Post 1: Main post

60 Points Possible

/25pts: Student submitted a thorough, accurate and substantive post. This included addressing all of the original questions/topics in a clear, logical and organized manner. 

/15pts: Student demonstrated a clear understanding of the topic. Critical thinking about topic was included. 

/10pts. Assignment submitted on time and on a different day than other posts. Assignment met 325 word count minimum.

/10pts Appropriate scientific college-level sources were used. Post contained APA formatted references and in-text citations. The post was grammatically correct.

Main Post:

1. You will pick one of the topics from the text below.  Do not post on duplicate topics. Scan and select a topic not already posted.
2. Create your assignment. Save it in word on your computer/USB /Email it to yourself, etc.
3. IMPORTANT NOTE: References are expected to create a substantial main post. The goal is NOT to retype the text but to break down the concepts and clarify where 80% of the post should be in your own words. Cite the source when you summarize or paraphrase or have direct quotes. See Start Here tab for APA help

RESEARCH:

• *The explanation / background of the topic- Teach the topic to students. Break it down.   (*Everyone must do this part). Include the Structure and Function relationship in the body Important. Interesting and current research on the topic.
• Examples to clarify and teach. (Important!) (Your own examples can be critical thinking too.)

CRITICAL THINKING:

• Tips and Tricks for Remembering and Recalling. Is there a mnemonic device that might help you memorize this information or what helps you understand this?
• Connect the dots  Use critical thinking. Draw your own conclusions from the research. Why is this an important topic?  How does it relate to other concepts in the text? Use your own words and thoughts here.

Student submitted a thorough, accurate and substantive post. This included addressing all of the original questions/topics in a clear, logical and organized manner. 25 

2. Student demonstrated a clear understanding of the topic. Critical thinking about topic was included. 15 

3. Assignment submitted on time and on a different day than other posts. Assignment met 325 word count minimum. 10 

4. Appropriate scientific college-level sources were used. Post contained APA formatted references and in-text citations. The post was grammatically correct

topic:The cell theory- function starts at this level

 

In 2 pages, develop a “job description” or job outline for a case manager. Consider disease prevention as part of the responsibilities of the role. Also consider education and skills. Feel free to set up your information in a table. Give your work a professional look, and be sure to include each of the following headings or sections:

• Facility name
• Department
• Position title
• Classification
• Position grade or level
• Shift and/or days of the week
• Reporting relationships
• Summary statement
• Responsibilities
• Required competencies or position requirements
• Physical requirements or working conditions
• Date written
• Date revised

For information on case managers, see your reading. You may also want to conduct research in the following websites:

• Case Management Society of America (CMSA)
• American Case Management Association (ACMA)

Do not simply reproduce a position description that already exists! This is plagiarism. Be creative. You will be evaluated on the information contained in the position description, as well as how professional your document looks.

  

In your proposal justify your proposed methods in terms of reducing both representation and measurement error. Contrast your methods/design with alternatives to demonstrate the strengths and weaknesses of your approach. Balance the need for data quality and representativeness with survey time and costs. The bulk of the proposal should address survey design and methods.

Data collection is required. Pilot the survey instrument with 10 to 20 people. If you are proposing telephone or face-to-face interviews, less piloting is required as the burden on you is greater. Try to find pilot subjects that similar to your target population. In your discussion section, write about the results and the piloting experience. Discuss what changes were made and what problems emerged as a result of piloting. Discuss how you addressed or would address these problems/issues before live data collection. Also, evaluate interviewer and respondent burden (e.g., How long did the survey take to administer, how many errors occurred, how much missing data, don’t know, and refused responses?) 

Some of the ways that healthcare organizations can violate the False Claims Act are listed above.  Keeping this information in mind, as well as information from the text, read the following case summary and response to the question afterward. 

Lily’s new job

Lily Petals was thrilled to start her new job at the Loving, Kisses, and Profit Hospital.  She had just graduated with a degree in healthcare administration and was hired as a supervisor in the hospital’s Compliance Department.

Having completed her orientation and training, Lily reported to her office in the hospital.  The next morning, shortly after she arrived at work, Lily’s assistant greeted her and explained that Dr. Timmy, the Chief Medical Officer for the hospital, wanted to meet with her and then take her on a tour of the hospital.  Lily picked up a tablet and pen and started off for Dr. Timmy’s office.

As Lily waited for the elevator in the hallway, there were four other people waiting.  Two of the other people appeared to be doctors, the other two were dressed in plain  clothes.  The two persons dressed in plain clothes began talking to each other in tones that were loud enough to be overheard:

Person 1:  “Do you have her Medicare card?”

Person 2:  “Yep.  Do you think my hair looks okay?  I added a little grey coloring to it last night, just in case.”

Person 1:  “Oh, wow, that was a great idea! Yeah, it looks terrific.  You totally look like you’re older than 65!”

Person 2:  “I sure hope so.  I need this surgery and since I lost my job this is my only hope.”

The two doctors looked at each other, and one rolled their eyes.  The elevator arrived and all four people, plus Lily, got on.  One of the doctors asked the other how his new associate was doing.  “Great, he replied.  She is going to be great – really good rapport with the patients.  She’ll make a great primary care doctor.”  The other replied “Terrific – it’s good to hear it.  I just hope that her paperwork with Medicaid comes through faster than we’ve experienced at our practice.  My new associate had to submit bills using my provider number for a full 6 months until he was credentialed and had his own.” 

Just then, the elevator arrived at Lily’s floor.  The doors opened and she walked out of the elevator and headed down the hallway to the Medical Staff Office.  As she walked down the hallway, she passed the Physical Therapy Department.  Those patients are working hard to get better, she thought, as she peeked in and saw many of the patients using crutches and walkers.  She then heard one of the therapists coaching a patient, saying “Five more minutes of walking, Bob!  I already billed for these services so you can’t make a liar out of me.”  Bob and the therapist both laughed.  “I got your back”, he said.

Finally, Lily arrived at the door to the Medical Staff Office.  She was about to knock on the door when it abruptly opened.  Immediately facing her was a man wearing a business suit, with his head turned toward the Chief Medical Officer’s office (his back was facing Lily).  “Thanks so much, Timmy,” the man said.  I’m glad my daughter was able to get you what you needed from ABC Pharmaceuticals.  Ever since she started working there I get to see her a lot more here in the hospital!”  The man then turned around and, much to Lily’s surprise, she was looking straight into the face of the hospital’s Chief Executive Officer.

Just then, Dr. Timmy noticed Lily and said “Welcome to Loving, Kisses, and Profit, Lily!  I’m so glad you’re here.”  Here walked with her back to his office.  As he passed by the kitchen, he said, “Would you like some doughnuts, coffee, or an egg sandwich?  Our representative from ABC Pharmaceuticals has a special soft spot for the Medical Staff here;  she brings us a full hot and cold breakfast at least twice per week!  It’s great – we could never afford to do this by ourselves.”

Lily declined the offer, took a deep breath, and walked into Dr. Timmy’s office.

Questions: 

(1) Identify at least three potential violations of the False Claims Act.  Be sure to support your assertion with facts from the case and what you’ve learned.

(2) Select one of the violations and tell us what actions you would recommend to Dr. Timmy to identify and correct it.