It is a common belief among healthcare leaders that to improve healthcare, hospitals and physicians must work in partnership. The clinical integration and strategic planning process can lead to better outcomes for the patient as well as improve quality of care at lower costs. With the implementation of the Accountable Care Organizations, hospitals and physicians are able to provide the care to their patients and be rewarded. Lastly, a model that assists physicians when a patient is hospitalized is the hospitalist. This role can have some advantages and some disadvantages for the physician and hospital.
The study of ethics, moral conduct and decision making regarding ethical issues in nursing is a vital component of nursing education. Nurses may be confronted almost on a daily basis with the need to make nursing decisions when there is no right or wrong answer. Nurses will at times feel caught in the middle (Pavlish et. al, 2011). This dilemma demonstrates how easily ones nursing practice can be significantly altered. This dilemma also exemplifies how one complex dilemma in patient care, can impact on legal, ethical and professional issues for nurses. These issues interface with each other in substantial ways. Nurses must be prepared for these inevitable challenging situations (Tang, 2011).
In the case of Donald (Dax) Cowart, one can determine that the conflict is between Beneficence and Autonomy. The doctors were morally right in choosing to treat Donald despite his autonomy by using the principle of beneficence.
When it comes to medical necessity can often refers to the determination that is made for the insurance purposes. For example, If the patient has a condition that is chronic or terminal, the treatment could be considered medically necessary whether then the patient can afford the treatment or not.
You did a great job. You are acting as an advocate for the patient for their interest. We must support the rights of patients who are unable to advocate for themselves .We are facing lot of ethical problems in our workplace. Nurses must take a decision in Ethical dilemmas. These decisions affected by so many factors, including principles learned in school and nurses personal beliefs, and values. It is important that all healthcare professionals value and support their peers who have the courage to stand up and speak out against unethical behavior even when others are silent or differ in opinion. Ethical dilemmas in practice arise when one feels drawn both to do and not to do the same thing.
Lee, regarding about challenges in changes processes, as nurse leaders, we need to think outside our own silos, research how others are doing it and maybe change it and apply it to our needs. This is very similar to my topic of reverse innovation, which is getting ideas from the poor and applying it to the more developed economies (DePasse & Lee, 2013).
In the film Escape Fire the Fight to Rescue American Healthcare, there were many insightful examples of why our Unites States healthcare revolves around paying more and getting less. The system is designed to treat diseases rather than preventing them and promoting wellness. In our healthcare industry, there are many different contributors that provide and make up our system. These intermediaries include suppliers, manufacturers, consumers, patients, providers, policy and regulations. All these members have a key role in the functionality of the health care industry; however, each role has its positives and negatives. Each person with an occupation in the healthcare industry is doing their designated job as assigned, but it’s evident that the system’s design is flawed to its core.
Any organization recognizes the significance of leadership and its crucial role in achieving their goals and success. In healthcare organizations, the complexity of the system and the difference in defining its success goals are reshaping the practice of leadership and its standards. According to House et al. (2002, p.5) a leader is able to influence, motivate, and enable others to contribute to the success of the organization or task. Healthcare and business settings are different in terms of goals and system contexts. Healthcare organizations’ goals includes provide quality, value priced, safe health care services and ultimately, improve health outcomes. In addition to this primary goal, healthcare organizations also seek financial stability, community value, ethics and employee engagement.
You are a new physician setting up your practice in a new town. You are researching the different MCOs offered in your area and are considering becoming a physician for one of these networks. You have also invited the sales representatives of several healthy plans to speak with you about the benefits of choosing their plans.
Shared governance is an innovative model used to provide direction for the professional practice of nursing. This model is used to direct nurses to participate in unit-based decision making that allow nurses to demonstrate accountability and ownership for their practices. The goal of the model is to improve quality patient care contain costs, and retain nursing staff. According to Marquis and Houston (2012), “In shared governance, the organization’s governance is shared among board members, nurses, physicians, and management” (p. 270-271). Shared governance is imperative in the healthcare institutions. “Shared governance, which gives nurses control over their professional practices, is an essential element of a professional practice nursing model, providing structure and context for health care delivery” (cite shared governance article). This allows each healthcare worker to have a voice in the decision making and encourage input that will expand the business and healthcare.
Nursing is a responsibility to provide the best care regardless of the patient’s age, race, religion, sex, disability, ethnicity, sexual orientation, or their past. A nurse must keep up to date on education and new processes in health-care, so they can provide the best care. As a nurse, you have promised to give each of your patients the best care that can possibly be given. Nurses must follow a code of ethics, to act safely, provide ethical care no matter how they feel about the patient or the reason they are in your care. Following this code of ethics shows your commitment to caring for people and society, it is a guide of ethics and standards to follow to keep everyone safe.
Physicians and Hospitals go hand in hand when it comes to the medical care of patients, and it is this relationship that allows the patients to receive the care they need and deserve. It is also this relationship that we as health care administrators need to understand. In order to fully understand this relationship we need to define the concept of the integrated physician model. We also need to explain the importance of clinical integration in the strategic planning process, and the dynamics of and controversies surrounding accountable care organizations and alternative approaches to the current health system. I will also explain the advantages and disadvantages for hospitals and physician’s models. All of these things are important for health care administrators to understand about the relationship between a physician and the facility they work at.
Nursing is a responsibility to provide the finest care regardless of the patient’s age, race, religion, sex, disability, ethnicity, sexual orientation, or their past. Nurses must keep up to date on education, new processes, policies and keep informed about new laws and regulations in healthcare, so outstanding healthcare can be administered. As a nurse, you have undertaken a responsibility to provide people the finest quality care that can possibly receive. It is a nurses’ duty to follow the code of ethics, to act
Ethics can be explained as principles a society develops to guide decisions about what is right and wrong. Ethical principles that society has are influenced by religion, history, and experience of the people in the group. Meaning that ethics is based on guidelines we have learned while growing up, that helps us differentiates what is right and what is wrong. For example, some people think health care should be a human right as others think it should only be available to those who can pay for it. Each group of people is guided by the principles they believe in. Ethics in health care play a vital role every day. The practice of health care includes many scenarios that have to do with making adequate decisions when it comes to patient’s life. For the purpose of this paper, I want to explain the occurrence and some of the ethical concerns found in a case of an elderly patient, who believed in Curanderos and didn’t realize the harm she was doing in regards to her health by not taking her medications.