1. Mrs. Smith had a pregnancy test. Mr. Smith called Mrs. Smith’s physician and requested a copy of Mrs. Smith’s test results. Can/Should the physician release the results of the pregnancy test to Mr. Smith over the phone? (Use law and ethics to defend your answer) Why or why not?
Bangor Family Physicians is a partner based medical group practice located in Maine. The practice consists of four family practice physicians, and a medical support staff. The medical support staff is made up of a practice manager, two receptionists, four nurses, two medical assistants, two billing clerks, and a laboratory technician. Additionally, Bangor Family Physicians employs a CPA to assist with taxes and financial advising. The key stakeholders are the four family physician partners, in which each physician holds an equal stake in the practice.
One of the strengths…. New physicians are hired on a two year contract with a fixed salary and benefits. After the completion of their two year term, they can then choose to either buy a share of Medical Associates and become stakeholders, or terminate their relationships with the practice entirely. Over the course of the past 5 years, Medical Associates’ staff has changed dramatically within the organization. As registered nurses retire or resign, they have been replaced with medical assistants. On five recent occasions, when a Registered Nurse assigned to a senior physician resigned, the senior physician demanded that the registered nurse assigned to a staff physician (non-shareholder) be reassigned to him or her and that the new Medical Assistant be hired to fill the vacancy with the new staff physician. This ad hoc system of job switching has caused a great deal of internal turmoil between the senior and junior physicians and has lead to the subsequent resignation of two Registered Nurses who did not want to be reassigned. Another issue of long term concern involves the financial structure of the corporation. At a recent Board retreat, a consultant furnished a recommendation that the corporation retain more of its annual earnings before sharing earnings with the shareholders. This report was very controversial.Dr. Eason, the Medical
5. Brief factual summary: This case involves a 2014 three-year Recruitment Agreement (“Agreement”) among Hospital, Physician, and Practice. Practice and Physician terminated their employment relationship 6 months into the guarantee period of the Agreement. Subsequently, Physician entered into her own private practice in the community and continues to meet her obligations under the Agreement. Practice and Physician disputed which party would retain certain
On Tuesday 06/27/2017, veteran Mr. Saenz walked very angrily in my office with his wife about 11:00 AM. I greeted them and offered to sit down; Mr. Saenz and Mrs. Saenz were very upset and asked me where they need to go as they have VA examination, they both said “nobody tells them anything; they have been sitting in waiting room”. They told me that the lady on the desk told them to come to me.
Hello I am a medical case manager from the Health Emergency Helpline program (HELP). We assist individuals living with HIV/AIDS. We have a client recently homeless which has no furniture and wishes for a couch. He has no funds to purchase this item. Could you give me a call back at 313-832-3393 ext. 13 or my Work cell 313-930-7052. Thank you Kristy
On June 24th, 2015, a female inpatient at Meadows Regional Medical Center for a procedure that included right ankle three view. The other procedures such as L-spine, hip and femur also performed on the patient. The patient had an old shotgun wound to the distal right lower extremity with multiple soft tissue pallets presents. She also noted that she's had swelling in her ankles for years has started to get worse over the past few months, making it especially difficult to walk on her feet. In this case study a 72-year-old female who suffered from a medical history of Osteoarthritis and Chronic Gout for many years. Although most of pellets were still present, there were no other symptoms except lower back pain and swelling in ankle.
As seen in this case study, TM was listed as a full code and no GOC conversation was had between the physicians and the patient until the day of his discharge to home. This led to an unnecessary swallowing study in which the patient needed to be uncomfortably scoped. Due to the lack of GOC conversation the patient also chose to go home with general nursing services instead of end-of-life (EOL) hospice support. In the inpatient medical oncology floors of a large teaching hospital like this one, most patients are covered by rotating interns and residents that are not comfortable having GOC conversations with patients and leave it up to the primary physician to come and discuss.
Al has been diagnosed with a mild to profound sensorineural hearing loss. As a result, he is seriously limited in functioning in the area of Communication.
The Veterans Administration Medical Center (VA) hospital system has been in the national headlines for many years. This has generally not been in a positive way. Many issues have tarnished the reputation of the VA system including, in the distant past questions on sterilization issues reportedly resulting in veterans contracting Hepatitis C from a colonoscope (Tasker, 2011), to more current issues with access and timeliness of care for veterans ("Memo shows VA gaming appointments system to hide wait times", 2014; "Nearly 100 patients died waiting for care from los angeles VA", 2017). Our local Veterans Administration Medical Center is no different and has recently been in the spotlight for
Physician queries need to be initiated in writing using a standard form that represents the type of clinical information being requested. According to Becker's Healthcare (2011), the documentation of queries needs to follow a standard format that includes all the relevant information. In this case, the somewhere hospital physician query was not completed following the required standards. The format, the grammar the design and the process described were not in line with the standards of a physician query.
Pt states that he was seen in the clinic yesterday and was treated for sore throat and postnasal drip. Pt states later that he went to the ER becase he started feeling fatigue, increased postal drip, nausea/ vomitting unable to eat and drink.Pt states the he was treated with Zofran and IV fluids. Pt states that he was informed to pick up his quarter slip her at the clinic. At this, time pt states he is feeling somewhat better but he feels fatigue and he has not attempted anything. Pt pt with 48 hours quarters. Brat diet instruction provided. Informed the pt take Zofran as directed. Pt instructed to return to the ER if has fever greater than 101, abdomen pain/cramping, unable to take liquids or bland diet. Pt agrees and verbalized understanding.
Today Dyana and Adriana wanted me to practice taking a client into the exam room, taking a history doing everything for the dog. They wanted me to do this appointment from start to finish. They wanted me to do this client because she was a woman that had previously worked at our clinic and knew that there were students there to practice. The patients name was Rocky; he was a puppy coming in for his third booster. I didn’t want to be alone so I told Patty if she can watch over me to see if I do everything correctly. I took the patients record sheet and went out to the front to call the owner and the patient to come in. I call out “Rocky your appointment is ready” tell the client hello and show her to the room. First thing I ask the client