week 6 hc 405 discussion

Unit 6 Discussion

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Discussion: Unit 6, Due Wednesday by 11:59 pm CT


  • Read the following article and decide if the patient received quality care.

An example of the difficulty of making judgments about quality of care could be illustrated through the experience of a patient undergoing coronary artery bypass surgery. A patient with significant coronary artery disease consults with a cardiac surgeon prior to surgery. The cardiac surgeon spends little time with the patient during the preoperative visit. She makes little effort to educate the patient about what will happen before, during, and after surgery. One week later, the surgery is performed without complications. The length of stay for the patient in the acute care hospital is eleven days, which is five days longer than the average length of stay for patients undergoing coronary artery bypass surgery in that particular hospital. The total hospital costs for that patient are $10,000 more than for an average patient in that particular hospital. After adjusting the length of stay and cost for case complexity, the cost and length of stay is still much greater than for comparable cases in that hospital and region. The patient, however, survived the operation and had an uncomplicated hospital course and was free from postoperative complications. Three months later, the patient’s health is excellent, and he is able to enjoy tennis free from symptoms.

From a technical standpoint, the operation went flawlessly and the clinical outcome was excellent. The “art” of caring for the patient, however, was questionable, as the patient received little information about the care that he was going to receive before, during, and after surgery. The physician exhibited poor communication skills. And if utilization were considered a measure of quality, the prolonged length of stay and increased costs associated with the operation might be considered indicative of suboptimal quality of care.

Williams, S. J. & Torrens, P. R. Introduction to health services (5th ed.). Clifton Park, NY: Delmar Publishers.

  • Now you decide. Did this patient receive excellent or poor quality medical care? Why?

Please be sure to validate your opinions and ideas with citations and references in APA format.

The post and responses are valued at 40 points. Please review post and response expectations. Please review the rubric to ensure that your response meets criteria.

Peer Response: Unit 6, Due Sunday by 11:59 pm CT


  • Always construct your response in a word processing program like Word. Check for grammar, spelling, and mechanical errors. Make the corrections and save the file to your computer.
  • Find the posts that you are going to reply to; respond to at least 2 other classmates.
  • Submit your peer response.
  • Your responses should demonstrate an understanding as well as critical thinking. Do not simply state “I agree” – add relevant information to your response.

Please be sure to validate your opinions and ideas with citations and references in APA format.