The Veterans Affair Healthcare Systems is one of the advanced health care systems in the United States. It provides the veterans and retirees health care. The VA also offers benefits administration regarding pensions and compensations. Facilities in the VA health care systems provide surgical, medical and rehabilitative care. The government and the people have for a long time invested so much in this system in a bid to thank and take care of the veterans of the service they have offered to the nation. However, the system faces challenges. Issues with mismanagement, preventable patient death rock, and falsification of records have rocked the Veterans Affairs Health-care system for quite a while. This failure in the VA seems to be consistent and widespread. However, for quite some time the Accountability office and the Office of Inspector General have pushed the health administration to address the defects in VA system to solve the problems in its record keeping and timely appointments.
Q.1.
Although the VA has faced a myriad of challenges, it has also made positives impacts on the veterans and the people of the United States of America. Its impressive examples have been as a result of hard work, devoted and visionary purposefully working towards improving veterans access to assistance. Each change set up a standard that was fairly received and embraced by other different organizations. Each is upheld by the administration and is dependent on the need. The failure and crisis, however, cannot be solved entirely by the increase of resources. Although they are necessary, they are not enough and sufficient for the long term rather a comprehensive solution ought to be found to deal with the issue.
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The VHA has a problem with the leadership structure that is marked by an inability to the management of employees, veterans and its lack of responsiveness. The New York Times asserts that this type of culture has continuously resulted to the poor management, an outdated kind of technology, lack of space for treatment of patients and lack of adequate nurses and doctors to attend to the patients (Entwistle et al ., 2010). However, this kind of corrosive structure seems to be degrading the care delivery. Therefore, a thorough restructure is required in a bit to improve the accountability and transparency are offering of caring services to the veterans.
For VA taking ethics seriously seem to be difficult. Although it had previously set up systems to address the problem of ethics equality gap. It seems it never materialized. The integrated ethics did not quite helpful in preventing the scandals and the system-wide meltdown experienced in the VA. Although these programs were meant to make, VA offers better health care to the veterans regarding quality, efficiency and the accountability it has ironically contributed to the actual performance of ethics. Its focus on quantifiable measures helped create a situation where the ethics, responsibility, and integrity were overlooked as an impediment to the achievement of quality care.
Ethical concerns often care through discrete projects. In the VA's offices concerns related to clinical morals often fall under the board of trustee’s domain whereas research fall under the institutional survey board. On the other hand, administration, morals and business moral concerns fall under the human asset staff and the consistency officers.
The integrated ethics initiative that was meant to prevent the lapses and do an integration of the ethics into the mainstream of the healthcare management. This program although came to replace the traditional ethics that were previously in use. However, this method was viewed to be absolute and reactive and acted as small tent ethics. However, it was unable to deal with large systematic, cultural and environmental issues. The integrated ethics, however, made an attempt to change the system and the culture of the people to prevent the unethical conduct. This was meant to be a transformational idea.
Q.2.
The ethical issue with having 1,700 veterans not listed on EWL is the lack of restorative consideration for the veterans who lost their lives because of the postponement made. A "private" holding up list was put up, a list that could be made public for the veterans to receive assistance and care that was much need to them. The VA offices, however, are said to have had resistance issues in there planning (Gilson, 2014). These mistakes range from the printing of data for booking and letting them lie in their offices and workplace for more extended periods of time to the utilization of wrongful date of care.
Empowering the Veterans Health Information System and the Technology Architecture so that the Office of the Inspector and the Government Accountability agency can oversight the VA functions. The information from VA's framework is corrupted because of VA's planning hones were not tailed therefore resistance in the data can be distinguished and amendments made to the data.
Upgrade to the previous standardized structures could have been developed which cannot be overwhelmed by the rigid and vast organization and value action instead of documentation. A structure that not only focuses on the performance of measurement evaluations but the quality of service that is offered by the hospitals.
The delays in some of the VA’s field offices were mainly experienced due to insufficient staffing. Instead of using the designated funds for staffing they were mismanaged.
Q.3.
Eric Shinseki resigned from the post of Secretary of the Department of Veterans Affairs as he was under pressure from both political sides for the failure to prevent the cover-up of the backlogs of the waiting lists of the hospital network. Obama accepted Shinseki resignation starting that his stay would be a diversion from the job that was required to be done in the department. Obama applauded Eric’s professionalism and hailed him for having an unquestionable commitment to the veterans. Obama acknowledged that the diversion was political and insisted that the country had no time for distractions rather it needed to fix the problem (Robbins, 2014).
Eric Shinseki could have done a review of the VA health care systems ethics program and identified the strengths and weaknesses of the program. In the wake of the scandal programs that did not work could have been discontinued and devise other working programs. Just as the previously introduced standardized programs were introduced these kinds of programs, he could have fostered and strengthened to minimize the medical errors being observed.
While it is understood the organizational ethics take long in development that is it is work in progress, and its success solely depends on commitment, perseverance, and leadership. With others, Eric would have worked to improve the VA procedures, policies to create a culture of respect, commitment, integrity, and commitment.
A proof-based development can be implemented this way the interest of a type of confirmation approach that offers the methods that are required for arranging and planning moral pluralism.
Q.4
The American College of Healthcare Executives contains models of conduct for officials in political insurance. The aim of this code is to act as a standard for the individuals. It links the patients, partners to different organizations and the therapeutic services directors’ association (Rosenkoetter & Milstead, 2010). ACHE Code of Ethics joins the measures of moral conduct that oversees the singular conduct. This is so especially when the lead is identified with the human services official. The social insurance administration central destination tries to call for the upgrade of the prosperity, pride and personal satisfaction and making a compelling, clear and proficient framework (Zaccagnini & White, 2010).
In the application of-of ACHE in the VA system, productivity can be felt regarding morals. If the Code of ethics is utilized by the pioneers and the representatives, it can guarantee an adequately working VA system, whereby the veterans are acknowledged for the service they offered to their countries. The administrators in the Code of Ethics are supposed to genuinely and seriously take their obligations of social insurance administration. Their role plays a critical role in the veteran and patients life as they are in charge of the strengths of the patients. Healthcare associations motivate the workers to perform their duties through its operations correctly.
The officers take obligations of making the society a phenomenal place through the therapeutic services and by venturing and shielding the code of morals from potential infringement. If these codes of morals are adequately executed by the pioneers and workers alike, then the association is guaranteed to offer an appropriate Healthcare administration to the veterans. Towards the fulfillment of the commitments of the ACHE's Code of Ethics, they function as the moral models and advocates. The management decision made affects the health of the individuals, health executives and the communities, therefore, evaluation of the possible outcomes are done. Thus, in health organizations, the interests, rights of the patients served to need to be safeguarded. The healthcare executives are obliged to act in ways that are merit to the trust, the respect and the confidence of health care for the professionals and the public at large. Executives lives embody the ethics and systems of the code of ethics.
References
Entwistle, V. A., Carter, S. M., Cribb, A., & McCaffery, K. (2010). Supporting patient autonomy: the importance of clinician-patient relationships. Journal of general internal medicine , 25 (7), 741-745.
Gilson, C. (2014). Rove's Clinton criticism backfires cross-party calls for Shinseki to go over VA scandal and is Obama's foreign policy cloudy or just right? –US National blog round up for 24– 30 May. LSE American Politics and Policy .
Robbins, R. A. (2014). VA administrators breathe a sigh of relief. Southwest J Pulm Crit Care , 8 (6), 336-9.
Rosenkoetter, M. M., & Milstead, J. A. (2010). A code of ethics for nurse educators: revised. Nursing Ethics , 17 (1), 137-139.
Zaccagnini, M., & White, K. (2010). The doctor of nursing practice essentials . Jones & Bartlett Publishers.
