1) Work through the simulation titled Resource Allocation from the end of Chapter 8 of your course text. Review the various options in the simulation, then select “Your Own Option” to type out your own solution to the scenario. You will need to copy and paste your response from “Your Own Option” into the discussion board forum. Here is a brief synopsis of the simulation regarding the hospital’s budget and dilemma:
Hospital costs in millions for one year:
- One 35-year-old cancer patient who needs significant time with the doctor, medical supplies, tests, and around the clock care: Cost: 100
- Emergency Room operations for daily care and treatment of about 100 people (~365,000/year) Cost: 100
- 2 Senior Patients who need hip replacement surgery. Cost: 50
- 10 patients (ranging in age from 18 to 45) receiving assistance in your inpatient drug/alcohol rehab unit: 100
- An MRI unit that is on the fritz and could die any day. Replacement Cost: 170
- One of your two X-ray machines is inoperable and must be replaced: Cost 100
- Ambulance drive-in area was damaged and needs to be repaired: Cost: 25
- Training needs for nursing staff for certification requirements: Cost: 55
- TOTAL: $700 million
For this discussion, address the following:
- You have $700 million in expenses and only $500 million to work with. How do allocate your resources?
- Who gets treated and who has to wait?
- What about your facilities?
- Determine what you plan to do and explain your reasoning as well as the ethical considerations behind your decision.
Your initial response must be at least 250 words and must use at least two scholarly sources.
Case Study: Review this scenario:
Two physicians, Dr. S. and Dr. V., leased a nuclear camera so they would no longer have to refer their patients to the local hospital for nuclear imaging. Faced with the prospect of losing over a third of its $2,274,094 in annual gross nuclear medicine revenues, the hospital responded by threatening to revoke the doctors’ admitting privileges. Lengthy negotiations ensued, at the end of which the hospital agreed to sublease the camera from the two physicians; the camera remained at the physicians’ offices but other physicians with privileges at the hospital could use it. Four other local physicians who provided the same or similar services to patients as Dr. S. and Dr. V. brought a qui tam action alleging that the sublease violated the Anti-Kickback and Stark Acts and that the defendants falsely certified compliance with those laws in connection with claims submitted to Medicare in violation of the False Claims Act.
(Please note: This is an actual court case and an Internet search may uncover the actual case details. You are prohibited from utilizing any source materials associated with this case. Use of any related materials will result in a reduction of points on this assignment. This assignment is being graded on your ability to critically think—on your own recognizance—based on your comprehension of the knowledge provided in this week’s learning materials.)
Instructions: Carefully review Chapter 7 of your textbook and research Stark Law. Given this scenario, analyze whether the actions of Dr. S. and Dr. V. violated Stark Law. Provide solid evidence supporting your decision by utilizing information from the Ashford University Library as well as the law itself.
Your paper must be two to three pages in length, excluding the title and reference pages; include at least two scholarly sources, in addition to the textbook; and be written in APA format.