Phillip February 28, 2024 No Comments

BUS FPX 4121 Assessment 5 Ethics and Patient-Centered Care

BUS FPX 4121 Assessment 5 Ethics and Patient-Centered Care Name Capella university BUS-FPX4121 Ethics in Health Care Management Prof. Name Date Executive Summary The recent incident at Brookside Hospital highlights ethical concerns in patient care. As the healthcare administrator, it is imperative to address these issues promptly. This report discusses the ethical dilemmas, guiding principles, organizational factors, evidence-based strategies, and the importance of personal moral integrity in decision-making. Ethical Dilemmas Several ethical dilemmas arise from the incident, including adherence to hospital policies, acquiring patient medical records, ensuring quality of care, respecting legal rights of patients, and fulfilling staff responsibilities. Ethical Principles Guiding decision-making are four ethical principles: autonomy, beneficence, non-maleficence, and justice. Autonomy was compromised by failing to involve the patient’s legal advocate. Beneficence was upheld by preserving the patient’s life, yet disregarding his wishes. Non-maleficence was challenged by conflicting views on life support. Justice demands honoring patient preferences and ensuring respectful care. Organizational Factors Internal factors include staff conduct and adherence to policies. External factors involve patient directives and legal obligations. Addressing these factors requires adherence to organizational codes of ethics and clear communication. Evidence-Based Strategies Strategies for resolving ethical dilemmas include considering consequences, following protocols, involving stakeholders, and seeking guidance from ethicists. Evidence-based practices promote transparent decision-making and patient-centered care. Personal Moral Integrity Guides Personal integrity is essential for healthcare leaders. Upholding moral standards, honesty, and professionalism fosters trust and ensures ethical decision-making. Long-term consequences must be considered when making decisions. Conclusion Addressing ethical dilemmas in patient care requires a multifaceted approach, encompassing organizational policies, ethical principles, evidence-based strategies, and personal integrity. By prioritizing patient-centered care and ethical conduct, healthcare facilities can uphold their mission and foster trust within their communities. References Blount, A. (2019). Getting to patient-centered care. Patient-Centered Primary Care, 1-15. Boogaard, K. (2023). Personal integrity: What it is and why it matters. Fingerprint for Success. Ewuoso, C., Hall, S., & Dierickx, K. (2021). How do healthcare professionals respond to ethical challenges regarding information management? Global Bioethics, 32(1), 67-84. Forrestal, E. J., & Cellucci, L. W. (2016). Ethics and professionalism for healthcare managers. Health Administration Press. Grob, R. (2013). The heart of patient-centered care. Journal of Health Politics, Policy, and Law, 38(2), 457-465. Kinsinger, F. S. (2009). Beneficence and the professional’s moral imperative. Journal of Chiropractic Humanities, 16(1), 44-46. Mantel, J. (2015). Ethical integrity in health care organizations. Journal of Law, Medicine & Ethics, 43(3), 661-665. BUS FPX 4121 Assessment 5 Ethics and Patient-Centered Care Mclaughlin, A. (2014, April 24). Ten small ways to provide great customer service to patients. Physicians Practice. Murphy, T. F. (2004). Do-not-resuscitate (DNR). JONA’S Healthcare Law, Ethics, and Regulation, 6(1), 1-2. Page, K. (2012). The four principles: Can they be measured and do they predict ethical decision making? BMC Medical Ethics, 13(1). Pennsylvania. (2015, October 28). Death With Dignity. Pettersson, M., Hedström, M., & Höglund, A. T. (2018). Ethical competence in DNR decisions: a qualitative study of Swedish physicians and nurses working in hematology and oncology care. BMC Medical Ethics, 19(1), 63-63. Socol, A. (2017, June 20). Evidence-Based Strategies for Improvement: What Are They, and Where Can I Find Them? The Education Trust. The Basics of Ethical Leadership. (2019, May 3). Villanova University. Thompson, I. E. (1987). Fundamental ethical principles in health care. Bmj, 295(6611), 1461-1465. US Legal, Inc. (n.d.). Do Not Resuscitate Order Law and Legal Definition. Legal Definitions Legal Terms Dictionary | USLegal, Inc. BUS FPX 4121 Assessment 5 Ethics and Patient-Centered Care

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BUS FPX 4121 Assessment 4 Operations, Technology, Data Security, and Ethics

BUS FPX 4121 Assessment 4 Operations, Technology, Data Security, and Ethics Name Capella university BUS-FPX4121 Ethics in Health Care Management Prof. Name Date Introduction Patient privacy is paramount for compliance with the Health Insurance Portability and Accountability Act (HIPAA) regulations and ethical standards in healthcare. Breaches in protected health information can lead to significant legal ramifications and undermine trust in our organization. Our clinic has a moral obligation to assure patients of their privacy protection. Recent incidents of compromised patient data using our current software and grievances stemming from inadequate communication between our system, hospital networks, and other providers highlight the urgency for upgrading our Health Information Technology (HIT) system. This proposal outlines the necessity and benefits of upgrading our HIT system to enhance patient care and confidentiality (Bates et al., 2003; Laukka et al., 2020; Yen et al., 2017). Proposal This proposal advocates for upgrading our current HIT system to its latest version. We will examine the potential impacts of this upgrade and explore alternative routes. Impact The proposed upgrade promises several positive impacts. Firstly, it will bolster patient health information security, ensuring their protected data remains secure within our facility. Secondly, it will facilitate inter-system communication, streamlining the exchange of crucial information with other healthcare systems. Improved communication will enhance referral processes, prescription management, and laboratory test coordination, ultimately reducing errors and enhancing patient safety. Additionally, offering online access to electronic health records (EHR) will empower patients, alleviate anxiety, and minimize misunderstandings associated with handwritten notes. EHR systems mitigate human errors, improve data interpretation, and safeguard against unauthorized alterations, thus enhancing the quality of care delivered (Bates et al., 2003; Sieck et al., 2020; Yen et al., 2017). Issues Failure to implement these upgrades may lead to ethical dilemmas and compromised patient safety. Misinterpretation of physician orders and inadequate protection of patient health records can erode trust and integrity. Non-compliance with HIPAA regulations could result in fines and legal actions, further damaging our reputation. Upholding patient rights, confidentiality, and trust is paramount in maintaining ethical standards within our clinic (Forrestal & Cellucci, 2016; Laukka et al., 2020). Conclusion The evolving landscape of healthcare demands continuous technological advancements. Upgrading our HIT system to foster inter-communicative capabilities is imperative for enhancing patient care and instilling confidence in both patients and staff. By safeguarding patient health information and facilitating access to medical records, we reinforce our commitment to providing quality care while mitigating risks associated with human error and communication breakdowns. References Bates, D. W., Ebell, M., Gotlieb, E., Zapp, J., & Mullins, H. C. (2003). A proposal for electronic medical records in U.S. primary care. Journal of the American Medical Informatics Association: JAMIA, 10(1), 1-10. Forrestal, E. J., & Cellucci, L. W. (2016). Ethics and professionalism for healthcare managers. Health Administration Press. Chapter 12. Laukka, E., Huhtakangas, M., Heponiemi, T., & Kanste, O. (2020). Identifying the roles of healthcare leaders in HIT implementation: A scoping review of the quantitative and qualitative evidence. International Journal of Environmental Research and Public Health, 17(8), 2865. Morrison, E. E. (2020). Ethics in health administration: A practical approach for decision makers (4th ed.). Jones & Bartlett. Chapters 8. BUS FPX 4121 Assessment 4 Operations, Technology, Data Security, and Ethics Sieck, C. J., Pearl, N., Bright, T. J., & Yen, P. (2020). A qualitative study of physician perspectives on adaptation to electronic health records. BMC Medical Informatics and Decision Making, 20(1), 25-25. Yen, P., McAlearney, A. S., Sieck, C. J., Hefner, J. L., & Huerta, T. R. (2017). Health information technology (HIT) adaptation: Refocusing on the journey to successful HIT implementation. JMIR Medical Informatics, 5(3), e28-e28. BUS FPX 4121 Assessment 4 Operations, Technology, Data Security, and Ethics

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BUS FPX 4121 Assessment 3 Organizational Culture and Ethics

BUS FPX 4121 Assessment 3 Organizational Culture and Ethics Name Capella university BUS-FPX4121 Ethics in Health Care Management Prof. Name Date Introduction Leaders in various industries are tasked with maintaining positive organizational cultures, which are fostered through open communication, awareness, and effective management skills. A positive culture is essential for aligning organizational goals and missions, fostering a shared identity, and preventing or resolving ethical issues with minimal disruption. Particularly in the healthcare industry, where numerous management aspects entail ethical considerations, strong ethical leadership is imperative (Forrestal & Cellucci, 2016). Organizational Culture Organizational culture significantly influences the ethical decision-making process within companies. Emphasizing mission and values is crucial for promoting quality care while upholding ethical standards. Organizations that prioritize culture and ethical decisions tend to offer better choices for both patients and staff. Given the continuous organizational changes in healthcare, maintaining focus on culture and ethics becomes even more critical (Arumi, et al., 2019). Positive Organizational Culture Maintaining a positive organizational culture is essential for enhancing a business’s strength and success. By setting examples and standards, companies can retain their uniqueness. Healthcare providers can implement corporate culture through various means, including recognition, leading by example, teamwork, and ongoing education and development opportunities (Sadiartha & Sitorus, 2018). Negative Organizational Culture In contrast, a negative organizational culture disregards values and principles, leading to various detrimental effects such as poor communication, micromanagement, profit prioritization over quality, and resistance to change. Such negative cultures result in decreased employee satisfaction, higher turnover, and reduced productivity (Sadiartha & Sitorus, 2018). Organizational Changes Healthcare organizations undergo constant changes, which can pose challenges such as resistance to change, uncertainty, and ethical dilemmas. Effective leadership during changes is crucial to maintain integrity, uphold quality of care, and ensure employee engagement through open communication, proper training, and transparent decision-making (Pope, 2015). Personal Moral Integrity Personal moral integrity plays a vital role in promoting positive organizational changes. Leaders who demonstrate integrity and engage with their teams transparently foster a culture of trust and adaptability, facilitating smoother transitions (Forrestal & Cellucci, 2016; Pope, 2015). Strategies to Assist with Ethical Challenges To address ethical challenges during organizational changes, clear change vision, training, and employee motivation are essential. Providing clear expectations, adequate training, and recognition for employees’ efforts help mitigate resistance and promote acceptance of changes (Forrestal & Cellucci, 2016; Pope, 2015). Conclusion In conclusion, while organizational changes can be challenging, implementing strategies to maintain positive cultures and ethical principles can mitigate negative impacts. By prioritizing open communication, training, and recognizing employees’ contributions, organizations can navigate changes more effectively, ensuring continued success and integrity. References Arumi, M. S., Aldrin, N., & Murti, T. R. (2019). Effect of organizational culture on organizational citizenship behavior with organizational commitment as a mediator. International Journal of Research in Business and Social Science (2147- 4478), 8(4), 124-132. Errida, A., & Lotfi, B. (2021). The determinants of organizational change management success: Literature review and case study. International Journal of Engineering Business Management, 13, 184797902110162. https://doi.org/10.1177/18479790211016273 Forrestal, E. J., & Cellucci, L. W. (2016) . Ethics and professionalism for healthcare managers . Health Administration Press. Chapters 7 and 10. Morrison, E. E. (2020). Ethics in health administration: A practical approach for decision makers (4th ed.). Jones & Bartlett. Chapters 10. Pope K. S. (2015). Steps to strengthen ethics in organizations: research findings, ethics placebos, and what works. Journal of trauma & dissociation : the official journal of the International Society for the Study of Dissociation (ISSD), 16(2), 139–152. https://doi.org/10.1080/15299732.2015.995021 BUS FPX 4121 Assessment 3 Organizational Culture and Ethics Sadiartha, A. A. N. G., & Sitorus, S. A. (2018). Organizational culture, communication and leadership style on job satisfaction. International Journal of Research in Business and Social Science (2147-4478), 7(4), 1-9. Sok, J., Blomme, R., & Tromp, D. (2014). Positive and negative spillover from work to home: The role of organizational culture and supportive arrangements. British Journal of Management, 25(3), 456-472. https://doi.org/10.1111/1467-8551.12058 TUFAN, C., & UĞURLU, Ö. Y. (2019). the mediating effect of organizational learning culture on the relationship between authentic leadership and organizational deviation behavior: A research in turkey pharmaceutical sector. Business & Management Studies: An International Journal, 7(1), 467. https://doi.org/10.15295/bmij.v7i1.1084 BUS FPX 4121 Assessment 3 Organizational Culture and Ethics

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BUS FPX 4121 Assessment 2 External Forces and Ethical Challenges

BUS FPX 4121 Assessment 2 External Forces and Ethical Challenges Name Capella university BUS-FPX4121 Ethics in Health Care Management Prof. Name Date External Forces and Ethical Challenges Healthcare is significantly influenced by changes in the economy and external forces, presenting various challenges such as the demand for healthcare services, availability of providers, and facilities due to the associated costs (Morrison, 2020). Managed Care Managed care, established in the 1980s, aims to enhance patient care, ensure equality, and control the costs of medical services while increasing profitability (Morrison, 2020). Managed-care plans have positively impacted healthcare by offering access to services at a lower cost (Shrank, Keyser, & Lovelace, 2018). However, these plans have limitations, including restricted provider access and referrals, which can create ethical dilemmas for healthcare professionals (Shrank et al., 2018). Despite these challenges, managed care coverage has significantly increased over the past decades (MACPAC, 2022). Ethical Challenges in Managed Care One of the key ethical challenges in managed care is accessibility, as limitations on medical providers can hinder the delivery of optimal treatment (Vrijhoef, 2022). Healthcare professionals must navigate ethical principles such as autonomy, beneficence, non-maleficence, and justice when faced with these limitations (Morrison, 2020). Recommendations Short-term strategies to address ethical concerns include providing authorizations for out-of-network providers based on patient care needs. Long-term strategies involve expanding the managed care network to increase the availability of in-network providers and facilities (Morrison, 2020). Conclusion While managed care has improved healthcare services, its limitations on provider availability raise ethical concerns. Expanding the network can mitigate these concerns, ensuring patients receive necessary care regardless of their health plan’s restrictions (Morrison, 2020). References Ethical Issues in Managed Care. (n.d.). Retrieved from https://www.amihm.org/ethical-issues-in-managed-care/ MACPAC. (2022, March 10). Medicaid Managed Care Capitation Rate Setting. Retrieved from https://www.macpac.gov/publication/medicaid-managed-care-capitation-rate-setting/ Morrison, E. E. (2020). Ethics in health administration: A practical approach for decision makers (4th ed.). Jones & Bartlett. Chapters 6–7. BUS FPX 4121 Assessment 2 External Forces and Ethical Challenges Shrank, W. H., Keyser, D. J., & Lovelace, J. G. (2018). Redistributing investment in health and social Services—The evolving role of managed care. JAMA : The Journal of the American Medical Association, 320(21), 2197-2198. https://doi.org/10.1001/jama.2018.14987 Vrijhoef, H. J. M. (2022). The future of coordination is smart coordination. International Journal of Care Coordination, 25(1), 3-4. https://doi.org/10.1177/20534345221075661 BUS FPX 4121 Assessment 2 External Forces and Ethical Challenges

Phillip February 28, 2024 No Comments

BUS FPX 4121 Assessment 1 Ethical Theories and Principles

BUS FPX 4121 Assessment 1 Ethical Theories and Principles Name Capella university BUS-FPX4121 Ethics in Health Care Management Prof. Name Date Ethical Theories and Principles Slide 2 A person’s moral integrity can be valued based on honesty, reliability, and accountability. Notes: Be honest and transparent with others, lead by example, keep your word, help others, take account of your actions both good and bad, and be responsible. Personal integrity demonstrates personal credibility. Personal values differ from person to person, but the key is to uphold your values and follow through with them both personally and in your workplace. Slide 3 Ethical leadership must be conscious decisions and promote inspiration to others through honesty, justice, and respect. Notes: Be honest, as honesty demonstrates trustworthiness. As a leader, you must be fair, treat everyone equally without favoritism, offer equal opportunities to all, and show respect to everyone. Slide 4 Integrity, responsibility, and transparency are crucial aspects of ethical leadership. Notes: Keep consistent with your values, what you say, and your actions. Be active and present in your duties, have open communication, be open to feedback, and assist with important information needed to maintain quality workflow. Slide 5 Ethical leadership is based on a set of principles and values recognized by industries to promote the common good. By following through with ethical principles, a leader will be seen as a person of trust. In both personal and leadership ethics, reliability is important; a person’s ability to follow through on their values results in positive reactions both in their personal life and in the workplace. Notes: Following ethical principles results in a positive professional and business reputation. Slide 6 Ethical Principles Autonomy: Accepting a person’s rights and choices. Beneficence: Respecting others’ values and opinions and standing in for a person’s welfare. If someone is unable to defend themselves, provide aid and guidance. Nonmaleficence: Not causing harm to a person. Making a conscious decision to not cause harm to another. Justice: Providing fair treatment to all. Be fair to all parties involved; do not pass judgment. Slide 7 Ethical Principles in Health Care Leadership Following the principles of ethics demonstrates a leader’s ability to provide quality care to their staff. Leaders must demonstrate to their peers that their personal beliefs will not interfere with the guidance they provide in the workplace. Notes: Leaders that follow both personal morals and ethical leadership promote participation and trust within their staff. Being able to separate personal beliefs and provide just conclusions using ethical approaches. Slide 8 Organization Outcome Leadership Positivity Notes: Leaders that not only speak of ethical principles but demonstrate them with their actions, encourage their peers to also follow them. Demonstrating positivity and a safe work environment promotes positive outcomes within an organization. References American College of Healthcare Executives. (2016). Ethics toolkit. http://www.ache.org/abt_ache/ethicstoolkit/ethicsTOC.cfm Forrestal, E. J., & Cellucci, L. W. (2016). Ethics and professionalism for healthcare managers. Health Administration Press. Chapters 1–2. Jeong, C., & Han, H. (2013). Exploring the relationship between virtue ethics and moral identity. Ethics & Behavior, 23(1), 44–56. Morrison, E. E. (2020). Ethics in health administration: A practical approach for decision makers (4th ed.). Jones & Bartlett. Chapters 1–4. BUS FPX 4121 Assessment 1 Ethical Theories and Principles

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