1. from a leadership perspective, analyze the problems at the va

HS450 Unit 8 Assignment – Ethics and Decision-Making in the VA Healthcare System

Course Outcome
HS450-5: Evaluate the impact of ethical decision-making on healthcare leadership to maximize strategic planning

Unit Outcomes
 Discuss the principles of ethics and medical professionalism in strategic planning.
 Examine the role of leaders in ethical decision-making and problem solving strategies in the U.S. health system.
GEL-7.7: Analyze the effects of ethical decision making on the field of study.

Unit 8 Assignment

Case Study: Problems at the VA Health System

In 2009, President Barack Obama appointed Eric Sinseki as the secretary of Veterans Affairs (VA), the U.S. department responsible for providing healthcare and federal benefits to U.S. veterans and dependents. Secretary Shinseki was charged with 16 initiatives to bring the VA into the 21st Century. One of the 16 initiatives was to enhance veterans’ experience with and access to healthcare.

In 2013, CNN was among the news outlets reporting that veterans were experiencing delayed care at the Williams Jennings Bryan Dorn Veterans Medical Center in Columbia SC. In fact, the delays were so serious that six veterans died while waiting for months to receive necessary diagnostic procedures. The VA launched an investigation into the GO clinic at Dorn and found several issues, including low staff census; leadership turnover that resulted in a lack of understanding of roles, responsibilities and system processes; and program coordination. Allegations of long wait times also emerged about VA facilities in Arizona, Pittsburgh, and Phoenix VA Health Care Systems. Delays, however, were not the only issues in the VA facilities. In the Phoenix VA Health Care System, for instance, there were claims of manipulated patient wait times, bad scheduling practices, and patient deaths.

In 2014, the Office of Inspector General (OIG) launched an investigation into these allegations.
Two questions were addressed in this review:

1. Did the facility’s electronic wait list (EWL purposely omit the names of veterans waiting for
care and, if so, at whose direction?
2. Were the deaths of any of these veterans related to delays in care?

The investigators confirmed “inappropriate scheduling issues throughout the VA and health care system.
The OIG report concluded as follows (VA 2014, iii).
In Phoenix VA, specifically, investigators found that 1,400 veterans did not have a primary care appointment
but were listed on the EWL and that 1,700 veterans were waiting for a primary care appoint but were not listed
on the EWL. Because veterans were not on the EWLS, the Phoenix leadership significantly understated the time new patients waited for the appointments. The investigators found that the average wait time was 115 days for the first primary care appointment and about 84 percent of these patients waited more than 14 days.
OIG reviewed have identified multiple types of scheduling practices that are not in compliance with VHA policy. Since the multiple lists we found were something other than the official EWL, the additional lists may be the basis for allegations of creating “secret” wait lists.
Secretary Shinseki called the find “reprehensible” and resigned from his post on May 30, 2014.
Harrison, J. (2016). Essentials of strategic planning in healthcare. Health Administration Press: Chicago, IL.

Case Study Questions
1. From a leadership perspective, analyze the problems at the VA relative to ethical decision making practices.

2. Discuss the ethical issue of having 1,700 veterans, who were not listed on the EWL, wait for a primary care
appointment at the Phoenix VA. Create at least two (2) policies/standards to assure ethical leadership
practices for veterans on the EWL.

3. Explain why Secretary Eric Shinseki resigned his position. Identify at least two (2) alternative options for Mr. Shinseki to help resolve the unethical decision-making practices in this case study.

4. Apply the American College of Healthcare Executives (ACHE) Code of Ethics to the VA Health System
case study.

Requirements:
● Please complete Assignment in a Microsoft Word document.
● The body of your document should be at least 1500 words in length.

● Quoting should be less than 10% of the entire paper. Paraphrasing is necessary.
● Students must cite and reference at least 4 credible sources.
● APA format is required.
● For support access Kaplan Writing Center or Resources Documents found in Doc Sharing

 

 

Pease this paper should be 1,300- 1,500 words, strictly on topics, original, and well-detailed with 4 scholar APA references. No  repeatation or grammer error. Read and follow all instructions and answer all questions accordingly.

 

NO PHARGIARISM!!!

Prime Paper Help
Calculate your paper price
Pages (550 words)
Approximate price: -

Why Work with Us

Top Quality and Well-Researched Papers

We always make sure that writers follow all your instructions precisely. You can choose your academic level: high school, college/university or professional, and we will assign a writer who has a respective degree.

Professional and Experienced Academic Writers

We have a team of professional writers with experience in academic and business writing. Many are native speakers and able to perform any task for which you need help.

Free Unlimited Revisions

If you think we missed something, send your order for a free revision. You have 10 days to submit the order for review after you have received the final document. You can do this yourself after logging into your personal account or by contacting our support.

Prompt Delivery and 100% Money-Back-Guarantee

All papers are always delivered on time. In case we need more time to master your paper, we may contact you regarding the deadline extension. In case you cannot provide us with more time, a 100% refund is guaranteed.

Original & Confidential

We use several writing tools checks to ensure that all documents you receive are free from plagiarism. Our editors carefully review all quotations in the text. We also promise maximum confidentiality in all of our services.

24/7 Customer Support

Our support agents are available 24 hours a day 7 days a week and committed to providing you with the best customer experience. Get in touch whenever you need any assistance.

Try it now!

Calculate the price of your order

Total price:
$0.00

How it works?

Follow these simple steps to get your paper done

Place your order

Fill in the order form and provide all details of your assignment.

Proceed with the payment

Choose the payment system that suits you most.

Receive the final file

Once your paper is ready, we will email it to you.

Our Services

No need to work on your paper at night. Sleep tight, we will cover your back. We offer all kinds of writing services.

Essays

Essay Writing Service

No matter what kind of academic paper you need and how urgent you need it, you are welcome to choose your academic level and the type of your paper at an affordable price. We take care of all your paper needs and give a 24/7 customer care support system.

Admissions

Admission Essays & Business Writing Help

An admission essay is an essay or other written statement by a candidate, often a potential student enrolling in a college, university, or graduate school. You can be rest assurred that through our service we will write the best admission essay for you.

Reviews

Editing Support

Our academic writers and editors make the necessary changes to your paper so that it is polished. We also format your document by correctly quoting the sources and creating reference lists in the formats APA, Harvard, MLA, Chicago / Turabian.

Reviews

Revision Support

If you think your paper could be improved, you can request a review. In this case, your paper will be checked by the writer or assigned to an editor. You can use this option as many times as you see fit. This is free because we want you to be completely satisfied with the service offered.