When reviewing the Middleboro Physician Care Services case we learn that it is a for-profit corporation that was founded in 2008 and offers non-emergent care services within two locations. One of them at the Alpha center outside of the city limits of Middleboro and the other is at the Beta center in Jasper. Both of these locations offer ambulatory medical care services that are provided on a walk in basis. These centers do not offer any emergency services, and if a patient were to arrive that needed emergency services and ambulance will be called to transport the patient to the nearest emergency department. Physician Care Services specializes in providing services to the public that are convenient.…
Jerry Bullard was involved in healthcare fraud, it was one of the largest medicare fraud schemes in history tha cost the government $375 million over six years. Jerry C. Bullard was responsible for $583,688 of that. The federal judge determined he owed $317,779 in restitution. Jerry Bullard pled guilty in February 2012 to a single count of conspiracy to commit healthcare fraud.…
The first way, DMG operates diagnostic test and surgery services that are more convenient, efficient and cost-effective under one roof. One example is that the advanced high-tech ambulatory center conducts surgeries more efficiently lowering per-unit surgical costs and boosts prodigality dramatically. The second way is by creating a BreakThrough Care Centers that provides care for fragile Medicare patients. In this Center, there are team members such as primary care physicians, micro-specialists, extenders, pharmacists, social workers and health coaches that tailor care plans and co-ordinate patients’ needs in one location. Their purpose is to improve patient’s well-being and eliminate unnecessary acute interventions.…
MEMORANDUM TO: Dr. Cliff Curtis, Head of Administration FROM: Yvanne Vannessa Prezil RE: Shortage of Hospital Beds that may cause a crisis in the coming months DATE: April 18, 2016 It has been brought to my attention that there is an acute shortage of hospital beds for patients in our institution, the Winnipeg Regional Health Authority. The purpose of this memo is to bring this matter to your urgent attention so that you may take appropriate steps in this regard. With increase in population and increased development, it is natural that the number of people requiring healthcare facilities is bound to increase in each and every district. As development of healthcare facilities has not been undertaken in proportion to the increase in population,…
Health providers and payers considering to evolution to new payment system that is better organized and set to benefit in coordination care across multiple facilities. Accountable Care Organizations (ACO) was planned and approved by Medicare where group of doctors, nurses, hospitals and other health care providers deliver “incentives to reduce costs and improve the quality of care” including home health agencies, hospitals, and nursing homes (Nickitas, 2016). The main goal of this organization offered chronically ill Medicare patients to receive the right care at the right time and avoid any repeated services by physicians. Additionally, prevent unexpected medical errors that increase organizations cost. There are variety types of practices…
Title: Factors of readmissions and reducing unnecessary readmissions to provide a better health care service. Thesis: The health care organizations have big opportunity to improve their quality of healthcare as well as improve life quality of customers through reducing the avoidable readmissions. I. Introduction Thesis: The health care organizations have big opportunity to improve their quality of healthcare as well as improve life quality of customers through reducing the avoidable readmissions. II.…
Deception in healthcare today is a controversial subject. Today’s society is that of the informed; in other words, the physician/healthcare provider-patient relationship today is that of cooperation, where the patient is fully informed and is a partner in his or her healthcare decisions. Additionally, society today is expected to be more knowledgeable and aware of their health which can most likely be attributed to the readily accessible medical information to the public through the internet and mass publication of continuous studies in the healthcare fields.…
Medicare fraud occurs when healthcare providers bill the government for services or supplies that have not been provided. Such fraud is uncontrollable, costing taxpayers hundreds of billions of dollars each year, according to some estimates. In the managed era, accusations of fraud and abuse sometimes involve what are called “kickbacks” or other types of financial arrangements that encourages to order tests, refer patients to favored laboratories or specialty services for financial and not medical reasons. These forms of fraud and abuse have caused the most definitional problems, because many of these relationships and practices are not considered fraud or abuse by those who engage in…
The most prevalent form of fraud in the health care system entails the commission of Medicare and Medicaid fraud and abuse committed by doctors or other health care providers. Enacted during the 1960’s, Medicare and Medicaid’s main purpose was to serve the elderly and the poor. At the time of their enactment, there were no concerns for fraud, however by the mid 1970’s, this had changed and continues to be a problem today. One recent article that has exhibited more than one form of fraud involves the company DaVita, formally known as Total Renal Care (TRC).…
As the CEO, of a 100-bed locally owned hospital, I reviewed proposes of cost-saving measures, of closing the Hospital’s Emergency Department from 10:00pm until 6:00 am. The first, thing I would ask myself, “Do I have all the facts” Am I being fair to all involved?” I decided this was not a good cost saving strategy to even consider to measure, because the community should have an emergency department, and the residents should hot have to drive 50 miles to another facility. As a result, we need to restructure the staffing faculty utilized during the night hours. Unfortunately, this involves levels of change, and equity for employees and the community.…
SWOT Analysis Hamidi and Delbahari (2011) explains the SWOT analysis as a participatory model used by groups for examining conditions and developing appropriate strategies and plans, through assessing attributes and proficiencies to foster evidence for change within a group. SWOT analysis tool analyzes internal and external environments to make systematic approach to making decisions through analysis of strengths, weaknesses, opportunities, and threats. (Ghazinoory, Abdi, & Azadegan-Mehr, 2011). Marquis & Huston (2015) states to proceed with a SWOT analysis; the team must have a through understanding of the desired objective. The Diabetic Education Center (DEC) desired outcome is to improve the education process so that regardless of where…
"I swear to tell the truth the whole truth and nothing but the truth" Before starting the assessment, I want to say that it will be completely honesty. As an international student in the program who is not familiar with the US constitution, I really kept the Law course at the end of my program to learn more information about the US healthcare system before taking it; however, I enjoyed the effective way of teaching to engage students during the semester. The class is very informative, organized and interesting; it motivates students, especially those who speak other languages from different countries, to read and learn more about the US healthcare Laws. In Healthcare Law class, I have learned various cases that are related to healthcare field…
Abstract The purpose of this paper is to give an outline the fraudulent activities that take place in the healthcare world. This paper will provide information about the fraud that is ever so popular in today’s healthcare world. Overview/Summary Healthcare today is one of the most profitable businesses in America any many criminals are trying to take advantage of that and make a quick buck.…
As a result of spending extra time with one patient, the provider will then have less time for other patients scheduled that…
Emergency Departments (ED) all over the country struggle with over-crowding, and consequently long wait times (WT), extensive length of stays (LOS), high rates of patients who leave without being seen (LWBS), and poor patient satisfaction. This paper will explore the impact of overcrowding and the implementation of a fast-track area (FTA) as a solution to minimize the consequences. Emergency Department Crowding ED crowding is a national problem. The number of patients visiting EDs is growing rapidly. According to the Centers for Disease Control (CDC) there were approximately 136.3 million ED visits in 2015, which is 112.7 million more that in 1993.…