Category: Health care

Implications of foster care on children’s behavioral and mental health

Write a ppaper on Implications of foster care on children’s behavioural and mental health. Use scholarly journals and articles fond in such databases as Proquest and Ebscohost among others

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1. Develop a release of information policy statement

Health Record Policies

working in a health information management department for an outpatient clinic.The manager is revising the policy and procedural manuals for the department and is particularly interested in confirming that policies are in compliance with state law and Health Insurance Portability and Accountability Act (HIPAA) Privacy Law.The manager asks to review several policies and to review state code as they apply to HIPAA Law.

The manager left the following two policies on a desk for review:

Release of Information: Shadow Chart Policy

“A shadow chart is a duplicate health record kept for the convenience of the medical provider. In the event that an authorized individual requests health information pertaining to a specific episode of care, health information management staff will review any shadow charts kept by medical providers for that patient to determine if any such shadow charts contain information related to the episode of care. If the shadow chart contains information related to the episode of care and is not found in the electronic record, the information from the shadow chart will also be copied, in addition to requested information found in the electronic record.”

The supervisor left a note that this policy needs an addendum.

Information Security: Workstation Policy

“Employees are required to secure their personal workstations when not in use. Confidential health information must not be displayed on computer screens unless the employee is performing work functions on the computer and using the information. Employees may not access another employee’s computer while it is in use nor may employees use another’s password for any reason. Violation of this policy will result in disciplinary action, and depending upon nature of violation, termination may result.”
. Requirements and procedures for patient’s examination and copying.

(1) Upon receipt of a written request from a patient to examine or copy all or part of the patient’s recorded health care information, a health care provider, as promptly as required under the circumstances but no later than 10 days after receiving the request, shall:

(a) make the information available to the patient for examination, without charge, during regular business hours or provide a copy, if requested, to the patient;

(b) inform the patient if the information does not exist or cannot be found;

(c) if the health care provider does not maintain a record of the information, inform the patient and provide the name and address, if known, of the health care provider who maintains the record;

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LEGAL & ETHICAL CONSIDERATIONS IN HEALTHCARE

Task:

A. Evaluate the two policies in the attached “Health Record Policies” by doing the following:

1. Discuss what information should be included in an addendum pertaining to a shadow chart.
2. Discuss how information technology staff can help decrease incidents of security breaches.

B. Discuss one situation from Montana Code 41-1-402 (2a through 2d) that may result in criminal liability to the organization if not followed.
1. Summarize how HIPAA defines criminal liability.
2. Explain which part of 2a through 2d of Montana Code 41-1-402 would directly impact actions of clinical staff.

C. Discuss one situation from Montana Code 50-16-603x (1 through 7) specific to health record identification that may result in a legal claim against the organization if not followed.

1. Develop a confidentiality policy statement (suggested length of 1–2 sentences) using either Montana Code 41-1-402 or Montana Code 50-16-603.

D. Compare three points in the Montana codes to HIPAA laws as they refer to release of information.

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Medical Genetics
.
1) From the pedigree alone, what is the apparent inheritance pattern for this form of hearing impairment?
2) What is the genotype of the gametes produced by II.1 and II.2 ?
3) What frequency of heterozygotes and homozygotes would you expect to see among the children of II.2 ?
4) If II.3 had been unaffected by the trait, how could the genotypes of his children be explained, assuming no other changes in the pedigree?
4) Does the trait appear to be typically mendelian ?

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Urban Health Profile

a) Choose a relevant urban health issue for an Urban Health Profile.

b) Present and give an account of the data and information observed and collected from the local area

c) Provide an analysis and interpretation of data and information presented in this Profile, commenting on the implications of such data on the urban health issue and population health in the area.

d) The written Urban Health Profile should include: a title – reflecting the urban health issue and local area (neighbourhood) studied; an introduction – signposting the work and providing a description of the urban health issue, the area studied, a clear rationale for choosing to study this issue and the chosen area, including any key issue/s observed or known about the area; presentation and description of data and information collection about the urban health issue and the area; discussion, analysis and interpretation of data and information about the urban health issue and the area chosen (with strong scholarly reference to the widely published literature on this urban health issue); suggested relevant recommendations and conclusion

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Optical Heart Rate and Blood Oxygen Level PC Based Monitoring System
Optical techniques have been used for a long time to perform measurement in many areas. In many cases they relied on bulky equipment that were only used in the labs. Since the advent of the lasers and the advancement in light detectors and light emitting diodes, it has been possible to build portable equipment.
Pulse oximetry is a non-invasive optical technique for monitoring the heart rate and the blood oxygen level. You are required to report on the theory of operation of such devices. You are then required to design, build and test a complete pc-based heart rate monitor system.

Tasks

I. Survey the current methods used to monitor heart rate and blood oxygen level. Compare those with optical techniques.

II. Detail the principle operation of the optical pulse oximetry.

III. Design and build a practical optical probe that can be easily connected to the subject.

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IV. Design and build the appropriate electronics which includes the source drivers, detectors and the conditioning electronics.

V. Test the optical probe with the electronics to ensure good operation.

VI. Build the appropriate data acquisition circuit for interface with pc.

VII. Develop the software using Lab View to display the heart rate Display must be numeric and in the form of a graph as appropriate.

VIII. Experimentally evaluate the system. Include accuracy and repeatability in your evaluation.

IX. Submit a written report detailing the following:

1. Introduction
2. literature review
2. Design and construction details
3. Testing
4. Results and analysis
5. Conclusions
6. References

 

Metformin For Weight Stability In Patients With Serious Mental Illness Prescribed Atypical Antipsychotic Medication

This is for a doctorate level medical course.
Starting with Critique on pg 2-check quality, grammar and APA style, Synthesis on last page needs to be done.

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Mr. Albert Crenshaw, aged 45 years, is employed as a computer specialist. Through his employer in the

private sector, he has obtained health coverage with the Happy Family Health Plan, which is an MCO.
Happy Family has a network of participating physicians who have agreed to provide services to Happy
Family enrollees.

Each enrollee is required to choose a PCP from Happy Family’s list of participating physicians.
Because Mr. Crenshaw had recently moved to the area, he did not know any doctors. Therefore, he chose
Dr. Julia Smith as his PCP because she was on the list for Happy Family’s network.

Dr. Smith is a physician in private practice. Happy Family entered into a participating physician
contract with her because she was willing to provide services at a discount. In paying Dr. Smith,
Happy Family withholds 20% of her fee for each visit and puts that 20% into a risk pool. At the end of
the year, Dr. Smith will share in any money left in the pool.

Happy Family’s participating physician agreement is a standard form contract. It specifies that
participating physicians are independent contractors, rather than employees or agents of Happy Family.
In addition the contract between Happy Family and Dr. Smith provides that it may be terminated by
either party, with our without cause, on 30 days notice to the other party.

In the community in which Dr. Smith practices, it has been routine medical practice for many years to
give an electrocardiogram (EKG) to any patient older than 40 years who complained of chest pains.
However, on October 5, 1998, Happy Family sent a bulletin to Dr. Smith and the other participating
physicians with regard to Happy Family’s new policy on EKGs. Under that new policy, EKGs will only be
covered by the plan if the patient is older than 50 years.

Approximately 3 weeks later, on October 25, 1998, Mr. Crenshaw began experiencing chest pains after
working out at his gym during his lunch hour. He immediately went to Dr. Smith’s office. She knew Mr.
Crenshaw was covered by the happy family health plan, and she remembered the recent bulletin she had
received from the plan. Dr. Smith examined Mr. Crenshaw but did not perform an EKG, even though
performing an EKG under those circumstances was the routine practice in the community at the time.

Dr. Smith advised Mr. Crenshaw that he was safe for him to go back to work. Mr. Crenshaw did go back
to work, where he died of a heart attack two hours later.

As soon as Dr. Smith heard about the death of Mr. Crenshaw, she called the president of Happy Family
Health Plan. Dr. Smith told him that from now on she was going to order an EKG for every patient who
needs it, regardless of age. The next day, Happy Family responded by giving Dr. Smith 30 days notice
of termination from the plan which would effectively prevent her from treating any Happy Family
patients.

Subsequently, Mr. Crenshaw’s widow sued Dr. Smith for medical malpractice in state court. The
plaintiff (Mrs. Crenshaw) had an expert witness who testified that Mr. Crenshaw would not have died if
he had been given an EKG instead of being sent back to work. Mrs. Crenshaw also claimed that Happy
Family gave financial incentives to Dr. Smith to encourage her to provide less care to patients
covered by the plan. According to Mrs. Crenshaw and her lawyer, those financial incentives should be
illegal and, at the very least, should have been fully disclosed to Mr. Crenshaw.

In response, Dr. Smith denied that she was liable for the death of Mr. Crenshaw. According to Dr.
Smith, she satisfied the new standard of care as established by the Happy Family Health Plan. In
addition, Dr. Smith’s lawyer argued that the financial arrangements between Dr. Smith and Happy Family
were entirely lawful and that Dr. Smith had no legal obligation to disclose her financial arrangements
to Mr. Crenshaw. Finally, Dr. Smith’s lawyer contended that the medical malpractice case should be
thrown out of court a cause of the federal law known as ERISA, which regulates employer-sponsored
health plans such as Mr. Crenshaw’s plan.

In addition, Mrs. Crenshaw sued the Happy Family Health Plan in state court for damages caused by
Happy Family’s improper denial of benefits. According to Mrs. Crenshaw, Happy Family’s refusal to pay
for a necessary diagnostic tests was a substantial cause for her husband’s death. Therefore, Mrs.
Crenshaw claimed that she is entitled to $1 million from Happy Family to compensate her and her
children for 20 years of Mr. Crenshaw’s lost wages. In addition, she asked the court to make Happy
Family pay $10 million in punitive damages to teach them a lesson and encourage them to change their
policy for the future. However, Happy Family’s defense lawyer responded that the case against Happy
Family may only be heard in a federal court because of the federal ERISA law on employee health plans.
Moreover, according to Happy Family’s lawyer, even if Mrs. Crenshaw wins the case, she cannot recover
$1 million in lost wages or $10 million in punitive damages for Happy Family. Rather the most that she
can possibly recover against Happy Family is the cost of the EKG exam, which would have been covered
by the plan.

Who is likely to prevail on each claim, and why?

 

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Students will design a recognition program they would propose for consideration at their organization.

Students will identify the objectives of the program, how the criteria should be selected, how
individuals would be identified and selected as candidates for the program, whether the program would
apply to all levels of the organization, the recognition or award, how the program would be
communicated, and how the program relates to the mission and values of the organization, and how the
program would be financed. When writing a summary of the program students must indicate how the
program supports or does not support the �theory of planned behavior.