Registry (n.d.) The daily journal of the federal government. Federal Register. Retrieved from: https://www.federalregister.gov
Two hospitals within the United States routinely treat (medically and surgically) their patients without regard to collection of any payment. They are Shriners and St. Jude Hospitals. Select one of these hospitals and discuss its services and target patient population. Review its annual report and report on the hospital’s income sources and liabilities. Summarize by explaining the hospital’s mission statement.
To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Submission Details:
• Your assignment should be addressed in a 2- to 3-page document.
• Submit your document to the Submissions Area by the due date assigned.

• Week 3 Discussion
Discussion Topic

Due October 8 at 11:59 PM
Before beginning work on this discussion forum, please review the link “Doing Discussion Questions Right,” the expanded grading rubric for the forum, and any specific instructions for this topic.
Before the end of the week, begin commenting on at least two of your classmates’ responses. You can ask technical questions or respond generally to the overall experience. Be objective, clear, and concise. Always use constructive language, even in criticism, to work toward the goal of positive progress. Submit your responses in the Discussion Area.
Review your lectures. Then:
• Compare the difference between ER/Trauma units Designation and Verification.
• What agency is responsible for these functions?
• List detailed requirements for Level 1, 2, and 3 Trauma units as outlined by the ACS (American College of Surgeons).
• Search your state and identify how many Trauma units are designated in your own state.
Use resources from the Week 1 Assignment and South University Library as necessary.
To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Your initial posting should be addressed at 300-500 words. Submit your document to this Discussion Area by the due date assigned. Be sure to cite your sources using APA format.
Respond to your peers throughout the week. Justify your answers with examples, research, and reasoning. Follow up posts need to be submitted by the end of the week.
Use the following rubric as a guide to complete your discussion responses.
• Week 3 Project
Assignment

Due October 12 at 11:59 PM
Before beginning work on this assignment, please review the expanded grading rubric for specific instructions relating to content and formatting.
Healthcare Regulations
The Emergency Medical Treatment and Labor Act (EMTALA) is one of the most critical yet misunderstood regulations in Healthcare. What is Anti Dumping? Who is intended to be protected by this act?
• Outline what is guaranteed as well as what is not guaranteed within this act.
• Discuss the fines provided for by the act and include examples of hospitals which have been fined for not complying with this act.
• Describe and analyze the conditions under which a hospital is permitted to transfer a patient without healthcare coverage.
Use resources from the Week 1 assignment and the following from South University Library as necessary.
Terp, S., Seabury, S. A., Arora, S., Eads, A., Lam, C. N., & Menchine, M. (2017). Enforcement of the emergency medical treatment and Labor act, 2005 to 2014. Annals of Emergency Medicine, 69(2), 155-162.e1. doi:10.1016/j.annemergmed.2016.05.021
Zuabi, N., Weiss, L. D., & Langdorf, M. I. (2016). Emergency medical treatment and labor act (EMTALA) 2002-15: Review of office of inspector general patient dumping settlements. The Western Journal of Emergency Medicine, 17(3), 245-251. doi:10.5811/westjem.2016.3.29705
McDonnell, W. M., Gee, C. A., Mecham, N., Dahl-Olsen, J., & Guenther, E. (2013). Does the emergency medical treatment and labor act affect emergency department use? The Journal of Emergency Medicine, 44(1), 209. doi:10.1016/j.jemermed.2012.01.042
To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Submission Details:
• Your assignment should be addressed in a 2- to 3-page document.
• Submit your document to the Submissions Area by the due date assigned.
• Week 4 Discussion
Discussion Topic

Due October 15 at 11:59 PM
Before beginning work on this discussion forum, please review the link “Doing Discussion Questions Right,” the expanded grading rubric for the forum, and any specific instructions for this topic.
Before the end of the week, begin commenting on at least two of your classmates’ responses. You can ask technical questions or respond generally to the overall experience. Be objective, clear, and concise. Always use constructive language, even in criticism, to work toward the goal of positive progress. Submit your responses in the Discussion Area.
Review your lectures. Then:
• Research several hospitals of your choice and identify how many Board members are on the Board and their length of appointment.
• As Boards are prohibited from managing, discuss the major duty of a Board. By what mechanism does a board understand the status of the hospital financially and operationally?
• What did the Saberness-Oxley Act demand of Boards and why?
• What is D/O (Directors/Officers) insurance and why is it needed?
Read more on “Hospital Board Infrastructure and Functions: The Role of Governance in Financial Performance”
Read more on “Physicians on Hospital Boards: Time for New Approaches”
To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Sarbanes Oxley101. (2017) Welcome to Sarbanes Oxley 101. Retrieved from:
http://www.sarbanes-oxley-101.com
Merino, B. D., Mayper, A. G., & Tolleson, T. D. (2010). Neoliberalism, deregulation and sarbanes-oxley. Accounting, Auditing & Accountability Journal, 23(6), 774-792. doi:http://dx.doi.org.southuniversity.libproxy.edmc.edu/10.1108/09513571011065871
Your initial posting should be addressed at 300-500 words. Submit your document to this Discussion Area by the due date assigned. Be sure to cite your sources using APA format.
Respond to your peers throughout the week. Justify your answers with examples, research, and reasoning. Follow up posts need to be submitted by the end of the week.
Use the following rubric as a guide to complete your discussion responses.
• Week 4 Project
Assignment

Due October 19 at 11:59 PM
Before beginning work on this assignment, please review the expanded grading rubric for specific instructions relating to content and formatting.
HCO’s Board
Identify the various committees of a HCO (Health Care Organization) board and evaluate the function of each committee. Please first read “Physicians on Hospital Boards: Time for New Approaches” (2011, February) and then discuss the Joint Commission requirement: “Joint Commission requires that medical staff members to be eligible for full membership” on the hospital board—but does not mandate that any medical staff officer or other physician be a voting or nonvoting board member.
To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Submission Details:
• Your assignment should be addressed in a 2- to 3-page document.
• Submit your document to the Submissions Area by the due date assigned.
• Week 5 Discussion
Discussion Topic

Due October 22 at 11:59 PM
Before beginning work on this discussion forum, please review the link “Doing Discussion Questions Right,” the expanded grading rubric for the forum, and any specific instructions for this topic.
Before the end of the week, begin commenting on at least two of your classmates’ responses. You can ask technical questions or respond generally to the overall experience. Be objective, clear, and concise. Always use constructive language, even in criticism, to work toward the goal of positive progress. Submit your responses in the Discussion Area.
There is great controversy over whether a patient will be able to retain or choose his or her doctors with the advent of the PPACA. In addition, many existing plans are being ruled as incompatible with the requirements of the PPACA and discontinued or canceled as a result. Explore and explain whether the patients will be able to continue with their physicians and the rationale behind the plan cancelation. Additionally, identify the effect of expanding state Medicaid roles and the impact it has upon cost and non-reimbursable care.
To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Your initial posting should be addressed at 300-500 words. Submit your document to this Discussion Area by the due date assigned. Be sure to cite your sources using APA format.
Respond to your peers throughout the week. Justify your answers with examples, research, and reasoning. Follow up posts need to be submitted by the end of the week.
Use the following rubric as a guide to complete your discussion responses.
• Week 5 Project
Assignment

Due October 26 at 11:59 PM
Before beginning work on this assignment, please review the expanded grading rubric for specific instructions relating to content and formatting.
Medicare Patients—Benefits and Costs
Assess the differences in benefits and costs, which are available to Medicare patients based upon the patent selecting either the “Traditional” Medicare program or Medicare Part C (Advantage Plan). Once a patient makes a choice, is he or she locked into the choice?
• Evaluated at least two valuable elements to both programs and two negative elements to both programs.
• Demonstrate which program would be more attractive to a physician and to a hospital as well as why.
• Discuss Capitation and evaluate if either program reimburses using a capitation model.
Resources: Use these and others from the library.
Berenson, R. A., Sunshine, J. H., Helms, D., & Lawton, E. (2015). Why medicare advantage plans pay hospitals traditional medicare prices. Health Affairs, 34(8), 1289-1295. doi:http://dx.doi.org.southuniversity.libproxy.edmc.edu/10.1377/hlthaff.2014.142
Afendulis CC, Landrum MB, Chernew ME. The Impact of the Affordable Care Act on Medicare Advantage Plan Availability and Enrollment. Health services research. 2012;47(6):2339-2352. doi:10.1111/j.1475-6773.2012.01426.x.
To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Submission Details:
• Your assignment should be addressed in a 8- to 10-page document.
• Submit your document to the Submissions Area by the due date assigned.

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