21 Jul HS450 – Unit 8 Assignment
HS450 – Unit 8 Assignment
Ethics and Decision-Making in the VA Healthcare System Course Outcome
HS450-5: Evaluate the impact of ethical decision-making on healthcare leadership to maximize strategic planning
Discuss the principles of ethics and medical professionalism in strategic planning.
Examine the role of leaders in ethical decision-making and problem-solving strategies in the U.S. health system.
GEL-7.7: Analyze the effects of ethical decision making on the field of study.
Unit 8 Assignment
Case Study: Problems at the VA Health System
In 2009, President Barack Obama appointed retired Army Chief of Staff, General Eric Shinseki, to the position of secretary of Veterans Affairs (VA), the federal department responsible for providing healthcare and federal benefits to U.S. veterans and dependents. As part of its strategic plan, Secretary Shinseki was
tasked with implementing 16 major initiatives to bring the VA into the 21st century. One of the 16 initiatives was the enhancement of the veteran’s experience with and access to healthcare.
In 2013, CNN was among the news outlets reporting that veterans were experiencing delayed care at the Williams Jennings Bryan Dorn Veterans Medical Center in Columbia, SC. In fact, the delays were so serious that six veterans died while waiting for months to receive necessary diagnostic procedures. The VA launched an investigation into the GI clinic at Dorn and found several issues, including low staff census; leadership turnover that resulted in a lack of understanding of roles, responsibilities and system processes; and ineffective program coordination. Allegations of long wait times also emerged from VA facilities in Arizona, Pittsburgh, and the Phoenix VA Health Care System. Delays, however, were not the only shortcomings alleged. In the Phoenix VA Health Care System, for instance, there were claims of manipulated patient wait times, bad scheduling practices, and patient deaths.
In 2014, the Office of the Inspector General (OIG) launched an investigation into these allegations. Two questions were addressed in this review:
1. Did the facility’s electronic wait list (EWL) purposely omit the names of veterans waiting for care and, if so, at whose direction?
2. Were the deaths of any of these veterans related to delays in care?
The investigators confirmed “inappropriate scheduling issues throughout the VA and health care system” (VA 2014, iii).
In the Phoenix VA, specifically, investigators found that 1,400 veterans did not have a primary care appointment but were listed on the EWL. It was also determined that 1,700 veterans were waiting for a primary care appointment but were not listed on the EWL. Because veterans were not on the EWL system, the
Phoenix leadership significantly understated the time new patients waited for the appointments. The investigators found that the average wait time was 115 days for the first primary care appointment and about 84 percent of these patients waited more than 14 days.
The Office of Inspector General (OIG) identified multiple types of scheduling practices that were not in compliance with Veterans Health Administration policy. Since the multiple lists found were something other than the official EWL, the additional lists may be the basis for allegations of “secret” wait lists.
Secretary Shinseki called the findings “reprehensible” and resigned from his post on May 30, 2014.
Case study questions
1. From a leadership perspective, analyze the problems at the VA relative to ethical decision-making practices.
2. Discuss the ethical issue of having 1,700 veterans, who were not listed on the EWL, wait for a primary care appointment at the Phoenix VA. Create at least two (2) policies/standards to ensure ethical leadership practices with respect to improving coordination of the EWL and primary care appointments.
3. Explain why Secretary Eric Shinseki resigned his position. Identify at least two (2) alternative options that Secretary Shinseki could have taken to resolve the unethical decision-making practices in this case study.
4.Apply the American College of Healthcare Executives (ACHE) Code of Ethics to the VA Health System case study.
HOW OUR WEBSITE WORKS
Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of
HIGH QUALITY & PLAGIARISM FREE.
To make an Order you only need to click ORDER NOW and we will direct you to our Order Page at WriteDen. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.
Deadline range from 6 hours to 30 days.
Once done with writing your paper we will upload it to your account on our website and also forward a copy to your email.
Upon receiving your paper, review it and if any changes are needed contact us immediately. We offer unlimited revisions at no extra cost.
Is it Safe to use our services?
We never resell papers on this site. Meaning after your purchase you will get an original copy of your assignment and you have all the rights to use the paper.
Our price ranges from $8-$14 per page. If you are short of Budget, contact our Live Support for a Discount Code. All new clients are eligible for 20% off in their first Order. Our payment method is safe and secure.
Please note we do not have prewritten answers. We need some time to prepare a perfect essay for you.