Question

LP2.2 Assignment: Patient Care Partnership

In the past two Learning Plans you've studied various codes that can govern the behavior of healthcare administrators, including the ACHE Code of Ethics, the Patient Care Partnership, and the ethical theorists you encountered in Learning Plan 1. In this assignment, you'll apply the codes and theories you've learned about to the following healthcare management dilemma.

You are the healthcare manager in a university medical center. After an inspection, JCAHO, your accreditor, notes that patient satisfaction surveys give you a low rating. Although your hospital has a great track record for disease detection, treatment, and monitoring, patients routinely rate their experience at and satisfaction with the hospital as low.

In follow-up interviews with patients, JCAHO discovers that patients felt they and their families were not well-informed about upcoming procedures and options. They had a general feeling of uncertainty about their care and treatment. One former patient stated, "The doctor spent more time talking with the medical residents and student nurses than with me!"

Answer each of the following questions in a paragraph of 5-7 sentences (for a total of 4 paragraphs):

Which ethical principles would you apply to this scenario? Which ethical theorists would you use to guide you? Refer to your textbook, putting all direct citations in quotes.

Which parts of the AHA's Patient Care Partnership document would you apply to this scenario? Refer to specific parts of the document, putting all direct citations in quotes.

Which parts of the ACHE Code of Ethics would you apply to this scenario? Refer to specific parts of the document, putting all direct citations in quotes.

Describe an "action plan" to present to the accrediting body (JCAHO) to convince them you're serious about improving your patient satisfaction scores.

Answer 1

ACHE (American College of Healthcare Executives) Code of Ethics:

The purpose of the Code of Ethics of the American College of Healthcare Executives is to serve as a standard of conduct for members. It contains standards of ethical behavior for healthcare executives in their professional relationships. These relationships include colleagues, patients or others served; members of the healthcare executive's organization and other organizations; the community; and society as a whole.

QUE: Which ethical principles would you apply to this scenario? Which ethical theorists would you use to guide you? AND Which parts of the ACHE Code of Ethics would you apply to this scenario?

According to the ACHE in this case the ethics that should come in the power are

Part 1 sub-part 3 and 5 and Part 2

Part 1: THE HEALTHCARE EXECUTIVE'S RESPONSIBILITIES TO THE PROFESSION OF HEALTHCARE MANAGEMENT

sub-part: Comply with all laws and regulations pertaining to healthcare management in the jurisdictions in which the healthcare executive is located or conducts professional activities;

sub-part: Avoid the improper exploitation of professional relationships for personal gain;

Part 2: THE HEALTHCARE EXECUTIVE'S RESPONSIBILITIES TO PATIENTS OR OTHERS SERVED

1. Work to ensure the existence of a process to evaluate the quality of care or service rendered;
2. Avoid practicing or facilitating discrimination and institute safeguards to prevent discriminatory organizational practices;
3. Work to ensure the existence of a process that will advise patients or others served of the rights, opportunities, responsibilities and risks regarding available healthcare services;
4. Work to ensure that there is a process in place to facilitate the resolution of conflicts that may arise when values of patients and their families differ from those of employees and physicians;
5. Demonstrate zero tolerance for any abuse of power that compromises patients or others served;
6. Work to provide a process that ensures the autonomy and self-determination of patients or others served;
7. Work to ensure the existence of procedures that will safeguard the confidentiality and privacy of patients or others served; and
8. H. Work to ensure the existence of an ongoing process and procedures to review, develop and consistently implement evidence-based clinical practices throughout the organization.

All patients should be treated with full of integrity and should be informed in detail about his or her condition and treatment process

QUE: Which parts of the AHA's Patient Care Partnership document would you apply to this scenario?

AHA's Patient Care Partnership document contains:

1. High quality hospital care.
2. A clean and safe environment.
3. Involvement in your care.
4. Protection of your privacy.
5. Help when leaving the hospital.
6. Help with your billing claims.

Involvement in your care.
Patients and Doctor often make decisions about the case before patient go to the hospital. Other times, especially in emergencies, those decisions are made during your hospital stay. When decision-making takes place, it should include:

Discussing Patient's medical condition and information about medically appropriate treatment choices. To make informed decisions with the doctor, patient need to understand:

• The benefits and risks of each treatment.
• Whether the treatment is experimental or part of a research study.
• What the patient can reasonably expect from their treatment and any long-term effects it might have on the patient's quality of life.
• What Patient and the family will need to do after patient leave the hospital.
• The financial consequences of using uncovered services or out-of-network providers.

QUE: Describe an "action plan" to present to the accrediting body (JCAHO) to convince them you're serious about improving your patient satisfaction scores.

A hospital should always try to satisfy there patients and try to score high in JCAHO (Joint Commission: Accreditation, Health Care, Certification) standard and another reason to do so is to avoid the ACHE code of ethics last part:

THE HEALTHCARE EXECUTIVE'S RESPONSIBILITY TO REPORT VIOLATIONS OF THE CODE

A member of ACHE who has reasonable grounds to believe that another member has violated this Code has a duty to communicate such facts to the Ethics Committee.

And to do so there has to be an action plan that can ensure JCAHO that the hospital is serious about their ratings, so one plan that can be implemented is to make a special department at least of 3 members that do the following course of action.

• To take patients’ feedback every 2^nd day.
• To make giving suggestion super easy for the patients and their family.
• To make sure that the feedbacks and suggestions cannot be tempered.
• To have full nondisclosure and full privacy so that patients feel free to give feedback.

• To make the department of feedback take action as soon as possible (within days)

• Give some power to the department of feedback so they don’t feel hopeless when the times of take action comes