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In a Use Case Point analysis, which item is used to adjust use-case points based on the skills and competency of the development team.

Strategic Recommendation for Scenario A. Offer one specific strategic recommendation for the health care organization to handle this scenario.  For your recommendation, explain how your recommendation addresses the most important legal issue.

Key legal issue, concepts, and relevant key fact for each concept, for Scenario A (Beginning in 2015, senior management at Scrubs Health System embarked on a scheme to recruit physicians for employment for the purpose of capturing their lucrative “downstream referrals.” Scrubs successfully recruited hundreds of local physicians, including cardiovascular specialists, neurosurgeons, and breast surgeons, by paying them salaries that were significantly higher – sometimes as much as double – than what they were receiving in their own private practices. Scrubs hired a valuation firm to analyze the compensation it proposed paying to its recruited specialists. Scrubs knowingly provided the firm with false compensation figures so that the firm would render a favorable opinion. The Complaint further alleged that Scrubs ignored repeated warnings from the valuation firm regarding the legal perils of overcompensating its physicians. Scrubs then submitted claims to Medicare for services that resulted from referrals from these recruited physicians.)  Identify the most important health law issue, the key requirements / legal concepts for the most important issue as represented here, and a key fact related to each legal concept.

Legal & Ethical Analysis, and Strategic Implications: Scenario C Read the following article from Health Watch: HealthWatch Why tough to reduce unnecessary medical care.pdf

Louise Penny’s recent novel, The Madness of Crowds, is set post-COVID.  However, COVID has left its mark, including significant strains on the solvency of the Canadian government.  The old normal cannot be restored because of the cultural and economic aftershocks catalyzed by the pandemic. To address those issues, the fictional Canadian government has commissioned a renowned statistician, Abigail Robinson, to delete emotion and politics from the recovery equation and analyze what, exactly, must be done to rebuild national solvency and stability, and prevent the same disaster from ever happening again.  According to Robinson’s analysis, the sick and elderly used too many of the country’s resources during the pandemic. In other words, people who were the most vulnerable to the novel coronavirus, who would die soon anyway, were putting a strain on the country’s finances, medical supplies and personnel.  It is, she says, “a crisis heightened but not created by the pandemic.”  Based on her analysis, Robinson concludes that the solution is a program of “mercy killing,” as she calls it – of the ill, the handicapped and the aged.  Abigail Robinson promises that, if they follow her recommendations, “ça va bien aller” (all will be well).

Part II: Legal & Ethical Analysis, and Strategic Implications (Total – 60 points) For these scenarios:    First, identify a key legal issue and legal concepts that relate to the first and second scenarios, and the ethical concerns / tradeoffs that relate to the third scenario.  Key legal concepts include key requirements for a relevant legal issue (such as the multiple choice answer options covered in Part I).  Also, for each of these legal concepts, identify a key fact or facts that is / are relevant for analyzing that concept.  Likewise for the ethical concerns / tradeoffs, identify stakeholders and key fact/s that are relevant to the ethical concern.  It is recommended you use a table/s such as these: Legal Issue Legal Concept Key Fact Key Legal Issue for 1st scenario LC 1 F1 “” LC 2 F2 “” LC 3 F3 “” LC 4 F4 For example, if Negligence were a key issue, you would have a table like this (note – duty & damages are normally straightforward, so they are not included) Legal Issue Legal Concept Key Fact Negligence Breach Fact about breach “” Causation Fact about causation   Ethical Concern / Tradeoff Relevant Stakeholder Key Fact ECT RS 1 F5 “” RS 2 F6 “” RS 3 F7     Then, offer and explain your strategic recommendations.  

A laboratory company offered and paid remuneration to physicians to induce the ordering of pharmacogenetic tests, in exchange for laboratory referrals for pharmacogenetic testing and for furnishing and billing for tests paid for, in part, by Federal health programs, that were not medically necessary, purportedly in return for their participation in a clinical trial.

REQUIRED ACADEMIC INTEGRITY AGREEMENT: UST Academic Integrity Policy Honesty and trust among students and between students and faculty are essential for a strong, functioning academic community.  Consequently, students are expected to do their own work on all academic assignments, tests, projects and research/term papers.  Academic dishonesty, whether cheating, plagiarism or some other form of dishonest conduct related to academic coursework and listed in the Student Policy Book under “Discipline: Rules of Conduct” will automatically result in failure for the work involved. This open textbook (Perry & Thompson) / open note / open Canvas exam, but no outside research (including no use of Google / ChatGPT, other AI or search engine etc) is allowed.  By clicking below you are agreeing to the terms and conditions of this exam.  You are further agreeing that you will not talk with anyone else about the exam, either during or after the exam and that you will not copy of any part of this exam at any time.   This specifically includes not taking pictures of your screen with any device. YOU MUST AGREE TO COMPLY WITH THIS POLICY IN ORDER TO TAKE THIS EXAM.  INDICATE YOUR AGREEMENT BY CLICKING “I AGREE” BELOW.

PART 1:  Multiple-Answer Choice (Total – 34 points) For the given scenarios, identify the health care legal issues and/or overarching ethical considerations (covered in 2nd part of the course) that may require significant attention by the relevant health care organizations or provider/s. The first three questions are worth 3 points each (choose best answer for these), the next five are worth 5 points each (there may be multiple answers for these).

Which hematologic complication is associated with chronic kidney disease (CKD) due to decreased erythropoietin production?