From the Mappes article, review what the past wishes/present interests problem is (question 6).   If in the future Medalie becomes happily demented, how should health care providers resolve the past wishes/present interests problem as it relates to Medalie? Would they be justified in refusing to honor his living will? What do you think generally about Medalie's request (whether or not he becomes happily demented)—should his request be honored?  Why or why not?

The practice guidelines of the healthcare quality assurance would be the policies and regulations that must be exercised by the healthcare providers in order not to violate any forms of malicious and illegal acts in the healthcare setting. The practice guidelines would provide the ethical ways in practicing the healthcare profession. It also includes the recommendations on the practice of the profession in the healthcare institutions. The healthcare quality assurance would provide a valid and authentic statements on the policies and regulations that must be practiced by the healthcare members and professionals. The administrative procedures would be the systematic and organized ways in dealing with the different administrative functions. This would also provide a wide range of systematic planning on the healthcare arrangements of the different medical practitioners. As per the principle of the healthcare, the administrative procedures would be focusing on addressing the issues on the healthcare with the necessary interventions.  I will sincerely discuss to the patient about the workplace procedures and policies that must be followed in order not to receive any forms of violation. In this case, it would be more suspicious to provide a receipt to the private health fund without stating his or her name in the daily record. So, I could be able to handle this situation through providing the workplace procedures that the patient should indicate their name in the record of the hospital so that it would help for the identity of the patients. I will discuss to the patient in an appropriate manner that we only follow certain rules and regulations in the healthcare organization.  We do not allow any forms of suspicious acts of not indicating their name to the daily record of the hospital. Therefore, I would be discussing the workplace procedures to the patient including the name that must be indicated in the record of the hospital.

I will discuss this further on the explanation box. 

Step-by-step explanation

The practice guidelines of the healthcare quality assurance would be the policies and regulations that must be exercised by the healthcare providers in order not to violate any forms of malicious and illegal acts in the healthcare setting. The practice guidelines would provide the ethical ways in practicing the healthcare profession. It also includes the recommendations on the practice of the profession in the healthcare institutions. The healthcare quality assurance would provide a valid and authentic statements on the policies and regulations that must be practiced by the healthcare members and professionals. The administrative procedures would be the systematic and organized ways in dealing with the different administrative functions. This would also provide a wide range of systematic planning on the healthcare arrangements of the different medical practitioners. As per the principle of the healthcare, the administrative procedures would be focusing on addressing the issues on the healthcare with the necessary interventions.  I will sincerely discuss to the patient about the workplace procedures and policies that must be followed in order not to receive any forms of violation. In this case, it would be more suspicious to provide a receipt to the private health fund without stating his or her name in the daily record. So, I could be able to handle this situation through providing the workplace procedures that the patient should indicate their name in the record of the hospital so that it would help for the identity of the patients. I will discuss to the patient in an appropriate manner that we only follow certain rules and regulations in the healthcare organization.  We do not allow any forms of suspicious acts of not indicating their name to the daily record of the hospital. Therefore, I would be discussing the workplace procedures to the patient including the name that must be indicated in the record of the hospital.

The specific patient portal or other internet based application used in the United States would be the Health Information Management System (HIMS) which is a computer software used to collect, store, manage, and transmit the electronic medical records of the patients in the particular healthcare organization. In this patient portal, the patients would be provided with the relevant information including the current condition, bills or statement of account, and the demographic profiles. This specific portal could also be accessed using the legitimate website of the particular healthcare organization. In this way, the patients could access their medical conditions through the use of internet due to the website of Health Information System of the healthcare providers. They would have the fast access of information as long as they have the internet connectivity that could be utilized in visiting a particular website of the healthcare organization. The health care in the United States should ensure the authenticity and veracity of the pertinent documents in the electronic medical records in order to prevent any forms of treatment errors. Using this platform in the internet, they could have a free access of the medical records upon entering personal information or demographic profiles and logging in to the website. In this way, they could have an immediate information as soon as possible by simply entering the information in the website. The barriers could be avoided for specific application through the regular monitoring or checking of the electronic medical records and other relevant information of the patients which would ensure its validity and reliability. In this way, the patients will have the assurance regarding the authenticity of the information through the regular monitoring of the IT (Information Technology) experts in responding the appropriate and specific applications. 

References: 

Administrative procedures (medicalprotection.org)

Link: https://www.medicalprotection.org/ireland/booklets/avoiding-problems-managing-the-risks-in-hospital-practice/administrative-procedures

Clinical Practice Guideline Manual (aafp.org)

Link: https://www.aafp.org/family-physician/patient-care/clinical-recommendations/cpg-manual.html#:~:text=a.,harms%20of%20alternative%20care%20options.

How to Ensure Patient Safety in a Healthcare Setting (regiscollege.edu)

Link: https://online.regiscollege.edu/blog/7-tips-ensuring-patient-safety-healthcare-settings/