¶ … administrative assistant to the CEO of Faith Hospital is to help the CEO map out a plan to deal with diverse pressures on the hospitals, which include falling revenue and a staff that makes life-and-death decisions based on personal ethics rather than established standards at the hospital. Chris's first assignment as AA to the CEO is to gather information for the CEO so the CEO can begin to lead all of the hospital staff to a solution of their problems.
KEY PROBLEMS/ISSUES
Faith Hospital has several problems, many or all of which are related to a lack of specific guidelines for staff to follow when more than one choice of plan appears to be the right one, depending on the person's personal ethics. The only written guidelines the hospital has is their mission statement, which is far too vague to serve as operational rules. With no operational rules in place, individuals within the hospital make varying decisions, even though those decisions can have profound legal or fiscal consequences for the hospital.
Fiscally, the hospital has some high fixed costs without a fixed income. Their income comes from patients, and patient numbers have dropped recently. The hospital has also had outside agencies attempting to influence hospital policy: Child Protective Services is looking at some of their medical pediatric practices. All of the issues raised in Chris's meeting with the CEO are related to ethical dilemmas, with each person or agency deciding independently what is the right and best action to take in a medical crisis.
ANALYSIS/EVALUATION
The decision-makers at Faith Hospital appear to look to their mission statement for answers, but the mission statement is too broad and all-encompassing to be applicable in individual patient decisions. Mission statements are not intended to act as a set of guidelines for day-to-day actions.
In addition, hospitals compete for customers just as any other business does. Even not-for-profit organizations have to have enough money to remain operational. Patients...
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