...have to deal with on a daily basis at the hospital. Discuss the duty of loyalty owed to each internal and external stakeholder. Dr. Do Right has a duty of loyalty to employees, society, and board of directors. Each duty of loyalty has its’ own significant meaning. Dr. Do Right signed a contractual agreement with Universal Human Health Hospital and took an oath to run the daily operations of the hospital, implement procedures and decisions made by the board of directors, and give updates and reports to the board members and shareholders about the financial status and daily operations of the organization. First of all, Dr. Do Right must communicate procedures, policies, and business goals to his management team. He must educate them on business changes, developmental opportunities, and all other vital information to help them to administer and communicate the organizations’ policies, expectations, and needs to lower level employees. Dr. Do Right must also display leadership qualities that are positive, respectful, and effective. This is his obligation to show that he is capable and responsible for a huge workforce. Secondly, Dr. Do Right has duty of loyalty to society. As Chief commanding officer of the hospital, Dr. Do Right must evaluate and oversee all daily operations of the hospital. He has an ethical duty to make sure all policies and procedures are in compliance with government regulations....
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...negligence case. To begin with, when people think of professional liability in healthcare, they usually think of medical practice, a form of negligence. Negligence by definition is known as one of the most common type of malpractice that exists in the healthcare industry. However, in order for a negligence case to be proven, four elements are necessary: Duty of Care, Breach of that duty, Injury and Causation, (J. W. Showalter, 2007). The first element, duty of care, requires all persons to conduct themselves as a reasonably prudent person would do similar circumstances. Generally, duty of care is a legal notion that states that people owe anyone around them or anyone who could be around them a duty to no to place them in situations of undue risk of harm. For example, physicians have a duty to protect patients from foreseeable dangers that could lead to any injury. In case of a surgery, they have a duty to make sure all equipment are in good condition, so it does not lead to injury while the procedure is done. They also have a duty to take preventive measures which create a safer environment. The second element, breach of that duty, requires expert testimony, which normally comes from the defendant’s fellow practitioners because they know the standards of practice best. For example, a specialist may testify about the standards for general practitioners if she is knowledgeable about them. Similarly, if the issue concerns the standards for doctors of osteopathy, doctors of medicine...
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...to deal with on a daily basis at the hospital. A stakeholder is a person, an organization or a group that has direct or indirect vested interest in an organization because it can affect or be affected by the organization's actions, objectives, and policies. Key stakeholders in a business organization include creditors, customers, directors, employees, government (and its agencies), owners (shareholders), suppliers, unions, and the community from which the business draws its resources (www.dictionary.com). The internal stakeholders at “Universal Human Care Hospital” are employees, department managers, and trustees while the external stakeholders are pharmaceutical representatives, patients and corporate partners. The employee duty of loyalty requires the employee to act solely for the benefit of the employer in all matters related to his or her employment. This general principle prohibits an employee from competing with an employer; appropriating the employer’s personal property or soliciting customers away from employer while in the employ of the employer. The department managers are representative of hospital management therefore, the duty of loyalty is much higher. It prohibits manager from activities (decisions) that benefit themselves at the expense of the company or imped the ability of a corporation to continue the business for which it was established. The Board of Trustee is usually involved in the Compliance Program of the hospital, giving oversight to various committees...
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...for-profit, not-for-profit, and government financial environments can be substantial because for-profit, not-for-profit, and governmental entities use different financial structure, policies, and unique management practices. According to Gapenski (2008), hospitals are classified by ownership as private not-for-profit, investor owned, and governmental. The statistical data show approximately 60 percents of all hospitals are private not-for-profit hospitals, approximately 25 percents consisted of governmental hospitals, and approximately 15 percents are investor owned hospitals. Main difference between not-for-profit and for-profit hospitals are not-for-profit hospitals received numerous tax benefits such as tax exemption from federal, state, and local government income taxes because hospital serves as a charitable purpose and provide benefits to the community in general. The hospital sector in the United States includes three different types of ownership forms. Not-for-profit hospitals are the most common type but for-profit and government hospitals also play substantial roles. Arnold Palmer Hospital for Children is not-for-profit hospital dedicated to the providing a shelter of hope and healing to the children. According to Orlando Health (2011), “Arnold Palmer Hospital is a 158-bed pediatric hospital located in Orlando, Florida.” Orlando Health is dedicated to offering community services by providing high quality health care. Arnold Palmer Hospital for Children included about...
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...stakeholders that Dr. DoRight might have to deal with on a daily basis at the hospital. The three different internal and external stakeholders are the Hospital administrators, Medical staff, and Patients. The most visible parties are first-party patients, who seek access to an imponderable variety of health care products and services; second-party are Providers of these products and services, including hospitals, physicians., nurses, physical therapists, dentists, and pharmaceutical companies, the other party are payers, including private insurance companies, government programs such as Medicaid and Medicare. And their employer and employee, who purchase health insurance for their employees and thereby obtain a deductible expense due calculating their federal income tax liability. Other stakeholder groups are less visible, but nonetheless silent. There are scientists engaged in research and development of medical products and services. Some are employed by research laboratories affiliated with private corporations, and others are employed by government tabs. Most are funded by government research grants. Many scientists teach at tuition-driven public and private educational institutions that train future researchers, providers, and institutional administrators. There are also financial institutions that lend tuition money to .ambitious college students in the health care professions and provide capital to hospitals, Laboratories, and other facilities. And we must not forget the last number...
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...The class of 2014 visited the Jinnah Post Graduate Medical Hospital as a requisite of the course in Leadership and management. The Jinnah Postgraduate Medical Centre (J.P.M.C.) is located at Rafique Shaheed Road in Karachi, Sindh, Pakistan. The JPMC is a federally administered public hospital established in 1959. The purpose of the visit is to observe and describe the organization in leadership and management perspective and identify a management concept to critically analyze how it was integrated in the organization with the support of literature. It is a tertiary care hospital with more than six hundred beds capacity. It provides teaching facilities to a medical college and to a nursing school. It fulfills the teaching needs of Sindh Medical College (SMC). JPMC is the eldest and the biggest health care facility in the province. Its school of nursing is also the eldest institute of nursing education in the country. At the time of migration in 1947 from India, casualties due to violence were enormous and an immense shortage of nurses was felt. There was a single nurse in the hospital and she migrated to Bengal. Nuns were performing the role of nurses. Facing the shortage of caring nurses, the ministry of health sent ladies to various countries for training of nursing. The first ever school of nursing in the history of Pakistan was than established in JPMC. The teaching model was of apprenticeship style. Now the nursing school is offering diploma programs for the midwifery...
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...Teachers etc. are in the category of persons professing special skills. Any man practicing a profession requires particular level of learning, which impliedly assures a person dealing with him, that he possesses such requisite knowledge, expertise and will profess his skill with reasonable degree of care and caution. It should be taken in to consideration that the professional should command the “corpus of knowledge” of his profession. Since long the medical profession is highly respected, but today a decline in the standard of the medical profession can be attributed to increasing number of litigations against doctors for being negligent narrowing down to “medical negligence”. Public awareness on medical negligence in India is growing. Hospital managements are increasingly facing complaints regarding the facilities, standards of professional competence, and the appropriateness of their therapeutic and diagnostic methods. The health service has been under the purview of the Consumer Protection Act, 1986 and subsequently the commercialization of the health sector has had adverse effects on doctor and patient relationship. The landmark case Indian Medical Association Vs. V.P.Shantha brought the medical professionals within the ambit of “service” as defined in the Consumer Protection Act, 1986. Many patients have filed legal cases against the negligent doctors and received compensation from them after establishing their negligence before the court of law. As a result, a number of...
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...Dr. DoRight has to deal with on a day-to-day basis as the President of the “Universal Human Care Hospital.” I will also give comparisons and contrasts concerning conflicts of interest that could arise among both the internal as well external stakeholders. I will attempt to explain whether or not Dr. DoRight has fulfilled his ethical duty with his reporting of the illegal procedures that have taken place. I will also give examples of the deontology and utilitarianism principles and apply them to this case. Businessdictionary.com defines stakeholder as “a person, group or organization that has an interest or concern in an organization. Stakeholders can affect or be affected by the organizations actions, objectives and policies.” In order to determine who the possible stakeholders in any situation may be you should ask questions such as who will be affected. Who holds an official position in relation to the situation? Or who has been involved in a similar situation? External stakeholders are those who are not directly associated to the organization, however, they can be influenced or in a situation to manipulate activities within the association. Although no ownership exists, they may still be impacted by any decisions, actions or just the overall performance of the hospital. External stakeholders may include competing hospitals, the 20,000 patients, suppliers, the government, and numerous community organizations and the corporations that Dr. DoRight interfaces with. Patients...
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...Law-substantive law is the rights and duties of the people procedural law defines how the courts handle’s try and sentence a case. Public and Private Law-public law is define as the relationship between the government and the individuals and private law is how the individual or groups act with each other. Bushman, M. (2007). Law plays an important role in business and society it is a set of rules that is in place to help society and business function. When an individual has a dispute they are able to bring their dispute to the court of law and have them settle the dispute for them. Other functions of law include: peacekeeping; checking government power and promoting personal freedom; facilitating planning and the realization of reasonable expectations; promoting economic growth through free competition; promoting social justice; and protecting the environment (Mallor, Barnes, Bowers, and Langvardt). Business has and ethical duties to perform in a professional manner if they do not adhere to the law they can be subject to criminal charges are fines. I am employed at Tulane Hospital and Clinic; we have an ethical duty by law to provide quality service to our patients most of the patients we supply care too have no insurance or the funds to take care of their health issues by law we cannot refuse them the service they need. Joint Commission provides the funds for accredited hospitals if the law that Joint Commission has set for our hospital is not followed we can receive a...
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...importance of this move. On 27 July 1775, Congress authorized the establishment of "a hospital" or Medical Service. This was specifically important at the time because it allowed for a more formal medical setting, allowing a specific ratio of medical personnel to patients. It also provided precise duties and specific personnel to perform them such as: surgeons, surgeon’s mates, apothecary, clerk and storekeepers. Even when it wasn’t authorized at this time, Hospital Stewards were organizing and providing a more structured and organized care, they procured medications (herbs) and improvised bandages to improve medical care. This “innovative” medical service did not only provide medical treatment for wounded or ill Soldiers but it also came up with preventive measures to avoid different illnesses from weakening the readiness of the forces. 2....
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... This paper will focus on the organizational structure of Naval Hospital Camp Pendleton (NHCP), how the NHCP structure supports client-centered care, uses information systems, the methods of communications, the decision making-ability, informal and formal reporting lines while looking at issues of power and control, in addition to who the actual leaders are in the organization, how social and cultural influences of the community are integrated into the delivery of care as well as the generational deference influences. All as they relate to the organizational structure of Naval Hospital Camp Pendleton. The type of organizational structure used at Naval hospital Camp Pendleton, is a tall service line structure with the hospital captain at the top answering to regional leadership and directly to Washington D.C. Naval Hospital Camp Pendleton also uses classical theory; the military and federal government work very well on the premise of efficiency through design, a rational and well-defined task or organizational design. Nursing does not have an independent chain of command but falls under the charge nurse in each departments answering to the department head who answers to the executive officer who answers to the commanding officer. The chain of command is the hierarchy of and responsibility within the organization. Line authority is use a linear hierarchy thought, which activity is directed. The naval hospital is a complex organization with numerous departments and highly specialized...
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...23, 2012 Dr. Dominique Sweeting Financial Environments Worksheet Identify three examples of entities with for-profit, not-for-profit, and government financial environments in the health care industry. Compare the similarities and differences between the for-profit, not-for-profit, and government financial environments. | |For-Profit |Not-for-Profit |Government | |Example|Edward White Skilled Nursing unit- St. |1. Regents Park Sunrise- Sunrise, Florida |1. Jackson Memorial- Miami, Florida | |s |Petersburg, Florida |(Nursing Home) | | | |Cleveland Clinic Hospital- Weston, Florida| |2. Broward General Hospital- Ft. Lauderdale, | | |Mt. Sinai Medical Center- Miami Beach, |2. Mercy Hospital, Inc.- Miami |Florida | | |Florida | | | | | |3. St. Anthony’s Hospital- |3. Alexander Sandy Nininger State Veterans' | | | |St. Petersburg...
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...entities with for-profit, not-for-profit, and government financial environments in the health care industry. Compare the similarities and differences between the for-profit, not-for-profit, and government financial environments. For-Profit Not-for-Profit Government Examples 1. Edward White Skilled Nursing unit- St. Petersburg, Florida 2. Cleveland Clinic Hospital- Weston, Florida 3. Mt. Sinai Medical Center- Miami Beach, Florida 1. Regents Park Sunrise- Sunrise, Florida (Nursing Home) 2. Mercy Hospital, Inc.- Miami 3. St. Anthony’s Hospital- St. Petersburg, Florida 1. Jackson Memorial- Miami, Florida 2. Broward General Hospital- Ft. Lauderdale, Florida 3. Alexander Sandy Nininger State Veterans' Nursing Home- Pembroke Pines, Florida Similarities Must follow the same health regulations as nonprofit or government health facilities Must follow ethical regulations as a for-profit and government organization. Governments and not-for-profits are governed mostly by their budgets, not by the market. Must hire employees with the same training as a for-profit or nonprofit organization. Differences May give profits to shareholders. They must pay taxes to the IRS. Different in how they make their money. Not-for-profit’s incomes are not recognized by legal obligation but may be gained from contributions, fees, charges incurred, tuition, etc. They do not pay tax because of charitable contributions. Government may not be focus on the competition challenged...
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...Those people who wanted to become nurses had to get their education from the hospital operating room; as compared today where Nursing students get high quality education from Universities, Private Colleges, Community Colleges, Hospitals, and many other different communities that offer nursing education. Nurses back then were also not able to use advanced medical equipments since health care technology has advanced in many different aspect of the nursing profession. Back in the 1900s, the duties and working environment of Nurses were much different. They mainly performed work in the hospitals as superintendents and as private duty nurses. They performed duties that nurses today have never attempted, like administering leeches and boiling water to sanitize needles, sutures, and to keep equipment sanitary. In the mid 1900s, Nurses had to sharpened their needles on an average of two days a week, compare to now; needles are disposable and cannot be reused. The medical supplies back then are limited and sometimes there are no supplies at all for nurses to take care of patients. Nurses back then only earned about 50 cents per hour while working 10-12 hour shift on an average of 7 days a week. While they were working; they were also on their training as a nursing student, which was the actual training course that lasted 4-6 weeks and was learned in the hospital surgery room. They were responsible to tasks similar to that of maids – dusting...
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...ethics are of utmost importance. This is because, people in this industry deal with such situations and circumstances, everyday, which have a direct bearing on another person's life. In this paper one will discuss the ethical/legal issues which are faced by the healthcare industry as a nurse, and ethical issues in healthcare, pertaining to both management and medical research and give suggestion on how to handle each situation in hand. Ethical/ Legal Issues as A Nurse: Nurses are subject to a wide range of legal, ethical and professional duties which can be very challenging. These duties are generally considered to be to respect a patient’s confidentiality and autonomy and to recognize the duty of care that is owed to all patients. As a nurse their duties have to be always professional, because there are legal implications if these duties are breached. They also must consider when it is okay as a nurse to breach these duties and therefore ethical issues arise. Ethics is a set of moral and practical guideline that influences nursing decisions big and small. One of the main priorities of a nurse is to advocate for their patients a nurse expresses and defends the cause of their patient, nurses are expected to protect their patients’ rights. Patients’ rights can vary from being a responsible for their own care and making choices and decisions in that care, and having the right to a nurse-patient relationship based on trust and respect, to the nurse being responsible in...
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