Discussion Questions

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?

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?

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?

EMTALA Scenario Analysis

Write a 1,000-1,250 word paper in which you analyze a scenario using the Emergency Medical Treatment and Active Labor Act (EMTALA).

You are the administrator on call for Hospital A and are responsible for accepting and rejecting patients. You receive a call at 2:00 a.m. from Health Hospital B regarding a patient with a severed ear.

The ED physician is calling to arrange an EMTALA-qualified transfer from his hospital to yours, but the ENT physician on call at your hospital is refusing to accept the transfer, stating that the patient does not need a higher level of care.

You call your ENT on call, and he admits he has just had three glasses of wine and will not be available for about 6 hours. You electronically send him the record that Health Hospital B would send with the patient. The ENT physician advises that the ear looks salvageable and could easily be sutured in any ED. The ED physician at Health Hospital B is very nervous about the possibility of an EMTALA violation.

• If you decide to reject the patient, is this a violation of EMTALA? Explain.
• What decision will you make as the administrator? Explain.
• Based on this scenario, what could be implemented to prevent this type of situation from occurring in the future?
• Under what scenario would the Hospital A physician be concerned about an EMTALA situation?

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Read “Feds Increase EMTALA Penalties against Physician and Hospitals,” by Bitterman, from Emergency Physicians Monthly (2017), to complete the topic assignment.

URL:

http://epmonthly.com/article/feds-increase-emtala-penalties-physicians-hospitals/

Access the Primary Law page of the Emergency Medical Treatment and Active Labor Act (EMTALA) website. Click on “2008 amendments.” Read pages 48654-48657.

URL:

http://www.emtala.com/law/index.html

Antitrust Case Analysis

Using the Health Care page of the U.S. Department of Justice Antitrust Division website, locate three antitrust law cases. Write a 500-750 word analysis of each case that describes the following:

• A brief overview of the particulars of the case.
• The impact of the case on the law and powerbrokers.
• Concerns regarding the case in the role of a health care leader.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

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