The purpose of this assignment is to provide students with the opportunity to demonstrate how the principles and concepts of leadership and management, covered in this course, are applied to improve the health care system and patient outcomes. Review these instructions, the grading criteria for the assignment as outlined in the grading rubric, and relevant course content as outlined below before you begin the assignment. This assignment constitutes 20% of your grade for this course. 1. Retrieve and review Florida`s Patient`s Bill of Rights and Responsibilities. A link is provided within Module 4. 2. Review the "Principles of Ethical Reasoning" outlined in Chapter 4 on pages 73-75 in the Marquis and Huston text. 3. Review the "Elements of Malpractice" discussion and Table 5.3 ("Components of Professional Negligence") in Chapter 5 on pages 96 - 98 in the Marquis and Huston text. 4. Review Display 23.5 ("Total Quality Management Principles") outlined in Chapter 23 on page 528 in the Marquis and Huston text. 5. Retrieve and read the case study entitled "The Medication, A Patient Story" which can be found at the end of these instructions and also within Module 4. Prepare a 3 to 5 page scholarly paper that addresses the following topics: 1. Describe the centralizing cause of the access to care issues in this case. Use research to support your statements, but do not repeat the case study. 2. Describe how a leader would identfy the lapses in this case, using concepts from patients` rights, ethical reasoning and professional liability. a. Which of Jill`s "Rights", as defined by Florida`s Patient`s Bill of Rights and Responsibilities, may have been violated? Why? (Limit your response in this category to the most relevant/important "rights", three to four maximum). b. How might Jill have exercised her "Responsibilities" (as defined by Florida Statute) to influence the outcome? c. Which of the ethical principles associated with the provision of healthcare were breached? By whom? Why? d. Which of the "elements of liability" may have been breached in this scenario? By whom? Why? 3. Select two (2) of the Total Quality Management Principles and describe how the leader could apply these principles to assist the healthcare professionals involved in this scenario improve outcomes and to prevent a recurrence? Be specific when describing the leader`s interventions. Support your ideas/discussion with at least three (3) peer-reviewed references. Your text can serve as one of the three. The Florida Statute on the Patient Bill of Rights and the case study found on the IHI website cannot be used as part of the three (3) required references, but they should be cited and included on your reference page as required by APA. Follow APA formatting guidelines for your paper. This paper must be written in third person as required by APA guidelines. The following major elements should be included: 1. Title page (with required elements as outlined in the APA manual) 2. Introduction (follows placement of the title at the top of page 2; introduces your reader to the topic and purpose of your discussion) 3. Body use section headings a. Identifying the problems i. Patient Rights ii. Patient Responsibilities iii. Ethical Principles iv. Elements of Liability b. Corrective actions through use of Total Quality Management 4. Summary (one or more paragraphs summarizing key points/ideas from the body) 5. Reference list (on a separate page)