Legal Aspects Of Medical Legal Partnerships

This research paper is being submitted on December 8, 2011, for Mara Pehkonen’s M230 Medical Law and Ethics Course.

The four spheres of political action in nursing as mentioned by Mason, Leavitt, and Chaffee (2011) includes the workplace or workforce, the government, the organizations, and the community. The authors further stated that although the four spheres overlap at times, the action performed in any one of these spheres can cause a reaction in any of the others. Nurses are a part of the community in which they live and can influence health and social policy within their workplace, which can have a profound impact on the organization. Furthermore, the government can pass health care policies, which in turn causes the organization to change their policy. Thus, affecting healthcare providers in the workplace and the community at large. An example of

Partners HealthCare is a non-profit, health system located in Boston that created a data based transformation (Davenport, 2013). It integrated a new system that aligned the participating organizations to cohesively run as one and to help shape the future of the organization. The system didn’t stop there as it was responsible for bettering the patient financing experience and the delivery of healthcare information to other organizations (Davenport, 2013). The initial goal of the organization was making patient care more affordable and accountable by providing integrated, evidence based, patient-oriented care.

The American Health Care system needs to be constantly improved to keep up with the demands of America’s health care system. In order for the American Health Care system to improve policies must be constantly reviewed. Congress still plays a powerful role in public policy making (Morone, Litman, & Robins, 2008). A health care policy is put in place to reach a desired health outcome, which may have a meaningful effect on people. People in position of authority advocates for a new policy for the group they have special interest in helping. The Health care system is formed by the health care policy making process (Abood, 2007). There are public, institutional, and business policies related to health care developed by hospitals, accrediting organizations, or managed care organizations (Abood, 2007). A policy is implemented to improve the health among people in the United States. Some policies

In order to first start a policy process, the problem for which a policy is to be created must be identified and the policy holding a solution to the problem. Researchers and stakeholders will investigate the problem to identify if the policy will reach the policy making agenda. Policies must be to improve society’s health and wellbeing. In the United States (U.S.) public health related issues that require a formulation of a new policy and come from local, state, or federal legislations which ruling govern the provision of health care services and regulations. In this

(2001). The Formulation of Health Policy by the Three Branches of Government. Social Policy and Policymaking by the Branches of Government and the Public-at-Large. doi:10.7312/stei11682-014

The contents of a legal health record cannot be universally determined because all healthcare organizations have various needs. Therefore, healthcare organizations are expected to define what constitutes a legal health record for their organization. While each organization's legal health record will not necessarily include the same type of documentation, they all must meet the

Lakeland Regional and its lawyers are working with the federal government to get approval for a medical residency program that would be classified as a new program. This would bring higher

Results indicated a 25% decline growth rate of NP’s was slower in the most restrictive states

Preferred provider organizations offer flexibility in benefit design and allow patients flexibility to choose from a list of in-network providers for their care. Care provided in-network typically is discounted with out of network services resulting in higher out of pocket expenses to the patient (Hirth, Grazier, Chernew and Okeke, 2007). Clinically integrated networks are a more recently developed managed care structure. In this model, independent practitioners form a virtual network as a means of increasing capacity for contracting with payers of healthcare whether commercial insurance or for self-insured organizations. Physicians recognize advantages to collaborative contracting and the increase in coordinating care of patients through the network (Kaplan and Guest, 2012). Commercial insurance companies are looking to clinically integrated networks as another mechanism to control the costs of healthcare delivery. Accountable care organizations, as with clinically integrated networks, are fairly recent phenomenon with similar but more formalized characteristics. An accountable care organization is a structured network of healthcare entities which have united and are responsible for the health of an identified population. The accountable care organization shares the risk of meeting the health needs of

The health law field presently exists at the precipice of enormous change. Care providers must manage the legal implications that come with networked electronic health records (EHRs) and payment based on patient outcomes. Problems also arise due to patients travelling solely for specialized treatment and growing pains attributable to newly merged and acquired healthcare organizations. These factors and more contribute to increasing litigation involving fraud, insurance disbursements

The authors of this chapter are John Billings, Joel C. Cantor, and Chelsea Clinton. John Billings holds a JD (Juris Doctor) or law degree. At the time of the publication John Billings was an associate professor of health policy and public service at New York University. He taught in the area of health policy

“An Integrated Physician Model is the result of a series of partnership between hospitals and physician develop overtime” (Harrison, 2016). Primarily, it is a joint venture that has become many joint ventures. In addition, all of this joint ventures are connected through congruent goals, and that is to provide different level of care to all the patients. Integrated physician model also organizing themselves to improve the cost and quality by operating under a clinical guideline. This could include acute care hospital, home care, nursing homes, affiliated medical group, primary care clinics, employed physician and any independent medical groups.

Continued progress is very much dependent on community cooperation and vision. Barriers we anticipate include: realistic concerns about privacy law (HIPAA and FERPA). National standards and regulations for the exchange of health information are more developed than for educational records. Resistance of clinical, educational and social service professionals to change practice patterns to be able to effectively utilize cross-sector data. Significant change management and partnership development will be needed to implement new protocols to leverage an increasingly rich, yet potentially overwhelming, store of health, education and social service information (The strategic community plan for Miami Childrens Initiative,

Did you know that practice management software has existed for the better part of 20 years? Practice management software exists for a good reason. Professor Jared Correia from Suffolk University Law School, who is also the CEO of Red Cave Law Firm Consulting in Boston, said that a legal practice management software system can be the principal organising feature of a law firm, a full-scale repository and collaboration tool, and a hedge against malpractice. This is no exaggeration when we look at just three of the many benefits of a good practice management system: