Examination of Health Care LawsIntroductionThe health law field currently has undergone, and will continue to undergo, enormous change. Among the multitude of challenges are legal implications that come with electronic health records (EHRs), payments based on patient outcomes, mergers, fraud, insurance disbursements, and antitrust laws—just to name few. In addition, disruptive medical innovations, such as biotechnology and treatment research, have created new concerns over ethics and privacy.To perform proficiently as a health care administrator, the current environment requires that you have an understanding of key health care laws such as the following:Stark Law.HIPAA for Professionals.HITECH Act Enforcement Interim Final Rule.Emergency Medical Treatment & Labor Act (EMTALA).A Roadmap for New Physicians: Fraud & Abuse Laws; Anti-Kickback Statute.The Genetic Information Nondiscrimination Act of 2008.InstructionsIn this assignment, imagine you work as an administrator in a hospital or health care organization. You are being considered for a promotion and are being asked to prepare a report for senior leadership that demonstrates your knowledge and interpretation of one of the above-mentioned health care laws.To complete this report, select a court case where one of these health care laws was violated. Write an analysis of the law and the selected case following the SESC formula: State, Explain, Support, and Conclude. Be sure to also address how organizational leadership in the selected court case could move forward to ensure that the health care law isn't violated again in the future.Your report should be at least five pages long and should include a title page and references for a total of 7–8 pages.Strayer Writing StandardsThis course requires the use of Strayer Writing Standards. For assistance and information, please refer to the Strayer Writing Standards link in the left-hand menu of your course.Grading CriteriaThe grading criteria for this report is as follows. It must include the elements listed below, so be sure to address each point. You may also want to review the performance-level descriptions for each criterion in the scoring guide to see how your work will be assessed:Analyze a court case where a health care law violation occurred.Analyze the health care law that was violated in the selected case.Evaluate the implications of the selected law on the health care system.Recommend how the hospital should protect against another violation.Support your thesis statement following the SESC formula (State, Explain, Support, and Conclude).Use at least three peer-reviewed articles less than five years old.Provide appropriate in-text citations and reference section.Meet clarity, writing mechanics, and formatting requirements.

Setting: large rural clinic; family practice clinic that employs physicians, physician assistants and nurse practitioners. You open the chart to review for your next patient, and you see it is Lorene M. Lorene is a 60 year-old African American female with a history of hypertension and known documented metabolic syndrome following lifestyle changes per her request. You note she is not due for a follow up at this time, so you look at the chief complaint.CC: Shoulder discomfort and SOB with exercise 3 days ago.You enter the room and introduce yourself to Lorene who is sitting in the chair. You ask what brings her in today. She smiles, shaking her head and says "My daughter made me come, I feel fine. I am way too busy to be here today. Since my last visit, three months ago, I joined a gym and with the support of my daughter, we are going two days a week." However, three days ago Lorene felt short of breath while in dance class. She developed what she calls as "a discomfort" that radiated back and up between her shoulder blades while at the peak of her exercise routine. She also felt a little nauseous and sweaty. Once she stopped dancing, all symptoms resolved in about 3 minutes and they have not re-occurred.PMHx: Reports general health as good. She has been trying to lose weight through exercise and avoiding processed foods. She admits that food is a large part of her background and heritage in social activities and so it is difficult to make healthy choices. She had been feeling great since starting to work out and has lost 2 inches around the abdomen. She describes having lots of energy until this episode three days ago.  Now she is a little concerned because she feels a little more tired than usual. She has not participated in anything strenuous and has not worked out sinceChildhood/previous illnesses: chicken pox.Chronic illnesses: Hypertension, Metabolic Syndrome, and Dyslipidemia.(Lifestyle management was initiated per patient preference) Gestational Diabetes with 3 pregnancies managed with InsulinSurgeries: T and A, cholecystectomyHospitalizations: None aside from surgeries listed aboveImmunizations: Does not receive the flu shot.Allergies: Reports remote Hx allergy to metformin. Describes a GI disturbance.Blood transfusions: NoneCurrent medications: None. Stopped Lisinopril one month ago as she read that it can cause a cough as one if its side effects. Prefers to get the BP under control with diet and exercise.Social History: Married for 20 years. Children are grown and have moved out of the house but all live locally and are close to their parents. Lorene works full time as a CEO of a successful marketing company and travels often for work. She eats out a lot while entertaining business clients. She enjoys beer and wine and the occasional "social" cigarette when she gets together once weekly with her girlfriends.Family History: Parents are deceased. Father had lung cancer and mother died from complications of a stroke due to complications of diabetes type 2. Brother died at 44 from malignant melanoma. Other sister and brother are healthy but they also have diagnoses of metabolic syndrome.Height: 5'8" weight: 220 pounds; BMI 33.5 vital signs: BP 146/90 P 70 Sao2 97% Random glucose finger stick in office: 130mgs/dl General: African American female in NAD. Alert, oriented, and cooperative. Pain: 0/10 at present Skin: Skin warm, dry, and intact. Skin color is light skinned brown, no cyanosis or pallor. HEENT: Head normo-cephalic. Hair thick and distribution even throughout scalp. Eyes: Sclera clear. Conjunctiva: white, PERRLA, EOMs intact. No AV nicking noted. Ears: Tympanic membranes gray and intact with light reflex noted. Pinna and tragus non-tender Nose: Nares patent without exudate. Sinuses non-tender to palpation, Right-sided Deviation Throat: Oropharynx moist, no lesions or exudate. Teeth in poor repair, gums reddened and receding, filled cavities noted. Tongue smooth, pink, no lesions, protrudes in midline. Neck supple. No cervical lymphadenopathy or tenderness noted. Thyroid midline, small and firm without palpable masses. Mild JVD in recumbent position Lungs: Lungs clear to auscultation bilaterally. Respirations unlabored. No rashes or vesicles noted on chest. CV: Heart S1 and S2 noted, RRR, no murmurs, noted. No parasternal lifts, heaves, and thrills. Peripheral pulses equally bilaterally. PMI 5th ICS displaced 4cm laterally. Trace edema in lower extremities. Abdomen: Abdomen round, soft, with bowel sounds noted in all four quadrants. No organomegaly noted.Labs from 3 months ago:AIC 6.4% Fasting glucose 135mgs/dl Total Cholesterol: 230 Triglycerides 180mgs/dl Ldl 180 Hdl 38 EKG today in office Week 3 Discussion Questions: What Leads Demonstrate the ST Depression? Is Lorene Hypertensive per ACC 2017 Guidelines? Compare the ACC guidelines to JNC 8 guidelines and discuss what treatment you recommend for her BP and why. What is the Primary diagnosis causing Lorene's chest pain? Include ICD 10 codes (no differentials) What other secondary diagnoses does Lorene have that should be addressed? (Include the rationale and a reference for your diagnoses) Design a treatment plan and discuss how each intervention is applicable to Lorene's case. Consider the following interventions: Labs Durable Medical Equipment Diagnostic tests- discuss the goal/purpose Any consultation with outside providers/services Medications- discuss why you chose each specific medication Referrals- who and why Follow up- why and when Education- specific and measureable Lifestyle Changes- specific to her cultural preferences, values and beliefs **Please note that there is a typo in the case study instructions for Week 3. The ACC/AHA Guidelines for Hypertension should be reviewed to answer the related questions, not the ACA.