Marcus enrolls himself and his partner in a family PPO health plan. Because his partner requires frequent medical care, they reach their $2,500 family deductible by early May. In June, Marcus needs a diagnostic procedure that costs $1,500. Plan details: Annual deductible: $2,500  Coinsurance after deductible: 30% Annual out-of-pocket maximum: $5,500  Based on this information, how will Marcus’s insurance cover the $1,500 procedure?

Hospital Overview:  Lutheran Hospital of Indiana is located in Ft. Wayne, Indiana which has a population of over 200,000. The hospital has 396 beds and is part of the Lutheran Health Network which includes eight hospitals and numbers urgent care centers, clinics and outpatient centers. As is in the name, the network has roots in the Lutheran religion when it was originally founded. In 2017, the Lutheran Health Network was purchased by for-profit corporate owners. The hospital offers all the typical service lines to serve all manner of patients and sees a balanced mix of payer types in the patient population they serve. The average length of patient stay is well under 30 days. There are residents training at Lutheran Hospital of Indiana. Lutheran Hospital of Indiana is a religiously affiliated teaching hospital. 

Liz is a Nurse Manager in the Neonatal Intensive Care Unit (NICU) at a local hospital. When Liz notices an issue in care delivery, who is she expected to report the issue to?

Loretta is currently in the hospital following a bad fall at basketball practice. She is being monitored for a severe concussion. During her stay she has noticed how many people regularly stop by her room to change her  bed linens, disinfect the medical equipment and clean up spills. These people all fall under what hospital service area? 

Susan has reached her out-of-pocket maximum for the year on her private insurance plan. This means that Susan has now entered the phase where she will pay 20% and her insurance will pay 80% of all future healthcare costs.  

Sea levels are now rising at a rate that is __________________________________ in human history. 

A patient receiving mechanical ventilation has an exhaled tidal volume (VT) of 500 mL and a positive end-expiratory pressure setting (PEEP) of 5 cm H2O. Patient-ventilator system checks reveal the following data: Time PIP (cm H2O) Pplat (cm H2O) 0600 27 15 0800 29 15 1000 36 13 The respiratory therapist should recommend which of the following for this patient?1. Tracheobronchial suctioning2. Increase in the set tidal volume3. β adrenergic bronchodilator therapy4. Increase positive end-expiratory pressure

The values below pertain to a patient who is being mechanically ventilated with a measured exhaled tidal volume (VT) of 700 mL. Time Peak Inspiratory Pressure (cm H2O) Plateau Pressure (cm H2O) 0800 35 30 1000 39 34 1100 45 39 1130 50 44 Analysis of this data points to which of the following conclusions?

What is the most appropriate type of ventilatory support for this patient at this time? 

 During mechanical ventilation, the patient’s PIP is reaching 28 cm H2O. At what level should the maximum safety pressure be set?