Case Study: Managing Health Care Professionals
Sharon B. Buchbinder and Dale Buchbinder
You can pick one of these with an extended response or each of the six cases with a brief description of how you might resolve the issue with a clear identification of the major area of concern.
telephone call from the nurse manager of the emergency room. Dr. Smith,
An emergency room physician who is an employee of your hospital, has just
reported for duty. The nurse manager suspects that Dr. Smith is intoxicated.
What do you do?
Center. A resident’s family has come to you to complain that their loved one,
who is on pain medication, is in intolerable pain. Her medications appear not
to be working anymore. One of the family members states, “My 90-year-old
mother saw the nurse put the pain medicine in her pocket.” What do you do?
medical practice employing more than 100 physicians. You are conducting
a random review of billing for doctors in the practice and you discover that one
of the internists in your group who treats mostly Medicare recipients has
been checking off the wrong code for her procedures on the billing form.
The procedures on the patient record do not match the billing form codes.
You pull up her files for the past three months and find a pattern of upcoding.
When you meet with her to review this miscoding, she becomes very
defensive and angry. What do you do? How could you have prepared better
for the meeting with the physician?
Outreach Community Hospital in a tiny town in Arkansas. It is your job to
verify physician credentials for staff privileges. Your hospital receives an
application from a physician for staff privileges. On his application, it states
that he graduated from medical school in El Salvador. When you call to
verify this, you are told that the medical school burned down two years ago
, and all the records were destroyed. What do you do?
medicine. The physicians in the ICU, the ER, and the department of
pulmonary medicine have demanded to meet with you about the shortage of
respiratory therapists. You stall them for 48 hours so you can gather data.
What types of information will you need to collect to have an intelligent?
conversation with this powerful group of physicians?
635 sees the order and believes it to be the wrong dose. She calls Dr. White, who
insists that she give the medication—as written. Nurse Patterson calls you,
the administrator on call for the weekend, to resolve this crisis. What do you
Mini-Case Studies for Chapter 11 p. 529-530
Buchbinder, S. B., & Shanks, N. H. (Eds.). (2017). Introduction to Health Care Management. Retrieved from https://studydaddy.com/attachment/136335/IntroductiontoHealthCareManagement.pdf
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