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Module 5 Case Study Managing the Healthcare Profession

    Module 5 Case Study Managing the Healthcare Profession

    Module 5 Case Study Managing the Healthcare Profession

    See the attached Case Study and the tutorials for assistance with APA.

    Review the scenarios in the case study attachment.


    Chose 3 scenarios. Answer the given objectives for each scenario you chose.

    Use a minimum of 3 scholarly sources listed in APA format.


    In each of the scenarios below, put yourself into the crisis scenario as the Healthcare

    Administrator who manages the Human Resource aspect of the facility.

    Each of these scenarios is a real-world event that has been fictionalized for the text. You may

    experience any one of these and many more situations in your first job and you need to be

    prepared for the unexpected.

    Choose three of the scenarios to use in your assignment. Submit your written response to the

    scenarios you chose below based on factual data, not personal opinion, as the solution will likely

    be linked to a health law and/or health ethic. You want to avoid expensive litigation and the

    damage that unwanted behavior will have in the public perception of your practice.

    You are welcome to utilized the resources at the bottom of the page, and/or include scholarly

    resources of your own. A minimum of 3 scholarly sources is expected in APA format.

    Answer the following objectives for each scenario,

     Summary of case: This should include not only what was in the case, but additional

    research you conduct on the outcomes of the case. What happened? Who was found

    Introduction to Health Care Management, Third Edition Sharon B. Buchbinder and Nancy H. Shanks Case Study Guide


    responsible? What were the legal ramifications?

     Analysis and assessment: What are the quality-control problems in this case? This

    will come from whichever quality assessment technique you chose.

     Performance improvement plan (PIP): This is where you say what SHOULD be

    done to prevent this error from occurring again, based on your analysis.

     Methods to incorporate or overcome local, contemporary, and corporate

    cultures: List and describe a few (no more than five [5]) validated approaches to

    accomplish this.

     Identify and overcome other barriers to implementation success: Aside from

    culture, what else could be a barrier? Education? Training? Lack of resources,

    including money?

     Develop a maintenance plan: What will you do to be sure the organization never

    forgets? Will you require onboarding orientation that addresses this issue? Will you

    require annual refresher courses for current employees?

     Develop an assessment plan: What METRICS will you use to evaluate the effects of

    the PIP? How will you know when you have accomplished what you set out to do?

    Scenario 1

    You are a new administrator at Jonestown Medical Center. You receive a telephone call from the

    nurse manager of the emergency room. Dr. Smith, an emergency room physician who is an

    employee of your hospital, has just reported for duty. The nurse manager suspects that Dr. Smith

    is intoxicated. What do you do? Module 5 Case Study Managing the Healthcare Profession

    Scenario 2

    You are the CEO of Sleepy Hollow Retirement Community and Nursing Center. A resident’s

    Introduction to Health Care Management, Third Edition Sharon B. Buchbinder and Nancy H. Shanks Case Study Guide


    family has come to you to complain that their loved one, who is on pain medication, is in

    intolerable pain. Her medications appear not to be working anymore. One of the family members

    states, “My 90-year-old mother saw the nurse put the pain medicine in her pocket.” What do you


    Scenario 3

    You are the practice manager of Docs R Us, Ltd., a large multispecialty medical practice

    employing more than 100 physicians. You are conducting a random review of billing for doctors

    in the practice and you discover that one of the internists in your group who treats mostly

    Medicare recipients has been checking off the wrong code for her procedures on the billing form.

    The procedures on the patient record do not match the billing form codes. You pull up her files

    from the past 3 months and find a pattern of up-coding. When you meet with her to review this

    miscoding, she becomes very defensive and angry. What do you do? How could you have

    prepared better for the meeting with the physician?

    Scenario 4

    You are the assistant director of the hospital medical staff office at the Rural Outreach

    Community Hospital in a tiny town in Arkansas. It is your job to verify physician credentials for

    staff privileges. Your hospital receives an application from a physician for staff privileges. On

    his application, it states that he graduated from medical school in El Salvador. When you call to

    verify this, you are told that the medical school burned down two years ago and all the records

    were destroyed. What do you do?

    Scenario 5

    You are a new administrator at a hospital, well-known for pulmonary medicine. The physicians

    in the Intensive Care Unit (ICU), the Emergency Room (ER), and the department of pulmonary

    Introduction to Health Care Management, Third Edition Sharon B. Buchbinder and Nancy H. Shanks Case Study Guide


    medicine have demanded to meet with you about the shortage of respiratory therapists. You stall

    them for 48 hours so you can gather data. What types of information will you need to collect to

    have an intelligent conversation with this powerful group of physicians?

    Scenario 6

    Dr. White ordered an unusual dose of a medication. May Patterson, RN, sees the order and

    believes it to be the wrong dose. She calls Dr. White, who insists that she give the medication—

    as written. Nurse Patterson calls you, the administrator on call for the weekend, to resolve this


    American Medical Association (AMA). (1992). Opinion 9.031 – Reporting impaired,

    incompetent, or unethical colleagues. Retrieved from https://www.ama-

    Brady, S., & Keene, S. (2008). Respiratory therapists can facilitate positive change with

    institutional support. The Internet Journal of Health Administration, 6 (1), 1–5.

    Bureau of Labor Statistics (BLS). (2014). Respiratory therapists. Occupational outlook

    handbook, 2014–15 edition. Retrieved from


    Centers for Disease Control and Prevention. (n.d.). Risks of healthcare-associated infections

    from drug diversion. Retrieved from

    Eiler, M. A. (2006). Helping doctors help patients for 100 years: Happy birthday AMA physician

    masterfile. AMA Physician Credentialing Solutions, 9 (2). Module 5 Case Study Managing the Healthcare Profession

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