Scenarios Scenarios




Part one

Having qualified and reputable medical workers is critical inensuring that a healthcare facility maintains a good workingrelationship with partners, especially insurance companies. It alsohas a direct impact on customer service and satisfaction.Consequently, a criterion for doctors’ evaluation is critical. Asthe facility administrator, I am tasked with the responsibility ofgiving privileges to doctors and other medical workers (Wolper,2012). This will be used by the liability insurance carriers toprovide the hospital policy. Some of the most important aspects ofthe assessment may include

• Academic qualifications, skills, and talents.

• Specialized training.

• Licensure and Certifications.

• Membership in professional organizations.

• Professional history, experience, and malpractices in the pastfrom databases such as National Practitioner Data Bank.

• Customer service and relations.

• Approach to treatment.

• Professional and personal ethics.

Part two

The hospital has established a criterion for granting privilegesto doctors working in the facility with an aim ensure that they arecompetent. According to the post, the physician should undergothorough investigations which look at the individual’s competence,qualifications, and discipline. The evaluation is based on theinformation contained in the application, professional ethics,physical and mental health status, licensure, National PractitionerData Bank and relevant references. Therefore, the facility can begranted a policy because it evaluates the competence of its workers.

Part three

The insurance companies would like to grant policies to facilitiesthat are keen in ensuring that there are no malpractices in theiroperations. This is because they absorb the liabilities of thehospital. Therefore, although they are strict, they are not unfair tothe facilities. They are not solely interested in monetary gains, butcannot cover irresponsible activities. For example, incompleteapplications, unverified information or suspended licenses can resultin negligence or unethical practices and thus losses.


Wolper, L. (2012). Health care administration: managing organizeddelivery systems. Sudbury, Mass.: Jones and Bartlett Publishers.