Discuss the cultural or traditional issues that could arise at this time. Consider how the integration of alternative and complementary medicine and beliefs, mainstream medical practices, and cultural/traditional rituals and practices might create issues and what they might include.

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To complete this assignment, read through the scenario below and address the specific questions and issues indicated. Review the “Introduction to the Miller Family” document for specific information on each member of the family.

Grandmother Ella has been dealing with cancer for years now and has tried alternative remedies and juicing.  She went into remission for some time, but now the cancer has returned and she is in the hospital.  Her husband, of American Indian descent, has his ideas about what needs to be done as Ella comes to the end of her life.  Ella has her preferences, though she is now so weak that she has given up in many ways.  The family members are each experiencing their own fears and are grieving as they face the loss that will occur as Ella’s life comes to a close.  Ella prefers to die at home and has felt stressed by the discord and discomfort of family members since being hospitalized.

You are the social worker for this case.  You meet this family in the hospital setting as they are considering whether the patient will remain there for her final days or whether hospice and palliative care will be provided for her in her home.

For this assignment, you will:

  1. Synthesize the current research that is relevant to this scenario.
  2. Discuss the cultural or traditional issues that could arise at this time.  Consider how the integration of alternative and complementary medicine and beliefs, mainstream medical practices, and cultural/traditional rituals and practices might create issues and what they might include.
    • Describe how the family might react to the following possible scenarios:
      • Ella wishes to stick with alternative and complementary practices.
      • Ella is coerced into following mainstream medical advice.
      • Ella’s husband insists that, as father and husband, his family traditions should be adhered to.
    • Examine the biological basis for care and describe how the choices for care might affect the other family members with respect to their individual problems, if at all.
      • Son Sam, the alcoholic
      • Daughter Lila, with diabetes
      • Grandson Josh, starting to have drug problems
      • Granddaughter Lucy, bipolar with more entrenched drug problems
      • Daughter-in-law, Sarah’s stress related to her family’s medical issues (nephew with leukemia, brother with HIV, and her father’s perspective that they are all “crazy!”)
  3. Discuss the micro, mezzo, and macro influences affecting both the patient and the diverse family members in this scenario as impacted by Ella’s medical condition and prognosis.
    • What are the pertinent and likely family (micro) conflicts and differences, and concerns that could be encountered?
    • How is the neighborhood and extended family (mezzo) reacting to the situation?
    • If she returns home, what considerations need to be taken into account as part of her discharge plan? Using your local area, research and present the needed or preferred community resources (macro) that would be available to them.  Critique the ability of these community resources to adequately meet the needs of this diverse family’s circumstances.
  4. Discuss the relevant medical issues and the advantages and disadvantages of hospital versus home.  When discussing medical issues in this case, use appropriate medical terminology.
  5. Discuss the psychological and social issues that are present and will possibly be more pronounced at this stressful time.  How has the fact that this illness has been ongoing (chronic) impacted the family?
  6. Analyze the current scenario as it pertains to diversity, as well as to cultural, psychological, and social perspectives and influences, taking into account the stories that you have been discussing throughout the course.
  7. Discuss the impact of lifespan development on the perspectives of the various members of the family (i.e., their intellect, cognitive abilities, insight, and judgment) as well as their sociocultural perspectives, preferences, understandings, and positions on the situation. 

What benefits can you think of, from a health care administrator perspective, for hiring contracted employees to do the work?

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What is the role of regulatory agencies regarding the delivery of quality health care? What should be their role? Why?

What is the relationship between risk management, quality assurance, and compliance with applicable standards, including federal and state law and regulation and accepted medical practice guidelines?

3.2 If you could choose only 1 of the 3 areas to work (Compliance, Quality Assurance, Risk Ma

nagement), which area would you choose and why?

4.2 If you were a health care administrator in a small clinic, and you only had budget money to have one of these three areas (Compliance, Risk Management, Quality Assurance), which would you choose and why?

5.1-What benefits can you think of, from a health care administrator perspective, for hiring contracted employees to do the work? 

Conduct an Internet search for software companies that offer computerized medical record systems.

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Electronic Health Records

Conduct an Internet search for software companies that offer computerized medical record systems. Take a look around the websites of two or three different companies to learn more about the systems that they offer. You may be able to find company websites that offer a demonstration or at least that show some of the screens available.Optional: Contact a health care organization in your area that currently uses a computerized medical record system. Arrange to see a demonstration of how it is used or interview people who work directly with the system.What is your opinion of computerized medical record systems? Do you think these systems are a useful way of documenting medical records? What advantages do you see? What disadvantages do you see?Write a one to two page response to these questions. APA format 12 point font

Explain how the revenue from medical (pharmacy) supplies is currently handled for profit and loss reporting purposes. Is there a problem with the current system? Is there a better way of reporting this revenue? If so, what is it?

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CASE 3 QUESTIONS RIO GRANDE MEDICAL CENTER Cost Allocation Concepts CASE 3 QUESTIONS RIO GRANDE MEDICAL CENTER Cost Allocation Concepts 1. Is it “fair” for the Dialysis Center to suffer in profitability, and hence for the department head to possibly lose his bonus, just because the Outpatient Clinic needs additional space? 2. In the past, the medical center aggregated all facility costs and then allocated the total amounton the basis of square footage. This methodology assigned an average cost rate to each patient service department, regardless of whether its space is new or old, or prime or poor. The proposed allocation for the Dialysis Center, on the other hand, requires it to bear the true facility costs of its new space. What are the advantages and disadvantages of the new methodology? Do you support the new allocation scheme? 3. If the new allocation method for facility costs is implemented, what should be the facility allocation to the Dialysis Center in 20 years, when the loan (which is the basis for the higher cost allocation) has been paid off and there are no longer any actual facility costs? 4. Explain how the revenue from medical (pharmacy) supplies is currently handled for profit and loss reporting purposes. Is there a problem with the current system? Is there a better way of reporting this revenue? If so, what is it?