B. B. is a 22-year-old woman who was admitted and had surgery 3 days ago for a colectomy and colostomy due to inflammation and a perforated bowel. She has a history of Crohn’s disease. She has lost significant weight. Presently she is 5’2” and weighs 89 pounds. She has a surgical drain that is going to be removed today. Her vital signs are temperature 99.0 F orally, heart rate is 98 and regular, respirations are 22 and unlabored, and blood pressure is 118/72. She rates her pain a “4” on the numeric scale. 

Then surgeon has just removed the surgical drain and you stay with the patient to complete your assessment. Her colostomy is intact and draining watery brownish color feces. Patient is alert and oriented to person, place, time and situation. She is able to follow the conversation, but you notice she is not making eye contact with you. You ask her what is wrong and she replies “How am I going to get a boyfriend with this on me? How am I going to have children? I look really sexy now.” She has tears in her eyes. 

Question 1

Choose one of the following topics: Office of the Inspector General (OIG), Corporate Compliance Program, Recovery Audit Contractor (as it relates to fraud and abuse), HIPAA Breach Notification Rule, HIPAA Cyber Security and Attacks, Fraud and Abuse (penalties and differences), Ethics Standards

1. Critically evaluate the topic in relation to managing a healthcare facility. Be specific and avoid general statements such as “an administrator should be aware.”
2. Evaluate and analyze any current changes or recent events involving the topic. Discuss why these events are of significance and how they might impact a healthcare facility. Consider financial impacts, staffing, information systems, etc.

Your postings should reference scholarly literature and demonstrate critical thinking.

Question 2

Historically and for the most part, ACOs have been effective in reducing health care spending without negatively affecting the quality of patient care.

• Research and discuss some of the challenges that ACO’s have and will experience in the future due to the COVID-19 pandemic.
• Here is a good article to get you started: How Accountable Care Organizations Can Survive the Next Healthcare Crisis

Discuss how can societal and environmental influences contribute to eating disorders in adolescence?

Include the steps you may take in a clinical setting when suspecting that a patient is suffering from an adolescent eating disorder. 

How was the success of the sepsis program or policy measured?