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Week Five Case Studies

Case Scenario 1

The practice manager at Happy Cardiology Services has been asked by human resources to create and implement a program to address concerns brought by the coding, billing, and credentialing staff (n=10). Staff collectively feel that administration does not fully understand their job duties and does not provide a way for the staff to share their concerns about the work environment. Comments have also been made to human resources that they feel some pressure to up-code and aggressively seek payment from patients. Morale is low, and staff have been resigning at a rapid pace. They are currently at a turnover rate of 22%.

Case Scenario 2

The staff members at Smiley Hospital are assigned to specific patient age groups and their responsibilities differ across the unit. The staff has been complaining that their evaluations do not accurately measure their responsibilities and that they are being measured on performance outcomes they cannot control. Morale is low because they believe their work is not being recognized or distributed fairly (leadership/ethical issue). The directors at Smiley Hospital have been challenged with developing a new way to fairly assign and assess individual performances according to their various job descriptions.

Case Scenario 3

The quarterly reports of expenditures for all the St. Agnes Health System have been distributed. You are the director team for the Orthopedic Clinic, and your area has grossly overspent its budget for the third consecutive quarter. There are rumors circulating that your job depends on reducing costs for supplies, the most expensive item on the list. Other rumors suggest that all the clinic staff fear they will lose their jobs if the poor financial report for the clinic causes the board to convert the clinic into an urgent care or outsource services (issues as to culture and the health of work environment, such as rumors, toxicity, and ethics related to culture and communication). Although morale has been low, you have been adequately staffed and there seems to be an increase in sick calls by everyone on the team.

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Compose and answer one original question per group below:

Group 1: Aristotle or Mill (Pick one; both author’s files are attached below)

Group 2: Sartre (Sarte’s file is attached below)

Q&A Discussion Forum: You will be asked to come up with two original questions based on the work of two different authors in each week’s required readings. Think about what stood out to you in the works in question—what ideas, theories, or approaches did you find to be interesting, engaging, or perhaps intriguing or challenging? (See each Discussion Forum for the specific authors or works you may select from in forming your questions.)

Your task is then to do your best to answer each of your own questions as incisively and thoroughly as possible within a word-count range of around 350-500 words maximum (posts with fewer than 250 words will not receive any credit). The word count includes your question but not any citations. You must cite at least one source, which will be the particular essay or article from the required readings you are addressing. You are welcome to bring in as many others sources as you may need, but this is optional. Just be sure to cite any source from which you take ideas, arguments, or passages of language within the body of your response (next to the quoted or paraphrased passages), including the full source information at the end of your response (you need not do a separate works cited or reference page for this assignment). Your score for this part of the assignment will be based on the relevance, sophistication, and originality of your questions as well as the insight, understanding, and incisiveness expressed in your answers. This assignment will be due at the end of day on each Friday of the course.

In these essay-style responses to your own questions, you should express a point of view and support your view with good reasons, evidence, examples, expert opinion, etc. High marks will not be achieved by simply reporting back information from the text or other sources. Philosophical thinking and writing involves more than presenting information; beyond doing this, you must also critically assess the issue in question—this involves original thinking and analysis. Moreover, you should attempt to come to some final position in response to the question and include evaluation of others’ positions or views on the issues involved in the question. Work for originality and development of critical analyses and evaluations.

Each one of your two Q&A Discussion threads should be formatted as follows:

My first question is:

My answer to this question is:

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Q1. What are the four kinds of executive agencies? a) executive departments, independent regulatory commissions, government corporations, and independent agencies b) executive departments, legislative departments, regulatory commissions, and judicial commissions c) independent agencies, collaborative agencies, nonprofit agencies, and regulatory agencies d) nonprofit organizations, government corporations, legislative departments, and judicial commissions

Q2. What is the difference between policy outputs and policy outcomes? a. Policy outcomes only produce intended consequences, whereas policy outputs may produce intended or unintended consequences. b. Policy outputs are the things actually done by agencies in pursuance of policy decisions and statements, whereas policy outcomes are the consequences for society, intended and unintended, that stem from deliberate governmental action or inaction. c. Policy outputs are intangible and hard to measure effectively, whereas policy outcomes can be readily counted, totaled, and statistically analyzed. 2 d. Policy outcomes are the things actually done by agencies in pursuance of policy decisions and statements, whereas policy outputs are the consequences for society, intended and unintended, that stem from deliberate governmental action or inaction.

Q3. _______ is a form of policy evaluation that employs social science methodology to measure effects of policies or programs and the extent to which they are achieving their goals or objectives. a. Impressionistic evaluation b. Systematic evaluation c. Experimental design d. Before-and-after study

Q4. What is one reason why policy termination is difficult to accomplish? a. It is hard to readily identify government policies that appear wasteful, unnecessary, or inappropriate. b. There are strict and complicated laws that protect policies from termination. c. Policies usually have a group of supporters who are strongly committed to the policy. d. Critics and opponents of a policy are often just as intense in their feelings as policy supporters.

Q5. The scientific policy studies approach to understanding public policymaking has three basic aims. Which of the following is NOT one of those aims? a. to identify or prescribe “good” or proper policy b. to develop reliable theories and explanations about public policies and their politics c. to search for the causes and consequences of public policies by applying socialscientific methodology d. to explain the adoption of a policy   3 Section B: Essay Questions (Total: 35 Points)

Q6. Discuss the steps that are involved in policy formulation including the roles of various governmental agencies and interest groups. Using an example, please discuss how policy formulation is a technical process. [10 points]

Q7. Discuss in detail the concepts of rule-making and adjudication using examples. [5 points]

Q8. Anderson states that “all policies incorporate an element of control” (p. 261: Chapter 6). Discuss in detail the various control techniques that are usually associated with policies. Please use examples in your answer [15 points]

Q9. Define the term “policy impact.” Discuss the various dimensions that one has to consider when studying the impact of a policy. [15 points]

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Project: Part 3: Analysis of a Policy

As an astute social worker and professional policy advocate, once you have selected and identified a social problem, you begin the process of creating and implementing a policy that addresses that social problem. One of the first things you do in the implementation process is an analysis of the social policy you identified.

In Part 3 of your ongoing Social Change Project assignment, you analyze the selected social policy.

Complete Part 3 of your Social Change Project.

Address the following items within a 2-3 page paper: The policy chosen is

Disability Discrimination Act

Evaluate the policy’s strengths and weaknesses. What is working? What is not working?

How will changing this policy affect clinical social workers or the clients of clinical social workers?

Provide an update on the advocacy activities your proposed in the Week 6 Assignment.

Make sure that your assertions are supported by appropriate research and reputable resources.

resources

Jansson, B. S. (2018). Becoming an effective policy advocate: From policy practice to social justice (8th ed.). Pacific Grove, CA: Brooks/Cole Cengage Learning Series.

Chapter 10, “Developing and Using Power in the Policy-Enacting Task” (pp. 372-419)

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Research resulting in physical or emotional trauma for participants, without informed consent, is undoubtedly an ethical violation. However, other situations are not as clear. One of the reasons for debate about ethical issues is because ethics are opinions informed by people’s values, and people have different values. There may not be one definitive right answer. To get closer to an answer, though, researchers dialogue with themselves and submit their proposals to authorities such as IRBs and ethics committees for checks and balances.

Ethical and cultural considerations impact every stage of the research process—from problem identification to recruitment of participants to dissemination of findings. For this Discussion, you view and respond to a scenario involving research study recruitment. As you do so, consider which, if any, ethical mandates or standards are violated.

To Prepare:

• Review the Learning Resources on ethics and cultural competence related to research study recruitment.
• View the Parker Family video in the Learning Resources, paying close attention to ethical and cultural considerations.

By Day 3

If you were the researcher for the study in question: Would you see any issue with how the social worker presented your study to the client? Explain why or why not. Be sure to address ethical and cultural considerations and apply the NASW Code of Ethics in your post.

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