Examine the influence of your own personal values as related to the diversity issues presented in this case.

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• Describe the ethical issues related to cultural competence.
• Examine the influence of your own personal values as related to the diversity issues presented in this case. Reflect on how you felt as you read the case study, how your values came into play, and how you would handle your values in a situation such as this.

Course Case Study Joe, a thirty-five-year-old, male mental health counselor, received a client referral, thirty-five-year-old Jill, from a community counseling clinic. He began providing counseling services to her. Jill’s complaint was that she was unsatisfied with her current job as a bank teller and was experiencing mild anxiety and depression. Joe had been providing services to Jill for three weeks when she disclosed that she was confused about her sexuality because she experienced sexual attraction toward some women. Joe immediately responded to Jill with wide eyes and a shocked look. He told Jill that he was a traditional Catholic, who felt that this type of feeling was immoral and wrong. He informed her that she should avoid thinking about this and pray for forgiveness. He also told her that he felt uncomfortable talking about the issue any further. Jill continued to talk to Joe about dealing with her family issues. Joe had recently read about a new technique and immediately became excited about trying it. He explained to her that he had read an article in a magazine about a new technique called rebirthing. The new technique was being used in Europe to help people change their views about their relationships with their family. Joe said, “It is supposed to be really effective in almost wiping out your memory of your family; it is like hypnosis.” “I would really like to try it on you today, what do you think?” Jill declined his offer and continued to talk about her family. Joe thought to himself that even though Jill said no, he was still going to try to hypnotize her as they talked because he thought she could benefit from the technique. Jill disclosed that she was raised in a traditional Asian American home with many cultural influences and culture-specific rules and behavior. Jill was struggling with balancing her individualism and her cultural heritage. Joe explained to her that because he was living and working in a rural community, mostly consisting of people of East European descent, he could not relate to Jill’s culture and the issues with which she was struggling. He apologized and explained that he was not required to study these cultural issues because of his geographical location. Jill moved on to talk about her depression. She began talking about feeling lonely and how it contributed to her depression. During a counseling session several months later, she revealed that she was attracted to Joe and would like a closer, intimate relationship with him. Joe, aware that he was also attracted to Jill, talked about his feelings toward her but explained that engaging in a relationship outside the established counseling relationship was unethical. He informed her that because of the mutual feelings of attraction, the counseling relationship would be ineffective and that he would refer her to another counselor for continued services. Jill agreed, and they terminated the counseling relationship. Later, she contacted him to continue counseling and to discuss the referral. Joe agreed to meet her that evening at a restaurant and bring her the referral information. That night they began an intimate sexual relationship. Joe never got around to providing the referral for Jill even though he was aware of her ongoing state of depression and anxiety. Joe stopped seeing Jill after a month of intimate sexual encounters. Joe enjoyed the relationship but felt guilty due to the unethical nature of the relationship. Because of his continued concern about Jill’s depression, Joe considered going to his current clinical supervisor to discuss the case but decided against it. This was because he and his supervisor were good friends and he suspected his supervisor would be hurt by knowing the real reason he had been cancelling get-togethers. Joe decided to call Jill’s boss at the bank to check on her and see how she was doing. He called her boss and explained that he had been counseling her for anxiety and depression and wanted to check if she was Page 2 of 2 Ethics in Psychology © 2013 Argosy University 2 Course Case Study feeling fine. Her boss informed Joe that Jill had quit her job and was in the county hospital undergoing treatment for severe depression. Joe quickly hung up and decided not to call or visit the bank again. After thinking it over, Joe decided that general counseling might not be for him. He decided to begin marriage and family therapy. He ordered some business cards and advertised in the yellow pages. He thought, “After all, I am a mental health counselor, and it can’t be hard to counsel a couple. You don’t need anything special. I already have one degree, and that’s enough!”

What, if any, are the trustworthy newspapers available in your community? What is the circulation of the newspaper(s) in your community?

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In your city, find data that answers each of these questions:
• What is unemployment rate of your area? Are there jobs available?
• What kinds of benefits, if any, do employers offer? If so, which employers and what benefits?
• Do the jobs pay a living wage?
• Via observation, describe the condition of housing throughout the city.
• Is there adequate, affordable housing to accommodate the population?
• What resources are available in your community to ensure residents can maintain a good quality of life?
• What other conditions can you think of that demonstrate your city’s economic health?

Questions to guide conclusions and interpretations:
How economically healthy is your area?
To what extent are local businesses thriving?

Health Care
In your city, find data that answers each of these questions:
• Do all residents have access to quality health care?
• What are the ways health care is paid for; private insurance, public programs, other?
• How many hospitals and clinics are available to area residents? Are they geographically accessible to all residents? Who has access?
• How frequently are emergency rooms used in place of a primary care physician?

Questions to guide conclusions and interpretations:
Who has access to routine wellness checks, immunizations, doctor visits, preventive medicine?
Why are emergency rooms sometimes used in place of a primary care physician?
Educational Opportunities
In your city, find data that answers each of these questions:
• How many preschool programs are available for children to prepare them to attend Kindergarten? Are these programs fee-based or free? How does one qualify for the program?
• What diagnostic and treatment services are available for children who have developmental disabilities? Who pays for these services?
• How do elementary children in your city independent school district typically score on standardized achievement tests? What about as compared to other communities in Texas and the U.S.? Do all elementary schools in your community have similar outcomes?
• How do high schools prepare students for college? Do the schools hold college fairs or other events to expose students to college options?
• What is the graduation rate from the various high schools in your community?
• What are student/teacher ratios in the schools in your city? What is a potential impact of these ratios? Are families in the community aware of these ratios?
• How well do community educational programs adequately prepare adults to enter the work force?

Questions to guide conclusions and interpretations:
Are some students “left behind” or “left out” of programs to enable success?
Social Services
“service, such as counseling or health care, provided by a government or by a charitable organization
to advance human welfare, especially for disadvantaged people.” The Free Dictionary

In your city, find data that answers each of these questions:
• What social services are readily available in the community? (Identify all the agencies you find.)
• What social services are missing in your community?
• In what ways are some who live in your community vulnerable to having inadequate health care, education, and/or social services?
• How are community members’ made aware of existing public resources and programs (for example, job training, meals for the elderly, or daycare programs)?

Questions to guide conclusions and interpretations:
Thinking of the physiological and safety needs of humans, how well are the needs for food, clothing, shelter, transportation, safe water, and physical security met in the community?

Community Life
In your city, find data that answers each of these questions:
• What, if any, are the trustworthy newspapers available in your community? What is the circulation of the newspaper(s) in your community?
• What, if any, neighborhood organizations or active community groups exist? Do they monitor city services? Do they share information about community activities or needs?
• How are residents made aware of future city plans and their impacts (for example, zoning changes or housing development)?
• What recreational opportunities exist in your community? Are they adequate for the population? How closely do they measure up to national standards for park space per capita and recreational programs per capita?

Analyze information needs of customers across the healthcare continuum For the clinic selected, consider the information needs for the customer. Distinguish the release of information needs that would be seen within the clinic from the ROI needs across the healthcare continuum.

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Question 1
Instructions
Imagine that you are an administrator for a large hospital. As part of your role within healthcare leadership, you are involved in several committees for the organization. Please follow the instructions below in completion of this multi-part assignment. Part
Competency Assessed
Instructions
1 Format data to satisfy integration needs Identify a clinic in your community. Consider the types of health records used throughout the facility, and the capture, structure, and use of health information. Examine the possible challenges related to interoperability within the facility and throughout the healthcare continuum. Distinguish at least three (3) considerations in formatting data to satisfy integration needs that are necessary to ensure data quality.
2 Demonstrate compliance with internal and external data dictionary requirements Considering the clinic selected, apply current health information management principles by aligning the clinic with the standards of two (2) regulatory organizations and the requirements of two (2) appropriate standardized data sets.
3 Analyze information needs of customers across the healthcare continuum For the clinic selected, consider the information needs for the customer. Distinguish the release of information needs that would be seen within the clinic from the ROI needs across the healthcare continuum.
4 Apply knowledge of database architecture and design to meet organizational needs Image that the clinic hires you as a health information consultant for an initiative that involves an electronic new patient registration form. Apply your knowledge of database architecture and design for the clinic’s needs. Please include brief explanations on the needs of data dictionaries, data warehousing, and overall database architecture (OLAP v. OLTP).
Note :
• The body of the document must be a least 1200 words
• Quote is 10% of the grade
• 4 credible source must be sited in APA format
Question # 2. (there are two)
EHR Security Issues and Development of HIPAA Security Training
Unit outcomes addressed in the Assignment:
Explain the importance of compliance with the security plan and need for controlled access to PHI (Protected Health Information).
Course outcome assessed/addressed in the Assignments:
Examine the privacy and security considerations for safeguarding protected health information.
GEL-1.1: Demonstrate college-level communication through the composition of original materials in Standard American English.
Part 1: EHR Security Issues
submit a 3 single page paper that focuses on the security issues of paper and electronic health record systems and the issues to be considered when converting to an EHR system. You should be sure to:
● Compare and contrast the security issues between maintenance of paper medical records and EHR.
● Discuss what requirements and issues need to be considered when doing a conversion to an EHR.
● Use three outside references to support your views and requirements.
● All outside references need to be in APA format with proper citations.

Select one of the scenarios below and develop a 10-12 slide PowerPoint presentation to discuss the current status of the organization, provide an overview of the organization, and make recommendations on how to manage the selected problem.

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In the final project, students will apply the knowledge gained in this course to a case example.
Each student will select one of the scenarios below and develop a 10-12 slide PowerPoint presentation to discuss the current status of the organization, provide an overview of the organization, and make recommendations on how to manage the selected problem. You must include one or more slides that address the degree to which the Affordable Care Act might impact these services. Use APA formatting references and your reference slides. For this presentation, your title slide does not have to be in APA format.
Info on ASC’s here:
http://www.ascassociation.org/home
SCENARIO OPTIONS. Pick one of the scenarios below. Your role is the manager in charge of an ambulatory surgery center (ASC). Restate the problem you are addressing. Make some logical assumptions. Make brief recommendations as to a reasonable solution to the problem in the scenario.

POINT OF CLARIFICATION: You will use an established independent ASC for either of the four scenarios listed below. Your presentation should be drafted as the administrator of the surgery center working to address one of the four scenarios. In your response, please be sure to address all components of the scenario.

1) One of the greatest challenges facing ASCs is maintaining and increasing volume. With all the external pressures, i.e. physicians pressured to become employees, mergers, decreasing payments from insurers, etc. – ASCs are challenged to keep physicians motivated to increase the number of cases and keep patients satisfied. What are some strategies you would use to increase referrals to your ASC while maintaining high patient satisfaction scores?

2) Another challenge facing ambulatory surgery centers is the recruitment of new physicians. Following a national trend, many local hospitals and health systems are purchasing physician practices, which could eventually lead to doctors referring surgical cases to a hospital’s same day surgery department. Assuming there is ample opportunity to increase surgical volume, how do you intend to recruit physicians to practice via your ASC? What are some strategies/offerings you could employ?

3) The ASC you are currently managing is experiencing out of network challenges. Additionally, the proposed reimbursement rates from payers do not match Medicare rates for your market. Most of your ASC contracts are based on the Medicare fee schedule and because many of your surgeries are not on that schedule, you have to negotiate a fee schedule on a case-by-case basis. What strategies could you employ as you work with payors to contract for reasonable rates that could save you both money in the short term?

4) In this changing environment, you are required to do more with less. Reimbursement rates are declining; supply and implant costs, taxes, utilities, rent, salaries and benefits and other operating costs are increasing and there are more regulatory requirements i.e., increased standards for accreditation (Joint Commission’s additional requirements as an example), ICD-10, adoption of an EHR, etc. Additionally, your staff is wearing multiple hats; many working to register, bill, code, schedule and assist with back house operations. What strategies and tools can you implement to increase productivity, reallocate resources and boost employee morale?