Roaring Fork Valley Medical Case

ABDOMEN: The lung basis appeared unremarkable. The liver, spleen, gallbladder, adrenals, kidneys and pancreas and abdominal aorta appeared unremarkable. The bowels seen on the study appeared thickened. Dilated appendix seen constant with acute appendicitis. Osseous structures of the abdomen appeared unremarkable. No free air was seen.

Middleboro Community Hospital is a non-profit hospital founded in 1890 with state licensure, The Joint Commission accreditation, and American College of Surgeons approval. Over 120+ year history, Middleboro has grown to be a respectable facility in the eyes of the medical community as well as its immediate population of patients in Middleboro. Still, Middleboro must continue to fight to remain relevant and up-to-date with the latest medical technology and changing patient demographics and needs. In order to this, Middleboro Community Hospital has set these three goals as part of their corporate strategy:

It is of my opinion that Sunnylake Hospital should have kept their old system of recording care relatively up to date in case of instances like the article described. If Sunnylake had taken such a precaution, I would suggest that the hospital resume its operation to how it was immediately after the hack took place. This would not be particularly difficult since the system had only been in operation for three years, and my assumption is that a majority of the staff has worked there long enough to recall the old system. My rationale for using paper charting is that it temporarily relieves the risk of immediate patient danger to those that are currently admitted and receiving care. Keeping paper copies of the most important patient information each time a patient is admitted can facilitate this. Essentially, the high-risk information such as allergies and medication prescriptions should be

Within the case, The Carbondale Clinic, it is apparent that a scheduling problem exists which has then resulted in patients being unsatisfied with the amount of time they must wait to be seen for his or her scheduled appointment with the physician. It is also evident that physicians prefer to have a full schedule without taking into consideration the possibility of emergencies that may arise throughout the day that will contribute to patients having to wait even longer. It is pertinent that the manager sits down with the staff to determine what is the most logical solution to help resolve the scheduling problem, taking into consideration what the physicians want along with ensuring patient satisfaction.

The external stakeholders are the community, patients, MedKey System members, CMS, HMOs (ie. Blue Cross Blue Shield and Tri-Care), and any other private insurances (Richards & Slovensky, 2004). Medicare reimbursement in Alabama was the lowest rate in the nation. This was a constant struggle for the hospital administrators to try to operate on such low reimbursements for their services, which is a threat. Eighty percent of patients were Medicare or Blue Cross in which there was difficulty-negotiating prices with Blue Cross due to monopoly. Buyers have high bargaining power as reimbursements rates are low from Medicare and Blue Cross held monopoly in the services area so negotiating prices was difficult. Suppliers have lower bargaining power due to low Medicare reimbursements and difficulty negotiating prices with Blue

Although Riverview Regional Medical Center faces numerous problems, it also has some strengths, weaknesses, opportunities and threats. RRMC Emergency and Cardiac Care departments are their strengths as they have been improved with new equipment to provide quality care to patients. The hospital should use marketing strategies to advertise their competitive quality care throughout the area and in other towns. Additionally, RRMC’s cardiovascular surgery program was rated number 1 in Alabama by HealthGrades.com website. Also, their orthopedics and stroke programs are well recognized. With modern facility and newer technology, RRMC has the capacity to grow.

Exclusive arrangements do not exist as automatically anticompetitive as specific justifications may ensure the service to the networks’ consumers. The rule of reason, an analytical process provided by the FTC, examines various details and aspects to visualize the competitive significance of the formation of the PHO (FTC 1996). Such as, if examination proves the integration, of the network, benefits the consumers and the price agreements are necessary to obtain the benefits for patients. Also, if a hospital decides not to provide a service that is not profitable, but focus more on a profitable service, the hospital is allowed to enter into an agreement with an integrated network PHO to provide the less profitable service.

• Negotiate appropriate contracted rates based on rate averages, geographical area and level of care, to ensure consistency with services and competitive prices provided throughout the regional provider network

Physician have resisted competition and justify their actions as necessary to ensure quality of care but the “ US supreme Court has made it clear that the goals of ensuring quality and maintaining ethical standards do not justify interference with free market competition” ( p.198). Physicians at General cannot stop Dr.Staurt from practicing just to eliminate competition.

The Carilion Clinic has grown significantly in just over a decade, which is shown by organization’s net operating revenue of over $1.2 billion. Under the leadership of new CEO, Edward Murphy, M.D., the efforts of a mid-Atlantic acute-care hospital system to develop a vertically integrated clinic health system result in allegations of antitrust, excessive healthcare costs, disruption of physician referral patterns, and use of harsh collection practices, all of which cause a

Another group often blocked is complementary or alternative health care practitioners. These restrictions and the insurance industry unwillingness to pay for these services, gives the physicians an almost monopolist control over health care. Providers must be able to enter the market for competition to work and there must be many providers vying for the patient. To get the most out of health insurance plans Consolidation of hospitals and multispecialty group practices increases the negotiating leverage of the group but in certain areas of the US a single large medical system has become the sole provider of major health service thereby restricting competition (Shi & Singh, 2008). This consolidation while giving the hospitals and group practice leverage when negotiating prices of supplies and services tends to increase the price of health care to the patient because there is no longer any competition (Shi & Singh, 2008). For these reason “competition will remain less effective in most health care markets, because the prerequisite for fully competitive markets are not fully met” (Federal Trade, 2004, p. 20).

A 27 year old aisan female brought to Beaumont Farmington Hills Hospital ED by a friend. The consumer is married with two children and want to get a divorce from her husband who has been cheating on her during their marriage. The consumer is employed and she work six days a week. The consumer is depressed, denied any delusion, no hallucination, and no auditory. The consumer is calm but depressed about her situation. The consumer report she has never had any mental health treatment. The consumer also denied any suicidal or homicidal ideation at the time of her assessment. The consumer has judgement and insight into the need for treatment and possible medication. The consumer is concerns about missing time from work and she states that she does

Here are some reports that might help us with Hickory point. If I was you guys I would ask Credit to ask the customer/vendor to start sending their payment to Citibank.

According to the revised Statements of Antitrust Enforcement Policy in Health Care, health care provider arrangements with a sufficient degree of financial and clinical integration are eligible for the antitrust safety zone (Department of Justice and Federal Trade Commission, 1996). However, the FTC and DOJ have been criticized for not giving clear definitions of clinical integration, and providers have been puzzled about the adequate level of clinical integration that FTC and DOJ will not view as illegal, per se (Burke & Rosenbaum, 2010; Leibenluft, 2011). Considering a paucity of empirical literature on appropriate degrees of financial and clinical integration, the findings of this essay can contribute to the antitrust discussions in health care.

The oriental medicine center was running with one of the church members. It got famous for detox formula which helps to increase metabolism. When he first opens the clinic, the most of the patients were referred from the other church members and he gave special price for this formula to the church members. As he time goes non church related patients were visiting to get the formula and they heard at the reception desk others are getting discount because they go to the same church and even some were asking whether they are getting same formula as them. People found it was not fair (justice) for them. They were thinking clinic was overcharging the non-church members when it is not necessary and he was treating favorably to his church members, even though the formula was the