MHA@GW Module 7
Health Law and Policy
Module 7 Key Competencies
Communication and Relationship Management
- Demonstrates the ability to organize and deliver a professional presentation using the approriate media in a convincing and persuasive manner.
- Utilizes a set of team building functions to facilitate effective group behavior.
- Builds effective collarorative relationships with multiple stakeholder groups using verbal and non-verbal communication techniques
Business Skills and Knowledge
- Demonstrates an understanding of the basic concepts of health law and compliance requirements as they affect decision-making in healthcare organizations.
- Describes the the key elements of governing board structure and function in addition to how organizational and environmental factors influence the structural design of health care organizations, including the distribution of authority and relationships among organizational subunits.
- Ability to determine the ethical implications of managerial decisions and evaluate the professional codes of ethics from various professional associations or societies and how they articulate with managerial practice
- Demonstrates the ability to understand and apply healthcare regulations including those from governmental and non-governmental agencies and organizations
- Explain the structure of the U.S. healthcare system and the processes through which health policies are formulated and implemented at the state and federal levels.
The activities of this module have made me more comfortable with utilizing resources to research guidance provided by federal agencies to interpret and apply federal law. Specifically, The Federal Register is one example of an important resource through which federal agencies communicate information to the public such as a Notice of Proposed Rule Making (NPRM).
Additionally, this module provided me with greater insight into the complicate landscape of U.S Code that addresses Anti-kick back statutes, Physician Self Referral (Stark) Law, and Fraud and Abuse. These federal laws were enacted in the fee-for-volume era of healthcare to curb potential abuses of the Medicare and Medicaid systems. However, in the post Patient Protection and Affordable Care Act of 2010 era that has reformed health care into a payment for value model, these Anti-trust laws have become a barrier to achieving the integration needed to improve healthcare quality and efficiency. As such, entities such as the OIG, CMS, and the FTC have had to issue guidance that describes "safe" harbors for health systems and physicians to understand the structures to arrange relationships within Accountable Care Organizations (ACO) to avoid running afoul of Anti-trust laws.