Deliverable 6 – Electronic Medical Record Brochure

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Deliverable 6 – Electronic Medical Record Brochure

Competency

Examine legal requirements for managing patient information, health information documentation, the release of information, and electronic health records. Deliverable 6 – Electronic Medical Record Brochure

Instructions

You have recently been promoted to Health Services Manager at Three Mountains Regional Hospital, a small hospital located in a mid-size city in the Midwest. Three Mountains is a general medical and surgical facility with 400 beds. Last year there were approximately 62,000 emergency visits and 15,000 admissions. More than 6,000 outpatient and 10,000 inpatient surgeries were performed. Three Mountains was recently in the news after employee emails were published where patients were discussed in very negative terms. Deliverable 6 – Electronic Medical Record Brochure

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Due to the breach of information, many patients are skeptical about selecting Three Mountains as their hospital of choice. Even though specific names of patients were not disclosed as part of the inappropriate dissemination of information, parts of their medical records were mentioned. The patient information was not shared in a favorable light. Patients want to feel secure when they share information with their healthcare providers and be certain that it will remain private.

You will create an informational brochure educating patients about the contents of the medical record and the proper release of information. In a double-sided brochure you need to address the following topics:

  1. The Electronic Medical Record: Definition and contents of the EMR. You will want to include some of the Joint Commission’s requirements pertaining to what should be included in the medical record and when entries should be completed. Deliverable 6 – Electronic Medical Record Brochure
  2. HIPAA/Confidentiality: Provide an overview of HIPAA and the level of confidentiality that the patient can expect from Three Mountains Regional Hospital.
  3. Release of Information: Explain the process for a patient to obtain either copies or sections of their medical records. Discuss that information cannot be shared without their express permission.
  4. Privacy Pledge: Craft a privacy pledge statement informing the patient that they can trust that their information will remain private.

The brochure that you will create should be a tri-fold design with two pages (the first for the outside and the second for the inside). Draw attention to your brochure by using well-placed art, an easy to read design, and use of color.

NOTE – APA formatting, and proper grammar, punctuation, and form required. APA help is available here.

Deliverable 6 – Electronic Medical Record Brochure

Patient Autonomy Power Point Presentation

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Patient Autonomy Power Point Presentation

Read “The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research,” “The Nuremberg Code 70 Years Later,” and “WMA Declaration of Helsinki – Ethical Principles for Medical Research Involving Human Subjects,” all located in the Study Materials. Patient Autonomy Power Point Presentation

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Create a 10–15 digital slide presentation that could be shared with other health care professionals. The presentation should address the significance of human dignity, autonomy, patient advocacy, professional responsibility, and informed consent, and address the following:

  • Describe the concepts of human dignity, autonomy, patient advocacy, professional responsibility, and informed consent.
  • Discuss the Nuremberg Code and the Declaration of Helsinki and summarize the events that led up to the development of ethical guidelines for conducting human clinical trials, including Institutional Review Boards (IRB). Patient Autonomy Power Point Presentation
  • Describe three examples of ways “The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research” works to protect special populations (e.g., minors, prisoners, persons with mental illness).
  • Explain the importance of preserving the integrity and human dignity in the care of all patients.
  • Discuss ethical and professional standards as they relate to legal, regulatory, and accreditation compliance within one’s scope of practice.
  • Explain the rights of the individual while practicing ethical behavior and moral decision-making when resolving ethical dilemmas.
  • Title slide, reference slide, and presenter’s notes.

Patient Autonomy Power Point Presentation

Self-Improvement Project Report On Budgeting

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  • My papers for this assignment for the quarter are attached.
  • Body
  • 1. Reason for choosing this project: (200-300 words)
  • 2. Summarize: 
    • a. Plan Stage: Paper clearly addresses the goal or overall aim of what the Improvement Project is trying to accomplish; details obJectives; identifies evidence-based research. Includes introduction, review of literature.
    • Research and Documentation: Synthesizes in-depth information from relevant sources representing various points of view/approaches; APA format and style of citation used appropriately throughout the paper; adequate number of sources referenced. (4-5 pages). 
    • b. Do Stage: Paper describes what the intervention was and what was done; details changes made; describes how actions were based on research; details how the data was collected and by whom. Includes aim statement, changes implemented, how will you know if improvement has been made.
    • c. Study Stage: Paper describes how the change is an improvement; details what data was collected; displays data in an appropriate format; details what went right, wrong, and what changes can be made that will result in improvement. Includes Likert scale and run chart (required). Was the project a success?
  • d. Act Stage and Summary of Learning:
     
  • Plan of how to sustain efforts. Address the following:
    • · Was this a positive learning experience?
    • · What lessons have you learned?
    • · Have the changes become an integral part of daily activities?
    • · What is your structured plan to continue efforts you have gained?
    • · How might you apply the PDSA Improvement Model in the future?
  • Reference Page
  • 1. Al least two (2) scholarly articles, and
  • 2. At least one (1) reliable websites. 
  • 3. Proper APA referencing format
  • 4. Proper APA citations. 
  • Length: Paper length 8-10 pages (4-5 of which describes your research) NOT including title and reference page. Arial size 12 font preferred, 1 inch margins, 1.5 spaced.

Correctional Health Care Assignment

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Correctional Health Care Assignment

You applied and were accepted in an internship program of a state-level, Female Correctional Health Care Operation in the South Eastern United States and your primary responsibility is to work on the assigned projects related to the provision of inmate health care. Correctional Health Care Assignment

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Associated materials:

The Health and Health Care of US Prisoners: Results of a Nationwide Survey

Public Health Behind Bars

Sample Tool Control Policy

Inmate Sick Call Procedures-Corrections

For the incarcerated population in the United States, health care is a constitutionally guaranteed right under the provisions of the eight amendment which is the prohibition against cruel and unusual punishment (see Estelle v. Gamble). This particular prison can hold in excess of 1,728 offenders and routinely houses between 1,600 and 1,700 women on any given day. This institution incarcerates all custody classes to include minimum security, medium security, close custody, death row, and pretrial detainees.

The health care operation provides the highest level of care for the female offender in the state. The health care facility is a 101 thousand square foot, 150 bed, three-story building that cost the taxpayers $50 million dollars to construct and is a hybrid of an ambulatory care center, long-term care center, and a behavioral care center. The health care facility also houses an assisted living dorm.

The patient demographic includes women who have multiple co-morbidities including substance abuse, seriously persistent mental illnesses (SPMI), diabetes, cardiovascular disease, cancer, morbid obesity, HIV / AIDs, hepatitis, etc. On any given day there will also be 30 to 60 offenders who are pregnant, with 98% of those offenders having a history of substance abuse; all pregnant offenders are considered high-risk. The dental health of this patient population is exceptionally horrendous because of excessive drug abuse coupled with a sugary diet and poor oral hygiene practices. It is not uncommon for a 23-year-old to need all of her teeth extracted. Correctional Health Care Assignment

There are approximately 300 FTEs to include correctional staff that operate the facility and provide care to the offender population. The healthcare facility is comprised of the following directorates: (a) Medical, (b) Nursing, (c) Behavioral Health, (d) Pharmacy, (e) Dental, (f) Medical Records, (g) Health Service Support, and (h) Operations and Security.

Although the health care facility has a vast amount of capability, there limitations: (a) This facility does not have advanced cardiac life support capability (ACLS), (b) no surgical capability, (c) no ability to conduct telemetry, (d) no oral surgery beyond simple extractions, (e) no obstetrical capability beyond out-patient clinics, (f) MRI, (g) level 2 ultrasound, and the list goes on.

Those inmates who have medical needs that cannot be addressed by the health services staff at the correctional facility will need appointments with external health care providers who have a business relationship with the prisons in this area. On any given month, there will be approximately 300 offenders who will go to outside medical appointments and making certain that these appointments take place this is where the challenge lies. Similar to many health care operations, the prison Utilization Review / Case Management Department facilitates all external appointments and form the lynchpin between the correctional facility health care providers who refer offenders for specialty appointments, and the outside organization providing that appointment.

Your assignment: You are the Case Coordinator. You have 300 patients that need to be scheduled for outside specialty appointments every month. You are tasked by the Administrator to develop a strategic plan organizing the out of the facility appointments without impairing internal services. Correctional Health Care Assignment

Your Assignment:

Prepare a table (freestyle) addressing the following:

1. Identify what information and evidence you have to apply to the strategic process steps.

2. Identify appropriate evidence you still need to correctly use the strategic planning process. (HINT: make sure to list all types of evidence you need)

3. Identify the sources of the needed evidence. Offer the stakeholders able to provide you with the evidence you are seeking.

Evidence Table Example

Correctional Health Care Assignment

 

Role Of A Manager And Healthcare Professional

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Role Of A Manager And Healthcare Professional

Topic: Analyze the dual role of a manager and healthcare professional. Examine challenges that the health professional compared to those of a non-health professional, may face in terms of leadership style, and the impact these challenges have on organizational culture. The benefits of a health professional manager as an organizational resource may also be included. Explore the career trends of health professionals in organizational leadership positions, such as the types of health professional training that leaders tend to have in common, and the typical demographic background of health professional managers. Role Of A Manager And Healthcare Professional

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Assignment 1

Write an outline or summary paper on the topic above. In your paper include the following:

  1. Introduction: Provide a description of the topic and a thesis statement. Identify the organization that you have chosen to address, including why the issue of your selected topic is important to the health care administrators in your organization, and to the health care industry in general. This should be about one-third of a page.
  2. Outline of the final paper: This section should summarize the content topics and sub-topics related to the health care trend that will be addressed in the final paper.
  3. Discussion: This section should be a constructive and analytical overview of what was found in the scholarly and professional literature. Make sure to discuss the pros/cons or strengths/weaknesses of the stakeholder group impacted (e.g., patient, provider, third-party payer, administrator, legislator, etc.) as applicable. In developing this section, it is important to demonstrate your understanding of the topic and the interventions and influences. This should be about one page.
  4. Conclusion:  Provide a summary of the main effects of the contemporary health care trend on costs, quality, and access to services as it impacts various stakeholder groups.
  5. Reference Page

The Final Paper Summary should be two- to- three pages (excluding title and reference pages) in APA format.

Assignment 2

The Health Care Scene: Contemporary Trends

As health care leaders, it is important to understand that health care is quite a dynamic field. Its constant changes are a result of continuing trends in regulation, policy, patient and provider advocacy efforts, as well as increasingly sophisticated technology and industry bench marking guidelines.  Role Of A Manager And Healthcare Professional

For this assignment, focus on a specific contemporary trend in health care and be sure to include all of the following influences:

  • Changes in client characteristics
  • Regulation of the health care industry
  • Reimbursement patterns and mandates
  • Restructuring of health care organizations
  • Impact of technology
  • Ongoing social and ethical factors

Address the information above as it pertains to the listed topic at the top, in an eight to ten slide (excluding title and reference slides) PowerPoint presentation.

Your presentation should conclude with a summary describing the following concerns:

  • Overall, why should health care managers be aware of this change and trend?
  • What impact does this trend have on the stakeholder groups involved (e.g., patients, providers, administrators, third-party payers, legislators, etc.) for a specific organization specified (e.g., for profit, nonprofit, hospital, outpatient clinic, nursing home, etc.). Role Of A Manager And Healthcare ProfessionalThe information in this presentation will later be used to set the context for the audience you select for a training program on the contemporary trend identified here.

Your presentation must include detailed speaker’s notes (i.e., at least 150 words) for each slide as well as a minimum of one to two scholarly sources from the University Library and one to two current, scholarly web sources.

Your presentation, and any citations used, must be in APA style. Your presentation must be engaging and relevant to your audience. Lines of text on a slide will not be sufficient for this assignment. It should contain images, graphics, and/or multimedia that communicate your training program clearly to your audience. Role Of A Manager And Healthcare Professional

 

Health Care Field Research Draft

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Health Care Field Research Draft

locate three additional articles that will complement and support your specific topic of interest. In a 1,500- to 2,000-word research rough draft, utilizing the research process (refer to your text, Understanding Research), include the following: Health Care Field Research Draft

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  1. An introduction to the topic.
  2. An explanation of how the articles are used in scholarly research within health care as it relates to the allied health care profession.
  3. A discussion of the ethical considerations for data collection.
  4. An explanation of what the data reveals in terms of statistical analysis, including quantitative and qualitative. Include a discussion of the conclusions that can be made from the data and how it would be applied to the health care setting.
  5. An evaluation, based on the research, of whether there is enough information to make a decision on the effectiveness on the topic as it relates to the allied health care professional.
  6. A summary of the conclusions from the articles.

Support your rough draft with at least 3 scholarly resources.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. Health Care Field Research Draft

Interprofessional Teams: Collaboration And Communication

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Interprofessional Teams: Collaboration And Communication

Consider an area in health care in which you work or are interested in working. Examine the dynamics of the interprofessional team (physicians, nurses, physical therapists, social workers, health care administrators, etc.) in that setting. In a 1,000-1,250-word paper, explain how communication and collaborative strategies can be applied to ensure respectful interactions and to prevent or address potential issues among the team in that health care setting. Include the following: Interprofessional Teams: Collaboration And Communication

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  1. Describe the health care setting and summarize the various individuals or teams typically working together in that setting.
  2. Discuss what types of issues may occur and how these affect dynamics within the setting for health care workers and for patients and their families.  Interprofessional Teams: Collaboration And Communication Discuss attributes of a healthy culture that help individuals or groups perform as a team.
  3. Describe qualities of effective communication. Discuss how communication styles can be applied to facilitate productive communication.
  4. Chapter 8 of your textbook discusses the dynamics of successful interprofessional health care teams. What is a boundary-spanning activity you could incorporate as a leader that would support a collaborative culture and enhance communication? Consider the interprofessional team you would be working with.
  5. Explain how employee satisfaction impacts patient care. Describe qualities of professional communication that contribute to acceptable interactions with patients, their families, and other health care professionals.
  6. Explain what your role is as a health care leader in helping to facilitate collaboration and clear communication among an interprofessional team, as well as with patients and their families.

A minimum of three academic references from credible sources are required for this assignment. Interprofessional Teams: Collaboration And Communication

 

Financial management of health care organizations

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  Assignment: Application: Basic Financial Calculations

Before you learned algebra, you first had to learn basic addition, subtraction, multiplication, and division. Similarly, before you can fully understand the finances of a health care organization, you first need to be able to apply basic financial calculations used in almost all domains of accounting. A firm grasp of these accounting concepts will better enable you to confidently make budgetary and resource decisions. In this Assignment, you complete calculations that will familiarize you with some of the necessary basic accounting concepts.

Based on the information and financial statements below, calculate the following financial ratios in an Excel Spreadsheet:

  • Current Ratio

= Total Current Assets / Total Current Liabilities

  • Days of Cash on Hand

= Cash / (Total Operating Expense / 365 days)

  • Age of Accounts Receivable

= Accounts Receivable / (Net Patient Service Revenue / 365)

  • Age of Physical Plant

= Accumulated Depreciation / Depreciation Expense

  • Debt to Equity Ratio

= [Long Term] Debt / Net Assets

  • Debt to Assets Ratio

= [Long Term] Debt / Total Assets

  • Collection Rate

= Net Patient Service Revenue / Gross Patient Service Revenue

  • Operating Margin Ratio

= Gain or (Loss) from Operations / Net Patient Service Revenue

Note: For those Assignments in this course that require you to perform calculations you must:
Use the ‘Week 3 Application Assignment Template’ from your Learning Resources
Show all your calculations and formulas in the spreadsheet

A title and reference page are NOT needed in this assignment. Put your name and assignment at the top of the Excel spreadsheet.

For those not comfortable with the use of Microsoft Excel, this week’s Optional Resources suggest several tutorials.

To prepare:

  • Review the information in this week’s Learning Resources dealing with ratios and how they are calculated.
  • View the Week 3 Application Assignment Tutorial: Ratio Calculations, (video) provided in this week’s Learning Resources.
  • Use the Week 3 Application (Scenario) Assignment Template, provided in this week’s Learning Resources, to complete this assignment.  
  • Review the Statement of Revenues and Expenses in the Week 3 application (scenario) assignment template. With the information, calculate the financial ratios. 

Spreadsheet attached

Baker, J. J., Baker, R. W., & Dworkin, N. R.  (2018). Health care finance: Basic  tools for nonfinancial managers (5th ed.). Burlington, MA: Jones and  Bartlett Learning.
Chapter 4, “Assets, Liabilities, and Net Worth” (pp. 33-36)
In this chapter, you are introduced to the meaning of assets, liabilities, and net worth. You explore the relationship between the three and how they must be balanced if an organization is to be successful.
Chapter 6, “Expenses (Outflows)” (pp. 47-54)
The focus of this chapter is expenses and how they differ from costs. It highlights how costs should be reported and how expenses can be grouped for more effective planning and control.
Chapter 9, “Understanding Inventory and Depreciation Concepts” (pp. 81-93)
This chapter examines the relationship between inventory and the cost of goods. It demonstrates how to calculate inventory turnover and product depreciation.
Chapter 11, “Reporting as a Tool” (pp. 119-125)
This chapter describes the basic financial reports and how they are used in financial decision making. The four key financial statements are the balance sheet, the statement of revenue, and expense, the statement of fund balance or net worth, and the statement of cash flows. 

Zelman, W., McCue, M., & Glick, N. (2009). Financial management of health care organizations: An introduction to fundamental tools, concepts, and applications (3rd ed.). Hoboken, NJ: Jossey-Bass.
Retrieved from the Walden Library databases.
Chapter 2, “Health Care Financial Statements” (pp. 25–86)
This chapter describes the shared four basic financial statements of all organizations. The authors relate the basics to business-oriented and non-for-profit health organizations.
Chapter 3, “Principles and Practices of Health Care Accounting” (pp. 87–120)
This chapter explores the accounting practices and principles of health care. The authors detail the rules for recording transactions and the process of recording and developing financial statements.
Chapter 4, “Financial Statement Analysis” (pp. 121–186)
This chapter goes into detail about the three types of analysis used in financial statements of health care organizations: horizontal analysis, vertical (common-size) analysis, and ratio analysis. This chapter also explains the categories of ratios and how to apply them.


Week 3 assignment

Name: Course:
Current Ratio = total current assets/ total current liabilities2.27Note: in B cell calculation is included
Days of Cash on Hand = cash/(total operating expense/365)
Age of Accounts Receivable = accounts receivable, less allowance for doubtful accounts/(net patient service revenue/365)
Age of Physical Plant = accumulated depreciation/depreciationYou will receive a negative number..change to a positive number (Erase information in this cell and put positive number here.
Debt to Equity Ratio = Long Term Debt/Balance at June 30, 20×2-Total net assets
Debt to Assets Ratio = Long TermDebt/total assets
Collection Rate = net patient service revenue/gross patient service revenue
Operating Margin Ratio = gains or loss from operations/net patient service revenue
ABC General Hospital Statement of Revenue and Expenses – June 30, 20X2
Assets
Current Assets
Cash$1,985,000
Accounts Receivable less allowance for doubtful accounts3,720,000
Inventory550,000
Total Current Assets$6,255,000
Fixed Assets
Plant and Equipment$10,000,000
Less Accumulated Depreciation-3,770,000
Total Fixed Assets$6,230,000
Total Assets$12,485,000
Liabilities and Net Assets
Current Liabilities
Accounts Payable$1,900,000
Accrued Accounts Payable850,000
Total Current Liabilities$2,750,000
Long Term Debt2,800,000
Pension Liability1,250,000
Total Liabilities6,800,000
Net Assets
Balance at June 30, 20X14,775,000
Gain or (Loss) from Operations910,000
Balance at June 30, 20X2 – Net Assets$5,685,000
Total Liabilities and Net Assets$12,485,000
Gross Patient Service Revenue
Inpatient Revenue$8,250,000
Outpatient Revenue2,275,000
Total Gross Patient Service Revenue$10,525,000
Less: Discounts-1,455,250
Net Patient Revenue$9,069,750
Operating Expenses
Salaries & Benefits$5,110,000
Supplies and Services2,829,750
Interest100,000
Depreciation120,000
Total Operating Expense$8,159,750
Gain or (Loss) from Operations$910,000

Name:_x000D_Assignment:_x000D_Date:_x000D_

Sheet2

Sheet3

Options for determining how to charge for services provided at a health care organization

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Reimbursement for Services

There are a number of different options for determining how to charge for services provided at a health care organization. In the case-based service approach, one set fee covers an entire procedure. For example, if you needed knee replacement surgery, the fee would include preliminary visits, the surgery, and follow-up visits. However, in a fee-for-service approach, every different step would incur a separate cost. The reimbursement approach taken has significant ramifications for how care is provided.

To prepare:

  • Review the information in this week’s Learning Resources focusing on reimbursement for services. How are these approaches the same or different in your own setting?
  • Identify an example of a fee-for-service approach and a case-based service approach.
  • Reflect on the benefits and limitations of each approach.
  • Review the article, “Which Health care Payment System is Best?” and examine the additional reimbursement strategies described. Consider the viability of these alternative strategies within your own organization (or one with which you are familiar).
  • Examine how the nurse-to-patient ratio is affected by the payment approach used and consider how this can impact quality of service.
By Day 3

Post an example that illustrates the difference between a fee-for-service payment and a case-based service payment. Explain the benefits and limitations of each approach. Assess the viability of utilizing, within your own organization (or one with which you are familiar), the two alternative reimbursement strategies described in “Which Health care Payment System is Best?” Analyze how the nurse-to-patient ratio is affected by the payment approach selected and how these impact quality of service.

Required Readings

Baker, J. J., Baker, R. W., & Dworkin, N. R.  (2018). Health care finance: Basic  tools for nonfinancial managers (5th ed.). Burlington, MA: Jones and  Bartlett Learning.
Chapter 7, “Cost Classifications” (pp. 55-61)
In this chapter, you focus on the difference between direct and indirect costs and why it is crucial for financial managers to understand the difference.
Chapter 8, “Cost Behavior and Break-Even Analysis” (pp. 65-78)
This chapter continues the discussion on costs. It describes the differences between fixed, variable, and semivariable costs. It demonstrates how to compute the cost-volume-profit (CVP) ratio and the profit-volume (PV) ratio.

Zelman, W., McCue, M., & Glick, N. (2009). Financial management of health care organizations: An introduction to fundamental tools, concepts, and applications (3rd ed.). Hoboken, NJ: Jossey-Bass.
Retrieved from the Walden Library databases.
Chapter 3, “Principles and Practices of Health Care Accounting” (pp. 87–120)
Review: This chapter explores the accounting practices and principles of health care. The authors detail the rules for recording transactions and the process of recording and developing financial statements.
Chapter 4, “Financial Statement Analysis” (pp. 121–186)
Review: This chapter goes into detail about the three types of analysis used in financial statements of health care organizations: horizontal analysis, vertical (common-size) analysis, and ratio analysis. This chapter also explains the categories of ratios and how to apply them.

Chapter 9, “Using Cost Information to Make Special Decisions” (pp. 372–422)
This chapter specifies methods of computing price, fixed cost, and variable cost per unit and details the process of understanding and creating break-even charts. The chapter also discusses the decision making process involved in making special decisions such as make versus buy, add versus drop a program, and expansion versus reduction of a program.

Chapter 13, “Provider Payment Systems” (pp. 528–568)
This chapter explains the background, concept, and traits of the major types of payment systems in use today. The chapter also details the methods of financial risk reduction used by those that must cover the costs of health care.

Diagnosis of an acute myocardial infarction

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PART1

Directions: Below are terms built from word parts. Analyze each term by listing and defining the word parts used to build it.

Medical Term

1. subiliac

2. carpal

3. humeral

4. clavicular

5. fibular

6. atherosclerosis

7. atrioventricular

8. cardiogram

9. cardiomegaly

10. cardiomyopathy

PART2

Word Parts Assignment (Part 2): Unscramble

Directions: Unscramble each medical term below. A definition for the term is given below each scrambled term.

1. aaihhmrrty 

Irregular heartbeat

2. lyrdipoucmanora 

Pertaining to heart and lungs

3. aeiimhsc

4 Loss of blood supply from occlusion

olbniliatifr

Abnormal quivering of heart

5. yresoneintph 

High blood pressure

6. lucvilarac

Pertaining to the collar bone

7. lisocoiss

Abnormal lateral curvature of the spine

8. paraiordhgy

Imaging procedure using x-rays

9. octuranrtec

Abnormal shortening of muscle fibers

10. srtosioh

Externally applied splint or brace

PART3

Abbreviations (Part 3):

Directions: Please define each of the following abbreviations in the space provided.

 1. AK

2. BDT

3. B

4. BMD

5. C1

6. PVD

7. SK

8. TEE

9. V Fib

10. V-tach

PART 4

Case Study Assignment (Part 4):

Directions: Below is a case study presentation of a patient with a condition covered in Chapter 7. Read the case study, and answer the questions below. Some questions will ask for information not included within this chapter. Use your textbook, a medical dictionary, or any other reference material you choose to answer these questions.

Mr. Thomas is a 62-year-old man who has been diagnosed with an acute myocardial infarction with the following symptoms and history. His chief complaint is a persistent, crushing chest pain that radiates to his left arm, jaw, neck, and shoulder blade. He describes the pain, which he has had for the past 12 hours, as a squeezing sensation around his heart. He also reports nausea and dyspnea. He has a low-grade temperature, and his blood pressure is within a normal range at 130/82. He states that he smokes two packs of cigarettes a day, is overweight by 50 pounds, and has a family history of hypertension and coronary heart disease. He leads a relatively sedentary life style.

1.What is the common name for Mr. Thomas’ condition? Look this condition up in a reference source and include a short description of it.

2.What is the medical term for this patient’s chief complaint?

3.List and define each of the patient’s additional symptoms in your own words. These terms appear in other chapters of your textbook.

4.Mr. Thomas does not have hypertension. According to your textbook, what is the blood pressure that is usually considered high?

5.Review the diagnostic heart tests described in Chapter 7. Which ones could be ordered to diagnose heart abnormalities or damage?

6What are Mr. Thomas’ risk factors for heart disease? What can he change?