The ethical and legal responsibilities of a NHA The Nursing Home Administrator (NHA), a representative of the board “is responsible for the day-to-day management of the nursing facility.” (Singh Douglas, 2016 p.334). As a representative of the board, the NHA is accountable to the various stakeholders implying corporate compliance responsibilities, but corporate compliance laws and regulations are just the basic requirements. Governance effort goes beyond ethical and legal responsibilities “doing what is right” (Singh Douglas, 2016p. 334). The NHA must govern with vigilance and integrity and take corrective measures before issues turn into “legal and ethical dilemmas” (Singh Douglas, 2016). According to Boyle et al., 2001; P. Willging, …show more content…
Associates on the other hand, must be provided a comfortable environment for questioning and informing the NHA about their concerns. It is the duty and responsibility of the NHA to train all associates with corporate standards. Associates must understand and become familiarize with these standards and follow appropriate laws to avoid violations. The NHA must implement an internal review and audit protocol to ensure the adherence of standards of behavior, communication, and training. Of importance is verifying if “associates feel that violations of acceptable behavior can be reported without fear of retribution.” (Singh Douglas, 2016 p. 335). For example, instituting a confidential hotline or toll-free phone number in a facility for reporting violations. The NHA must established protocols to investigate all allegations of violations. At any moment, “if a violation is found, disciplinary action must be taken.” (Singh Douglas, 2016, p.335). Depending on the nature of the violation, it might be necessary to consult with legal counsel that will ensure non-violation of any federal or state laws, or a union …show more content…
Joseph’s Hospital to pay $3.2 million for billing Medicaid for mental health services rendered by unqualified staff. In Syracuse, New York, the United States (U.S) Attorney Richard S. Hartunian and New York State Attorney General Eric T. Schneiderman announced that St. Joseph’s Hospital Health Center will pay $3.2 million to resolve allegations that it violated the federal and New York False Claims Acts by presenting false claims for payment to the state Medicaid program for mental health services rendered by unqualified staff. St. Joseph’s hospital operates a Comprehensive Psychiatric Emergency Program (CPEP) that provides evaluation and treatment to individuals suffering from an acute mental health crisis. The CPEP’s “mobile crisis outreach” unit provides initial evaluation and assessment and crisis intervention services to individuals in Onondaga and Madison counties who are unable or unwilling to use hospital-based crisis intervention services in the emergency room. The mobile crisis outreach unit also provides interim crisis services for patients discharged from the emergency room who require follow up care from a mental health
The Hospitals medical staff including on call- physician and their designees should be made aware of Hospital bylaws or policies and procedures.
r. Staff who are aware of unethical conduct or of unprofessional modes of practice shall report such inappropriate behavior to the appropriate authority.
Expect the best, prepare for the worst and capitalize on what comes (Zig Ziglar). The demand for talented, educated and experienced nursing home administrators is increasing, and filling this demand is becoming more challenging. In this paper, the qualifications, responsibilities, and duties of a nursing home administrator, professional staff, nonlicensed staff, and consultants will be identified. We will explore trends that are likely to affect assisted living in the future. We also will explore new changes in regulation related to the F490, the Facility assessment and how it will impact the role of the administrator.
That is the rising number of negligent acts committed by medical professionals. Failure to follow standard of practice is the leading root cause of the troubles involving malpractice. Failure to assess and monitor the patient, failure to communicate, medication errors, negligent delegation or supervision and failure to obtain informed consent from patients are the top failures leading to malpractice. The American Nurses Association provides scopes and standards that if followed could prevent many of the negligent acts. Duty, Breach of Duty, Foreseeability, Causation, Injury, Damages must be proven for a nurse to be held
There was inappropriate staffing in the Emergency Room which was a factor in the event. There was one registered nurse (RN) and one licensed practical nurse (LPN) on duty at the time of the incident. Additional staff was available and not called in. The Emergency Nurses Association holds the position there should be two registered nurses whose responsibility is to prov...
...nal authority such as law enforcement agencies or the board of nursing, if there are situations of abuse. However, this should be done after contact the supervisor.
However for employees working in healthcare organization, conflicting situations may arise with confidentiality. Presenting a case study where HCA disclosing an employee’s confidential information, a nurse recently had to increase the work hours due to financial situation. The nurse was a bit apprehensive with the increase due to it would be stressful on top of the other responsibilities. Due to the stress, the nurse ended up using form of narcotics to help deal with stress level and anxiety, which seemed to have helped with providing care for patients. As time continued on, the nurse began to care for patients and signed out medication for them even though the patient was not prescribed the medication. The nurse was later discovered when working on the surgical unit as the pharmacist notice unfamiliar rise in medications along with signature errors. The incident was reported to the HCA for further reviewing. After analyzing the situation, actions taken were to have a leave of absences as well present this to a board of personnel. This then causes some form of breach of confidentiality for the nurse with HCA. Nevertheless, HCA was fearful of the patient’s safety and needed to address an issue that maybe more common that they think. As HCA, they are in charged with a fiduciary duty to protect the mission and values of the organization (Badzek, Mitchell, Marra,
According to American Nurses Association (ANA), (2010) “the nurse promotes, advocates for and strives to protect the heath, safety and right of the patient” (p. 6). Nursing responsibilities should be acted at the highest standard and must be based on legal and ethical obligations.
According to the response of the State’s legislation, the change involves the four regional mental health hospitals that operate independently without common policies to regulate or synchronize their efforts. Although the legislation is evidence-based, it does not depend on local resources driven from within the mental health organizations inv...
The NH Community Behavioral Health Association is an organization composed of ten mental health centers that serve individuals who are living with or recovering from a mental illness or emotional disorder. Their goal is to increase awareness about the crucial role played by the mental health centers to ensure public safety and health (“Who We Are“). They strongly support Medicaid expansion for three main reasons. The first is it will help improve the access to receive substance-abuse treatment and mental health care. Second, it will help face the issues of parity. Third, it will help maintain New Hampshire’s community-based mental health system (Leubsdorf). The American Association of Retired Persons primary goal is to prevent spen...
in making sure the correct methods are followed out with regards to health, safety, hygiene matters;
Funding for mental health care comes from various sources. States typically derive the larger amount of their funds from Medicaid and state general funds that are administered by state mental health authorities. In 2007, 46% of funding was through Medicaid, and 40% of funding was through state general funds (Honberg et al. 2). Overall, states consistently assemble their budget from state general funds, federal Medicaid, federal block grants, and private grants (Honberg et al. 3).
Nurses continually strive to bring holistic, efficient, and safe care to their patients. However, if the safety and well-being of the nurses are threatened or compromised, it is difficult for nurses to work effectively and efficiently. Therefore, the position of the American Nurses Association (ANA) advocate that every nursing professional have the right to work in a healthy work environment free of abusive behavior such as bullying, hostility, lateral abuse and violence, sexual harassment, intimidation, abuse of authority and position and reprisal for speaking out against abuses (American Nurses Association, 2012).
The American Nurses Association created guidelines for the profession including, a set clear rules to be followed by individuals within the profession, Code of Ethics for Nurses. Written in 1893, by Lystra Gretter, and adopted by the ANA in 1926, The Code of Ethics for Nurses details the role metaethics, normative ethics, and applied ethics have within the field (ANA, 2015). Moral obligation for an individual differs within professions than it does within an individual’s personal life, so the code of ethics was written to establish rules within the profession. The moral obligation to provide quality care include the fundamental principles of respect for persons, integrity, autonomy, advocacy, accountability, beneficence, and non-maleficence. The document itself contains nine provisions with subtext, all of which cannot be addressed within this paper however, core principals related to the ethical responsibilities nurses have will be
The last action is employee training. This would require written policies and procedures to be reviewed on a regular basis through education practices such as instructor lead training, web-based training, routine communication and access to all the material via the company’s website. As new employees get hired, orientation should cover all Code of Ethics material and provide an opportunity for question and answers. Throughout the year, any amendments or changes should be communicated via e-mail flash updates, publication in general areas, departmental updates, and updates to the website. Web-based training should be an annual requirement where each employee is required to sign-on and review through the Code of Ethics. The web training would