Monday, December 23, 2019

Health Incorporated Syndicated System ( Hiss ) - 1140 Words

Health Incorporated Syndicated System (HISS) is a multihospital for-profit corporation that seeks to remain profitable. Mr. Monet Graber is the CFO of HISS and he implements a debt collection component to the emergency room (ER) in the hopes to increase profits and reduce bad debt. He contracts with Thomas (Tommy) Gunn, CEO of Bottom Line Recovery debt recovery agency to provide debt collector in each ER of HISS. These debtor collectors pose as admission clerks wearing hospital identification, but are not employed by the hospital. They are to collect $200 upfront from patients who enter the ER for non-life-threatening health issues. The plan appears to be successful. Revenues have increased in the ER and bad debt is down after one month†¦show more content†¦Such information is covered under the federal law Health Insurance Portability and Accountability Act (HIPAA), which prohibits the sharing of patient information to any third party outside of the doctor-patient relations hip without the consent of the patient (Johnson Weinstock, 2012). Treatment, payment and healthcare operations are the only circumstances that allow personal patient health information to be relayed without patient consent (Johnson Weinstock, 2012). Although, the debt collectors were discussing payment they are not hospital employees; therefore, the CFO violated HIPAA. The debt collectors work for a debt organization. The debt collectors are not employees of the hospital; however, they pose as healthcare workers. The hospital is violating the rights of their patrons as patients. Confidential patient information is shared with workers not associated with the hospital. The secondary issues are harassment, fraudulent practices, patient endangerment, and decrease in revenue due to penalties and lawsuits. If the patients can prove that the hospital violated HIPPA laws, then the government can impose fines. Hospitals are fined when HIPPA laws are violated (Johnson Weinstock, 2012). Therefore the hospital may lose revenues through fines and lawsuits. Patient can also sue if investigation proves violation of HIPPA. Also, the debt collectors are too aggressive, which some may view as harassment measures for bill payment. The patients are offered

Sunday, December 15, 2019

Eu Enlargement Free Essays

EU Enlargement Background The European Union (EU) is an economic and political union of 27 member states which are located primarily in Europe. The EU traces its origins from the European Coal and Steel Community (ECSC) and the European Economic Community (EEC), formed by six countries in 1958. In 1967 they merged into European Community. We will write a custom essay sample on Eu Enlargement or any similar topic only for you Order Now The Maastricht Treaty established the EU under its current name in 1993. The EU has grown its size by the accession of new member states. For example, on May 1st 2004, 10 new members joined the EU and EU-15 became EU-25. In 2007 it became EU-27 when Romania and Bulgaria joined. It seems that the enlargement will continue and many people begin to consider whether the EU should admit more members. Countries should obey the accession rules if they want to join the EU. According to the ‘Copenhagen Criteria’, a member state must be a stable democracy, respect human rights and have the rules of law and the protection of minority. In terms of the economic aspect, it should have a functioning market economy. In addition, the country needs to adopt the common rules, standards and policies that make up the body of EU law. Body Commission: regarded enlargement as the â€Å"Union’s most successful foreign policy instrument. Following? the? enlargements? of? 2004? and? 2007,? the? EU? is? now? the? largest? integrated? economic? area? in? the? world,? accounting? for? more? than? 30%? of? world? GDP? and? more? than? 17%? of? world? trade. New members can benefit more from enlargement than existing member states (Neuder, 2003) * Benefit of new membe rs * Strong economic growth: * Benefit from the EU budget and access? to? EU? funds? * The 10 new members can expect to receive up to 4% per annum of their GDP from the EU’s structural and cohesion funds for projects aimed at improving their economic tructures. * e. g.? net? inflow? of? structural? funds? to? help? finance? infrastructure? projects and? environmental? projects. * Increase in GDP from 3. 7% to 5% on average in the first two years since accession. * In the long time, the acceding states could enjoy a rate of growth some 2% higher than that of the existing states (Neueder, 2003). * East slowly catch up with the west. * Increase in trade * Most? of? the? new? EU? countries? were? already? closely? linked? in? trade? and? investment? terms? with? their? western? European? neighbors.? Joining? the? single? market? as? deepened? this in? 2007,? almost? 80%? of? exports? of? the? new? EU? states? went to? the? rest? of? the? EU. * Increase in Foreign Direct Investmen t * For the new member states, FDI is a key factor in the process of economic modernization. New members can receive funds from foreign countries and use the money to boost economy. * Enlargementlarger market and openness to trade. * Baldwin, Francois and Portes (1997) argue that joining the EU will make the region substantially less risky from the point of view of domestic and foreign investors. * 191 billion euro by 2004 However, they seem to over rely on FDI. FDI accounts for too large part (e. g. Hungary: 70%). Once there is something wrong with some investors and do not invest them, for instance the financial crisis, they will suffer tremendously. * The? 2009? crisis? may? persuade? Central and East European? Countries? to? reduce? their? dependence? on? foreign? direct? investments and? build? an? economic? growth? model? on? different? grounds. * Welfare * Farmers began to receive agricultural subsidies * Structural funds directed towards poorer regions (investment in infrast ructure) * Benefit of existing members Enlargementmore people more consumersobtain more than 450 million consumers from Single European Marketcompanies could expand their businesses and benefit from experience and location economies scale * Larger labor market fill labor shortage in existing states with low-cost and highly-skilled workforce, for example, UK and Ireland However, these skilled workers may replace the indigenous employeesincrease the unemployment * High growthincrease the purchasing powerstimulate the import demand of acceding states and export of member states * Imports and exports between new and existing members have increased considerablethe EU15 share of total EU12 trade increased from 56% in 1993 to 62% in 2005 * Because of theseGDP increase * Costs of enlargement * Drawback for new member state * Difficulties in complying with EU law restrict development of business especially Small and Medium-size Entrepreneurs * Push many producers out of business due to their incompliance with EU environment policies * Tax harmonization e. g. Estonia: was forced to introduce new tariff against imports from outside of the EU, adopt a number of non-tariff barrierssuch protectionisms increase the food price and lowered Estonians’ standard of living * High unemployment still exists in many new member states (8% EU-15; 14% EU-10, 2005) * Some high skilled workers or people with higher degree will move from east to the west, this brain drain damages the host countries. * Drawback for EU-15 * Volume of enlargement costs will amount to about 15% of the EU budget (Germany: 2. 3bn from its federal budget) * Migration: Concern about too much migration from east to west social problems and pressure on social/medical/educational services. (e. g. ome countries even carried out policies to limit the volume of migration) * Actually: the percentage of EU-12 nationals and the resident population of each EU-15 Member state were relatively stable before and after enlargement. * Too many countries will decrease the efficiency of EU. * Conclusion Enlargement of EU has been the most successful policy. Although it has some negative effects on both existing and new member states, its positive influences far outweigh its negative aspects. Process EFTA (European Free Trade Association) afraid that the Single Market Program would increase competitioncreate EEA (European Economic Area)1995, Austria, Sweden, Finland opted for European Accession, joined (growth+, unemployment-, inflation- Finland(1991-2000, 2006,%): growth 2. 0-5. 0; unemployment 12. 5-7. 7; inflation 2. 1-1. 3 †¦ How to cite Eu Enlargement, Essay examples

Saturday, December 7, 2019

Caring For Those Left Behind free essay sample

The Ignited States of America is a nation that has been fighting two wars on two fronts for thirteen years. With an all-volunteer force, our nations military is made up of brave men and women from all walks of life, brought together for one common goal; the safety of our nation. However, with this desire for safety also comes sacrifice, and not in the way that most people think of when they think Of our military members.I am referring to those who are left behind when a service member packs a bag and heads for a foreign land. The spouses, children, parents, and other dependents of these men and women. A life like no other Being a dependent of a service member is a task that the majority of the American population will never take on. The stress that these family members go though can be both physical and psychological, due to factors including deployment cycles, long and unpredictable duty hours, relocations, and living in a foreign country (Padded Poses, 2013). We will write a custom essay sample on Caring For Those Left Behind or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Frequent moves that military families go through can lead to a loss of a support network.The process of having to start over every few years and find a new job, make new friends while leaving old ones and leaving everything familiar behind can take a huge toll on a person. In addition, family separations, even short ones, can leave a military spouse to report feelings of loneliness. If there is a child at home, this spouse is now effectively a single parent. Deployments to war zones can bring a whole new dimension of stress to the family left behind, s their loved one now faces the risk of serious injury or death (Padded Poses, 2013).How are medical professionals, who may or may not have first- hand experience with this unique lifestyle, to adjust the care that is given this portion of the population? Care Enough to Ask While most spouses and family members of service members receive on- base medical services, there are those that are seen in civilian facilities. Families of members of reserve units more often than not live too far from a military facility, so they will seek care in the local community.As healthcare providers, it is important to ask about military affiliation and where in the deployment cycle (past, current or future) a family may be. In addition, it is important to ask questions about the service member themselves. Asking these questions can give a provider insight into stress levels, sleep quality and self-care. If symptoms Of anxiety or depression are present, further screening can be recommended. This line of questioning lets the patient know that you care enough to ask. From here, additional support can be offered when deed. Assessing the mental status of the patient can be crucial to providing proper care. In a study of National Guard spouses, 34% met the criteria for one or more mental health problems including depression, suicide ideation, and hazardous alcohol use. (Padded Poses, 2013). This means that more than one out of 4 spouses of the 1. 1 million military spouses have had what could be considered a mental health emergency. Another area of concern is the coping mechanisms the spouse is currently using to deal with the stress and separation.Everything from financial situation, level of communication, level of familial dysfunction and age of the spouse can give indication of the level of coping skills said spouse possesses. Taking a full history and asking questions pertaining to these areas of concern can assist a provider in making proper recommendations. Once all necessary information has been collected, the provider can then assist the spouse with support groups, coping skills, and stress management. Recommendations can be made with regards to self-care.Getting enough leap can be an all important factor in self-care, as a lack Of sleep can worsen any mental state. This combined with poor nutrition, a lack of exercise and a consumption of alcohol or other mind altering substances can have disastrous results, especially to one already suffering from stress. Every encounter with a military spouse is a chance for education on how to maintain proper self-care, health and well-being. Reflection Many good points are made in this article on how to help the families of military members. As this may be a situation that have not all dealt with, it s good to have a guideline to go by. Eel that more light needs to be brought to this unique situation. In addition, more guidance needs to be given to providers on how to deal with family members of service members who have returned with mental injuries, as well as physical ones. Dealing with a spouse with mental health issues can be just as challenging, if not more so, than caring for one with visible wounds. Conclusion Any family separation can bring about anxiety, but a separation due to a deployment of a loved one to a war zone can present multifaceted healthcare deeds by those left behind.