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By March 24, 2018Academic Papers

The final project for this course is the creation of a case review.

Overview

HSE 340 Final Project Guidelines and Rubric

As a human services practitioner, you could be in a position that requires you to review medical records and to be aware of all related federal and state laws and statutes, healthcare mandates, codes of ethics, and credentialing requirements (e.g., the Joint Commission for Accrediting Hospital Organizations [JCAHO], which governs most hospitals). You will be reviewing a case study to determine what legal and ethical issues need to be considered when deciding if it is appropriate to divulge the information requested.

The project is divided into three milestones, which will be submitted at various points throughout the course to scaffold learning and ensure quality final submissions. These milestones will be submitted in Modules Two, Four, and Six. The final submission is due in Module Seven.

In this assignment, you will demonstrate your mastery of the following course outcomes:

  • Evaluate human services agencies’ decisions regarding appropriate court reporting practices for the extent to which they are ethical and legal

  • Analyze the codes of ethics for their relationships to human services laws, regulations, and national standards

  • Interpret legal documents for determining appropriate usage of court terminology and legal practices related to the release of health information and

    confidentiality

  • Recommend appropriate legal strategies that encompass current codes of ethics, human services laws, regulations, and national standards

    Case Study

    Stephanie is a human-services policy analyst who works with the state-run psychiatric hospital system. Her job is to facilitate discharges of patients to the community by coordinating with local mental-health centers and providers of care to make sure that the patient has adequate and immediate post-discharge care. Stephanie received a call from a parole officer of a 25-year-old illegal-immigrant patient named Kevin, who was in the hospital. The parole officer indicated that Kevin violated parole by abusing illegal substances prior to the admission to the state hospital. The parole officer asked questions about Kevin’s diagnoses, where he was being discharged to, and the staff involved in his care while hospitalized. You have been asked to determine if Stephanie can legally and ethically answer these questions and provide confidential health information about Kevin to the parole officer.

Prompt

Based on your analysis of federal and state laws and applicable regulations that govern human services practices that have been covered in this course, what ethical and legal considerations should be addressed to determine what healthcare and other confidential information can be released, and who can receive it, according to the case scenario provided?

Specifically, the following critical elements must be addressed:

  1. Introduction: Codes of Ethics and Legal Considerations in Human Services Practices

    Review and analyze the codes of ethics and legal considerations within the human services field.

    1. What codes of ethics relate to the release of health information in the human services field? Include your rationale for how you determined which codes apply.

    2. What legal concerns relate to the release of health information? Use citations to substantiate your claims.

    3. What are some of the ramifications for inappropriately releasing confidential information about a patient or client in a hospital setting?

    4. What challenges does a program/agency/hospital experience in relation to the codes of ethics and legal issues?

    5. If a case with health services aspects involved were to go to court, what legal aspects are to be considered? Include other issues that should be

      considered by agencies or hospitals to ensure compliance when releasing healthcare and other confidential information.

  2. Review of the Case
    Based on your analysis of the codes of ethics and legal considerations in human services, create strategies to address questions about the case.

    1. What information can be released to the parole officer? What information should not be released to the parole officer? Justify your responses.

    2. If information is released that should not be, what are the legal ramifications for the human services policy analyst and her organization? Justify

      your claims with relevant, scholarly research.

    3. What are the ethical issues that would arise for the policy analyst and her organization due to releasing information that should not be

      released? Recommend appropriate legal strategies to mitigate identified ethical issues.

    4. Include other issues that should be considered that are specific to this case scenario and related to compliance with ethics and laws in the

      human services field. Justify your claims using concrete, relevant examples.

III. Conclusion
After analyzing the codes of ethics and legal considerations, and applying your strategies to the case, compose a conclusion addressing the following:

  1. Overall, what are the key ethical and cultural considerations to be addressed in a hospital setting? Explain why.

  2. What legal components are critical to the analysis of court documents relative to releasing healthcare and other confidential information?

  3. Evaluate additional strategies, such as the prevention of a lawsuit, that a human services agency could incorporate into policies to ensure that

    critical legal and ethical issues could be mitigated.

  4. What do you recommend human services agencies should address in preparation for developing court documents related to healthcare

    settings? Use concrete evidence to substantiate claims.

    Milestones

Milestone One: Draft of Introduction
In Module Two, you will submit a draft of the introduction of your case review, including all critical elements listed in Section I above. Review the Ethical Standards for Human Services Professionals. Analyze the codes of ethics that relate to the release of health information and how they correlate with the Health Insurance Portability and Accountability Act (HIPAA) of 1996. Include the major legal concerns that have arisen by allowing the release of health information. Review hospital-specific legal and ethical considerations when releasing confidential patient information to other providers of care upon discharge from a hospital. Conduct an analysis of the challenges faced by agencies holding health information experience and how these issues are commonly resolved. Review strategies used by other large health and human services agencies to prevent legal suits being brought against them. This milestone is graded with the Milestone One Rubric.

Milestone Two: Draft of Review of Case
In Module Four, you will submit a draft of the review of the case, including all critical elements listed in Section II above. Using the information reviewed for Milestone One, discuss information that can and cannot be released to a parole officer, particularly information about an individual who has a substance abuse diagnosis along with mental illness, and is being discharged from a psychiatric facility to the community. A state statute from your state of residence can provide information related to parole of individuals previously incarcerated. Provide an example of how an inappropriate release of confidential information can be remediated in order to prevent a lawsuit against the human services professional (HSP) and/or the agency. Some State Departments of Health and Human Services have information related to this issue. Make sure to review both federal and state statutes to gain a more comprehensive viewpoint. This milestone is graded with the Milestone Two Rubric.

Milestone Three: Draft of Conclusion
In Module Six, you will submit a draft of the conclusion, including all critical elements listed in Section III above. The conclusion should include cultural issues along with ethical and legal considerations, from both a general agency and a hospital-specific setting. From the analysis, provide ideas about policies that could be utilized more effectively to prevent the misuse of health and confidential information, particularly in a hospital setting. The State Department of Health and Human Services often provides statewide policies and rules that align with mandated state statutes. This milestone is graded with the Milestone Three Rubric. Final Submission: Case Review

In Module Seven, you will submit your case review. It should be a complete, polished artifact containing all of the critical elements of the final product. It should reflect the incorporation of feedback gained throughout the course. This submission will be graded using the Final Project Rubric.

Deliverables

Milestone

Deliverable

Module Due

Grading

One

Draft of Introduction

Two

Graded separately; Milestone One Rubric

Two

Draft of Review of Case

Four

Graded separately; Milestone Two Rubric

Three

Draft of Conclusion

Six

Graded separately; Milestone Three Rubric

 

Final Submission: Case Review

Seven

Graded separately; Final Project Rubric

Final Project Rubric
Guidelines for Submission: Your case review must be five to seven pages in length (plus a cover page and references) and must be written in APA format. Use

double spacing, 12-point Times New Roman font, and one-inch margins. Include at least five references cited in APA format.

Critical Elements

Exemplary (100%)

Proficient (85%)

Needs Improvement (55%)

Not Evident (0%)

Value

Introduction: Codes of Ethics

Meets “Proficient” criteria and offers insight into how the rationale for the appropriate codes were determined

Identifies the codes of ethics that relate to the release of health information in the human services field and includes rationale for how the codes were determined

Identifies the codes of ethics that relate to the release of health information in the human services field, but does not include rationale for how the codes were determined

Does not identify the codes of ethics that relate to the release of health information

7.5

Introduction: Legal Concerns

Meets “Proficient” criteria and offers insight into the rationale for the accuracy of the legal concerns depicted

Identifies legal concerns that relate to the release of health information, using citations to substantiate claims

Identifies legal concerns that relate to the release of health information, but does not use citations to substantiate claims

Does not identify legal concerns that relate to the release of health information

7.5

Introduction: Confidential Information

Meets “Proficient” criteria and justifies claims using relevant, scholarly research

Accurately interprets ramifications for inappropriately releasing confidential information about a patient or client in a hospital setting

Interprets ramifications for inappropriately releasing confidential information about a patient or client in a hospital setting, but interpretation is inaccurate or overlooks relevant factors

Does not interpret ramifications for inappropriately releasing confidential information

7.5

Introduction: Challenges

Meets “Proficient” criteria and uses examples from previous court cases

Describes challenges that a program, agency, or hospital may experience in relation to codes of ethics and legal issues

Describes challenges that a program, agency, or hospital may experience , but does not relate them to both ethical and legal issues

Does not describe challenges that a program, agency, or hospital may experience

7.5

Introduction: Legal Aspects

Meets “Proficient” criteria and uses relevant, scholarly research

Identifies legal aspects to be considered if a health services case were to go to court, and includes other issues to be considered to ensure compliance when releasing healthcare and other confidential information

Identifies legal aspects to be considered if a health services case were to go to court, but does not include other issues to be considered to ensure compliance when releasing healthcare and other confidential information, or the court case findings are not accurate

Does not apply legal aspects to a proposed court case

7.5

Review of the Case: Parole Officer

Meets “Proficient” criteria and justification is supported with scholarly research

Accurately identifies what confidential information can and cannot be released to a parole officer and justifies responses

Identifies what confidential information can be released to a parole officer, but does not justify responses or identification is inaccurate

Does not identify what confidential information can be released to a parole officer

7.5

Review of the Case: Legal Ramifications

Meets “Proficient” criteria and justification demonstrates nuanced understanding of the relationship between human services obligations and legal limitations

Comprehensively evaluates the legal ramifications if information is released that should not be, justifying claims with relevant, scholarly research

Evaluates the legal ramifications for the human services policy analyst and her organization if information is released that should not be, but does not justify claims with relevant, scholarly research or evaluation is not comprehensive

Does not evaluate the legal ramifications for the human services policy analyst

7.5

Review of the Case: Ethical Issues

Meets “Proficient” criteria and strategies are well supported and plausible

Comprehensively identifies the ethical issues if information is released that should not be and recommends appropriate legal strategies to mitigate identified ethical issues

Identifies the ethical issues if information is released that should not be and recommends legal strategies, but recommendations are not appropriate or lack detail

Does not identify the ethical issues if information is released that should not be

7.5

Review of the Case: Other Issues

Meets “Proficient” criteria and justification demonstrates nuanced understanding of the potential issues that impact the human services field

Identifies other issues that should be considered that are specific to this case scenario related to compliance with ethics and laws in the human services field; justifies claims using concrete, relevant examples

Identifies other issues that should be considered that are specific to this case scenario related to compliance with ethics and laws in the human services field, but does not justify claims or does not use concrete, relevant examples

Does not identify other issues that should be considered

7.5

Conclusion: Ethical and Cultural Considerations

Meets “Proficient” criteria and explanation is supported by scholarly research

Identifies the key ethical and cultural considerations to be addressed in a hospital setting and explains why they are key

Identifies the key ethical and cultural considerations to be addressed in a hospital setting, but does not explain why they are key

Does not identify the key ethical and cultural considerations

7.5

Conclusion: Legal Components

Meets “Proficient” criteria and substantiates claims by using relevant, concrete examples

Comprehensively identifies legal components that are critical to the analysis of court documents relative to releasing healthcare and other confidential information

Identifies legal components that are critical to the analysis of court documents relative to releasing healthcare and other confidential information, but information identified is not relevant or not comprehensive

Does not identify legal components that are critical to the analysis of court documents

7.5

Conclusion: Additional Strategies

Meets “Proficient” criteria and suggestions demonstrate insight into the inner workings of human services agencies

Comprehensively evaluates other key strategies that human services agencies could incorporate into policies to mitigate critical legal and ethical issues

Evaluates other key strategies that human services agencies could incorporate into policies to mitigate critical legal and ethical issues, but discussion is not comprehensive or overlooks relevant factors

Does not identify other key strategies that human services agencies could incorporate into policies

7.5

Conclusion: Developing Court Documents

Meets “Proficient” criteria and recommendations are well supported, evidence- driven, and plausible

Recommends how human services agencies can prepare for developing appropriate court documents related to healthcare settings, using concrete evidence to substantiate claims

Recommends how human services agencies can prepare for developing appropriate court documents related to healthcare settings, but does not use concrete evidence or recommendations are not appropriate

Does not recommend how human services agencies can prepare for developing appropriate court documents

7.5

Articulation of Response

Submission is free of errors related to citations, grammar, spelling, syntax, and organization and is presented in a professional and easy-to- read format

Submission has no major errors related to citations, grammar, spelling, syntax, or organization

Submission has major errors related to citations, grammar, spelling, syntax, or organization that negatively impact readability and articulation of main ideas

Submission has critical errors related to citations, grammar, spelling, syntax, or organization that prevent understanding of ideas

2.5

Earned Total

100%

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