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Case Study: Joan Leikvold was hired by Valley View Community Hospital as an operating room supervisor in 1972. She did not have a contract for a specific duration, nor was she told that the hospital would not discharge her except for cause.

Case Study: Joan Leikvold was hired by Valley View Community Hospital as an operating room supervisor in 1972. She did not have a contract for a specific duration, nor was she told that the hospital would not discharge her except for cause.

Answer the Discussion Board board questions in paragraph form

Joan Leikvold was hired by Valley View Community Hospital as an operating room supervisor in 1972. She did not have a contract for a specific duration, nor was she told that the hospital would not discharge her except for cause. She was provided with a policy manual and told that the policies were to be followed in her employment relationship with the hospital. In 1978, she became the director of nursing. In October 1979, she requested a transfer back to her former position in the operating room. The chief executive officer (CEO) felt that it was inadvisable for someone who had been in a managerial position to take a subordinate position. Leikvold withdrew the transfer request but was subsequently fired. Her personnel record indicated “insubordination” as the reason for discharge. Leikvold was an at-will employee. At-will means that there is a contract made for an indefinite duration and either party, employer or employee, may terminate the contract at any time for any reason, or without reason, provided the reason is not discriminatory. Can the CEO fire Leikvold?

1) Your response should be in depth (3-4 paragraphs for the initial post. Defend your position with concrete examples from the weekly content.

2) APA citation is required.

Chapter Overview

Because state and federal laws closely regulate medicine, students will need to know the laws and regulations that govern the practice of medicine and the procedures they are permitted to perform.

This chapter explains the many laws that students will encounter in the workplace. Discrimination is a prominent issue in the hiring and promotion of employees that your students will want to know about. This chapter also addresses sexual harassment, a serious problem in the workforce. Students will learn how the ADA regulates the hiring and promotion of physically and mentally disabled individuals; the FADA protects the rights of older workers; the Equal Pay Act prevents the practice of paying women less than men for the same job; the FLSA establishes a federal minimum wage, mandates extra pay for overtime work, and regulates the employment of children; the ERISA involves pensions; and, the OSHA affects health care workers, particularly with regulations involving right-to-know laws and blood-borne pathogens.

Other issues discussed in this chapter are workers’ compensation and social security, which affect every employer and employee. The chapter also explains that Medicare and Medicaid are government-sponsored health care delivery and compensation systems.

And, finally, this chapter makes clear that procedures manuals, job descriptions, and employee handbooks are all part of the business side of a medical practice, as are laws affecting collection procedures.

Recommended Resources

These resources are provided for additional information about select topics:

• Sexual harassment:

U.S. Equal Opportunity Employment Commission. (n.d.). Sexual harassment. In Laws, rules, & regulations. Retrieved from 33Thttps://www.eeoc.gov/laws/types/sexual_harassment.cfm33T

• ADA Amendments Act of 2008. Retrieved from 33Thttps://www.eeoc.gov/laws/statutes/adaaa.cfm33T

• OSHA. Retrieved from 33Thttps://www.osha.gov/33T

• Social Security. Retrieved from 33Thttps://www.ssa.gov/33T

• Medicare. Retrieved from 33Thttps://www.medicare.gov/

• Medicaid. Retrieved from 33Thttps://www.medicaid.gov/


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