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Week 6A Discussion Board
Revisit our Week One reading Courts 101: Understanding the Court System (pages 11-15). This week’s
discussion will help you to place violations and penalties within a specific law and legal system. Health
care organizations (HCO) and/or provider violations maybe both illegal and may result in financial
penalties. Not all healthcare laws are enforced by the same entity. Some are enforced by the Office of
Civil Rights. The Centers for Medicare and Medicaid, the State Professional Licensing Boards, Federal
prosecutors. Some penalties are financial and others may result in losing a professional license or a
facility registration. After violation providers and HCOs may be prohibited from participating in state or
federal programs.
Format:
Find a current newspaper or scholarly article or an industry newsletter where a health care organization or
a provider was found guilty of malpractice, criminal negligence, false credentials, failure to treat, or
patient abandonment.
1. Which critical health care error does the article address?
2. Draw from your readings and experience to date. Assess what factors lead up to the error for both
the HCO and the professional. Touch on Duties, Scope of Practice (state boards), and standard of
care.
3. Provide specific details of the case as to which law and whether it was tried in criminal or civil
court.
4. Sort out the legal system violation from the penalty. What penalties did occur and what penalties
may have occurred but were not written in the article.
Discuss with your colleagues: Peers are expected to demonstrate critical thinking in their questions related
to the classmates’ descriptions. See Discussion Expectations and Grading for rules on discussions.
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Week 6B Discussion Board
Bow-Tie Analysis is one of many effective tools for communicating risk assessment. BTA not only
identify the actions, inaction and gaps leading up to the error or violation, the BTA also diagrams specific
factors in the resolution of the violation.
Format
1. State a specific legal or ethical violation.
2. Examine the violation by applying the BTA or provide another specific example of an effective
tool that HCO’s use for risk assessment. Provide a reference for the method you choose.
3. Describe your method and contrast it with the BTA.
4. As HCO managers, which assessment tool would you implement to prevent this violation and
why?
5. Provide specifics on how the method would help your organization. Is there any setting that the
BTA or risk assessment tool would not work?
Peers are expected to demonstrate critical thinking in their questions related to the classmates’
descriptions. See Discussion Expectations and Grading for rules on discussions.
Assigned reading materials:
•
Abdi, Z., Ravaghi, H., Abbasi, M., Delgoshaei, B., & Esfandiari, S. (2016). Application of bowtie methodology to improve patient safety. International Journal of Health Care Quality
Assurance, 29(4), 425-440. doi:http://dx.doi.org.ezproxy.umgc.edu/10.1108/IJHCQA-10-20150121 Retrieved
from http://ezproxy.umgc.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db
=edsemr&AN=edsemr.10.1108.IJHCQA.10.2015.0121&site=eds-live&scope=site
•
Kadivar, M., Manookian, A., Asghari, F., Niknafs, N., Okazi, A., & Zarvani, A. (2017). Ethical
and legal aspects of patient’s safety: a clinical case report. Journal of medical ethics and history of
medicine, 10, 15.Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6150915/
Criteria
Outstanding
Good
Initial
posting
12 points
Evaluates and
synthesizes
course
concepts,
theories, or
materials
correctly, using
examples or
supporting
evidence.
Consistently
provides two or
more citation in
correct APA
format from
the weekly
readings and
one citation
from a
reputable
publication
located at
UMUC
library/databas
es. The
grammar and
punctuation are
correct.
12 points
Posts the
minimum
requirement of
Reply Postings
with responses
to fellow
learners or the
faculty, relating
the discussion
to relevant
course
concepts and
consistently
extends the
dialogue
though
11.04 points
Applies and
analyzes
relevant
course
concepts,
theories, or
materials
correctly.
Consistently
provides one
or more
correctly
formatted
citation from
the weekly
readings, but
no citations
from a
library/databa
se located
publications.
No more than
3 grammatical
errors.
Reply
postings
11.04 points
Posts the
minimum
requirement
of Reply
Postings with
responses to
fellow
learners and
the faculty,
relating the
discussion to
relevant
course
concepts.
Comments are
substantive
Satisfactor
y
9.96 points
Summarize
s, applies
and
analyzes
relevant
course
concepts,
theories,
or
materials
correctly.
Does not
provide
citations.
No more
than 5
grammatic
al or
formatting
errors.
Substanda
rd
9 points
Superficial
or/and
minimalisti
c coverage
of the
concepts.
Does not
provide
citation of
sources.
Unsatisfactory
9.96 points
Posts the
minimum
requireme
nt of Reply
Postings
with
responses
to fellow
learners
and the
faculty
without
relating
discussion
to the
relevant
9 points
Posts less
than
required
number of
replies
regardless
of the
quality.
0 points
Does not
respond to
fellow
learners/the
faculty or posts
less than the
minimum
number of
quality/substan
ce Reply
Postings.
2.04 points
A post is
present. Does
not explain
relevant course
concepts,
theories, or
materials
correctly or
satisfactory.
Does not
provide citation
of sources.
Criterio
n Score
/ 12
/12
provision of
substantive
contribution
and probing
questions.
Acknowledges
all others’ ideas
when posted to
their Initial
posting.
Applicatio 12 points
n
Applies
relevant
professional,
personal, or
other real
world
experiences
and extends
the dialogue by
responding and
comparing
these
experiences to
the examples of
peers and/or
industry norms.
Evidence of the
research on the
topic and/or
discussion of
related current
events as
appropriate.
most of the
time, but lack
probing
questions.
Sometimes
acknowledges
others’ ideas
when posted
to their Initial
posting.
11.04 points
Applies
relevant
professional,
personal, or
other realworld
experiences.
Some
indications of
the research
on the topic
and/or
discussion of
related
current events
as
appropriate.
course
concepts
and/or
comments
is not
substantiv
e and do
not extend
the
dialogue.
9.96 points
Contribute
s some
profession
al,
personal,
or other
real-world
experience
s that may
loosely
relate to
course
content.
No
research
on the
topic
and/or
discussion
of related
current
events.
9 points
The
experience
provided is
not related
to the
discussion
topic or is
a basic
“agree”
statement
or offers
an opinion,
general
withdome
or
common
statements
.
0 points
Does not
contribute
professional,
personal, or
other real
world
experiences or
it is based on
general
comments or
conventional
wisdom.
/12
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