You have graduated from WCU and are managing a group practice which includes OB/GYN physicians in Kings Landing. The practice is under severe financial pressure to make a profit and increase its volume of patients. Physicians have been encouraged to see those patients with routine pregnancy cases quickly and to refrain from ordering any unnecessary tests or procedures. You have recently become aware that some of the physicians are not providing their patients with thorough education regarding the risks of a pregnancy after the age of 35. Other physicians are attempting to reduce utilization by refraining from ordering amniocentesis when there are no obvious risks. They may also refrain from informing the parents of its availability and diagnostic purpose. Recently, a patient of one of the OB/GYN delivered a healthy baby girl. However, the baby girl underwent a blood test for Trisomy 21 and was diagnosed with Down’s Syndrome. The mother was 42 years of age. During the pregnancy, the first trimester combined test (Blood test and Nuchal translucency test) did not identify any abnormalities. The integrated screening test done during the first and second trimesters of pregnancy also did not indicate any signs of Trisomy 21. However, the parent’s attending OB/GYN provided no advice or education was provided to the parents regarding the availability and benefits of Chorionic villus sampling (CVS) or Amniocentesis. The parents are considering their legal options. As a physician practice manager with knowledge of Call v. Kezirian and Berman v. Allan, and Showalter 8th ed., what would your policies be in the following areas: Ordering diagnostic testing during a routine pregnancy, providing information to expectant parent(s), and referring patients for abortions? How would you communicate these policies to the physicians you manage?
Please read the following case study thoroughly and use the following format (I.R.A.C.) when answering the questions posed throughout the case study:
I: Identify the Issue
R: Identify the Rule: Please document the language of the rule(s) and its elements that is/are being applied to answer the question. Provide the citation from the source of the rule language.
A: Apply the rule to the fact pattern
C: Conclude with a recommendation to the physician or dentist.
Pregnancy is the most precious period of a women's life cycle.Diagnostic testing are equally important to rule out the health status of the mother and the foetus
Some of the policies to be strictly followed
A routine pregnancy should include basic test like
The expectant parents are supposed to attend the prenatal sessions on (diet exercise, medication, lifestyle,diagnostic testing ,progression of pregnancy, labour)
Education provided regarding abortion also (high risk cases which can endanger one or both the life in pregnancies, ectopic pregnancy, congenital malformation,rape sexual assault leading to pregnancy ,etc., )
The physician can be communicated by conducting a general meeting,continuing medicine education, notices.
The main issue is the delivery of a baby with congenital abnormality
The rule to be applied here is proper screening especially if m8tgerb8s over 35,prenatal education,abortion rule
This can be applied here to create awareness in the expectant parents to avoid an emotional and financial critical life after birth of the baby
The physician are supposed to do screening (amniocentesis ) for women over 35 to prevent wrongful birth.
You have graduated from WCU and are managing a group practice which includes OB/GYN physicians in...
You have graduated from the WCU and are now an administrator in a large orthopedic practice for Mainline Health. There is strong demand for the orthopedic services and most of the patients that receive services are privately insured. You are aware that the senior physician’s wife is an excellent physical therapist at the local hospital. The senior physician has stated that his wife is opening her own physical therapy practice just a few blocks away from the orthopedic practice. The...