Combat Compliance : An Analytic Puzzle

As a Health Information Management professional, I believe in the accuracy and integrity of HIM department’s staff to achieve and maintain a higher level of effectiveness. As a HIM Coding and Compliance Auditor, administrators of a facility can use the data to ensure compliance with the Office of Inspector General and identify opportunities for improvement. As an auditor, meeting the goals of a facility, education whether it is the department manager or other employees to improve the revenue cycle process and work flow.

Here at O’Kelly Medical Practice it is our goal to maintain an effective compliance plan that is in accordance with the compliance program guidance that is set by the Office of Inspector General, U.S. Department of Health and Human Services. The purpose of this compliance plan is to avoid and identify any violations of both law and company policy (hcma-consulting.com).

Compliance in healthcare is when a patient agrees with a prescribed medical regimen which is recommended by the physician (Butts & Rich, 2016). The patient must give consent, either oral or written, with the intention of following through with the regimen. Some have considered this consent to be like coercion because it appears the patient is being persuaded to act in a submissive manner. Noncompliance is when a patient exhibits nonconforming behaviors which are perceived as incompetence and deviance. The negativity of this term has led to the decline of the use of compliance. Adherence is a term used to demonstrate patient choice to follow medical regimens and deemphasizes the control the physician had. Nonadherence indicates that a patient chooses not to follow through with the prescribed medical regimen. There are many reasons, both intentional and nonintentional, why a patient chooses not to follow through with the plan. Concordance is a partnership between the patient and provider. They negotiate how the patient will follow the treatment plan taken into consideration the patient’s beliefs and wishes.

I believe that a person’s choice of a compliance-gaining strategy depends on the situation. Towards the end of the chapter, Gass & Seiter talk a bit about relational certainty as an example of this. Relational certainty is something that I think many students can relate to as we all experience it in many forms. In order to gain compliance from someone you may be interested in for a date, relational certainty plays a role as certain levels of the certainty will allow for different variations of the messages you send in order to gain compliance. If I’m communicating with someone that I have low apprehension towards I would censor my message less than if I barely new them and still needed to learn

Nolan demonstrates the dangers of adopting policy considerations when the area of negligence is unclear using Everett v Comojo (UK) Ltd as a case in point. The case deals with third party conducts from the decisions of Mitchell v Glasgow CC. However, Nolan states that it is unfortunate that the judges fail to identify the relevant legal principle, and resorted to the Caparo test to establish a duty of care. This generalised test lead to the wrongful establishment of the duty of care owed by the defendant. The so called “policy considerations”, which Lord Bridge criticises as ‘indefinable’, were not able to identify the relevant legal principle to correctly determine the existence of the duty of care in Everett. Therefore, the significance of

First and foremost, men surrender when they feel it is better than the alternative, which is more often than not death. Niall Ferguson applies a variation on game theory to this stating that soldiers weighed up a number of key factors: the likelihood of being killed if they carried on fighting, the likelihood of being killed by one’s in attempting to surrender, the likelihood of being killed by the enemy whilst attempting to surrender and the difference in quality of life between being a prisoner and a soldier. Ferguson’s thesis is that, in World War I, weighing up these options led to far more men surrendering than in World War II. As mass surrender is key in warfare, the First World War was brought to a relatively quick conclusion, as opposed to the Second World War. This model does assume that all actors in the process are rational, which can be called into question when fear takes over in a pitched battle. Ferguson’s thesis has been critiqued in this way by Dollery and Parsons who point out that the political economy cannot be directly transferred to warfare where there are no market factors. What is more, the only theatre in which there was a reluctance to surrender in the Second World War was the Eastern Front. On the whole though, a loose set of considerations which soldiers had to consider before surrendering is viable, but a particular emphasis should be placed on a desire not to be

Despite these efforts, the Compliance program’s administration has continued to displayed deficiencies. This is evident by the violations noted at this examination, and the inadequate implementation of effective corrective actions related to MOU provisions and prior examination and audits findings, and recommendations. Turnover at the Compliance Officer position and ineffective Board and senior management oversight contributed to administration deficiencies. Due to inconsistent oversight of the Compliance program, adequate training, sufficient procedures, as well as effective monitoring have not been effectively implemented in areas where deficiencies are identified though audits and examinations. As illustrated by the examination findings,

As a health care provider medication compliance among diabetic patients has been a challenge. Barriers to compliance poses life threatens and poor quality life improvement. Some barriers to compliance: side effects, cultural beliefs, and socioeconomic status. Despite of time consuming in diabetic education; patients will find an excuse for medication non-compliance. Most common patients complain from oral medications is upset stomach, diarrhea, nausea and sometimes emesis. House remedies: some of these patient’s belief that herbals will cure their diabetes. In regards to insulin; some of them express needle phobia. In socioeconomic status is lack of health coverage.

Adherence or compliance refers to the extent to which medical advice is correctly followed by a patient. It is most commonly used in regard to medication, but its use can also extend to other measures like self care, therapy sessions and such (Sebaté, 2003). According to the The World Health Organization, medication adherence is “the degree to which the person's behaviour corresponds with the agreed recommendations from a health care provider” (Dobbels et. al., 2005).

The best initial approach to the employee’s performance decline and attendance issues would be for the supervisor to counsel the employee regarding the concerns that are present. Fallon and McConnell (2007) suggest that the supervisor not ask the employee specifically about personal issues during the counseling. It is important for the supervisor to remember that their job is to counsel the employee regarding performance and conduct. The supervisory should act in this supervisory counselor role and never in the role of a professional counselor for psychological problems (Joseph, 2012). As the supervisor of this employee, I would start an open-ended conversation and allow the employee to guide the conversation, which is the recommendation provided by Fallon and McConnell (2007). In order to be most effective, it would be necessary to schedule a sufficient block of time to meet with the employee in order to address the concerns. Ensuring an appropriate time for the meeting would be important to ensure that the time with the employee is as uninterrupted as possible. I

War is often characterized by tales of great valor performed by courageous warriors willing to stake their lives in order to defend their country, but such people are few and far between. What history so often neglects is the silent majority of almost any army: the rank and file, the so-called “average Joes” that lose any sense of individuality as they disappear within a horde of identical bodies. Fighters in a war are just that. Fighters. They leave behind whoever they were back home in favor of becoming a anonymous puppet with a rifle fighting a war they may not even care about. Truly, war does not provide a blank canvas upon which each man paints his own epic, rather it strips away whatever identity one possesses and replaces it with that of a brave, yet faceless, soldier.

There was a promise (bi-lateral oral contract) that drawn Ms. Johnson into an agreement and relied on Mr. Lockhart to preformed as he promised.

Organizations in highly regulated industries are often faced with legal and ethical quandaries due to ambiguous and/or apparent conflicts between state and federal laws. As a result, it’s difficult for business leaders to determine which laws and/or regulations apply to their business and require compliance. Moreover, business leaders that fail to accurately access this regulatory maze and are out of compliance risk devastating fines and severe damage to their reputations (Kokemuller, N., n.d.). However, complying with a non-applicable laws and/or regulations can be just as costly due to unnecessary cost, inefficiencies, and adding complexity to daily operations.

The theory of energy, order, and disorder/chaos can be applied to any and all aspects of life. This essay focuses on applying this theory to specifically the U.S. military and when in war. The war aspect in this application of energy, order and disorder will also include combat sports, as this can also be seen as a form of warfare. Using research consisting of articles and the like, along with interviews of those with firsthand experience, I hope to illustrate not only how the theory of energy, order, and disorder is present in the United States military and in warfare, but also how these things are substantially more orderly than they are usually given credit for. Nonetheless, the essay will also go on to explain that no matter how much effort expended in the hopes of establishing and maintaining order, it is only temporary, and chaotic fallout is inevitable.

Over the last few years, the not for profit organizations have suffer from serious criticism and strict scrutiny due to certain different issues. The most disturbing issues were related to the accounting, ethics standards and how they are able to develop and maintain comprehensive compliance programs. It turns out that developing and managing comprehensive compliance for not for profit entity is not easy and simple. In fact, a lot of force demands that the not for profit entities create compliance programs that are similar to those in for profit organizations. Some not for profit entities have tried to create these programs, but research shows that