Mr. Kapinsky: $46M Renovation Project Analysis

Introduction

Mr. Kapinsky was among the senior members of the inter-professional sub-committee. His analysis of the task handed down to him by the CEO reflected that the renovation approach that was a lot after some of the significant construction renovations had already been initiated (Purtilo & Doherty, 2015). Moreover, the renovation was funded by a group of companies, for instance, StarServices Inc, Municipal Bonds, and Green International. The overall budget for the project was $46 million (Purtilo & Doherty, 2015). As per the first meeting held by the sub-committee, Kapinsky proposed questions that were seconded by the entire team since they all addressed the same concern regarding the proposal. One of the essential questions pointed to the norms of minimizing the cost of the plan. The questions were later forwarded to the CEO, who in a conference meeting did not prioritize the questions in the meeting, and they were not addressed (Purtilo & Doherty, 2015). Later, Kapinsky got a notification from the CEO, highlighting that the sub-committee was composed of the right individuals, and if there were any ethical issues, they would be ironed out (Purtilo & Doherty, 2015). Lastly, Kapinsky and the sub-committee would work to be involved in all decisions and monitor the process each step until the completion of the plan.Discussion on Health Guide, Regulations and Laws

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Majorly, health care regulation agencies are used to monitor the practice as well as the facilities, gather and provide information about industry alterations, promote security, and ensure legal compliance and quality services. The first regulation lining to Kapinsky's case study is the Health Insurance Portability and Accountability Act (HIPAA). It is a law that works to minimize costs while protecting patients and ensuring they have access to quality care (Raines, 2011). Next, the National Committee for Quality Assurance is a guide that strengthens the quality of managed care proposals. It was passed in 1991 to provide objective and high-quality information about health maintenance organizations (HMOs). Next, the case study reflects much about ethical principles, notably, code four that focuses on accountability (Raines, 2011). It is a core ethic code of conduct to enhance logistic business operations that strengthen transparency, accuracy, and timeliness, and finance.

Six-Step Process of the Case Study

Collecting Relevant Information

To determine if the plan breaches any healthcare ethical practices, it would be appropriate for Simon, and the committee needs to analyze proposals as per the company's mission statements, policies, and governance practices and business methods. The mission statement describes how the healthcare sector deals and aspires. Indeed, there is an unethical issue since with the proposal, since the plan lacks transparency in that the budget covered in it includes even the renovations that had already been done.

Type of Ethical Problem

Simon and the subcommittee are not contented with the StarServices, Inc approach, and they perceive a norm of moral distress. They are placed in a spot of an ethical dilemma. On the one hand, they have to perform their obligation by initiating loyalty to the health organization, StarServices, Inc, by honoring the institution's mission statement since they experience the reality after prioritizing the values, needs, duties, and rights of the organization. At the same, they face a conflict of interest since their professional obligations and commitments are threatened. Also, they face the challenge of them getting into a concise agreement on decisions to take on the proposal.

Use of Ethical Theories

Several ethical doctrines can be used to analyze a plan by the subcommittee. Through the use of the utilitarian method on the structural alterations of an organization, ethical practices are used to strengthen the excellence of performance to initiate outstanding outcomes (Sheng, 2012). The approach assists in determining if the best practice is the balancing of benefits over flaws under organizational norms and policies. Also, it highlights that beneficence, non-maleficence, justice, and respect features highlight the ethical standards in the situation that assist with decision making (Sheng, 2012).

Action Plan

Since the ethical dilemma revolves financial cut downs as well as placing the professional duties of the subcommittee on the line, the action plan that needs to be designed is the Affirmative Action Plan (AAP). Since the institution had more than one financial sponsor, the best approach is to write an AAP for the hospital under the federal laws, which will assist them in securing their positions in the healthcare facility as well as address the proposal issues.

Implementation of the Plan

The best approach to implementing the plan is through drafting under the guides and policies of the healthcare facility. The goal is to ensure that all the sponsors are represented to assist in highlighting transparency and accountability. The next implementation approach is to ensure that the new plan lacks healthcare outcome barriers. Next is to ensure that the management, executive, and employees are involved in addressing the already handled renovation and then assisting with the process of cutbacks. Finally is present if for approval to all sponsors.

Reflection

The consequences of the new plan will lead to several dismissals and auditing of the entire plan. Additionally, the committees in charge of the plan are bound to lose their operational duties at the table due to the imbalanced standards of burden over benefits. Some of them might lose their jobs, or the external sponsor companies can withdraw from the project.

Recommendations

The best caring recommendation that can be implemented in this situation is the strengthening of the healthcare team outcomes since all practitioners and management have the responsibility to themselves, their duties, and their patients by maintaining the highest moral principles (Purtilo & Doherty, 2015). The enterprise needs to initiate an ethical board to review ethical concerns and not directly taken to the CEO. Besides, the committee needs to involve the level of practitioners to aid with the review in their designated specialty areas. It is essential to advocate for patient care, rights, and ethical considerations.

References

Purtilo, R., & Doherty, R. (2015). Ethical dimensions in the health professions. Edinburgh, London: Elsevier Health Sciences.

Raines, J. (2011). Ethics in policing: Misconduct and integrity. Burlington, Massachusetts, United States: Jones & Bartlett Publishers.

Sheng, C. (2012). A new approach to utilitarianism: A unified utilitarian theory and its application to distributive justice. Berlin, Germany: Springer Science & Business Media.