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You have been presented an outstanding opportunity to serve as a graduate student intern for the chief executive officer (CEO) of a large HCO. The HCO is an HMO model and originated approximately a century ago as a small rural hospital. Due to the rural setting, the HMO model flourished and, over the years, expanded throughout the region. Today, the HMO has a presence in over eighteen counties and has a number of competing interests from for-profit and not-for-profit HCOs in the region.
The board of directors recently approved the acquisition of two regional hospitals. First, the HCO decided to acquire a small rural critical-care-access hospital in a relatively remote county. The interest in acquiring the hospital is to service the existing population and expand the reach of the HMO. Second, the HCO decided to acquire a private full-service hospital in a moderate-size city (population forty-two thousand). The HCOâs move is strategic in nature, preventing the sale of the hospital to its for-profit competitor, and will gain the region its sole emergency department level 2 (two) trauma center with helicopter transport while giving the HCO the ability to service its growing HMO membership in the area.
Based on the above information:
Evaluate the various HMO models (staff, group, and network) and identify the model that would probably be best suited for the region. Justify your answer. Research and comment on the importance and applicability of the various levels of emergency department trauma care. Investigate the exemptions afforded to a critical care rural hospital with respect to Medicare reimbursement and accreditation.
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me to bear.ââ This seems to contrast some of Himmlerâs cohorts in that, Himmler did view Jewish people as people. However, itâs been reported that Himmler was antisemitic his entire life, dating back to his college days (Longerich, 2012). He was utterly fascinated with the âJewish problemâ that led him to the join the Nazi party at a young age. His dairies were full with antisemitic remarks and propaganda. In this case, it doesnât matter how Himmler felt towards the Jewish people. He saw dead bodies as dead bodies, but he saw the visceral feeling he got as weakness. He held deep-seated, antagonistic, beliefs against the Jewish people, that even his sympathies couldnât erase. While Himmlerâs bad morality was rooted deep in antisemetism, many others canât free their grip from authority, which causes many to ignore their sympathies all together. People are trained to submit to those we deem as âauthorityâ from a young age. Of course, we are, how else would a structured society run? This is taken to extremes, however, as studies have shown that humans will submit to authority, even when they feel that they are doing something wrong. This study is known as âThe Milgram Experimentâ named after its conductor, Stanley Milgram, who wanted to examine justifications Naziâs used following the Nuremberg Trials. Milgram was curious in seeing how easily normal people could be influenced into doing terrible things, for example, Germans in WWII. These tests involved two subjects, a âteacherâ and a âlearnerâ, the âlearnerâ being in on the experiment and instructed by Milgram. The premise involved the âlearnerâ being forced to recite a prepared list of words to memorize, and the âteacherâ being instructed to shock the âlearnerâ for every incorrect answer. The âlearnerâ, of course, under Milgramâs direction, gives wrong answers and is submitted to shocks. There were four âprodsâ given, or, sentences meant to encourage the âteacherâ to continue shocking the âlearnerâ>
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me to bear.ââ This seems to contrast some of Himmlerâs cohorts in that, Himmler did view Jewish people as people. However, itâs been reported that Himmler was antisemitic his entire life, dating back to his college days (Longerich, 2012). He was utterly fascinated with the âJewish problemâ that led him to the join the Nazi party at a young age. His dairies were full with antisemitic remarks and propaganda. In this case, it doesnât matter how Himmler felt towards the Jewish people. He saw dead bodies as dead bodies, but he saw the visceral feeling he got as weakness. He held deep-seated, antagonistic, beliefs against the Jewish people, that even his sympathies couldnât erase. While Himmlerâs bad morality was rooted deep in antisemetism, many others canât free their grip from authority, which causes many to ignore their sympathies all together. People are trained to submit to those we deem as âauthorityâ from a young age. Of course, we are, how else would a structured society run? This is taken to extremes, however, as studies have shown that humans will submit to authority, even when they feel that they are doing something wrong. This study is known as âThe Milgram Experimentâ named after its conductor, Stanley Milgram, who wanted to examine justifications Naziâs used following the Nuremberg Trials. Milgram was curious in seeing how easily normal people could be influenced into doing terrible things, for example, Germans in WWII. These tests involved two subjects, a âteacherâ and a âlearnerâ, the âlearnerâ being in on the experiment and instructed by Milgram. The premise involved the âlearnerâ being forced to recite a prepared list of words to memorize, and the âteacherâ being instructed to shock the âlearnerâ for every incorrect answer. The âlearnerâ, of course, under Milgramâs direction, gives wrong answers and is submitted to shocks. There were four âprodsâ given, or, sentences meant to encourage the âteacherâ to continue shocking the âlearnerâ>
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