PHYSICIAN PATIENT RELATIONSHIP
Question 1: You are a member of the Board of Akron City Hospital. The Hospital’s General Counsel has debriefed the Board with respect to the Lownsbury decision. The Board has been asked to develop its policy response: Which one of the two following positions do you take?
a. Making no policy change; why? Outline your reasons and address relevant policy, administrative, financial and clinical factors
THIS IS THE BETTER OPTION – LIABILITY WAS FOUND AGAINST STOVER ON THE BASIS OF THE EXISTING CONTRACT AND POLICY, SO THERE WAS NO FURTHER NEED TO PASS LIABILITY ON TO THE SUPERVISING PHYSICIAN.
POLICY FACTORS – THE LOUNSBURY DECISION REQUIRES PHYSICIANS TO ACTIVELY BEING INVOLVED IN THE REVIEW OF RESIDENTS’ SERVICES, AS OPPOSED TO RESPONSIVE SERVICE. THE CONTRACT DOES REQUIRE THIS, BUT THERE WAS A LACK OF CLARITY IN THE MIND OF STOVER, AS MIGHT BE INFERRED FROM HIS DEFENCE. ACCOUNTABILITY MIGHT BE INCREASED WITH POLICY CLARITY.
ADMINISTRATIVE REASONS –
FINANCIAL REASONS – NO INCREMENTAL COST DIFFERENCE FROM NOT MAKING A CHANGE, ALTHOUGH IF THE CONTRACTOR’S PRICING IS DEPENDENT ON AN ASSUMPTION ABOUT A LESSER LEVEL OF SERVICE, THEN COSTS MIGHT RISE IF THE CONTRACTOR’S PRICING FLOWS FROM AN INTENSITY OF SERVICE PERSPECTIVE.
b. Amend the hospital’s agreement with your supervising physicians to supervise residents – set out the proposed change, and the reasons therefor
ALTERNATIVELY, AMEND THE POLICY TO MAKE IT CLEAR THAT THE BEST PRACTICE, THE CONTRACTUAL EXPECTATION AND THE COURT’S JUDGMENT REQUIRES ACTIVE SUPERVISION. THIS CHANGE THEN IS MORE HOUSEKEEPING, AND IT ARTICULATES AT A POLICY LEVEL THE EXPECTATIONS SET OUT IN THE CONTRACT, AND BY THE COURTS.
THIS MIGHT CAUSE SUPERVISION COSTS TO RISE IF THE CONTRACTOR’S PRICING OF THE CONTRACT WAS DEPENDENT ON A LESS ACTIVE ASSUMPTION.
IN THIS CASE, THE HOSPITAL MAY NEED TO PROVIDE THE ADMINISTRATIVE SUPPORT FOR INCREASED SUPERVISION INTERACTION WITH THE RESIDENTS. THIS MIGHT MEEN THAT THERE ARE SET TIMES FOR SUCH INTERACTION, DESIGNATED PHYSICAL SPACE, AND/OR ADMINISTRATIVE SUPPORT.
IN EITHER CASE, CONSIDER HOSPITAL FINANCIAL FACTORS, ALLOCATION OF RESOURCES, AND SUPERVISORY FACTORS. RECOGNIZE THAT A HEIGHTENED LEVEL OF SUPERVISION MIGHT RAISE LABOR COSTS.
Last Completed Projects
| topic title | academic level | Writer | delivered |
|---|
Are you looking for a similar paper or any other quality academic essay? Then look no further. Our research paper writing service is what you require. Our team of experienced writers is on standby to deliver to you an original paper as per your specified instructions with zero plagiarism guaranteed. This is the perfect way you can prepare your own unique academic paper and score the grades you deserve.
Use the order calculator below and get started! Contact our live support team for any assistance or inquiry.
[order_calculator]