Poetry with Research

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Compose a formal essay interpreting the themes of a narrative song. You will need a song that has a primary theme and one or two secondary themes.

Requirements:

  • Be able to tell which song you are using on Wednesday
  • Typed in the basic MLA format
  • 1-2 scholarly sources as well as the primary source
  • Includes a Works Cited page
  • 750-1000 words in length
  • Due on Friday, March 27 by 11:59 PM.

Rubric:

15% Introduction: You establish a context for the significance of your thesis in regards to the literary work as a whole. How does your argument contribute to understanding the author’s major literary/thematic concerns? What can other readers learn from your analysis? How does your analysis/critique fit in with other critical responses of the author/literary work?

15% Thesis: You state in 1-2 sentences your main idea. The thesis is the culmination of your introduction.

30% Organization: Your essay should follow that of a typical literary critique:

Since your focus must be on analyzing some literary motif, theme, or a combination of a literary elements (such as symbolism, character, setting, etc.), your essay must contain well-structured supporting paragraphs that contain a topic sentence, quotes from the primary text, an explanation/discussion of the significance of the quotes you use in relation to your thesis, quotes from secondary sources, and a concluding sentence or two that situates the entire paragraph in relation to the thesis. Your thesis will focus on some kind of critical analysis of the primary text, so your supporting paragraphs should be organized around each of the quotes you use, explaining the significance of the quotes and why (or how) transitions and at least six (or more) sentences.

10% Conclusion:No matter which option you choose, you want a conclusion that avoids summarizing what you’ve just said. You also don’t want to say, “In conclusion…” Your aim in a conclusion is to place the discussion in a larger context. For example, how might your critical analysis of a literary character relate to the other characters in a work? How might your thesis be applied to other aspects of the text, say for example, the setting or symbolism?

20% Grammar and Mechanics: Your paper avoids basic grammar mistakes, such as dropped fragments, run-ons, dropped apostrophes in possessives, subject/verb agreement, arbitrary tense switches, etc. The paper demonstrates a commitment to proofreading by avoiding easy-to-catch typos and word mistakes (effect for affect, for example).

10% Presentation: Your paper meets the minimum length criteria of 750 words and typed with a creative title. The paper is required to be in the MLA format, using the primary source, 1-2 scholarly secondary sources, in-text citations, and a works cited page.

The following tips might be helpful in your song analysis.

How to Write a Song Analysis for English Class

Kori Morgan

Listening to your favorite music might be an enjoyable pastime, but analyzing a song lets you apply what you’re learning in English class to a favorite composition. Figurative language, tone and theme are just a few literary devices you can practice identifying as you write about music. By analyzing these elements, you can gain an greater appreciation for the practical application of the tools of English to songwriting.

Select an original, meaningful song for your paper topic. Consider the emotional depth of the lyrics, the themes and issues it introduces and its creative use of language as you choose a song to write about. For example, “Imagine” by John Lennon, which speculates about what a world full of peace would look like, presents a strong message about countering the effects of violence and spiritual conflict in the world.

Listen to the song with the lyrics in front of you. As you play the song, underline or highlight important lines and phrases that contribute to its meaning, as well as any personal thoughts or responses that come to mind. These reactions can help you shape the analysis of your song when you begin to write.

Introduce your song in the essay by giving some historical background about it, including the songwriter, year and any events that that shaped its creation. For example, “The Rising” by Bruce Springsteen showcases the resiliency of Americans after the terrorist attacks of Sept. 11, 2001. Describing this context would be a good way to introduce readers to the song and its theme of survival.

Analyze the lyrics by examining figurative language, phrases that describe something by comparing it to something else. In “The Sound of Silence,” for example, Simon and Garfunkel use personification, which gives emotional characteristics to an object, animal or idea. By addressing the song to the “darkness” of nighttime, they emphasize the song’s themes of loneliness and isolation. You can also write about the use of rhyme, repetition and other sound devices. In “Bleeding Me” by Metallica, the speaker uses repeated lines such as “I’m digging my way” and “This thorn in my side” to show his struggle in breaking away from addiction.

Analyze the song’s use of musical arrangements. Think about how the song’s choice of a major or minor key, dominant instruments and texture relate to the lyrics and theme and create a specific mood. For example, the minor piano chords and driving drumbeats of Adele’s “Set Fire to the Rain” illustrate the speaker’s desolation after the end of a bitter relationship.

Write a conclusion that emphasizes the main theme of the song. If you’re writing about Christina Aguilera’s “Beautiful,” for example, you might say that the song encourages people who have been bullied to recognize and celebrate their uniqueness rather than let people’s words hurt them. Draw your paper together in a way that shows how the song’s lyrical and musical elements illustrate this message.

Young Goodman Brown, English homework help

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“Young Goodman Brown” Short Answer Assignment
ENG 250 – American Literature
Graded out of 40
Review the details for this paper assignment. Once you have completed the paper and saved as a Word
document, you must submit the paper to your instructor via Turnitin (see “Young Goodman Brown”
Response – Submission in the Assignments for Week 2.) 

Assignment Instructions:
For this assignment, you will read Nathaniel Hawthorne’s “Young Goodman Brown” (DiYanni, p.
391-399). After reading the story, analyze the following elements according to the guidelines and
questions below:

 1. Reference Citation: Complete an APA style reference page citation for the story, including the
title, author, and appropriate publication information.

 2. Plot: Summarize the story. What are the main incidents in the story? What is the climax of the
story? How does the story end?

 3. Structure: How are the incidents in the story arranged (for example, chronologically)? Are there
any instances of flashbacks and foreshadowing?

 4. Type of Story: What type of short fiction is this? Is this a parable, fable, or short story, or does it
share elements of several of these? Be sure to support your answer with reasons for your
viewpoint.

 5. Characters: Who are the main characters in the story? What adjectives would you use to
characterize them? Who are the other characters, and what are their roles or impact on the story?
How would you describe the way that the characters speak (fast, slow, elegantly, lightly, angrily,
etc.)? 

6. Setting: Where does the story take place? At what time does the story take place? Is the setting
symbolic? What adjectives would you use to describe the setting? Explain the setting vividly.

 7. Symbolism: Are there any objects or events that serve as symbols in the story? What do the
symbols represent? How does the author make this clear to the reader? 

8. Language and Style: How is the language appropriate for the audience? How is the language
appropriate for the story itself? How would you describe the author’s style (elegant, formal,
informal, harsh, cold, short, flowery, etc.)? Use specific examples to explain your answer. 

9. Theme: Is there a theme (or, in the case of a children’s story, a moral) to the story? What is it? If
there is no theme/moral, why do you think there isn’t one? Does this theme/moral challenge or
confirm your values? 

10. Historical Context: In your opinion, how does this story relate to its social and historical context?
What is Hawthorne trying to say, if anything, about this period of time in American history?

 © Hondros College 

Make sure to include a separate section, with a label, for each point listed above. You will lose
points for combining sections, or for not labeling each section. Separate your answers, even if you feel as
though you are repeating yourself. Answers that only refer to another section of the assignment, such as
“see the answer for Language and Tone,” are unacceptable. The lengths of each answer will vary;
however, be as thorough as possible, try to answer all of the questions within each category, and
apply the concepts discussed in your textbook and the course PowerPoints. Write as much as is
necessary to write to completely answer each question, but a 4-6 sentence paragraph will probably be
appropriate for each section.
Grading:
Each question will be graded individually out of three, and the sum of those grades will make up the
bulk of the assignment grade. A grade of 3/3 is reserved for thorough, well-developed answers; a grade
of 2/3 means the answer missing some detail, but is good overall; a grade of 1/3 means the answer
deserves some credit, but needs some major work; and a grade of 0/3 means that the section either is
missing or doesn’t engage the questions at all.
Be certain to also revise and edit properly, as well as follow the formatting guidelines noted above.
Additionally, the assignment should include an APA formatted title page, Times New Roman 12 point
font, and 1inch margins. An abstract is not necessary.
Please see the rubric below for detailed grading information.
“Young Goodman Brown” Short Answer Rubric Possible
Points
Points
Earned
Effectiveness of answers: The student answers all the questions
based on the lectures and textbook readings, providing clear support
and logic for his or her ideas. This is the sum of individual grades
for each section.
30
Assignment is edited and revised properly: The essay is written
with clear, interesting, sound sentences; appropriate tone; a lack of
grammatical, mechanical, typographical, and punctuation errors.
7
Assignment follows formatting guidelines: The assignment has
an APA-style title page, uses Times New Roman 12 font, has
appropriate margins, and otherwise acceptably meets APA
standards. In addition, the assignment offers correct headers for
each section of the paper, and clearly delineates one answer from
another.
3
TOTAL: 40

Assignment 1: Company Description and SWOT Analysis

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  • Assignment 1: Company Description and SWOT Analysis
    • Create your revised Non-Alcoholic beverage (NAB) company name and explain the name’s significance to you. Describe a NAB that you would produce and sell.
    • Develop your revised company’s mission statement and provide a rationale for its components.
      • Hints: Use the Statement of Mission template on pages 72–73 of the course textbook, Successful Business Plan, to aid your development.
      • Extract appropriate information from the NAB Company Portfolio, where applicable. You should fill in other required items in the template using your personal preferences.

Due Week 3 and worth 100 points

In this assignment, you will create a revised company description and mission statement based on the feedback you received in the Week 1 discussion. Then, you will conduct a SWOT (strength, weakness, opportunity, and threat) analysis for the type of beverage you have selected and for your company. As you work on the assignment, consider why you have chosen one type of non-alcoholic beverage over another and the reasons for that choice. As you complete your SWOT analysis, be sure to include external factors such as industry/market trends and competition, and internal factors such as your capabilities or abilities to reach certain market segments.

Write a 3–5-page paper in which you do the following:

The specific course learning outcome associated with this assignment is:

  • By submitting this paper, you agree: (1) that you are submitting your paper to be used and stored as part of the SafeAssign™ services in accordance with the Blackboard Privacy Policy; (2) that your institution may use your paper in accordance with your institution’s policies; and (3) that your use of SafeAssign will be without recourse against Blackboard Inc. and its affiliates.

Can someone take my PHI208 quiz? 10 questions??

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its 10 questions, and 3 free retries. I would give you the information to log in to my school website, it is the only way it will work, i am desperate!! PLEASE!!

*** YOU NEED TO MESSAGE ME FOR LOGIN INFO*****

Complete the quiz on the assigned readings and media for the week. In order to complete this quiz, you must read and watch the required resources from this week before and while you are attempting the quiz. You have up to three attempts to complete this quiz. However, the system does not take your best score. Instead, it only counts your most recent attempt. That means that if you are happy with your score you should not attempt the quiz again as it might result in a lower score.

Here is a list of the specific resources that will be covered in the quiz. 

Required Text

  1. Understanding Philosophy
    1. Chapter 6: Traditional Theories of Ethics
      Read the following sections:
      • Relativism
      • Moral Relativism
      • Extreme Relativism
      • Problems with Relativism
      • Reformer’s Dilemma
      • Remembering What We Agree On
      • Euthanasia
    2. Chapter 6 Readings
      • Active and Passive Euthanasia by: James Rachels

Texts

  1. Midgley, M. (1983). Heart and mind: The varieties of moral experience. London, GBR: Methuen & Co Ltd. Retrieved from the ebrary database.
    • Read “Trying Out One’s New Sword” (pp. 69-75) from this book.
  2. Plato. (n.d.). Gyges’ ring. In The Republic.

Article

  1. Kass, L. R. (1991, Aug. 9). Why doctors must not kill. Commonweal, 118(14), 472-476. Retrieved from the ProQuest databse.

Multimedia

  1. palliummja. (2011, March 19). Dying for care – quality palliative & end of life care in Canada (English subtitles/captions) [Video file]. Retrieved from http://www.youtube.com
    /watch?v=Q6mUbIjKEEI
  2. relievesuffering. (2012, Feb. 8). Right to die, assisted suicide, euthanasia part 1 5 [Video file]. Retrieved from http://www.youtube.com/watch?v=UTLN6ea_SR0

Critical Process Paper

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Analyze ONE of the following topics:

1. Should alcohol, tobacco, fast food and/or pharmaceutical advertising be prohibited? Make a case for and against.

2. Select TWO public service announcements from the Ad Council ( Link) and make an argument for or against their effectiveness. What issue would you create a psa for?

3. Analyze any recent public relations campaign.

4. Discuss the cultural and economic influence of the Walt Disney Company.

Critical process papers should be written as a formal paper with an introduction, clear thesis statement, body paragraphs discussing the topic, and a strong conclusion. I’m interested in reading about what you have to say about the topic, so don’t rely too heavily on outside sources. If you do choose to quote an outside source, make sure to include an in-text citation and full citation at the end of the paper. MLA or APA format should be used for the paper. For more information about proper formatting, please visit the Purdue OWL online resource: Research and Citation Resources.

Critical process papers should be double spaced, 10-12 point font, and 4-5 pages in length. If you have any questions, please feel free to email me.

Rubric

MAC 143- Critical Process Paper

MAC 143- Critical Process Paper
Criteria Ratings Pts

This criterion is linked to a Learning OutcomeStimulating IdeasThe writing: • focuses on a specific topic clearly expressed in a thesis statement. • contains specific facts, examples, and quotations to support the thesis. • displays critical thinking. • thoroughly informs and engages the reader.
40.0 to >30.0 pts

All Criteria Met

The writing: • focuses on a specific topic clearly expressed in a thesis statement. • contains specific facts, examples, and quotations to support the thesis. • displays critical thinking. • thoroughly informs and engages the reader.

 30.0 to >20.0 pts

Meets 3 of 4 Criteria

The writing: • focuses on a specific topic clearly expressed in a thesis statement. • contains specific facts, examples, and quotations to support the thesis. • displays critical thinking. • thoroughly informs and engages the reader.

 20.0 to >10.0 pts

Meets 2 of 4 Criteria

The writing: • focuses on a specific topic clearly expressed in a thesis statement. • contains specific facts, examples, and quotations to support the thesis. • displays critical thinking. • thoroughly informs and engages the reader.

 10.0 to >0.0 pts

Meets 1 of 4 Criteria

The writing: • focuses on a specific topic clearly expressed in a thesis statement. • contains specific facts, examples, and quotations to support the thesis. • displays critical thinking. • thoroughly informs and engages the reader.

 0.0 pts

Meets 0 of 4 Criteria

The writing : • focuses on a specific topic clearly expressed in a thesis statement. • contains specific facts, examples, and quotations to support the thesis. • displays critical thinking. • thoroughly informs and engages the reader.

40.0 pts

This criterion is linked to a Learning OutcomeVoiceThe writing: • employs a level of language suitable for the topic and audience • shows the writer’s commitment to the topic • explains or defines unfamiliar or complicated terms • includes unbiased, fair language appropriate for the topic
20.0 to >15.0 pts

All Criteria Met

The writing: • employs a level of language suitable for the topic and audience • shows the writer’s commitment to the topic • explains or defines unfamiliar or complicated terms • includes unbiased, fair language appropriate for the topic

 15.0 to >10.0 pts

Meets 3 of 4 Criteria

The writing: • employs a level of language suitable for the topic and audience • shows the writer’s commitment to the topic • explains or defines unfamiliar or complicated terms • includes unbiased, fair language appropriate for the topic

 10.0 to >5.0 pts

Meets 2 of 4 Criteria

The writing: • employs a level of language suitable for the topic and audience • shows the writer’s commitment to the topic • explains or defines unfamiliar or complicated terms • includes unbiased, fair language appropriate for the topic

 5.0 to >0.0 pts

Meets 1 of 4 Criteria

The writing: • employs a level of language suitable for the topic and audience • shows the writer’s commitment to the topic • explains or defines unfamiliar or complicated terms • includes unbiased, fair language appropriate for the topic

 0.0 pts

Meets 0 of 4 Criteria

The writing: • employs a level of language suitable for the topic and audience • shows the writer’s commitment to the topic • explains or defines unfamiliar or complicated terms • includes unbiased, fair language appropriate for the topic

20.0 pts

This criterion is linked to a Learning OutcomeOrganizationPaper: • follows a well-chosen pattern of organization established in the thesis • forms a meaningful whole, including a clear beginning, a strong middle, and an effective ending • establishes a unified, coherent line of thinking • uses transitions to link ideas
20.0 to >15.0 pts

Meets All Criteria

Paper: • follows a well-chosen pattern of organization established in the thesis • forms a meaningful whole, including a clear beginning, a strong middle, and an effective ending • establishes a unified, coherent line of thinking • uses transitions to link ideas

 15.0 to >10.0 pts

Meets 3 of 4 Criteria

Paper: • follows a well-chosen pattern of organization established in the thesis • forms a meaningful whole, including a clear beginning, a strong middle, and an effective ending • establishes a unified, coherent line of thinking • uses transitions to link ideas

 10.0 to >5.0 pts

Meets 2 of 4 Criteria

Paper: • follows a well-chosen pattern of organization established in the thesis • forms a meaningful whole, including a clear beginning, a strong middle, and an effective ending • establishes a unified, coherent line of thinking • uses transitions to link ideas

 5.0 to >0.0 pts

Meets 1 of 4 Criteria

Paper: • follows a well-chosen pattern of organization established in the thesis • forms a meaningful whole, including a clear beginning, a strong middle, and an effective ending • establishes a unified, coherent line of thinking • uses transitions to link ideas

 0.0 pts

Meets 0 of 4 Criteria

Paper: • follows a well-chosen pattern of organization established in the thesis • forms a meaningful whole, including a clear beginning, a strong middle, and an effective ending • establishes a unified, coherent line of thinking • uses transitions to link ideas

20.0 pts

This criterion is linked to a Learning OutcomeWriting QualityWriting: • flows smoothly from one idea to the next. • exhibits a variety of sentence beginnings, lengths, and structures.
10.0 to >8.0 pts

Meets All Criteria

Writing: • flows smoothly from one idea to the next. • exhibits a variety of sentence beginnings, lengths, and structures. • no major spelling errors present • writer uses proper grammar throughout • MLA or APA format used correctly

 8.0 to >6.0 pts

Meets 4 of 5 criteria

Writing: • flows smoothly from one idea to the next. • exhibits a variety of sentence beginnings, lengths, and structures. • no major spelling errors present • writer uses proper grammar throughout • MLA or APA format used correctly

 6.0 to >4.0 pts

Meets 3 of 5 criteria

Writing: • flows smoothly from one idea to the next. • exhibits a variety of sentence beginnings, lengths, and structures. • no major spelling errors present • writer uses proper grammar throughout • MLA or APA format used correctly

 4.0 to >2.0 pts

Meets 2 of 5 Criteria

Writing: • flows smoothly from one idea to the next. • exhibits a variety of sentence beginnings, lengths, and structures. • no major spelling errors present • writer uses proper grammar throughout • MLA or APA format used correctly

 2.0 to >0.0 pts

Meets 1 of 5 Criteria

Writing: • flows smoothly from one idea to the next. • exhibits a variety of sentence beginnings, lengths, and structures. • no major spelling errors present • writer uses proper grammar throughout • MLA or APA format used correctly

 0.0 pts

Meets 0 of 5 Criteria

Writing: • flows smoothly from one idea to the next. • exhibits a variety of sentence beginnings, lengths, and structures. • no major spelling errors present • writer uses proper grammar throughout • MLA or APA format used correctly

10.0 pts

This criterion is linked to a Learning OutcomeDue DatePaper is turned in by assigned due date
10.0 pts

Full Marks

Paper is turned in by assigned due date

 0.0 pts

No Marks

Paper is turned in after assignment due date

10.0 pts

Total Points: 100.0

PreviousNext

Healthccare Reform Implementation

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Overview

This assessment is aligned with the module objective “Develop the implementation of population-focused care through the nursing process, collaboration, and interdisciplinary skills.” As part of the written assignment, you will complete the following tasks:

  • Examine the status of health care reform implementation in your state. Has this been effective? How is it impacting community health in your state?
  • Describe the effects of economics in health care
  • References
  • Minimum of four (4) total references: two (2) references from required course materials and two (2) peer-reviewed references. All references must be no older than five years (unless making a specific point using a seminal piece of information)
    Peer-reviewed references include references from professional data bases such as PubMed or CINHAL applicable to population and practice area, along with evidence based clinical practice guidelines. Examples of unacceptable references are Wikipedia, UpToDate, Epocrates, Medscape, WebMD, hospital organizations, insurance recommendations, & secondary clinical databases.

    Style
    Unless otherwise specified, all the written assignment must follow APA 6th edition formatting, citations and references. Click here to download the Microsoft Word APA 6th edition template. Make sure you cross-reference the APA 6th edition book as well before submitting the assignment.
    Number of Pages/Words
    Unless otherwise specified all papers should have a minimum of 600 words (approximately 2.5 pages) excluding the title and reference pages.

can you answer these interview questions for a project?

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1. Many students in our low-income partner schools enter the school year several years below grade level. Should educators hold these students to the same expectations as their more affluent peers? Explain why or why not.

2. How much academic growth is reasonable to expect a low-income student who is academically behind to make in one year? For example, if you were a 3rd grade teacher and a student came to you at a 1st grade level, where would you expect them to be academically by the end of 3rd grade?

3. Why do you think so many students in low-income public schools are struggling or sometimes even failing? Why haven’t many schools in low-income communities had excellent academic results?

4. Why would you want to work in a Title I school?

5. Assume you are the leader of a school and you are tasked with evaluating your teaching staff. Name three things that would tell you whether a teacher you are evaluating is, in fact, an effective teacher.

Also, I just want your opinion, what would you think would be an appropriate salary for a first time teaching position in the Phoenix area?

Persuasive Speech, Writing Question help

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Assignment 6.

1.  Create a complete
preparation outline using the outline template below for a persuasive speech.

2.  You
may choose from one of the topics below.

a.  Why banning the use of cell phones
while driving should be mandatory nationwide?

b.  What I see as the biggest challenges
young adults face today

c. 
Increased dependence on technology
in the U.S.

d. 
Bullying in schools.

e. 
Gun laws in the U.S.

Assignment 7

Project: Written Speech

  1. Submit
    your speech with a title page, your name, and date submitted.
  2. Your response should be a minimum of two (2)
    double-spaced pages to a maximum of four (4) pages in length; refer to the
    “Assignment Format” page located on the Course Home page for
    specific format requirements.
  3. Develop
    your speech based on the preparation outline you submitted for Assignment
    6.

Risk Management (2 page essay)

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Smith, a certified public accounting firm, was engaged to audit the financial statements of the Sky-is-the-Limit company. The company has its own IT installation. While obtaining an understanding of internal control, Smith found that Sky-is-the-Limit lacked proper segregation of the programming and operating functions. Smith analyzed the internal control surrounding the system to ensure that the corporate governance was being maintained, and he concluded that the existing compensating general control activities provided reasonable assurance that the objectives of internal control were being met.

Prepare a letter addressed to the board of directors that discusses the following:

  • How is the separation of the programming and operating functions accomplished in a properly functioning IT environment?
  • Explain the 3 subdivisions of information systems management, and discuss how they apply to this situation.

APA Style 2 page essay with reference.

privacy rule requirements

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Case Study:

The following case study (Rinehart-Thompson) at hypothetical St. John Hospital illustrates numerous issues that the HIPAA privacy rule presents and which HIPAA-covered entities must address on a daily basis. As you conclude Chapter 9 and the HIPAA privacy rule requirements, use this case study to identify the issue(s) presented on each date, determining how each situation should be handled in order to comply with the HIPAA privacy rule.

From May 26-30, Mary Jones was hospitalized in St. John Hospital, located in Johnson County, with depression and a drug overdose (documented by the physician as possible suicide attempt). She also had Type I diabetes and a previous above-knee amputation of the right leg, with prosthesis. During her hospital stay, she had several sessions with her psychiatrist, Dr. Bridges.

On July 18, Ms. Jones contacted the HIM Department at St. John Hospital to request a copy of her medical records from her May hospital admission. The chart was copied for her by ReadyChart, the record-copying service utilized by St. John Hospital.

On August 7, Ms. Jones returned to the HIM Department at St. John Hospital, extremely upset that her May records indicated a possible suicide attempt. She wanted Dr. Bridges to change the incorrect records to reflect that the overdose was accidental. Dr. Bridges refused, stating that Ms. Jones didn’t know what she was talking about.

On September 14, Ms. Jones was readmitted to St. John Hospital with an infection of the prosthetic site. She was treated with an antibiotic regimen.

On October 5, St. John Hospital received a call from Mercy Hospital. Ms. Jones was in the emergency department there, with a severe infection of her prosthetic site. The nurse in the Mercy Hospital emergency department asked for faxed copies of medical records from Ms. Jones’ September admission at St. John, as she was being prepared for immediate surgery.

On October 15, Ms. Jones decided to go to another psychiatrist. She called St. John Hospital HIM Department and asked that her medical records from her May hospital admission be mailed to Dr. Lyon, as she has an appointment scheduled with him this coming January. Ms. Jones stated that she had also changed jobs in September, and her new health insurer was Liberty Life and Health.

On October 30, Ms. Jones requested a copy of her medical records from her September admission. The new HIM manager in charge of correspondence, Don Day, stated that he was aware of a state statute that prohibited the release of medical records to patients without prior written approval of their attending physician. This has not been the practice at St. John Hospital. Mr. Day was concerned about the hospital’s longstanding violation of state law. He suggested that correspondence requests (in which records would be released directly to patients) be suspended until the state law could be researched further.

On November 10, Ms. Jones received a brochure and samples from Comfort Healthcare, a pharmaceutical company that manufactures ointment for patients with prostheses. Ms. Jones called the St. John Hospital registration desk to complain. Jessica Carter, a candy striper, took Ms. Jones’ call.

On November 12, Liberty Life and Health submitted a request to Dr. Lyon’s office for copies of Ms. Jones’ medical records from her May St. John Hospital admission and from Dr. Lyon’s office.

On November 17, A case worker from the Johnson County Children’s Services called the HIM Department at St. John and requested Ms. Jones’ medical records from her May hospitalization. Children’s Services had received a complaint that Ms. Jones had an “episode” on May 26 and there was concern that her children were being subjected to ongoing abuse. As a result, it was initiating an investigation.

On November 20, the physical therapy department at St. John Hospital is performing a correlational study to determine the effects of two different types of treatment that the physical therapy department has used with its above-knee amputation patients during the past two years. Ms. Jones received treatment from the St. John physical therapy department during her September admission.

On November 21, Dr. King, an orthopedic surgeon, presented a seminar to the state association of orthopedic surgeons on above-knee amputation techniques. He had performed Ms. Jones’ procedure one year ago, and he showed slides that compared her condition before the procedure, immediately after, six months later, and one year later.

Based on the HIPAA privacy rule issues discussed in Chapter 9, identify the issue or issues presented on each date in the above case study.

Sample of what your assignment should look like. I went ahead and provided the first two dates for you. Your assignment is to provide the needed documentation for the remaining dates:

Date

Event

Identified Privacy Rule Principle(s)

May 26–30

Patient hospitalized at St. John Hospital, Johnson County. Treated by psychiatrist Dr. Bridges.

During hospitalization: facility directory

July 18

Patient requested copies of medical records from May 26-30 admission at St. John Hospital. Records copied by record copying service, ReadyChart.

Individual right of access (and psychotherapy notes exception).

ReadyChart is a BA; its employees may be considered workforce members

August 7

Patient wants “possible suicide attempt” removed from records by Dr. Bridges

Individual right to request amendment

Provide the remaining answers in a table, as you see here. Include the dates: September 14 – November 21.

Provide the remaining answers in a table, as you see here. Include the dates: September 14 – November 21.

Once your table is done, provide a summary for each of the dates identified in the documentation. I have provided an example for you below to get you started.

May 26-30: The scenario doesn’t state whether Mary was admitted to a special behavioral health or substance abuse unit. If there are special units, St. John Hospital may establish a policy where there is no facility directory for those units (to ensure patient confidentiality). In that case, patients should be instructed that no information will be given about them and they will need to contact individuals directly. If facility policy allows Mary to be included in the facility directory, it must be clear to her what information can be disseminated—fact of her admission; location; condition in general terms to those who ask for her by name; religion (to clergy of her religious affiliation if this has been indicated on her record).

July 18: If Dr. Bridge’s documentation constitutes psychotherapy notes, Mary does not have a right of access to this information (an exception to the individual right of access under the HIPAA privacy rule). If the record is an EHR, an electronic copy must be made available to Mary. ReadyChart is a business associate (the organization is not a member of St. John’s workforce and its functions include the use and disclosure of individually identifiable health information on behalf of the covered entity, St. John Hospital). There must be a signed business associate agreement (BAA) between St. John Hospital and ReadyChart, although ReadyChart is still a BA even if a BAA does not exist. The business associate agreement must reflect the required changes per HITECH (which increase the risk of being a business associate). Special note: ReadyChart employees, who likely routinely work on-site at St. John Hospital, may be considered workforce members for purposes of training and so forth.

August 7: Mary is exercising her individual right to request an amendment to her health records. The right to request does not mean that the covered entity must comply with the request. If her request is granted, St. John must identify the records in the DRS that are affected by the amendment and append the information. Mary must then be notified that the amendment was accepted, have her identify the persons with whom the amendment needs to be shared, and obtain her agreement to notify those persons. Reasonable efforts must be made to provide the amendment, within a reasonable amount of time, to anyone who has received Mary’s PHI.

Research

Visit the website of the Office of Civil Rights for the Department of Health and Human Services and access the posting of breach incidents affecting 500 or more individuals at https://ocrportal.hhs.gov/ocr/breach/breach_report.jsf . Identify information such as the 10 largest breaches that occurred in the past 2 years, the locations of the breaches, and whether the covered entities are healthcare providers or other types of covered entities.