HME712 Healthcare Operations

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HME712 Healthcare Operations

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HME712 Healthcare Operations

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Course Code: HME712
University: Deakin University

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Country: Australia


You are the General Administrator at the Rainbow Skies Home Health Care Angels agency. In this assignment, you will be analyzing the situation that occurred and formulating evidence-based recommendations to prevent recurrence. After reading the case study and your grading rubric, please address the following questions about this scenario recommendation memo to the agency’s Executive Director:
1.What is the organization’s legal reporting obligations in this scenario? Analyze the reporting requirements and legal considerations in the context of the case study and evidence base.
2. What ethical issues are present in this scenario? Identify at least two ethical issues. For each issue, identify at least one ethical principle or theory and analyze its application to each of these issues. Note: If you choose the same ethical principle or theory, be sure to provide a well-reasoned analysis for its applicability to each of the two issues.
3. State whether a tort(s) was committed and justify your response.
If yes, identify the tort(s) and each element which establishes that a tort(s)was committed.If no, explain how you determined that the issues did not rise to the level of a tort.
4. What cultural, religious, or spiritual considerations do you need to consider, and how might they impact your decision making?
5. Identify those who may be impacted by your decisions as a healthcare administrator on this matter and provide a brief analysis on ways they be impacted.
6. Is there any information missing which would help you in your decision? If so, what?
7. Propose at least two high quality, evidence-based recommendations, using the analysis you have developed, plus supporting evidence from your course materials and as appropriate from credible external sources. Your recommendations should address the following at a minimum: Should Nicole be allowed to continue to work at the agency? Why or why not? 


The patient rights violated, in this case, are “The right to healthcare” and “Confidentiality”. Jim being that patient was ill-treated in the present case study at Saints Hospital emergency department nurse, doctor and receptionist (his ex-wife Tammy). According to Jameson & Longo (2015) studies, federal healthcare laws provide the right to healthcare to each and every individual irrespective of social structure, inequalities, and socioeconomic status, personal and political norms. Further, Peabody (2015) mentioned about patients right of confidentiality describing that it is the duty of healthcare professionals to protect the privacy of patient regarding information gathered about every patient.
In the present case of Jim, there was a violation of his ‘right to healthcare’ by the nurse and doctor based on fake information provided by his Ex-wife Tammy. Jim was not treated properly for his mentioned symptoms of chest pain and aching arm further declaring depression and anxiety as detected health issues without any specific diagnostic test and psychiatric history. The attending nurse and doctor were also rude having inappropriate behaviour towards Jim.
Further, the hospital receptionist Tammy (Jim’s ex-wife) and emergency department nurse violated another patient’s right that is’ right to confidentiality’. The ER attending nurse told Jim that ‘she is already aware of Jim’s mental health issues’. However, Jim was admitted for his physical health issues (chest pain and aching arm). Jim was having no medical history of mental health issues neither any concern regarding similar. This clearly indicates a loophole created by professionals in maintaining patient’s confidentiality in this case.
As a result of this violation of patient’s rights, the case study patient Jim was only affected because he suffered a heart attack at his home the next morning after his medical session at Saint Hospital. The doctor instead of paying attention to Jim’s heart disease sign’s concentrated more towards verbal information about Jim being a mental health patient. Doctor instead of admitted him for observation or medical diagnosis declared his situations as a ‘panic attack’ occurring due to anxiety.
This violation of patient’s right at Saint Hospital occurred due to an error in hospital’s rules and regulations governing duty of care, confidentiality, privacy and efficacy of healthcare services. There is a clear indication of negligence, misbehaviour and malpractice that has occurred with Jim at the Saint Hospital case setting.
Legal and ethical issues in this case
The legal issues that have resulted in the present case situation are Professional wrongdoing, harnessing professional boundaries and not protecting data privacy. According to understanding, any kind of activity performed by the health professional that causes myriad concern to patient comes under professional wrongdoing legal issue (Holland, 2015). In the present case, Jim’s attending doctor and nurse did a professional wrongdoing offense by not attending patient seriously that resulted in the heart attack. Further, these professionals along with the hospital receptionist (Jim’s ex-wife) Tammy created two more legal issues by harnessing professional boundaries and not protecting data privacy. These professional used patient personal situation and private information the appropriate manner for handling patient’s physical health that required proper attention. According to Marckmann, Schmidt, Sofaer & Strech (2015) studies, healthcare professionals should not disclose patient information even to another professional in case not informed to the patient as per the data privacy act. Further, they should provide care irrespective of any social or personal situations harnessing the patient’s access to care.  
The ethical issues noticed, in this case, are negligence and non-maleficence. The ethical issue of negligence involves any kind of neglect, ignorance or carelessness errors created by healthcare professionals while performing their duty of care. These errors can be intentional or unintentional that is involved in ethical negligence by professionals (Kuhse, 2015). In Jim’s case, ER nurse and doctor performed clear and intentional negligence towards him by not paying attention towards his physical health symptoms of health disease. Further, Non-maleficence that means, “doing no harm” to the patient in medical practice was also noted in this case. The healthcare professionals did mental and physical harm to Jim by not attending him carefully and inappropriate behaviour that resulted in a heart attack situation. Further, the information about diagnosis test details is missing in this case information that would have helped more appropriately to analyse the legal and ethical issues in this case.
Applicable ethical principle and recommendations
As a healthcare administrator getting into the details of this case it would be most appropriate to implement the ethical principle of ‘Justice’ in this case to get proper justice for Jim as well as to ensure that no such incidence occurs again in Saint Hospital. According to Hoffman (2015) studies, Justice ethical principle allows the decision maker to make a decision for appropriate actions required in any situation. Justice ethical principle allows ethically correct resolution of any incidence based on rights, virtues, utilitarianism and deontology. In the present case, as harm has been done with the patient, the ethical principle of justice shall help the authorities to correct the situation as well as ensure that any such incidence does not occur again in their hospital. The most appropriate recommendations that can be implemented by the organisation for this case study situations based on ethical and legal theory are:

Take legal action against the professionals involved in non-maleficence and negligence.
To offer proper compensation and apology for the loss of Jim (House, 2014).

The inappropriate loss to the patient was done in this case, therefore, the justice principle is applicable to minimise the pain of that loss as well as ensure that any such incidence is not repeated in healthcare scenario (Hall, Orentlicher, Bobinski, Bagley & Cohen, 2018). Therefore, these two recommendations would work in the most appropriate manner. The offered compensation shall help to minimise the financial burden of losses and apology shall work to minimise the emotional stress that occurred with Jim during the whole incidence. Further, proper action against the involved stakeholders would work to avoid the reoccurrence of such negligence and non-maleficence with any other patient in future. According to Tarzian, Wocial, & ASBH (2015) studies, the principle of Justice is applicable in every decision-making situation that must have occurred either before or after the wrongdoing. This principle helps to resolve a situation working to convert incorrect to correct within ethical and legal restrictions.
Hall, M. A., Orentlicher, D., Bobinski, M. A., Bagley, N., & Cohen, I. G. (2018). Health care law and ethics. Wolters Kluwer Law & Business.
Holland, S. (2015). Public health ethics. John Wiley & Sons.
House, F. (2014). Freedom in the world 2014: The annual survey of political rights and civil liberties. Rowman & Littlefield.
Kuhse, H. (2015). Bioethics: an anthology (Vol. 40). John Wiley & Sons.
Hoffman, S. (2015). Citizen science: the law and ethics of public access to medical big data. Berkeley Tech. LJ, 30, 1741.
Jameson, J. L., & Longo, D. L. (2015). Precision medicine—personalized, problematic, and promising. Obstetrical & Gynecological Survey, 70(10), 612-614.
Marckmann, G., Schmidt, H., Sofaer, N., & Strech, D. (2015). Putting public health ethics into practice: a systematic framework. Frontiers in public health, 3, 23.
Peabody, F. W. (2015). The care of the patient. Jama, 313(18), 1868-1868.
Tarzian, A. J., Wocial, L. D., & ASBH Clinical Ethics Consultation Affairs Committee. (2015). A code of ethics for health care ethics consultants: Journey to the present and implications for the field. The American Journal of Bioethics, 15(5), 38-51.

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