Chat with us, powered by LiveChat Health Care Ethics Jones & Bartlett Learning Case Scenario Assignment 2 | All Paper
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Below I have provided the pdf for the video of the equipment purchase and the instructions for the essay. Plus the recommendation I wrote that should be incorporated in the paper. I believe its one of the questions
equipement_purchase_pdf_.pdf

final_essay_exam.docx

tovi_equipment_purchase_landscape.pdf

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Health Care Ethics
Navigate 2 Scenario: Equipment Purchase
Equipment Purchase
Introduction:
You are the Chief Financial Officer (CFO) of a small rural women’s health center within the Bright Road
Health Care System. As CFO, you will review a proposal to purchase a 3D mammography machine for
the women’s health center and will discuss the issue with a physician, the chairman of the Board of
Directors and the Director of Nursing to understand all costs and benefits of this purchase. You need to
consider finance, authority of the Board of Directors, public relations/marketing, wishes of medical staff,
needs of the community, and future implications when making your decision whether to purchase the
equipment. After gathering the information, you will submit your decision, along with your rationale, to
the Board of Directors.
Characters:
1. Thomas Jenkins, Physician at the Women’s Health Center
2. Maria Vasquez, Director of Nursing at the Women’s Health Center (case management)
3. Quinn Smith, Chairman of the Board of Bright Road Health Care System
Locations:
1. CFO’s Office
2. Hospital Corridor
3. Conference Room (Women’s Health Care Facility)
4. Chairman of the Health Care Board’s Office
January 2, 2018
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Health Care Ethics
Navigate 2 Scenario: Equipment Purchase
Scene 1: Planning Your Day
In this scene, the student/CFO begins their day in their office. The CFO begins by looking at the day’s
appointments and checking email to establish the case, namely that the CFO will need to determine
whether to recommend purchasing mammography imaging equipment.
Location
CFO’s office
Scene setup
The student is looking at their computer
On-screen characters
None
Off-screen characters
N/A
On-screen text: Good morning and welcome to the office! Take a look at your calendar to see what
meetings you have lined up for the day.
Note: A computer hotspot flashes on screen for student to click.
On-screen text: You’ve got a busy day lined up! You’d better check your email now, before things get
too hectic.
Note: A computer hotspot flashes on screen for student to click.
EMAIL FROM
HEALTHYTECH
CORPORATION
Dear Chief Financial Officer,
Thank you for contacting us about our range of health care equipment
solutions. Here is the quote of the equipment that you have requested.
HealthyTech 3D Digital Mammography Imager: $500,000
Our Mammography Imager is the most advanced and current imaging
technology available. By purchasing the Imager, you would allow the Bright
Road Health Care System to offer a valuable service to your community and
would improve your community’s chances in the fight against breast cancer.
We have several financing options available if cost is a concern; please feel free
to contact me with any questions.
January 2, 2018
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Navigate 2 Scenario: Equipment Purchase
Regards,
Steven Archibald
HealthyTech Sales Manager
On-screen text: $500,000 is a large investment, especially when the future of health care funding is so
unpredictable. It looks like you’ve got another unread email.
Note: An email button flashes on screen for student to click.
EMAIL FROM QUINN
SMITH
Good morning,
I’ve spoken to the Board about the possibility of making new capital purchases
and the Board is very reluctant to make large purchases in medical technology,
especially if the services are available at another facility. Overall, the Board is
worried about both state and federal health care legislation and how that will
impact Bright Road’s bottom line.
We can talk more about this at our meeting this afternoon. If you’re
recommending a large equipment purchase, the Board needs to understand
why this is absolutely necessary and how Bright Road is going to benefit.
Quinn
Quinn Smith
Chairman
Board of Directors, Bright Road Health Care System
On-screen text: Looks like you’ll need to do some more research on this. A good place to start would be
talking to Thomas Jenkins, the physician who suggested this purchase in the first place.
Note: Add cell phone button on screen
On-screen text: Send a text message to Thomas Jenkins to see if he’s available to talk about why he
wants the health center to buy this equipment.
Note: Make cell phone button flash for student to click on, make student click screen after each text
message is read.
January 2, 2018
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Health Care Ethics
Navigate 2 Scenario: Equipment Purchase
CELL PHONE SCREEN
STUDENT OPTION
Good morning Thomas, do you have time today to discuss the mammography
imager?
THOMAS JENKINS
TEXT RESPONSE
Yes, I have a few minutes right now before my appointments start. I’ll meet you
on the way.
STUDENT TEXT
RESPONSE
Great, see you in a minute.
THOMAS JENKINS
TEXT RESPONSE
Sounds good.
END OF SCENE 1
January 2, 2018
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Health Care Ethics
Navigate 2 Scenario: Equipment Purchase
Scene 2: Discussion with Thomas Jenkins, M.D.
In this scene, the student talks to Thomas Jenkins in order to assess why the medical staff is requesting
the purchase of a mammography imager.
Location
Hospital Corridor
Scene setup
The corridor is empty, Thomas Jenkins walks in from right side of screen
On-screen characters
Thomas Jenkins
Off-screen characters
N/A
On-screen text: Thomas should be here any moment. Taking notes about your conversation will help
when making your recommendations later!
Note: Thomas walks on screen from the right side of screen
THOMAS
Hi, thanks for texting me. How are you?
STUDENT
I’m doing well. Busy, huh?
THOMAS
Very busy today, I’m sorry that I only have a few minutes to talk but it’s
important for Bright Road to get this upgrade. State of the art technology like
this made a positive impact at the hospital where I previously worked.
STUDENT
That’s why I’m glad you had a minute to talk. I’ve been researching this
equipment but I don’t understand why it’s absolutely necessary to make this
purchase now.
THOMAS
Well, at the hospital I worked at before Bright Road, we had a 3D imager and we
were able to detect breast cancer much earlier than we had been able to before.
Student may choose either option to proceed.
STUDENT OPTION 1
How does that affect treatment?
**STUDENT OPTION
2
Why is early detection so important?
THOMAS RESPONSE
When you detect breast cancer earlier, it’s easier to treat and there’s a better
chance of a positive outcome.
January 2, 2018
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Health Care Ethics
Navigate 2 Scenario: Equipment Purchase
Student must choose correct option to proceed.
STUDENT OPTION 1
Why does the medical staff want to have a 3D imager here?
(INCORRECT)
STUDENT OPTION 2
Why can’t we refer our patients to medical care facilities that have this
technology already?
(CORRECT)
THOMAS RESPONSE 1
I think that it’s obvious that our staff wants our patients here to have the best
possible care, and that includes preventive care like this.
THOMAS RESPONSE 2
Our mission as a women’s care facility is to provide the best possible care to
women in our area. If we don’t provide 3D imaging to our patients and refer
them to other facilities, it’s a slippery slope for Bright Road to walk down.
Would we recommend our patients go to another facility if our x-ray machine
went out? I know it’s kind of an absurd example, but one that we need to
think about when we consider our responsibility to the community.
Student must choose all options to move to the next question.
STUDENT OPTION 1
Did your previous employer’s contract with the vendor include upgrades to
the technology?
STUDENT OPTION 2
Do insurance companies provide increased reimbursements for 3D imaging?
STUDENT OPTION 3
What is the error rate for 3D imaging?
THOMAS RESPONSE 1
I’m not sure. You might want to contact a few vendors to find out.
THOMAS RESPONSE 2
No, as far as I know, the insurance companies have just been providing the
same reimbursement rate as with traditional 2D imaging. At the AMA
convention last year, I had heard from some colleagues that some of their
hospitals were charging an additional $50 for 3D imaging.
January 2, 2018
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Navigate 2 Scenario: Equipment Purchase
THOMAS RESPONSE 3
There’s a 7% improvement in cancer detection when you use both 2D and 3D
images together. When using the traditional 2D imaging, you have a 10%
false positive rate.
STUDENT
Wait, so you use both the 2D that we currently have and a 3D imager
together?
THOMAS
Yes, at my previous hospital we were using both together. The FDA has only
approved 3D as an add-on, not a replacement for 2D imaging, probably
because the technology is so new. (Thomas looks at his watch) Listen, I have
to run, I have an appointment that I’m late for, but let me know if you want to
talk about this more. I’ll see you later.
STUDENT
Thanks for talking to me about this.
END OF SCENE 2
January 2, 2018
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Health Care Ethics
Navigate 2 Scenario: Equipment Purchase
Scene 3: Equipment Purchase
After speaking to Thomas Jenkins about the purchase of the mammography equipment, the student
realizes that they need more information from the vendor. In this scene, the student will select
questions to send in an email to the vendor to get better information about the equipment.
Location
CFO’s office
Scene setup
The student is looking at the computer
On-screen characters
None.
Off-screen characters
N/A
On-screen text: Well, it looks like you’ll need more information from the vendor. Reply to the
HealthyTech Sales Manager and ask more questions about the 3D Mammography Imager.
Note: An email button flashes on screen for student to click.
EMAIL TO
HEALTHYTECH
CORPORATION
Dear Steven Archibald,
Thanks for sending the quote for the HealthyTech 3D Digital Mammography
Imager. I have a few more questions about this technology.
On-screen text: Select questions from the following list to include in your email to Steven Archibald.
Think about your conversation with Thomas Jenkins and address the questions that arose. Click “No
more questions” when you have finished asking all of your questions.
Note: Student must select at least Options 1, 2 and 3. If student does not select 1, 2 and 3, student will
be kicked back to select more options before proceeding when clicking the “No more questions” button.
STUDENT OPTION 1
Is the 3D imager intended to be a replacement of our current 2D
mammography machine?
STUDENT OPTION 2
What is the reimbursement rate from insurance companies when billing for
this service? Do any of your clients charge their patients a premium for 3D
imaging?
STUDENT OPTION 3
What happens if there is a major advance in this technology next year? If we
bought a 3D imager from HealthyTech, is there a guarantee that you will
provide technology upgrades or is that provided at an additional cost?
January 2, 2018
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Navigate 2 Scenario: Equipment Purchase
STUDENT OPTION 4
What kind of financing is available? Can we lease the imager?
STUDENT OPTION 5
What is the error rate for 3D imaging?
If options 1, 2 and 3 selected, an email Send button flashes on screen after click of “No more questions”
button.
ON-SCREEN TEXT FOR
INCOMPLETE
I don’t think that you’ve asked enough questions yet. Remember, you’re trying
to get information about the equipment so you can determine whether it’s a
good investment. Better select one or two more.
ON-SCREEN TEXT FOR
COMPLETE
Great! This information will be very helpful as we keep going.
On-screen text: Looks like you’re getting a text message! Better answer it.
Note: Make cell phone button flash for student to click on, make student click screen after each text
message is read
CELL PHONE SCREEN: MARIA VASQUEZ TEXT
Hi, it’s Maria, are we still on for this afternoon?
STUDENT TEXT RESPONSE
Absolutely! 1:00, right?
MARIA VASQUEZ TEXT RESPONSE
Yes, 1:00. See you then.
STUDENT TEXT RESPONSE
Great, thanks Maria!
Note: Make cell phone OFF button flash for student to click on to close phone graphic
Note: An email button flashes on screen for student to click. Email includes responses to questions clicked
on by student in the email sent previous to text message.
EMAIL FROM
HEALTHYTECH
CORPORATION
Hello,
Thanks for writing, I’m happy to answer your questions.
(RESPONSE 1) While we believe that the 3D mammography imager is capable of
providing an accurate diagnosis, the FDA has not yet approved its use without a
January 2, 2018
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Health Care Ethics
Navigate 2 Scenario: Equipment Purchase
concurrent 2D mammography.
(RESPONSE 2) Regarding reimbursement rates, we recommend contacting
insurance companies that you currently work with to answer that question.
Unfortunately, we can’t provide you with information about specific clients, but
yes, some do offer to provide 3D mammography imaging for an additional fee.
(RESPONSE 3) You’re right, the 3D mammography imaging technology is moving
very quickly. Our engineers plan for that as best they can, so that if you buy a
3D imager from us, we’ll provide software updates and a warranty, but you will
still have to pay for regular maintenance, much like when you purchase a car.
(RESPONSE 4) As far as financing goes, we do have several banks that we work
with to provide financing. I can set up a meeting with our preferred lenders,
although I’m sure that Bright Road has its own banking preferences and
relationships built. We are unable at this time to offer our 3D imagers for lease.
(RESPONSE 5) The error rate for 3D imaging is very low, as low as 5.2% for
technologists who have a lot of training and experience. This translates into
fewer requests for retesting and much lower stress for your patients.
If you need anything else, please don’t hesitate to ask, we want you to be
happy with your decision.
Regards,
Steven
Steven Archibald
HealthyTech Sales Manager
January 2, 2018
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Navigate 2 Scenario: Equipment Purchase
Note: An email close button flashes on screen for student to click.
On-screen text: Wow that was a fast response! Looks like Thomas has his facts straight. You’d better
get moving, you don’t want to keep Maria Vasquez waiting.
END OF SCENE 3
January 2, 2018
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Health Care Ethics
Navigate 2 Scenario: Equipment Purchase
Scene 4: Meeting with Maria Vasquez, R.N.
In this scene, the student speaks with Maria Vasquez, the Director of Nursing at the Women’s Health
Center to assess the needs of the community, future implications and possible public relations and
marketing strategies centered around offering 3D mammography services at the Center.
Location
Conference Room (Women’s Health Care Facility)
Scene setup
Conference Room has Maria Vasquez sitting at the table
On-screen characters
Maria Vasquez
Off-screen characters
N/A
MARIA
Hi! How’s your day going?
STUDENT
Oh, very busy! I’m trying to get all of the information I can about the 3D
mammography imager, and everyone’s input on what this will mean for us here
at Bright Road.
MARIA
Well, I am supportive of us getting this 3D technology here. You spoke to Dr.
Jenkins about this already, right? He used to work at a hospital that had an
imager and he said that it really was helpful in catching breast cancer early.
STUDENT
Yes, I just spoke with him earlier today. He mentioned that there was a lower
error rate with this kind of technology.
MARIA
I can’t begin to tell you how much that means to a cancer survivor like me.
When I was diagnosed, my mammogram wasn’t conclusive and I had to go back
for two additional mammograms before running tests. Just not knowing
whether or not you have breast cancer and continuing for weeks with these tests
is incredibly stressful and really takes its toll. If this 3D technology can eliminate
that stress for our patients who aren’t cancerous but would have to return for
more tests, it would be worth it.
Student must choose both options to move to the next question.
STUDENT OPTION 1
I’m sure that’s true. I’ve heard that other hospitals are charging a premium to
offer 3D mammography imaging to patients. Do you think that our patients will
pay an additional fee for this service?
STUDENT OPTION 2
Good point. So, how are we going to tell our patients and the community that
we’re offering 3D mammography imaging?
January 2, 2018
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Navigate 2 Scenario: Equipment Purchase
MARIA RESPONSE 1
I’m really against charging a high additional fee for 3D imaging. It puts up a
barrier between the highest quality care and the patient. We have a
responsibility to provide the best care to all of our patients. I think that a lot of
our patients will pay for this additional service, as long as it’s not too high a fee.
I’d really prefer to have our patients not have to make receiving the best possible
health care a financial decision if we can help it.
MARIA RESPONSE 2
If the Center decides to buy this equipment, I’ll be sure to begin telling my
women’s health groups about it and all of my patients. We have a database of
all our current and former patients and I can draft an email announcing when
we’ll be offering the service. Our database is really great too; we can target
patients in different age groups as well as those patients who are due to come in
for a mammogram.
Student must choose all options to move to the next question.
STUDENT OPTION 1
Would it be feasible to recommend that our patients drive to the city to get this
procedure done?
STUDENT OPTION 2
How would we market this to our patients?
STUDENT OPTION 3
Can the 3D save costs?
MARIA RESPONSE 1
A lot of our patients aren’t able to go to the city for medical procedures. The
city’s over an hour’s drive away, and if you don’t have a car, it takes nearly the
whole day to get there and back by bus. We really owe it to our community to
provide the best possible care to them within reason. Buying a 3D imager is
within reason for a modern health care facility.
MARIA RESPONSE 2
There are a number of different ways that we can market this. Of course, we can
use our website and our presence on social media to make sure that all of our
friends and followers on the internet know that we’re providing the best possible
service. We could take out a few print ads as well and suggest to Bright Road’s
corporate office that they could use our Center’s acquisition of a 3D
mammography imager in a national ad campaign to show how Bright Road is
addressing the needs of the community. Just off the top of my head, if we
absolutely have to charge a fee for this service, we could run a discount during
Breast Cancer Awareness Month.
January 2, 2018
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Navigate 2 Scenario: Equipment Purchase
MARIA RESPONSE 3
When you catch breast cancer early, available treatments are much less invasive.
Generally, the more invasive the treatment, the more expensive it is for both the
patient and the health care provider. I don’t know how many patients will be
able to avoid more expensive procedures, but there will be savings.
STUDENT
I understand that 3D imaging isn’t allowed by the FDA to be used as a standalone
procedure. Why can’t we wait to buy one until the FDA approves use as a
replacement for the 2D machines that we already have?
MARIA:
You could make that argument for buying any tech equipment. Why buy a new
computer to replace the one you have now when you know that next year, there
will be a better one? The bottom line is that we should be providing the best
health care possible and a 3D mammography imager falls into that category.
Student can choose either option to continue.
STUDENT OPTION 1
Maria, I’m not sure I know where you stand on this issue. Should we take more
time to think about this?
**STUDENT OPTION
2
You make a great point. Well, I think that I have a pretty good sense of how you
feel about this!
MARIA
(laughs) Yes, I’m sorry, I don’t mean to be pushy, I just really believe that buying
this 3D ima …
Purchase answer to see full
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