HLT 520 Complete Course DQ Pack
HLT 520 Complete Course DQ Pack
HLT 520 Week 1 Discussion 1
A patient is in a coma that appears irreversible. His mother, who is his surrogate, firmly believes that he will recover and that God is taking a hand to work a miracle if everyone will just wait long enough. She wants everything done for the patient, including resuscitation if he arrests. She insists that he stay in the hospital, and is very upset that he was transferred out of the ICU and his care was moved to comfort measures, rather than aggressive treatment.
The mother does not speak English and is strong in her religious beliefs. The physicians for the patient are very upset and concerned about continuing to provide care that they believe is futile. The patient is developing a serious pneumonia, and the mother wants it treated aggressively. The physicians are reluctant. Analyze this case from the ethical principles of justice, benevolence, non-malfeasance, and autonomy.
HLT 520 Week 1 Discussion 2
In this time of limited financial resources and reduced government payments for health care services, what are the ethical issues of limiting care? How much uncompensated care can hospitals absorb? Where do people with no resources go for care? What is the state’s responsibility to ensure health care services? What are the ethical considerations that should be taken into account?
HLT 520 Week 2 Discussion 1
Discuss the four components of a valid contract and apply them to a contract with a vendor to purchase a new CT scanner. What would you include in the contract? How would you be sure it would be valid?
HLT 520 Week 2 Discussion 2
Since the hospital/patient relationship is considered a contract of sorts, how is it affected if the patient decides to disconnect himself from telemetry and leave the hospital for 4 hours to go score some cocaine on the street? What would you do as a hospital administrator in this situation?
HLT 520 Week 3 Discussion 1
If a physician develops a history of disruptive behavior, belittling staff, cursing at coworkers, and being rude and curt to patients, what are the responsibilities of the medical staff, the hospital, and the other professionals involved? Why do you believe that so many staff may be reluctant to report a poorly behaving physician?
HLT 520 Week 3 Discussion 2
What do you see as the pros and cons of obtaining fair market value analyses on the compensation paid to physicians, especially when the market rates are benchmarked against national standards? How could this information be used in negotiating rates with physicians?
HLT 520 Week 4 Discussion 1 Latest-GCU
Discuss your opinion of the Stark laws, what they are designed to do, the impact of the exceptions, and whether you think they are successful in preventing unethical behavior.
HLT 520 Week 4 Discussion 2 Latest-GCU
What kinds of fraudulent or abusive behavior relating to health care services can occur in hospital operations? How does the role of the compliance committee help to monitor and prevent these?
HLT 520 Week 5 Discussion 1 Latest-GCU
You are a hospital administrator, and you receive a call from a colleague at another hospital. Your colleague, who is a friend, informs you that he has received a demand for a stipend from the ophthalmologists who take ED calls at his hospital, and they want a sizeable raise. He asks you what you pay for that type of call, and suggests that you could both benefit by coming up with a standard rate of pay over which neither of you will go in response to physician demands. It could save your hospitals $300,000 to do this. What is your response, and what is the rationale for it?
HLT 520 Complete Course DQ Pack
HLT 520 Week 5 Discussion 2 Latest-GCU
Do you think that hospitals who engage in group purchasing organizations are engaging in a form of price-fixing? If yes, then why? If no, then why not?
HLT 520 Week 6 Discussion 1 Latest-GCU
Examine the concept of “employment at will” and the public policy exceptions to it. How does it fit with the issue of “wrongful discharge?”
HLT 520 Week 6 Discussion 2 Latest-GCU
What do you see as the pros and cons of a unionized environment in a health care facility? How can the right to collective bargaining by employees and the mandate to provide care to patients be reconciled?
HLT 520 Week 7 Discussion 1 Latest-GCU
Explore the issues of how to determine if a patient is mentally competent to make his or her own decisions, especially in situations where the decisions do not appear to make sense.
HLT 520 Week 7 Discussion 2 Latest-GCU
What are the differences between a permanent vegetative state and a coma? How do these differences affect the ethical choices faced by the family and caregivers of the patient? What impacts should the patient’s own wishes have? How would the presence of a living will impact the decision?
HLT 520 Week 8 Discussion 1 Latest-GCU
A baby is born with anencephaly, or absence of the entire brain above the brainstem. The brainstem is intact, which means that the baby can breathe and have a heart beat and blood pressure, but there is no chance for any human brain function or cognition, due to this birth defect. The health care team begins to educate the mother, since children with this deficit generally die shortly after birth. However, the mother is devoutly religious, and her minister has told her that if she prays hard enough to God, that God will work a miracle and her baby’s brain will heal itself. She is insistent that all possible care be given to her baby, including a months-long stay in the ICU, constant care by a caregiver, regular brain scans, and other expensive modalities. The hospital, finding her adamant, asks the court for guardianship of the baby, with the medical plan to provide only maintenance care with no life-prolonging techniques until the baby dies. What are the ethical issues at play here? How do the principles of autonomy, beneficence, nonmalfeasance, and justice manifest themselves? If you were called as an ethical consultant, what would you do/recommend?
HLT 520 Week 8 Discussion 2 Latest-GCU
A 94-year-old woman is admitted to your hospital with dehydration, trouble breathing, and possible kidney failure. She is clearly in advanced Alzheimer’s, weighs about 95 pounds, and shows multiple bruises on her body. She cannot talk. Her caregiver attributes the bruises to a blood disorder that reduces clotting. What are your thoughts about this situation? What kind of investigation would you conduct? What actions would you take to be in compliance with ethical principles