Code Black Present the Condition in LA County Hospital
Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages to Order 5-10 Pages Description/Paper Instructions
Code Black Present the Condition in LA County Hospital
Discussion Board: All clinical professions working in a well-managed healthcare organization are “credentialed,” in the sense that their preparation and prior performance are validated. Why are physicians and some others (see Chapter 6) credentialed under formal peer review and board approval? Would you consider expanding either formal review or board approval to other professionals, such as nurses?
Code Black: A look into America’s busiest ER (2014)
Written and Directed by Ryan McGarry
Life and death struggles aren’t the only battles raging in emergency departments. There’s also the less visible war between doctors’ ideals and the challenges of practicing medicine in today’s political and economic healthcare environment. The title “Code Black” refers to a specific medical condition: a patient in cardiopulmonary arrest whose suffering is so great that alleviating it requires a whole team of providers. This documentary by Ryan McGarry, a physician, and filmmaker who shot “Code Black” while he was a resident at LA County General, tells us of another definition. It was created to describe the condition of the emergency room’s waiting area in terms of color-coding. Code Black means things are as bad as they can get. It means the “system” that is the county hospital is overwhelmed, as a body is overwhelmed during a heart attack, and may in fact be on the edge of death. As this bleak but sadly illuminating movie shows us, the whole U.S. healthcare system is in Code Black. The advent of limited socialized medicine hasn’t begun to ease the misery.
You will watch this 2014 documentary and will then prepare (by using the 3 statements/questions below) a 3 – 4 page essay/critique of this film incorporating your thoughts and some external research. Be clear and concise in explaining your arguments and use credible sources. Your essay paper should be written in APA format and structured to cover the following questions.
YOU MUST USE THE QUESTIONS BELOW AS HEADERS FOR YOUR RESPONSES
This film is available from many sources for a nominal fee.You are responsible for acquiring and watching this film.
According to the film, the vast majority of our healthcare system is driven by a desire for profit. As a result, the patients who are in the direst need of care are also the ones who have the fewest options for getting it. With the safety net for the entire country consisting of less than 30 government-run facilities that are understaffed and underfunded, our healthcare system is shortchanging the most vulnerable among us…and, potentially, it’s shortchanging itself, and all of us, in the process.
QUESTION 1: Using our text as a source for support of your discussion, address funding, staffing, community health, preventative vs. reactive healthcare, and the For-Profit (FP) vs. Not for Profit (NFP) HCO.
There is a candid moment in Code Black in which McGarry admits to the camera that he needs to help a patient but is putting it off because he doesn’t want to attend to the mountain of routine paperwork that entails. The film does a good job of showing the demoralizing effects of all the red tape emergency physicians must deal with. In particular, we see how the oppressive burden of paperwork, quotas, and metrics detract from the natural camaraderie of the emergency department.
QUESTION 2:If you find yourself in an ED and the staff seems rushed, distracted, and not caring about you, will you have a better understanding of what they’re dealing with? Please discuss issues with volume, intensity, EMTALA, and (most importantly) the shift of primary care from the physician’s office to the ED.
There is a patient in Code Black who has diabetes but is unable to afford medication and is in danger of losing a leg as a result. A Resident laments that, had the patient been provided with medication that costs pennies a day, he would not now be in need of emergency treatment that will cost thousands of dollars. This film drives home that old cliché about an ounce of prevention, now demands to be reckoned with in dollars and cents, if only for the benefit of those who speak no other language. And those of us who are fortunate enough to be in good health might take this lesson to heart— guarding your health now is better than fixing it later.
QUESTION 3: As a healthcare administrator, responsible for maintaining a viable and economically sustainable facility, what can you do to address and manage this situation?Again, use the film, our text and your personal thoughts to respond.
RUBRIC
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. 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