...Running head: ETHICAL MISCONDUCT AND HEALTHCARE FINANCE 1 IMPACTS OF ETHICAL MISCONDUCT AND FINANCIAL MANAGEMENT IN HEALTHCARE ORGANIZATIONS Richard Muabe Grand Canyon University: October 5, 2013 ETHICAL MISCONDUCT AND HEALTHCARE FINANCE IMPACTS OF ETHICAL MISCONDUCT AND FINANCIAL MANAGEMENT IN HEALTHCARE ORGANIZATIONS 2 Grave infringements of ethical demeanor by healthcare financial managers have made captions over the past few years. Heads of the academic community and financial healthcare industry mutually consider these defiance to represent the encouragement of the uncertain ethical environment of the 1980's, a collapse of inner and outside control, and a breakdown of individual personality on the part of a few personalities. Violations of ethics by financial managers of healthcare are dangerous, since they habitually stay obscured from view up to the time they explode into a complete flame of outrage, continuing to fume extensively after their detection, demanding a massive charge not only in dollars and cents but in respect and status. Throughout the past years there have been several situations of immense fraud concerning financial managers of healthcare, such that just in 1992, the breaches conveyed to Healthcare Financial Management Association(HFMA)'s Executive Committee were as follows: Two hospitals jointly condemned to prison an individual who was a vice president in one of these hospitals, and at the same time director of patient's accounts in the...
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...Ethical leadership problems that resulted in columbia/hca's misconduct There were organizational ethical leadership problems that resulted in Columbia/HCA’s misconduct. They were focused more on profits. Leadership allowed or asked billing to swindle Medicare and other federal programs. They paid doctor’s to sign off on records that a patient had a detailed procedure even though they did not. They used a patient dumping system or released patients to other hospitals even still they were not in stable form. They hired Alan Yuspeh as the senior executive to oversee ethical compliance. Employees had training meetings and programs, certification tests for the employees for billing codes, made sure that new employees would be take ethical training, obligatory retribution and had a 24 hour number to call to report any crime. This has made them very successful. HCA's Current ethical Program They have developed a code of conduct for employees They have employed ECO's at each facility Created a hotline for employees to report unethical behavior leaders from HCA starts a ethical and obedience officer course The only advice that is not yet fulfilled is Audit, monitor, and periodically estimate the program’s success, and provide a way for employees to report concerns about illegal conduct without fear of retribution Question 3 Columbia/HCA should have implemented ethical training program from the beginning given incentives for being ethical ...
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...Nurses and Students Have Guideline to Follow University of Phoenix Nurses and Students Have Guidelines to Follow The purpose of this document is to present to nurses and nursing students a comparison of The American Nursing Association Code of Ethics for Nurses to the University of Phoenix General Student Responsibilities. The American Nursing Association Code of Ethics sets guidelines on how a nurse should practice nursing. The ANA code of ethics has nine provisions. The University of Phoenix Code of Student Responsibilities also has guidelines for its students to follow. The purpose of University of Phoenix codes is to help students become successful at achieving their academic goals. The University of Phoenix has 12 codes for its students to abide by. I have chosen two codes from the ANA code of ethics to compare to two similar codes from University of Phoenix Student Responsibilities. Comparisons will be made regarding confidentiality, privacy, accountability, responsibility, and reporting questionable and impaired practice. Codes of ethics help us to make prudent decisions now and in the future. As professional adults, one has a great deal of responsibilities. As a student at the University of Phoenix and a nurse I have to use my own judgment and make my own decisions. I ask for help when ever in doubt of an assignment at school or at work. I always ask questions to an upper authority figure such as my instructor at school or a supervisor...
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...Professional Regulation and Criminal Liability Paper University of Phoenix HCS/430 Legal issues in Health Care August 3, 2010 There are currently over 50 different “acts and behaviors that are defined as professional misconduct for physicians” (State of New York Department of Health, 2010). The most common acts and behaviors that are reported as misconduct fall under categories such as: negligence, incompetence, impairment, sexual abuse and fraud. This paper will explore medical misconduct as it relates to physicians. The author will identify the civil complaint process for the state of Florida that will help patients to report suspected professional misconduct or incompetence, and will investigate the regulatory agency that will be called upon to investigate such allegations. The author will also explore the process in which the regulatory agency determines and applies appropriate disciplinary actions. Medical Misconduct Negligence can be defined as “the failure to exercise the care that would be used by a reasonable prudent physician in the same situation” (State of New York Department of Health, 2010). Physicians that fail to follow medical standards while treating patients are considered to be negligent, even if no injury occurred. In order for a physician to be found negligent “all that must be proven is that a physician failed to meet the standard of care” (State of New York Department of Health, 2010). Negligent acts can be any of the following: wrongful treatment...
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...courage. 5. List inhibitors of moral courage. 6. Ways to enhance the ability to demonstrate moral courage in nursing. 7. Describe organizational Structures that Support Moral Courage 8. Case studies "Stand up for what is right even if you stand alone." Anonymous Examples of unethical behaviors are seen today in academia, politics, sports, entertainment, banking, and the legal system. Healthcare professionals working in clinical practice, education, research, and administration are not immune to these unethical behaviors. They face ethical dilemmas on a regular basis. Shortages in the numbers of clinicians to deliver patient care, inadequate staffing levels, cost containment measures, consolidation of healthcare organizations and ineffective leadership have resulted in the escalation of ethical dilemmas nurses face today in healthcare environments. How individuals respond to these ethical dilemmas depends on their previous experiences with unethical behavior, their individual personality traits, their ethical values as well as their knowledge of ethical principles. Moral courage is needed to confront unethical behaviors. The following exemplar demonstrates moral courage in clinical practice. Emily was a novice nurse employed at an academic medical center. Her peers respected her and described her as an attentive and meticulous nurse with strong work values. Over time Emily noted a behavior in the work setting that concerned her and...
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...INTERNATIONAL LEGAL AND ETHICAL ISSUES IN BUSINESS Legal Environment of Business Instructor: Leslie Dunn By: Janet Hutchins American Intercontinental University Abstract This paper is concerning ethical issues faced by an employee who while working for her first corporate job right out of college has started to lose her idealism after being employed for only 4 months. She has assisted company executives here in the U.S. and in many European countries. While she has a primary boss in the U.S. offices, she has had many secondary bosses in Europe. During this short period of time, in both her departments in the U.S.A and in Europe, she has witnessed employees that come to work while under the influence of alcohol and even drinking while at work. She has seen employees on a regular basis arriving late and leaving early for work and also using company computers for personal reasons. Her department manager is so easy going and seems to be more concerned with being everyone’s friend than their boss and if he is aware of these issues, he turns a blind eye. Although she has tried to bring the subject of these issues to him, he seems unwilling to even discuss them with her. She is a hard worker and follows rules and always thought the majority of other employees would also. This paper will take a look at her options and research the differences between business and cultural ethics in the U.S and in Europe. The challenges she will face if she decides to file a complaint...
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...Reporting Practices and Ethics Paper HCS 405 Reporting Practices and Ethics Paper According to the American Medical Association’s Code of Medical Ethics, “a physician shall support access to medical care for all people” (Zonana, 2001, p.1). This principle becomes an ethical dilemma, however; in our currently divided system in which those without insurance are not provided the same access to health care as those with insurance. Health care providers are continually obligate to balance the increasing need for cost containment and appropriate allocation of medical resources with their professional ethical obligation to “regard responsibility to the patient as paramount” when making clinical decisions (Levine, Wynia, & Schyve, 2007). The managers within a health care organization will have generally one of three views: (1) Financial, (2) process, or (3) clinical. The way they manage will be influence by which view they hold. Financial view; these managers generally work with finance on a daily basis, reporting function is part of their responsibility and perform much of the strategic planning for the organization. Process view; managers generally work with the system of the organization and may be responsible for data accumulation and are often affiliated with the information system hierarchy in the organization (Baker & Baker, 2011). Clinical view; managers generally are responsible for service delivery. They have direct interaction with the patients...
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...All businesses face ethical issues. Some, as they should, see them as an important aspect to be remembered when making a business decision, while others wrongly see them as an inconvenience. Earlier this year, the news was released that the American pharmaceutical company GlaxoSmithKline were fined $3 billion (£1.9 billion) after bribing doctors to increase their drugs sales. The company admitted corporate misconduct over the antidepressants named Paxil and Wellbutrin as well as the asthma drug Advair. They also admitted to encouraging the prescription of these unsuitable antidepressants to children. Not only was this extremely unethical but also unsafe. Thus, generating profit for the company but also danger for those who were inappropriately prescribed the drug. In order to permit such an action, any moral values which the company may have had must have been ignored. The company encouraged sales reps in the US to mis-sell three drugs to doctors as well as lavish hospitality and kickbacks on those who agreed to write extra prescriptions, including trips to resorts in Bermuda, Jamaica and California. Psychiatrists and their partners were flown to five-star hotels, on all-expenses-paid trips where speakers, paid up to $2,500 to attend, gave positive presentations on the drugs. They could enjoy diving, golf, fishing and other extra activities arranged by the company. GlaxoSmithKline also held eight luxurious three-day events in 2000 and 2001 at hotels in Puerto Rico...
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...essentially blowing the whistle on foul play. When an employee is privy to information that details the operations of the organization or that of a partner organization due to their position they have the legal right to bring to the forefront any misconduct utilized to procure a profit. Whistleblowing can occur on many levels and while public corporate organizations are mainly blamed for extreme misconduct, whistleblowers can report the delinquency of private, nonprofit, and even government divisions. The misconduct of an organization or individuals inside the organization can be reported internally to supervisors or to ethics hotlines that are usually provided to employees at hire. More popular though are those who choose to expose major errors publicly, exposing information in detail to the media or industry regulators. Research by Archambeault and Webber (2015) supports the statistic that 40% of all occupational fraud cases examined in a 2014 fraud study were detected by the tip of the company’s own employee (p. 65). This factor is relevant to both internal whistleblowers and external whistleblowers. This was the notion of Dr. Alon J. Vainer and nurse Daniel D. Barbir, employees of DaVita, the one of the nation's most innovative healthcare communities. While working for the company, Vainer and Barbir took note that the company was billing Medicare and Medicaid for useable medications that they threw away after partially using them (Denver Post, 2015). If proven, this would...
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...The Dangers of Sexual Misconduct in the Field of Psychology Abstract The issues of sexual misconduct by individuals in the helping professions like psychology, where clinicians have direct contact and care with clients, has evolved over the years. The issues of dual-relationships with client and therapist, risk factors, and consequences that can happen when this happens and client based inappropriate behaviors that are directed toward clinicians will be addressed. These behaviors have created concern over the past two decades, some of the research completed on this issue in the form of surveys will be discussed. Codes of ethics and standards and a number of other factors that can be seen as unique in the helping professions due to working closely with clients will be addressed. Factors unique to the healthcare industry contribute to this problem and how personal biases, beliefs, and values will influence the current and future guidelines in the field of psychology and a future career in this field. The Dangers of Sexual Misconduct in the Field of Psychology The field of psychology for individuals who work directly with clients creates dynamics that can foster an environment for sexual harassment and other types of harassment in the form of intimidation or abuse of power. Professional counselors are entrusted to protect the welfare of their clients, if sexual conduct in the form of dual relationship or abuse of power occurs during these client therapist relationships...
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...Lawsuit Strayer University Identify and explain at least three legal considerations. The first legal consideration in this case is related to corporate liability. The hospital itself is negligent under this doctrine. Corporate negligence is the failure to provide the equipment, facilities, and staff to carry out the duties of the corporation in accordance with the established standard of conduct (Showalter, 2007). Corporate negligence is evident in this case in regard to the failure to ensure that sufficient healthcare personnel were available to provide the established standard of care to the patients in the facility. Moreover, the personnel that were required to remain at the hospital from the day shift were likely not performing at their peak after already working their own shift; which could result in errors in patient care. The nurse managers should have been proactive and had a plan in place in the event of severe weather such as forming a team of healthcare personnel who were willing to come to work at the beginning of the storm and stay until they could be relieved. This team should consist of a variety of personnel in sufficient numbers to allow for some personnel to rest while others work. Ultimately, it is the responsibility of the hospital to ensure proper personnel coverage regardless of the circumstances. Policies and procedures for handling this type of crisis must be in place and utilized as needed. The second legal consideration in this case is vicarious...
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...Negligence Paper Maria Gutierrez HCS/478 August 5, 2015 Carol Mack Negligence Paper The health provider or a nurse has the responsibility to provide the best care possible for the patients. In this paper, I will discuss about neglect and the different between negligence, gross negligence and malpractice. I will also cover my opinion about the situation, agreement or disagreement deciding whether it was a mishap or negligence, the importance of documentation, the ethical principles that serve as a guide for nursing. Negligence is not being diligent. It is one of the legal issues that all healthcare provider are prone to participate unintentionally. Guido (2010 stated, “Negligence denotes conduct lacking in due care. Negligence include doing something that the reasonable and prudent person would not do” (p. 92). Negligence can occur anytime and in any areas of the healthcare environment. However, negligence most likely happens with old people in health care setting, for example, nursing home, hospitals and boarding care facilities. Some of the common negligence examples include failure to provide adequate nutrition, medication error, physical injury, and failure to turn patient that lead to a poor skin integrity. Gross negligence is more serious than negligence. The difference between the two of them is the degree of carelessness or inattention. Negligence is when a person fails with the standard of care not intentionally and gross negligence is a complete reckless conduct...
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...negligent if it is a deviation from the standard of care that a reasonable person would do or what they would not do. At the Neighborhood Hospital, negligence has been cited due to the wrong limb being amputated on a patient. We will look at negligence vs. malpractice and whether the circumstances presented indicates negligence, as well as whether or not there is a case to pursue malpractice. As stated above, negligence is an injury that is caused by carelessness, but the injury is not intended. Gross negligence is caused when someone deliberately acts in a way in which they know or should know will cause harm (LaMance, 2011). For healthcare professionals, any act of negligence can be a basis for a malpractice lawsuit. According to Guido (2010), to be liable for malpractice, the person committing the wrong must be a professional whose misconduct, lack of skill, or fidelity in duties results in injury, suffering, or death due to carelessness or lack of foresight. In a court of law, in order to prove negligence or malpractice, the plaintiff (the injured party) must be able to prove certain elements to establish liability (Guido, 2010). These include duty owed the patient, breach of duty owed the patient, forseeability, causation, injury, and damages. Duty of care involves acting in a way that an ordinary and reasonable person would act, and as such should take precautions against creating risks of injury to others. This may include a “time out” to ensure the right limb is...
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...Analysis of Ethical Corporate Culture between 2013 and 2015 Group 6: Michelle Delgado Lok Sum Lydia Fung Chau Nguyen ACCT 415 Dr. James Gong 5/14/2015 Executive Summary In business, leaders, managers, and employees face conflicting incentives, messages and pressures from multiple stakeholders. Conflict of interest is said to occur when a professional’s self interest offers an incentive that mitigates his or her judgment against the best interest of the corporation or its customers. In turn, most professionals are unaware of their unethical progression because they are blindsided by internal motivation and expectations. It has been proclaimed that the most important job of the board of directors is hiring the right CEO, causing most boards to fail to notice unethical behavior in someone they do not wish or expect to find it. In fact, research suggests that it is usually difficult to report wrongdoing in an organization because most employees believe the same and fear retaliation, rejection, or disbelief from corporate leaders. Ethical principles will often offer advice for procedures and norms that can reinstate ethical concerns before unforeseen behavior damages an enterprises culture or reputation. In general, ethical systems are designed to improve the ethical behavior within an organization. To do so requires examining the interaction of many factors and forces in a working environment - which were investigated (analyzed) in this report. Executives...
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...In nursing care it is essential to ensure the patient is safe and ethical principles are being followed. In 1979, The Belmont Report was created to provide ethical principles and guidelines to guide human research and studies. The Belmont Report focuses on three ethical principles: respect for persons, beneficence, and justice. This paper will discuss a study regarding hospital acquired urinary tract infections and determine if the ethical principles from The Belmont Report are evident. Quality Indicator Research Study: Urinary Tract Infections A quality indicator, also known as QIs, “are standardized, evidence-based measures of health care quality that can be used with readily available hospital inpatient administrative data to...
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