Unit 1 Discussion - Domko

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Memo Date: 10/21/2023 To: Mr. Hines, CEO, Bright Road Health Care From: Keri Domko, Procurement Manager, XYZ Hospital RE: Transfer of Medication to Steep Acres Hospital Problem: Recently PharmoCure discontinued a cancer treatment drug, Remissadrone. Before it was discontinued, we purchased large quantities of it to ensure a good supply for a while. Steep Acres Hospital, a rival of Bright Road has run out in the middle of a patient’s treatment and has requested a transfer of Remissadrone to complete the treatment (Stockpiling, n.d.) Reason for Recommendation: To maintain the hypocritic oath of our organization without hurting Bright Road’s bottom line or reputation within the community and continuing the organizations commitment to Do No Harm. Module 1: Healthcare Ethics HA518 AAAAA518 Discussion 1-Domko 1

STOCKPILING Keri M. Domko Park University HA517DL : Legal and Ethical Issues in Healthcare Administration Dr. James Baird October 21, 2023 Problem Statement Module 1: Healthcare Ethics HA518 AAAAA518 Discussion 1-Domko 2

XYZ Hospital (XYX), a part of Bright Road Health Care System (BRHCS), has procured a stockpiled amount of cancer treatment drug Remissadrone upon hearing that the drug is discontinued by its manufacturer, PharmoCure. Steep Acres Hospital, a direct rival of XYZ and BRHCS, has requested a transfer of this medication to complete treatment of one of their cancer patients. Steep Acres did not proactively order extra of the medication upon hearing about the discontinuation (Stockpiling, n.d.).This presents an ethical dilemma for XYZ. Should XYZ transfer the medication to ensure the completion of the treatment of Steep Acres’ patient or should XYZ keep the medication to itself for the future treatment of its cancer patients? What implications would either decision have on XYZ and BRHCS’s reputation within the community? Is this transaction, if approved, legal. Legality According to Mr. Passmore, legal counsel for BRHS, in order to transfer medication to another hospital, they need to sign an agreement that says they will not hold BRHNS responsible for manufacturer’s defects and replace the quantity that we provided to them. In addition, he is concerned that, although a stretch, withholding the medication could be construed as doing harm through negligence (Stockpiling, n.d.). Ethics The Hippocratic Oath states, “ I will remember that I remain a member of society, with special obligations to all my fellow human beings, those sound of mind and body as well as the infirm” (Tyson, 2001). As a healthcare organization XYZ Hospital and BRHCS are bound by the sanctity of the Hippocratic oath as much as the providers in our employ. Mr. Passmore agrees that although not legally responsible for anything Steep Acres does, ethically, BRHCS is responsible to the community to maintain the spirit o the Hippocratic Oath and ‘do no harm’ (Stockpiling, n.d.). Public Relations Providing the medication to Steep Acres would bring positive public relations to XYZ and BRHCS as an organization that cares more about the patient than the bottom line. However, withholding the medication from Steep Acres could bring a wealth of negative press to the organization as being selfish and unwilling to help a human in need when we have the ability. According to Modern Healthcare (2021), when negative press gets out, it can trickle down to your team and affect confidence and morale. Flanagan (2021) states that a hospital’s reputation may be its most important attribute and that a report by the National Research Corporation found 60% of consumer said a hospital’s reputation is ‘very important’ when considering it for future needs. Good of the Community vs. the Individual Module 1: Healthcare Ethics HA518 AAAAA518 Discussion 1-Domko 3

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In this case, the individual is BRHCS and the community includes Steep Acres’ cancer patient . In an article from UT Austin (n.d.), it states if each person were to focus on taking care of others, the quality of life would improve for everyone. This is true even in instances where personal liberty or opportunity is impeded. BRHCS can take care of others by providing the medication for Steep Acres’ patient. Humanitarian Humanitarian aid is assistance that’s used to relieve suffering during emergency situations (Concern USA, 2022). Providing aid to the cancer patient at Steep Acres would be considered a humanitarian effort on the part of BRHCS and will give a positive light on the organizations reputation as putting the patient, regardless of whose patient, first. Future Cost and Substitutes According to Marta Rahim, XYZ’s pharmacist, XYZ will have a six-month supply if patient load continues at current rate, however, the medication is not earmarked for any specific patient at this time (Stockpiling, 2021). Steep Acres is requesting a 3-month supply for one patient, possibly 5-month supply to cover contingency of extension of the patient’s treatment. There are substitutes available, however they have significantly more side effects than Remissidrone. BRHCS will have to go to the substitutes after supply of Remissidrone is exhausted and is already planning for this contingency. Recommendations It is my recommendation that XYZ and BRHCS proceed with transferring a 5-month supply for one patient to Steep Acres. This is a situation where ethics must drive the decision. We cannot in good conscience delay or jeopardize a member of our community simply for the benefit of the bottom line. Providing the medication will not only allow for completion of treatment of one patient, but it will let our community know that we care about the entire community, not just those that provide us an income. Before transferring the medication it is recommended that Steep Acres sign an agreement that they will not hold BRHCS responsible for any manufacturer’s defects with the treatment and that they will provide a viable substitute to BHRHCS in return to replace the quantity transferred. Module 1: Healthcare Ethics HA518 AAAAA518 Discussion 1-Domko 4

References Concern USA. (2022, June 13). Humanitarian aid, explained: 5 things to know: Concern worldwide . Humanitarian aid, explained: 5 things to know | Concern Worldwide. https://concernusa.org/news/humanitarian-aid- explained/ Flanagan, N. (2016, January 31). Reputation is everything: How 2 hospitals are weathering PR firestorms . Healthcare Dive. https://www.healthcaredive.com/news/reputation-is-everything-how-2- hospitals-are-weathering-pr-firestorms/412982/ Modern Healthcare. (2021, August 20). Your hospital is in the news — but not for good news - modern healthcare . Modern Healthcare. https://www.modernhealthcare.com/hospital-systems/your-hospital-news- not-good-news Stockpiling . Toolwire. (n.d.). https://canvas.park.edu/courses/77636/discussion_topics/1629119? module_item_id=5575072 Tyson, P. (2001, March 27). The hippocratic oath Today . PBS. https://www.pbs.org/wgbh/nova/article/hippocratic-oath-today/ UT Austin. (n.d.). Individualism vs Community - University of Texas at Austin. http://laits.utexas.edu/orkelm/kelmpub/individualism.pdf

Unit 1 Discussion - Domko

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