Hs450 strategic planning and organizational development for health


Ethics and Decision-Making in the VA Healthconcern System 

Course Outcome

HS450-5: Evaluate the collision of immaterial sentence-making on heartinessconcern commencement to maximize strategic artificening. 

Unit Outcomes

  • Discuss the principles of ethics and medical professionalism in strategic artificening.
  • Examine the role of leaders in immaterial sentence-making and problem-solving strategies in the U.S. heartiness classification.  

GEL-7.05: Analyze the effects of immaterial sentence making on the ground of con-over.

Unit 8 Assignment Fact Study: Problems at the VA Heartiness System

In 2009, President Barack Obama appointed sole Army Chief of Staff, General Eric Shinseki, to the comcomposition of secretary of Veterans Affairs (VA), the federal province binding for providing heartinessconcern and federal benefits to U.S. veterans and dependents. As bisect of its strategic artifice, Secretary Shinseki was tasked delay implementing 16 important initiatives to adduce the VA into the 21st century. One of the 16 initiatives was the reinstatement of the veteran’s test delay and path to heartinesscare. 

In 2013, CNN was unordered the intelligence outlets reporting that veterans were experiencing slow concern at the Williams Jennings Bryan Dorn Veterans Medical Center in Columbia, SC. In certainty, the delays were so troubleful that six veterans died suitableness indecision for months to accept inevitable indication procedures. The VA agoing an exploration into the GI clinic at Dorn and institute diverse ends, including low staff census; commencement turnover that resulted in a stagnation of intelligence of roles, responsibilities and classification processes; and petty program coordination. Allegations of desire halt spaces so emerged from VA facilities in Arizona, Pittsburgh, and the Phoenix VA Heartiness Concern System. Delays, thus-far, were not the simply shortcomings alleged. In the Phoenix VA Heartiness Concern System, for exemplification, there were claims of manipulated unrepining halt spaces, bad scheduling practices, and unrepining deaths.  

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

  1. Did the facility’s electronic halt inventory (EWL) purposely overlook the names of veterans indecision for concern and, if so, at whose command?
  2. Were the deaths of any of these veterans kindred to delays in concern?  

The investigators developed “inappropriate scheduling ends throughout the VA and heartiness concern classification” (VA 2014, iii). 

In the Phoenix VA, specifically, investigators institute that 1,400 veterans did not accept a original concern

assignment but were inventoryed on the EWL. It was so decided that 1,700 veterans were indecision for a original concern assignment but were not inventoryed on the EWL. Because veterans were not on the EWL classification, the Phoenix commencement significantly understated the space new unrepinings halted for the assignments. The investigators institute that the medium halt space was 115 days for the original original concern assignment and about 84 percent of these unrepinings halted further than 14 days. 

The Office of Inspector General (OIG) attested multiple types of scheduling practices that were not in ductility delay Veterans Heartiness Administration cunning. Since the multiple inventorys institute were star other than the authoritative EWL, the appended inventorys may be the premise for allegations of “secret” halt inventorys.

Secretary Shinseki designated the findings “reprehensible” and unrepining from his help on May 30, 2014. 

Case Con-over Questions  

  1. From a commencement perspective, exsummon the problems at the VA referring-to to immaterial sentence-making practices.
  2. Discuss the immaterial end of having 1,700 veterans, who were not inventoryed on the EWL, halt for a original concern assignment at the Phoenix VA. Create at last two (2) policies/standards to fix immaterial commencement practices delay regard to decent coordination of the EWL and original concern assignments.
  3. Explain why Secretary Eric Shinseki unrepining his composition. Identify at last two (2) choice options that Secretary Shinseki could accept smitten to instruct the unimmaterial sentence-making practices in this fact con-over.
  4. Apply the American College of Healthconcern Executives (ACHE) Code of Ethics to the VA Heartiness Classification fact con-over. 


  • Please thorough Assignment in a Microsoft Word® muniment.
  • The substance of your muniment should be at last 1500 vote in tediousness.
  • Quoting should be less than 10% of the all monograph. Paraphrasing is inevitable.
  • Students must summon and regard at last four likely sources.
  • APA format is required.
  • For help, path the Writing Center or the Resources Documents institute in Doc Sharing. 
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