Background: Evidence Care is making their COVID-19 decision support and documentation tools available for
free to help healthcare organizations document and triage patients in accordance with current best practices.
We will be using the rapid assessment for the Emergency Department Tool. In 2-3 pages double spaced with at
least 3 external citations navigate the assessment and evaluation for a patient who is 62 years old, male, and
who is presenting to the emergency room short of breath and with low oxygen saturation levels. The patient
has recently traveled and has recently visited his mother at a skilled nursing facility 9 days ago. The patient has
a fever, and as mentioned before is short of breath.
In your answer to the following questions. In addition provide a copy of the documentation provided at the end
of the assessment pathway – “copy to clipboard and paste into your word document”.
Question 1 Assessment Section – What assessment steps should healthcare organizations be taking? For
example which steps in the assessment require institutional policies and procedures vs. what steps are more
clinical in nature.
Question 2 Evaluation Section – Given the example patient information given above which boxes should be
selected and what relevant information should be collected in “structured” format. ie heart rate, weight, or other
physiological measurements. Remember this tool only creates a free text output at the end and additional
decision tools will require entry of discrete data.
Question 3 – What steps, polices, or procedures would you put in place to improve or bring the current tool into
conformance with current guidelines?
Question 4 – Copy and paste your documentation notes generated at the end of the tool and submit your
ansactions should not be based on the subjective intentions of those claiming the Community right. Instead, emphasis was placed on the finding that the conduct in question could not possibly have any other purpose than to trigger the provisions of Community law in a manner contrary to their purpose. In addition, the Court also had to consider whether it was apparent from objective factors that obtaining a tax advantage was the essential aim of the transactions. In conclusion, the Court affirmed a less stringent approach towards determining abuse in matters of indirect taxation. 5.2 The concept of abuse in Part Service In Part Service, the concept of abuse was once more discussed in relation to VAT. The referring court requested guidance on whether or not an abusive practice could be found in a situation when the: “accrual of a tax advantage is the principal aim of the transaction… or if such finding can only be made if the accrual of that tax advantage constitutes the sole aim pursued, to the exclusion of other economic objectives ” Essentially the referring court asked whether the essential aim referenced in the Halifax ruling meant the one and only aim of the transaction, or the most important aim. In reply, the court referenced Advocate-General Maduro and stated that if there was some explanation other than merely the attainment of tax advantages, then there was indeed no abuse present. The reasoning here seemed to confirm the narrow interpretation of abuse, however in rereferring again to Halifax the Court clarified that for VAT purposes at least, there is an abusive practice when the tax advantage in of the opinion of the judge is the principal reason for engaging in the transaction. No clarity was given as regards the criteria on which a judge should evaluate the importance of the tax advantage to the non-tax advantages.>GET ANSWER