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Assignment #4 Example

Political, Legal, and Ethical aspects

Health care Administrator responsibility is to be the spoke’s person of the organization and to uphold state and federal regulations and policies and if need to changing hospital wide polices in order to comply with such regulations

Top Political Regulations in Health Care a Health Care administrator must maintain:

Healthcare Quality Improvement Act of 1986 (HCQIA)

Hospital Readmissions Reduction Program (HRRP)

Medicare

Medicaid

Health Insurance Portability and Accountability Act (HIPAA) of 1996

Patient Safety and Quality Improvement Act (PSQIA) of 2005

Affordable Care Act of 2010

Political, Legal, and Ethical aspects

Health Care Administrator must uphold federal and state regulations regarding health care policies.

Top Legal Issues Health Care Administrators face:

HIPPA and Date breaches

Anti-trust issues and Affordable Care Act

False Claims

Law suits regarding patient incidents

Malpractice suits or Tort Reforms (Which will help discourage suing physicians)

Stark Law: that prevents physicians profiting on referrals

Hospital Audits /Complying with tax-exempt status

Changes in reimbursements for Medicare or Medicaid

Employment issues due to upset employees, age discrimination, efforts to unionized

Anti-trust law: preventing mergers that are trying to take over the hospital market power rather then increase patient demographics or efficiency

Political, Legal, and Ethical aspects

Health Care Administrators must maintain ethical principles:

Non-maleficence – do no harm

Beneficence: Seek the patient’s best interest and assess what counts as goods to be pursue

Efficiency: with regards to lack of supplies

Respect for patients autonomy

Justice

 

Political, Legal, and Ethical aspects

Political, legal, and ethics all work together and are intertwined. They work together and effect one another, if a health law or policy change then it will cause the other to change.

Healthcare Administrators must lead by example and therefore are the policy maker and must change and enforce the policies they create with evidence based support. Deriving from ones own ethical and moral truths

The Hospital Administrator has the duty to hold these political, ethical and legal principles on a day to day while maintaining the healthcare organizations mission and vision.

Having the upmost goal keeping everyone safe and protecting everyone’s legal rights.

Providing high quality patient safety and care.

Healthcare Administrator Duties and Responsibility

Managing staff within a facility or department

Duty and responsibility to go over each units patient census in the organization and then make sure that each unit in the organization is adequately staff to ensure patient safety. If the hospital is short it is there job to find staffing / nurses and or authorize overtime

Managing the client care/patient care experience

Hospital Administrator have to go to disgruntle family members about their care. The hospital admins responsibility is to figure out what is causing the patient to be upset and what are the ways to fix it whether it be getting in contact with the doctor. Changing the nurse, explaining visitation policy etc..

Ensuring an organization’s compliance with medical and legal regulations and internal policies

Making sure each unit is compliance with HIPPA and all other policies to protect the organization and its patients

Creation of an emergency plan for adverse events and unforeseen circumstances

Hospital Administration must have emergency teams in place in case of hurricanes, ice storms, or other emergencies that may cause a city to shut down. They create Emergency teams A and B that respond to national disaster and prepare to stay until they can be relieved from the other team. They Must store adequate supplies for the hospital in case of unforeseen shortages. All with the goal to deliver high quality patient care.

Healthcare Administrator Duties and Responsibility

Effective communication of new policies and procedures to staff, caregivers, and providers

Managing health informatics, including recordkeeping

Overseeing the financial health of the department or organization

Maintain organization budget

Management of outsourced business services and communication with third parties or service providers

Design and maintenance of a compliance program to ensure that facilities maintain proper accreditation

Job Titles and Functions

Hospital Supervisor

Chief Executive Officer

Clinic Administrator

Hospital Unit or department Managers

Patient Benefits

Provide the up to date hospital policies to deliver high quality patient care while keeping under federal and state regulations

Respecting patients wishes regarding their treatment and privacy

HIPPA

Patient Safety and Quality Improvement Act

Provide a stay that increase patient satisfaction, that they will recommend our facility to friends and family when they need medical care

Patient Benefits

Budget

Upgrade patient room and waiting areas to enhance patient experience

Invest in healthcare technology that will effect patient satisfaction

Determine proper staff needed or hire appropriately to help deliver quality care to patients

Help prevent readmissions if staff follows policies and guidelines

Patient Advocate

Improving patient outcomes

Financial & Business Operations

Representing the facility at investor meetings or on governing boards

Serving as a liaison between boards of trustees, medical staff, departments, and business staff

Maintaining open lines of communication with members of the medical staff and department heads that enable the system to function swiftly and efficiently

Maintain day to day operations

Address and resolve problems that may have to deal with patients or facility issues

Staffing for each department with highly motivated healthcare professionals

Financial & Business Operations

Planning budgets and monitoring spending to ensure departments operate within funding limits

Ensuring that the facility is compliant with current healthcare laws and regulations

Making facility changes

Upgrade waiting areas and or patient rooms

Making sure they are clean to provide a comfortable and safe stay

Health Care Administrators need to promote ethics in the work place under the National Association for Healthcare Quality (NAHQ)

Continue education classes

To keep staff up to date on new and old policies

Online webinar or that go over ethical behavior, harassment, legal issues, emergency plans, safety issues

Healthcare Administration Handling Job issues

Ethical Decisions regarding patients:

Do not resuscitate

Malpractice and negligence

Physicians assisted Suicide

Doctor and patient confidentiality

The Hospital Administrator has the duty to hold these ethical political and legal principles and maintain the healthcare organizations vision to the staff and to all of its patients its serving while keeping everyone safe and protecting everyone’s legal rights.

If the organization is being sued for malpractice have the legal team involved to help minimize damage and help fix situation

Negligent cases

Report issues to the board and how they need to get addressed

Healthcare Administration Handling Job issues

If Data Breach / HIPAA Violation occurs

Activate a response plan with Incidence response team

Save evidence, contain breach

Inform patients or those whose information was breach

Investigate how breach occur

How to Prevent Data breaches, HIPAA or other violations from occurring?

Staff education

Monitor who is accessing information, and audit periodically

Role based access

Keep patient information away from unauthorized users

References:

Pozgar, G. (2019). Legal Aspects of Health Care Administration (13th ed.). Burlington, MA Jones & Bartlett Learning. 

How To Become a Healthcare Administrator. (n.d.). Retrieved June 12, 2020, from https://www.northeastern.edu/bachelors-completion/news/how-to-become-a-healthcare-administrator/

Schröder-Bäck, P., Duncan, P., Sherlaw, W., Brall, C., & Czabanowska, K. (2014). Teaching seven principles for public health ethics: towards a curriculum for a short course on ethics in public health programmes. BMC medical ethics, 15, 73. https://doi.org/10.1186/1472-6939-15-73

8 Health Care Regulations in United States: Regis College. (2020, May 12). Retrieved June 14, 2020, from https://online.regiscollege.edu/blog/8-important-regulations-united-states-health-care/

Page, L., & Fields, R. (n.d.). 13 Legal Issues for Hospitals and Health Systems: Here are 13 legal issues affecting hospitals and health systems in 2011. 1) Lawsuits against the mandate to buy health insurance. Since Congress is unlikely to repeal healthcare reform in the face of. Retrieved June 14, 2020, from https://www.beckershospitalreview.com/hospital-management-administration/13-legal-issues-for-hospitals-and-health-systems.html

CCCK Online. (2019, October 18). What are Healthcare Administration Duties? Retrieved June 14, 2020, from https://myonline.centralchristian.edu/news/2018/01/25/what-are-healthcare-administration-duties

How to Manage a Healthcare Data Breach. (n.d.). Retrieved June 14, 2020, from https://www.securitymetrics.com/blog/how-manage-healthcare-data-breach