IN THIS TIME OF LIMITED FINANCIAL RESOURCES AND REDUCED GOVERNMENT PAYMENTS FOR HEALTH CARE SERVICES, WHAT ARE THE ETHICAL ISSUES OF LIMITING CARE?
HOW MUCH UNCOMPENSATED CARE CAN HOSPITALS ABSORB? WHERE DO PEOPLE WITH NO RESOURCES GO FOR CARE? WHAT IS THE STATE’S RESPONSIBILITY TO ENSURE HEALTH CARE SERVICES? WHAT ARE THE ETHICAL CONSIDERATIONS THAT SHOULD BE TAKEN INTO ACCOUNT?
dq 1
A patient is in a coma that appears irreversible. His mother, who is his surrogate, firmly believes that he will recover and that God is taking a hand to work a miracle if everyone will just wait long enough. She wants everything done for the patient, including resuscitation if he arrests. She insists that he stay in the hospital, and is very upset that he was transferred out of the ICU and his care was moved to comfort measures, rather than aggressive treatment. The mother does not speak English and is strong in her religious beliefs. The physicians for the patient are very upset and concerned about continuing to provide care that they believe is futile. The patient is developing a serious pneumonia, and the mother wants it treated aggressively. The physicians are reluctant. Analyze this case from the ethical principles of justice, benevolence, non-malfeasance, and autonomy.
dq 2
In this time of limited financial resources and reduced government payments for health care services, what are the ethical issues of limiting care? How much uncompensated care can hospitals absorb? Where do people with no resources go for care? What is the state’s responsibility to ensure health care services? What are the ethical considerations that should be taken into account?
HLT520 Week 2 Discussions 1 & 2
dq 1
Discuss the four components of a valid contract and apply them to a contract with a vendor to purchase a new CT scanner. What would you include in the contract? How would you be sure it would be valid?
dq 2
Since the hospital/patient relationship is considered a contract of sorts, how is it affected if the patient decides to disconnect himself from telemetry and leave the hospital for 4 hours to go score some cocaine on the street? What would you do as a hospital administrator in this situation?
HLT520 Week 3 Discussions 1 & 2
dq 1
If a physician develops a history of disruptive behavior, belittling staff, cursing at coworkers, and being rude and curt to patients, what are the responsibilities of the medical staff, the hospital, and the other professionals involved? Why do you believe that so many staff may be reluctant to report a poorly behaving physician?
dq 2
What do you see as the pros and cons of obtaining fair market value analyses on the compensation paid to physicians, especially when the market rates are benchmarked against national standards? How could this information be used in negotiating rates with physicians?
HLT520 Week 4 Discussions 1 & 2
dq 1
Discuss your opinion of the Stark laws, what they are designed to do, the impact of the exceptions, and whether you think they are successful in preventing unethical behavior.
dq 2
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?
HLT520 Week 5 Discussions 1 & 2
dq 1
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?
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