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WGU D546 Healthcare Policy And Governance Updated Study Solutions With Solutions

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WGU D546 Healthcare Policy And Governance Updated Study Solutions With Solutions

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WGU D546 Healthcare Policy And Governance Updated
Study Solutions With 2025-2026 Solutions




D546: Healthcare Policy and Governance

Task 1: Merger Analysis

Deborah Eldred



A. Challenges




Standardizing policies and operations could be a challenge for administration when doing

a merger like Western View Children’s Hospital (WVCH) and Cedar Bend Medical

Center (CBMC). One difference is that while WVCH specializes in services like pediatric care,

CBMC services are in a wide range of areas and work primarily with the elderly population. This will

lead to an increase in the diversity of the overall patient population. Updating policies for operations

will need to be managed closely to ensure the needs of all patients are met.


The integration of Electronic Health Record (EHR) systems within the merger will present

financial challenges. Cedar Bend relies on a proprietary system, and Western View uses a cloud-

based EHR system; it will be costly to unify the EHR systems for both organizations. While WVCH

is a non-profit organization, CBMC a for-profit organization, and it could be costly to merge.


A1. Ethical Concerns



A lack of transparency and accountability is one ethical concern that may arise from aligning

the two leadership structures. Defining leadership roles should be a priority and could be timely in

the decision-making processes, but it is an essential part that needs to be completed in a timely

, manner. W h e n standardizing policies and operations It is important to consider the differences in

each organization and its unique circumstances when standardizing policies and operations.

Potential failure in managing patient data security is one significant issue and should continually be

monitored. The HIPAA Security Rule was put in place to safeguard electronic health records, and

The Health Insurance Portability and Accountability Act of 1996 Privacy Rule ensures our rights to

our own health information. Protecting patient health records are vital for ensuring compliance with

privacy laws and ensuring patient trust. It's in reimbursement and billing inaccuracies that ethical

concerns can arise. Using incorrect billing that provides a higher payment for services is an example

of inaccurate billing. It is essential that billing services be provided accurately and timely. It is crucial

that corrections are made promptly when Inaccuracies occur.

A2. Governing Agency and Regulatory Requirement

The Health Insurance Portability and Accountability Act {HIPAA) Security Rules are e n f

o r c e d b y t h e US Department of Health and Human Services (HHS). The Office for Civil Rights

{OCR) and protects t h e p a t i e n t ' s electronic health records.




A2a. Regulatory Requirement Impact



Electronic Health Record (EHR) systems ensure compliance with the HIPAA Security Rule

when integrated and monitored properly. The two facilities will be brought together using a

proprietary EHR system that will need to be migrated to a cloud-based EHR system. This process

will involve substantial costs. Security measures are to be taken to protect all electronic health

information during and after the integration phase at both locations, which can be costly. Staff at

both locations will need additional training on the new EHR system to ensure that security is always

the top priority. Using regular audits to monitor HIPAA compliance within both organizations is

essential.

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