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HMGT372 Legal and Ethical Issues in Health Care Week 1 Discussion Theme 1: It is a challenging job to be a student. All students juggle multiple priorities and responsibilities trying to gain the highest grades at the same time. Please offer your strategies on time management and study skills to your peers. Provide minimum three of the most helpful tools and/or strategies that you use to a high degree of success. Tell us how you apply those tools or skills by sharing an example. Discuss the tips offered by your peers and reflect how or if they will work for you. Some of the additional information could be found in Helpful Tips overview. Theme 2: Discuss with your colleagues the following questions: What is “Legality”? What are “Ethics”? Compare and contrast legality and ethics in health care. Provide one (1) specific real life legal case example of a violation of legality in a healthcare organization and one (1) specific real life legal case example of a violation of ethics in a healthcare organization that you find on the internet or in the print media. See Discussion Expectations and Grading for rules on discussions. Read background articles. This discussion requires additional research beyond reading the articles. Assigned reading materials: Understanding Federal Courts – (Control>>Click>>From Drop down Menu select Open in New Window or Copy/Paste into your URL) http://www.uscourts.gov/about-federal-courts/court-role-and-structure Introduction to the U.S. Legal System- http://litigation.findlaw.com/legal-system/introduction-to-the-u-s-legal-system.html Legal issues facing health care professionals-http://www.beckershospitalreview.com/hospital-management-administration/13-legal-issues-for-hospitals-and-health-systems.html Ethical and legal analysis of health care case-http://ijahsp.nova.edu/articles/Vol2num1/pdf/lazaro.pdf This educational resource is designed to help health care organization directors ask knowledgeable and appropriate questions related to health care corporate compliance.http://www.hcca-info.org/Portals/0/PDFs/Resources/Conference_Handouts/Clinical_Practice_Compliance_Conference/2007/Fri/601Handout.pdf Example of an Employee Handbook from Johns Hopkins: https://www.hopkinsmedicine.org/human_resources/_docs/employee_handbook_non-union_non-represented.pdf Health Care Ethics – samples.jbpub.com/9781449665357/Chapter2.pdf (copy/paste into your URL) A Framework for Thinking Ethically This document is designed as an introduction to thinking ethically. We all have an image of our better selves-of how we are when we act ethically or are “at our best.” We probably also have an image of what an ethical community, an ethical business, an ethical government, or an ethical society should be. Ethics really has to do with all these levels-acting ethically as individuals, creating ethical organizations and governments, and making our society as a whole ethical in the way it treats everyone. What is Ethics? Simply stated, ethics refers to standards of behavior that tell us how human beings ought to act in the many situations in which they find themselves-as friends, parents, children, citizens, business people, teachers, professionals, and so on. It is helpful to identify what ethics is NOT: Ethics is not the same as feelings. Feelings provide important information for our ethical choices. Some people have highly developed habits that make them feel bad when they do something wrong, but many people feel good even though they are doing something wrong. And often our feelings will tell us it is uncomfortable to do the right thing if it is hard. Ethics is not religion. Many people are not religious, but ethics applies to everyone. Most religions do advocate high ethical standards but sometimes do not address all the types of problems we face. Ethics is not following the law. A good system of law does incorporate many ethical standards, but law can deviate from what is ethical. Law can become ethically corrupt, as some totalitarian regimes have made it. Law can be a function of power alone and designed to serve the interests of narrow groups. Law may have a difficult time designing or enforcing standards in some important areas, and may be slow to address new problems. Ethics is not following culturally accepted norms. Some cultures are quite ethical, but others become corrupt -or blind to certain ethical concerns (as the United States was to slavery before the Civil War). “When in Rome, do as the Romans do” is not a satisfactory ethical standard. Ethics is not science. Social and natural science can provide important data to help us make better ethical choices. But science alone does not tell us what we ought to do. Science may provide an explanation for what humans are like. But ethics provides reasons for how humans ought to act. And just because something is scientifically or technologically possible, it may not be ethical to do it. Why Identifying Ethical Standards is Hard There are two fundamental problems in identifying the ethical standards we are to follow: 1. On what do we base our ethical standards? 2. How do those standards get applied to specific situations we face? If our ethics are not based on feelings, religion, law, accepted social practice, or science, what are they based on? Many philosophers and ethicists have helped us answer this critical question. They have suggested at least five different sources of ethical standards we should use.HMGT372 Legal and Ethical Issues in Health Care Week 2 Discussion Patients have a bill of rights. Patients also consent to care and have a right to self-determine their care. Those who care for patients are to keep information protected. Select one of the patient rights (ethical or legal issues) from readings this week. Discuss with your colleagues the right, the legal and/or ethical basis for this right and how this translates into responsibility for a specific health service organization setting. Provide two specific real life legal case examples that you find on the internet or in the print media. Examples: assisted living facilities for disabled, long term care facility, a home care nursing association, a small physician practice, a hospital, a rehabilitation center, or a first responder/ambulance. Remember: 1. The patient right (with proper legal citation); 2. The setting; and 3. The health care organization’s responsibility. Peer comments should compare and contrast the impact of the patient rights on each setting. Read the background articles. This discussion requires research beyond the above articles. See Discussion Expectations and Grading for rules on discussions. Assigned reading materials: Federal Law on Advance Directives-http://www.nrc-pad.org/images/stories/PDFs/fedaddirectives2a.pdf Patients’ rights, protections and the law- http://www.healthsourceglobal.com/docs/patient%20bill%20of%20rights_merged.pdf Partnership for patients- http://partnershipforpatients.cms.gov/ Shared decision making- http://www.nejm.org/doi/full/10.1056/NEJMp1209500HMGT372 Legal and Ethical Issues in Health Care Week 3 Discussion Health care fraud is a form of white collar crime. It involves filing illegitimate health care claims to turn an illicit profit. The 3 major laws that protect against healthcare fraud are the Anti-kickback statute, Stark, and the False Claims Act. From the readings and independent research, find one (1) specific real life legal case example of how kickback arrangements would violate the Stark Law. In addition, discuss with your colleagues how the kickback arrangements could violate trust between provider organizations and patients. From the readings and independent research, find one (1) specific real life legal case example of a breach of the False Claims Act by a health-related organization. In addition, discuss whether health care organizations are properly equipped to ensure compliance and minimize exposure risks. If not why not?Read the background articles. This discussion requires research beyond the articles. See Discussion Expectations and Grading for rules on discussions. Assigned reading materials: Medicare Fraud and Abuse: Prevention, Detention, & Reporting – https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/fraud_and_abuse.pdf Stark and AKS Chart-http://oig.hhs.gov/compliance/provider-compliance-training/files/StarkandAKSChartHandout508.pdf Breakdown of False Claims Act-(Control>>Click>>From Drop down Menu select Open in New Window or Copy/Paste into your URL) https://www.justice.gov/sites/default/files/civil/legacy/2011/04/22/C-FRAUDS_FCA_Primer.pdf The Stark Truth about the Stark law Part I http://www.aafp.org/fpm/2003/1100/p27.html Deficit Reduction Act-http://www.crowell.com/documents/docassocfktype_articles_919.pdf Brown, J. (2008). Develop a policy for amended records. Journal of Health Care compliance, January-February, 37- 38. [must use UMUC library] Mekel, M. (2012). The Health Care Quality Improvement Act of 1986 Meets the Era of Health Care Reform: Continuing Themes and Common Threads. Journal of Legal Medicine, (33), 106. [must use UMUC library]HMGT372 Legal and Ethical Issues in Health Care Week 4 Discussion Discuss with your colleagues how a health care organizations can promote a culture of compliance and responsibility? Through your research, identify a specific organizational structure or program that could serve as a “best practice” for other health organizations. What specific health care organization currently uses the program or structure you picked? Describe the program in a paragraph. Is it a training program? A handbook? An immunization program? A patient care involvement program? A financial management practice? Penalties for fraud detection and reporting in the organization? Policy development? Procedure (SOP) creation? Benchmarks? External QA/QC consultants? Is this “best practice” specific to just this setting? Peer comments should compare and contrast their findings with others presented. See Discussion Expectations and Grading for rules on discussions. Assigned reading materials: It is important that managers understand the responsibilities of operating within the tax-exempt structure-http://www.irs.gov/pub/irs-tege/eotopice00.pdf Corporate Responsibility and Corporate Compliance: A Resource for Health Care Boards of Directors (n.d)]-http://oig.hhs.gov/fraud/docs/complianceguidance/040203CorpRespRsceGuide.pdf Facts about The Joint Commission’s Hospital Accreditation – https://www.jointcommission.org/accreditation/accreditation_main.aspx Benefits of The Joint Commission Accreditations – https://www.jointcommission.org/benefits_of_joint_commission_accreditation/ Joint Commission: Conflict of Interest – https://www.jointcommission.org/conflict_of_interest_policy/HMGT372 Legal and Ethical Issues in Health Care Week 5 Discussion Health executives have a code of ethics and policy statements which guide their behavior. Examine one of the policy statements provided by ACHE.org and comment on how this code may differ in nature than the health care provider codes. Be specific. Do you see any ethical issues emerging out of health care reform yet are not consider in the ACHE documents? 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: Patient Privacy and Genetic Testing-http://www.eeoc.gov/laws/types/genetic.cfm Standards for Ethical Behavior Among Health Care Executives- http://www.ache.org/ABT_ACHE/code.cfm Teaching Clinical Ethics Using a Case Study Family Presence During Cardiopulmonary- http://ccn.aacnjournals.org/content/25/1/38.full.pdf&embedded=trueHMGT372 Legal and Ethical Issues in Health Care Week 6 Discussion Find a newspaper or scholarly article where a health care organization or a provider was found guilty of malpractice, criminal negligence, false credentials, failure to treat or patient abandonment. Provide specific details of the case. Discuss with your colleagues: 1. Which critical health care error does the article address? 2. Explain the setting and details using your own words. 3. Drawing from your readings and experience to date, what do you assess are factors leading up to the error? Touch on duties and standard of care. 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: Credentialing and Privileges-http://ctel.org/expertise/credentialing-and-privileging/ Summary of Credentialing and Privileges- http://www.hcca-info.org/Portals/0/PDFs/Resources/Conference_Handouts/Compliance_Institute/2013/Tuesday/600/607print1.pdf A Short Overview of Medical Malpractice http://malpractice.laws.com/medical-malpractice-law/medical-malpractice-overview Medical negligence: Criminal prosecution of medical professionals, importance of medical evidence: Some guidelines for medical practitioners- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2779964/HMGT372 Legal and Ethical Issues in Health Care Week 7 Discussion Bow-Tie Analysis is one of many effective tools for communicating risk assessment. Discuss the bow-tie method and then provide another specific example of an effective tool that hospitals use for risk assessment. Which one would you implement in your area and why? Must provide specific examples of each being used and results. Discuss in what areas you feel a risk management analysis could be effective and why? 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: Bow tie -http://www.r4risk.com.au/Bow-tie-Analysis.php Bow tie – (Control>>Click>>From Drop down Menu select Open in New Window or Copy/Paste into your URL) http://www.ncbi.nlm.nih.gov/pubmed/19591531 Risk Management, Quality Improvement, and Patient Safety-(Control>>Click>>From Drop down Menu select Open in New Window or Copy/Paste into your URL) https://www.ecri.org/components/HRC/Pages/RiskQual4.aspx The Purpose of Risk Management in Healthcare-http://elearning.scranton.edu/resource/health-human-services/purpose-of-risk-management-in-healthcareHMGT372 Legal and Ethical Issues in Health Care Week 8 Discussion Research and discuss with your colleagues two health care challenges in the future for public or private health care organizations. You must select two challenges and discuss: How will these challenges affect patients and the health care organization? Be specific as to which type of health care organization you are dealing with [i.e. HMOs. PPOs, POS, urgent care centers, physician outpatient care surgical centers, etc.]. 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: Improving Ethical Decision Making in Healthcare Leadership https://www.omicsonline.org/open-access/improving-ethical-decision-making-in-health-care-leadership-2151-6219-4-e101.pdf Ruger, J.P. (2011). Shared Health Governance. The American Journal of Bioethics, 11 (7), 32-45. See http://papers.ssrn.com/sol3/papers.cfm?abstract_id=1752295 [you can download entire paper for free]HMGT372 Legal and Ethical Issues in Health Care Assignment 1 Management Tools for Health Care Organizations to Comply with Patient’s Legal Rights From the list below, choose one topic and identify two specific legal obligations that a specific health service organization has to its patients and then write a paper discussing all the areas listed in the outline following this subject list. Include a cover page and a list of references at the end of the paper. Paper will be double spaced and be approximately 4-5 pages in 12 point New Times Roman font. The Genetic Information Nondiscrimination Act (GINA) Elder abuse Mandatory Reporting Child abuse Mandatory Reporting HIV Mandatory Reporting The False Claims Act- the civil penalties TB Mandatory Reporting Proper treatment of environmental hazards. Medical error-Critical Incident False credentials of health care personnel Medical Charting violations Violation of HIPAA – confidentiality Failure to treat patients in a timely manner Failure to maintain required Staffing ratios Patient Choice and treatment consent Note: Outline: Must use the headings from the outline below in your paper and the paper must be in narrative form not outline or bullet format. A penalty will be deducted from paper if underlined headings not used in your paper. 1. Official Title of the Law or Laws: State the official title of the federal and/or state law, the statute and section number. Must be either a federal statute or state statute and you must cite both if applicable. Thus if there is both a federal and state law that covers your subject picked then you must cite both. Do not assume that there is just a federal and or state law. In most cases there is both a federal and state law. You must use the laws cited in this section throughout the rest of the paper. Health Care Organization’s Obligations to meet Patients’ Legal Rights: Describe in detail two specific legal obligations, required by the federal and or state law, that a health care organization owes to its patients. Include the specific law citation that describes the patient’s rights. Use in-text citations for all statistical references. Consequences for Non-Compliance: First, discuss in general the civil and criminal consequences from either the federal and or state law. List the two legal obligations from the previous section, then discuss two (2) specific consequences from the federal and or state law, one consequence for each legal obligation, for the organizations’ non-compliance. Then for each consequence you must research and discuss one relevant real life case. In other words, you must discuss one (1) consequence for each legal obligation and have one real life researched case for each consequence. See outline below. Cases must be found via the internet or print media or from personal real life experiences. In other words, what would happen if the organization neglected to meet its obligations to its patients? Be specific. Provide the specific Federal and or state law citations to back up your claim of the consequences. Provide link to source of information. 1) Legal obligation 1 One specific consequence One real life case 2) Legal obligation 2 One specific consequence One real life case Health Service Organization Management Actions to meet Legal Obligations for Patients’ Rights: Describe in detail three (3) specific management actions, within your control as a health care manager that you would institute, to ensure the health care organization complies with its obligations to protect the patients’ rights. Be specific as to each management action you would personally institute and why. No general comments. These actions may include specific uses of technology, procedures, human resource training, and other management tools. Conclusion: Summary of your findings above. Reference List [APA Format] The paper must be: Late penalties: See Course Syllabus. Be sure and use the underlined headings found in the outline below in your paper. Paper must be in narrative format not outline or bullets. Include a cover page [not counted as a page] which should have student name and title of your paper [Provide a short name for the legal responsibility the specific health care organization has for one type of patient right in a specific setting ] At the end of the paper a list of references [not counted as a page] Be prepared using word-processing software and saved with a .doc, .docx, or .rtf extension. No pdf. Be uploaded to your Assignments Folder by 11:59 p.m. EST on the due date. The paper is to be posted in Assignment #1 drop box. Must cite to the source for all facts in the text of your paper in APA format. Example of in text citation: (Ernst, & Young, 2000 p. 14). Example of source cited on reference page: References Healthcare Financial Management Association (U.S.), Ernst, & Young. (2000). Health care system reform: A provider perspective : survey results. Westchester, Ill.: Healthcare Financial Management Association. Except where noted, the assignment is written in clear, concise narrative. All sections of Assignment #1 are required. The grading rubric for this assignment is in the Assignment Folder, or can be opened by clicking on the ‘Assignment #1 Grading Rubric’ tab in the lower right corner of the screen, if you opened the Assignment in Content.HMGT372 Legal and Ethical Issues in Health Care Assignment 2 Goverance and Fraud in Health Care Organizations – Legal and Ethical Responsibilities From the topics covered in Weeks 3-4, select one law related to financial management in health care organizations. We discussed such laws as False Claims Act, Stark Law etc. Include a cover page and a list of references at the end of the paper in APA Format. Paper will be double spaced and be 4-5 pages in 12 point New Times Roman font. The assignment is to be written in clear, concise narrative. All sections in the outline for Assignment #2 are required. Outline: Must use the headings from the outline below in your paper and the paper must be in narrative form not outline or bullet format. A penalty will be deducted from paper if underlined headings not used in your paper. 1. Name of the Law and or laws: State the official title of the federal and/or state law, the statute and section number. Must be either a federal statute or state statute and you must cite both if applicable. Thus if there is both a federal and state law that covers your subject picked then you must cite both. Do not assume that there is just a federal and or state law. In most cases there is both a federal and state law. You must use the laws cited in this section throughout the rest of the paper. 2. Management’s Financial Responsibilities: What are the health care organization’s responsibilities under this financial management statute you stated above? Provide a comprehensive discussion of three (3) specific responsibilities under the financial management statute. State specifically after each responsibility where this responsibility is stated in the federal or state law. Describe the appropriate behavior and expectation. Include the citations and source of documents describing the organization’s responsibilities. Consequences for Ethical or Legal Breach: Discuss in general the civil and criminal consequences from the law. Then identify from the news, three (3) specific case examples of health care organizations or health care providers found guilty of a legal or ethical breach relative to the law you have cited in first part of paper. Identify the specific legal and/or ethical breach and the penalties assessed to the health service organizations and/or individuals found guilty of violating the law or ethics [provide citation of law]. At the end of each case, discuss in detail whether you agree or not with the decision and why. Bring in the facts of the case to support your comments. Students should use a minimum of three (3) documented specific examples retrieved from the print media. HCO Management’s remedial steps to reverse the non-compliance organizations: Describe in detail three (3) specific management actions or remedial steps you would take to ensure the financial management in the health care organization meets or exceeds the federal law or state law relative to the requirements of the law you cited above. Discuss specifically how each of the three management actions specifically meets or exceeds the specific federal or state law you cited. Note: These actions may include specific uses of technology, procedures, human resource training, and other management tools. However these action steps must be within the control of a manager. 5. Conclusion: Summary your findings above Reference List [APA Format] The paper must be: Late penalties: See Course Syllabus. Be sure and use the underlined headings found in the outline below in your paper. Paper must be in narrative format not outline or bullets. Double spaced and be 4-5 pages in 12 point New Times Roman font. Include a cover page [not counted as a page] which should have student name and title of your paper [Provide a short name for the legal responsibility the specific health care organization has for one type of patient right in a specific setting ] A the end of the paper a list of references in APA Format [not counted as a page] Be prepared using word-processing software and saved with a .doc, .docx, or .rtf extension. No pdf. Be uploaded to your Assignments Folder by 11:59 p.m. EST on the due date. The paper is to be posted in Assignment #2 drop box. Must cite to the source for all your facts in the text of your paper in APA format. Example of an in text citation: (Ernst, & Young, 2000 p14). Example of source cited on Reference page: References Healthcare Financial Management Association (U.S.), Ernst, & Young. (2000). Health care system reform: A provider perspective : survey results. Westchester, Ill.: Healthcare Financial Management Association. Except where noted, the assignment is written in clear, concise narrative. All sections of Assignment #2 are required. Grading Rubric for written Assignment #2 is in Assignments area of the class.HMGT372 Legal and Ethical Issues in Health Care Assignment 3 Part 1 Raising Organizational Awareness Part 1 Assignment 3 contains 2 parts: a paper (12 points) and a video report (8 points) For this assignment, students are required to Write a Paper (part 1)-12 points and Create a Video Report (part 2- a separate dropbox below)on an interview with a healthcare professional. Select a topic from the list below [must be a different topic from the one you chose for Assignment #l] or clear a topic with the Instructor beforehand. The purpose of this assignment is to raise the awareness of a specific employee in a specific health care setting regarding a potentially critical aspect of his/her responsibilities. Target the right issue, the correct employee. In other words, the employee should be either a head nurse or senior administrator thus your discussion should be as you are interviewing specific employees on their specific responsibilities and the specific consequences of failing in those responsibilities. For example, The False Credentials paper issue would be for HR offices while the Critical Event might be for operating room technicians. Patient Treatment Consent might be a good paper for a Palliative Care Organization or an Oncology Clinic discharge planning staff. The paper must discuss accurate information for the setting with full consideration of the relevant state and federal laws with citations that are accessible by the instructor. The paper can ask questions and use graphics to deliver certain points of information but the graphics must be an addendum to the paper and not in the body of the paper. The paper should include in its conclusion “For more information about this issue…” and include a reference or references in your Conclusion. The Genetic Information Nondiscrimination Act (GINA) Elder abuse Mandatory Reporting Child abuse Mandatory Reporting HIV Mandatory Reporting The False Claims Act- civil penalties TB Mandatory Reporting Proper treatment of environmental hazards. Medical error-Critical Incident False credentials of health care personnel Medical Charting violation Violation of HIPAA- confidentiality Failure to treat patients in a timely manner Patient Choice and treatment consent WRITE THE PAPER. Outline: Must use the headings from the outline below in your paper and the paper must be in a narrative form not outline or bullet format. A penalty will be deducted from paper if underlined headings not used in your paper. 1. Purpose of Paper, the topic chosen, applicable Federal and/or state laws State the purpose of the paper and discuss why you chose the particular topic, and provide the official title of the applicable federal and/or state law, the statute and section number. Must be either a federal/state statute and you must cite both, if applicable. Thus if there is both a federal and state law that covers the subject you selected, then you must cite both the applicable federal and state law. Summarize in this paragraph the relevant language from the law that applies to your issue. If there is a relevant health care organizational policy that you can find, then please add that also. Do not assume that there is just a federal and or state law. In most cases, there are both federal and state laws. You must use the laws cited in this section throughout the rest of the paper. 2. The specifically targeted employee group and specific health services setting Pick a specific health care setting and specific employee within the health care setting and then discuss, in detail, why you picked the specific employee and the specific health care setting. Examples of health care settings are the ER, the OR, nursing facilities, etc. Specific employee group may include doctors, nurses, program administrators, etc. Please be mindful to tailor your assignment to a specific employee and specific health care setting. Do not discuss your topic in general terms. The information gathered from the interview with healthcare should be incorporated into the written paper in a paraphrased or quoted format (no more than 15% of the text for all citations in total). 3. Discussion of Three Critical Aspects of Employee’s responsibilities You are trying to improve the quality of care in your health care organization. Thus, in this discussion area, you are using the information you gathered from interviewing a specific employee about their specific responsibilities and the specific consequences of failing in those three responsibilities. You must discuss at least three (3) specific employee critical responsibilities. You must also specifically relate the applicable federal and/or state law as to the specific consequences [you may also add relevant hospital policies as well if found] for failing in each of those responsibilities and provide citations to support the consequences. Be sure and include in the discussion the relevant law and hospital policies. Describe how each of them is relevant to the employees’ critical responsibilities. The outline below is to help you organize your thoughts but you must use a narrative format to discuss each area. Be sure and use my underlined headings below. a) Discussion of Employee Specific Critical Responsibility 1 Discussion of specific consequence(s) for failing in this responsibility Discussion of a specific statutory requirement A specific real-life legal case illustrating the consequences for violating the specific responsibility. b) Discussion of Employee Specific Critical Responsibility 2 Discussion of specific consequence(s) for failing in this responsibility Discussion of a specific statutory requirement A specific real-life legal case illustrating the consequences for violating the specific responsibility. c) Discussion of Employee Specific Critical Responsibility 3 Discussion of specific consequence(s) for failing in this responsibility Discussion of a specific statutory requirement A specific real-life legal case illustrating the consequences for violating the specific responsibility. 4. Conclusion – Provide a summary of employee’s critical responsibilities, consequences and the impact failing in those critical responsibilities may have on the quality of health care. Also, add a statement “For more information about this issue…” and include a reference or references for further information on the issue you discussed. 5. References End of headings The paper must be: Late penalties: See Course Syllabus. Be sure and use the headings found in the outline in your paper. The paper must be in a narrative format, not outline or bullets. Double spaced and be 4-5 pages in 12 point New Times Roman font. Include a cover page [not counted as a page] which should have student name and title of your paper [Provide a short name for the legal responsibility the specific health care organization has for one type of patient right in a specific setting ] A the end of the paper a list of references in APA Format [not counted as a page] Be prepared using word-processing software and saved with a .doc, .docx, or

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