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PUB014-6 : Ethics And Professionalism In Healthcare
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PUB014-6 : Ethics And Professionalism In Healthcare
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Course Code: PUB014-6
University: University Of Bedfordshire
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Country: United Kingdom
Question:
1). In your Ethics and Professionalism for Healthcare Managers text, the authors highlight Vidant Health as an example of how quality audits results can lead to quality improvement in operations management.Review the Mini-Case Study: Change for the Better in your textbook, Utilize and directly refer to this resource as you address each of the three Mini-Case Study Questions on page 214.
Mini-Case study: change for the BetterVidant Health is a North Carolina–based private, not-for-profit healthcare system comprising “nine hospitals, home health, hospice, wellness centers, a freestanding surgery center and [more than] 70 ambulatory care practices” (Jones and Dutton 2014, 38). In 2006, a series of errors in one of the system’s facilities led to a patient being transfused with incompatible blood that resulted in that patient’s death (Wynn et al. 2014). This event spurred the system to develop and implement major initiatives to change its operations for the better. The improvements were so successful that Vidant Health received the John M. Eisenberg Patient Safety and Quality Award in 2013. Moreover, the system achieved an 83 percent reduction in serious safety events, a 62 percent reduction in hospital-acquired infections, a 98 percent optimal care on the core measures of the Centers for Medicare & Medicaid Services and The Joint Commission, and scored in the top 25 percent of the Hospital Con- sumer Assessment of Healthcare Providers and Systems (Atkins 2014; Wynn et al. 2014, 216). These outcomes would not have been possible if Vidant Health did not roll out across the system the changes in safety training, board leadership, transparency, patient–family partnerships, and leader and physician engagement. Safety training was implemented immediately after the patient’s death, and it focused on improving the following:
• Safety habits for error prevention• Situational awareness and sensitivity to operations• Knowledge of daily on-site events and issues, which entails leaders and managers checking in with employees to discuss what happened in the preceding 24 hours, what is anticipated in the next 24 hours, and other points (such as safety priorities)Board leadership included training for board members on quality care topics. Trans- parency became the policy and entailed practices such as posting unexpected outcome and harmful event data on the system’s website. (Patient–family partnerships is discussed earlier in the chapter.) Leader and physician engagement called for them to lead quality improve- ments “at the front line” (Wynn et al. 2014,Mini-case study questions1. Identify and explain how one action by Vidant Health illustrates what operations managers actually do.2. Identify and explain how Vidant Health’s actions illustrate the ethical principles of justice, beneficence, nonmaleficence, and autonomy in the workplace.3. Go to Vidant Health’s website and review its mission, vision, and values statement. How do Vidant Health’s actions fit its mission, vision, and values?2). Health care leaders must understand and respect the depth of the ethical implications related to the use of technology and data in all aspects of management, from patient care to operations management. The U.S. Department of Health & Human Services Office for Civil Rights (OCR) identifies real-life cases of HIPAA violations on its Web site and these cases are shared in the media.Chapter 12 of your Ethics and Professionalism for Healthcare Managers textbook summarizes six of the most significant violation cases in recent years. Choose one of these cases listed on pages 215–216.( Bellow is the case I have chosen from those six:Organization: Concentra Health Services; fine: $1.73 million; number of individuals affected: 870; year: 2014. A Concentra unencrypted laptop was stolen in November 2011. From 2008 through 2012, the company failed to manage encryption policies, identify which assets needed to be encrypted, and document the reason encryption was not reasonable for certain cases. In 2008, almost 28 percent of Concentra laptops were not encrypted, but a complete inventory assessment did not occur until four years later.Research the OCR investigation and outcomes in detail. In your main post, summarize the details of the case and violations, and explain how and why actions taken within the organizations violated ethical principles. Recommend a strategy a health care manager might take to ensure this type of violation can be prevented. Be sure to cite and reference your additional research resources in your work.3).Identify an episode of specifically uncomfortable conflict you have experienced at your workplace or another organization
Answer:
1).
a) Operations managers are in charge of overseeing the proper provision of services and ensuring that all the activities in the organization are running well and smoothly. In the year 2006 Vidant Health experiences a series of errors in their operations (Wynn et al., 2014). This lead to the death of a patient. After that incident, there was a need for a system improvement and implementation. The facility’s service delivery system was improved to a point where it won the John M. Eisenberg Patient Safety and Quality Award in 2013. The system also saw a reduction in severe events within the facility and improvement in the core Medicare and Medicaid services. Development of the system and its implementation is credited to the operations managers within the facility.
b) Vidant Health’s actions have illustrated the ethical principles of justice by ensuring equality, fairness and entitlement to good quality healthcare; beneficence by ensuring that the facility’s operations promote good healthcare which is evident in the statistics provided; nonmaleficence by ensuring that an incident like that of 2006 where a patient died does not happen and again; and autonomy by ensuring that all staff are well-trained to act intentionally and with understanding when discharging their services. The facility rolled out specific changes that also involve transparency, leader and physician engagement, and patient-family partnership that are aimed at ensuring that these principles are upheld.
c) The Vidant Healthcare facility’s mission states that the facility aims at “improving the health and well-being of Eastern North Carolina,” while the vision statement indicates that the facility aims at “becoming the national model for rural health and wellness by creating a premier, trusted health care delivery and education system” (Vidanthealth.com, 2018). It values are founded on integrity, compassion, education, accountability, safety, and teamwork. All these values are evident in the activities the facility has been undertaking in the past couple of years. These activities include; leader and physician engagement, board leadership, patient–family partnerships, transparency and safety training.
2).
In December 2011, an unencrypted laptop was stolen from one the therapy centres belonging to Concentra. It was found indicated that the laptop contained the names and Social Security numbers for close to 870 patients. The laptop also contained the pre-employment work fitness test results for these patients. The Department of Health and Human Services (HHS) classified the event as a security breach. In a statement released by the HHS, it was determined that “Concentra identified in multiple risk analyses that a lack of encryption on its laptops, desktop computers, medical equipment, tablets and other devices containing electronic protected health information was a critical risk,” (Coie, 2014).
As a result, the institution came forth and reported the matter to the HHS’s Office of Civil Rights (OCR). In the end, the organization paid a $1.7 million settlement in a data breach (Conn, 2014). To avoid such incidences in the future, the organization and others like it need to come up with a corrective action strategy that ensures that all its desktop computers, laptops, tablets, medical equipment, and other devices are well encrypted to ensure that electronic information for both patients and staff members is protected. The organization should also come up with laws to ensure that the plan is implemented in all its departments. Employees found to be violating this law should be dealt with in accordance with the organization’s rules and policies which should be guided by the constitution.
3).
Last year I experienced an episode of uncomfortable conflict at my workplace because of my leadership skills. After being promoted to organization manager, there were several complaints after I called out several staff members for making mistakes. Another problem was criticizing these employees given the fact that I had anger-related issues. The reports indicated that I was harsh in my criticism and as time went by my reputation slowly dropped. However, after having several sessions with the organization’s chief therapists and psychologist, I have learnt how to resolve conflict and positively criticize fellow employees. I have also learnt how to manage my anger when talking to employees which has helped me get along with them.
References:
Coie, P. (2014). Theft of unencrypted laptops leads to two HHS settlements totaling nearly $2 million | Lexology. Retrieved from https://www.lexology.com/library/detail.aspx?g=1ecd5813-ccc6-4294-96eb-aaf93775d951
Conn, J. (2014). Humana’s Concentra pays $1.7 million in data breach. Retrieved from https://www.modernhealthcare.com/article/20140426/MAGAZINE/304269948#
High Quality Health Care at Vidant | Vidant Health. (2018). Retrieved from https://www.vidanthealth.com/About-Vidant-Health/Our-Mission-Vision-Values#
Wynn, J. D., Draffin, E., Jones, A., & Reida, L. (2014). The vidant health quality transformation. Joint Commission journal on quality and patient safety, 40(5), AP1-AP5.
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