Hospital Case Study
After gathering information, the main concern in conducting all casestudies of problem situations, involves understanding and identifying theproblem, defining goals and objectives, and evaluating the effects of the Problems Faith Community Hospital, is experiencing several problems thatcombine under the categories of communication, ethical concerns, and The first area of difficulty in the hospital involves extensivecommunication problems, including, lack of regular all-staff meetings,effective method of communicating policy (including legal, ethical, andbelief-based), a way to distribute directives concerning action plans forwhen ethical issues arise (and a write-up on how to identify thosesituations), a compelling patient-education policy, a way to evaluate staffknowledge about ethics, and the legal aspects of ethics in healthcare, andan advertising campaign to attract new patients. The second problem area has to do with "ethical issues." Theyinclude the lack of staff support in belief/ethical decisions made by
It is further recommended that the impact of these changes beevaluated after an agreed upon period, after which, the CEO may considerthe issue of their permanence. The benefits of these changeswill result in significant positive change for the hospital, not the leastof which will be the acquisition of a wider patient base (which is of majorconcern right now), the reduction of medical error, the reduction in non-hospital policy decisions, and the education of interested parties(stakeholders, staff, doctors, and patients) in issues of ethical concern,so that they may make educated decisions regarding treatment choice. Some concrete impact issues include insufficient patient base,incompatibility of some hospital policies with current legal requirements(the issue with the baby), staff-patient problems, and doctor/patient vs. Further, simple educationalmessages are not currently communicated to staff or patient communities. Impact Right now Faith hospital is in crisis. The lack of organization of the hospital is extreme-so much so thatthe hospital's own CEO has no concept of what his role is, or how he cansolve the problems the hospital is experiencing. For example, the CEO might compose a model in the following mode-I f aphysician feels at odds between the needs of his patient and theregulations or policies of the hospital, then he or she should follow Xprocedure. The communication problem is a derivative of a lack of organization. If the CEO is confused andfrustrated by the current situation, it follows that the hospital, and thestaff are probably in a great state of inefficiency. All hospitalworkers from top to bottom must understand their relationship toethics/legal/oath and belief-related issues, and the criteria they mustuse in making an action, or in not taking an action related to thoseissues. For example,the CEO must draft an action plan that staff can follow if a particularproblem were to arise-an "if"/ "then" model. Finally, The CEO must lead a massive education campaign for staff,stakeholders, and doctors that will clarify the most common ethical issuesthat cause difficulty within the hospital environment. It is the CEO's job to implement an effective communication system todissipate information about the ethical/legal/belief issues.
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