Outpatient Clinic Center
For all health care facilities, having a code of ethics is critical for establishing acceptable practices for everyone to follow. This helps to improve the quality of care and professionalism. (Bryant, 2012) To fully understand how this can enhance an organization requires examining an outpatient clinic in the United States.
This will be accomplished by looking at the Anxiety Disorder Outpatient Clinic at Johns Hopkins University. During this process there will be a focus on: the background of the facility, its organizational structure, two potential ethical dilemmas, how to implement the ethical code and consequences for violating different provisions. Together, these elements will provide specific insights as to the way the facility can address any challenges and enhance treatment options.
Background of Facility
Johns Hopkins University has two different outpatient clinics they are operating. These are located at Johns Hopkins Hospital and Bayview Medical Center. Established in 1913, the Department of Psychiatry has been focused on meeting the needs of the community and those who were suffering from a variety of mental conditions. The clinics were established to provide patients with different treatment options for a number of disorders. ("Psychiatry and Behavioral Sciences," 2012)
In 2011, the Anxiety Disorder Outpatient Clinic and the Department of Psychiatry were named as the number one program for clinical care. As a result, there is an emphasis on understanding different conditions from: providing ground breaking research to everyday treatment options. Evidence of this can be seen in the below table which is highlighting the total number of patients that were assisted over last year. ("Psychiatry and Behavioral Sciences," 2012)
Total Number of Outpatients for 2011
Facility
Amount
Johns Hopkins
50,483
Bayview
128,129
Total
178,612
("Psychiatry and Behavioral Sciences," 2012)
These figures are showing how the outpatient program is popular based upon the ground breaking research and care that is offered.
Organization structure of the facility and duties/responsibilities of those in management and professional staff
The organizational structure of the clinic follows that of the Johns Hopkins itself. This is designed to increase accountability and ensure that every team has the flexibility in determining treatment options. The way that this is achieved is through using a centralized approach that delegates duties. The Board of Directors is responsible for everything that happens at the hospitals. They have an Executive Committee that oversees different operations including: the commissions and agencies which run the organization. Next the CEO has the responsibility of running the entire entity. This is accomplished through the Office of the CEO. They monitor a variety of activities including: community affairs, finance, fundraising and marketing / communications just to name a few. ("2010 Manager's Survival Guide")
Further down are hospitals / facilities, physicians' organizations and the Department of Psychiatry. Hospitals and facilities have the responsibility for controlling different locations. Physicians' organizations are working to provide services to communities through various clinics. While the Department of Psychiatry, is helping professionals to bring these treatment options to patients in the form of outpatient therapy. The diagram is illustrating the chain of command for the facility and its structure. ("2010 Manager's Survival Guide")
The Chain of Command for Johns Hopkins and the Outpatient Clinic
Board of Directors
Executive Committee
CEO / Office of CEO
Hospitals / Facilities Physician Organizations Department of Psychiatry
This is showing how a controlled, but decentralized approach is used in providing various health solutions to patients. ("2010 Manager's Survival Guide")
As a result, management and the professional staff have a responsibility to ensure that everyone is delivering the best treatment options. This means making certain that they are embracing the highest ethical practices, following different provisions of the law and looking out for the clients best interests. The basic structure creates way of controlling and monitoring how staff is meeting these objectives. It is also providing them with the flexibility to work with patients and determine what treatment options are most effective. This is offering patients with cutting edge techniques and technology in the form of an outpatient clinic. ("2010 Manager's Survival Guide")
Two possible ethical dilemmas
Two possible ethical dilemmas that Johns Hopkins is facing include: should outpatient services be expanded to other communities and the impact of success on the organization. In the case of expanding services to other communities, Johns Hopkins has the ability to do this. However, the process of opening other clinics will require considerable...
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