Matt Losinski realized there may be an ethical issue with repeat emergency room admissions draining resources at his hospital. He investigated and found some patients were being admitted multiple times for minor issues, taking away from other patients. When he brought this up at an executive meeting, most members did not support changes to address the problem. The hospital culture needed to shift to prioritize efficiency and helping more patients with limited funds, but resistance to change made solving the problem difficult.

1. Moral Awareness
Moral awareness occurs when an individual comes to the point where he or she appreciates
the ethical aspects of a decision he has to make. In the case of Matt Losinski, this point came
when he read an article about the repeat admissions in Emergency Departments in Texas.
The article opened his mind [Avoid colloquial expressions in APA writing. use
www.thesaurus.com to help you with verbiage selection.], and he realized the problem
might be happening at the CGH. It was a question of ethics because more resources are
directed at a few patients, leading to poor services to the majority of the patients served by
the facility [Which ethical principle does this reflect?]. Moral Judgment Moral judgment
occurs when one is faced with a moral dilemma. In the case of Matt Losinski, he is faced
with a dilemma. On the one hand, he knows that repeat admissions at the emergency
department is a serious issue that needs to be addressed. The hospital is a public facility and
resources are tight. Hence, they cannot afford to lose any resource through unnecessary
admission. On the other hand, he has no solid facts that can win him the support of the other
managers and the executive committee. For instance, his investigations have only managed
to show a few patients fall in the category, and the cost is fully covered both by insurance as
well as the patients. Hence, on the surface, he appears to have no valid case. Ethical
Behavior Ethical behavior relates to the ethical decision one takes to address a dilemma. In
the case of Matt Losinski, he introduces the issue at the executive committee meeting
[Which ethical principle does his behavior reflect?]. It is the body that has the ability to
introduce changes in the hospital admission system to address the issue of repeat
admission. It is the right forum to discuss this issue. He fails to get the support he
anticipated, but at least a few members are convinced. The effectiveness of Communication
Approaches in the Study One of the ethical practices captured in the study is beneficence
that requires healthcare professionals to act in the best interest of the client [Great mention
of an ethical principle and defining the term using your own words. Which source used
discusses beneficence for the in-text citation? Remember to cite all information which is not
an original thought as not doing so places your paper at risk for being considered as
plagiarized.]. In this instance, Losinski is acting to protect the rights of patients to access
high-quality services. His actions are meant to release more resources to improve service
delivery. The other principle is efficiency which requires health professional to apply
available resources in the best way possible (Schröder-Bäck, Duncan, Sherlaw, Brall, &
Czabanowska, 2014) [Correct citation format for the first-time use of a source with multiple
authors.]. The impact of efficiency is more health benefits to a greater number of people [Is

2. efficiency an ethical principle?]. The CEO did well in his responsibilities to resolve the
problem. Immediately he realized the possibility of the existence of unnecessary admissions
in the EDs; he started a process of investigating the issue. This culminated in the
presentation made in the executive committee. However, he failed to convince the
committee of the need to take action. He is therefore stuck with a system he knows is
inefficient. The lessons learned here is that public health is a system and hence the need for
all components to work together. Besides, the culture within the system has a huge impact
on the healthcare outcomes. In this case, in spite of the resource constraints brought about
by a change in ownership, the old culture persists. Therefore, there is a need to ensure
existing culture is compatible with the change in the operating environment. Possible
Solutions The solution to this problem is to change the culture of the organization to align it
with the realities of the operating environment [What steps will promote this change in
organizational culture?]. A cultural shift will be crucial in ensuring systematic factors that
have perpetrated the admissions of minor nonspecific conditions at the Emergency
Department, and missed reimbursement from Medicaid are addressed [How will the CEO
foster this cultural shift?]. The approach will help Losinski be more effective in building
relationships across the departments in the organization. A cultural shift is a better solution
because it involves all departments. There is a need to conserve resources, and this involves
a review of operating procedures and elimination of wastages. It is a process that requires
the involvement of all departments because success depends on the contribution of all
through improved relationships and coordination of efforts (Gruneir, Cigsar, Wang,
Newman, & Bronskill, 2018). Ultimately, it is the system that has perpetrated wastages that
are fixed, thus leading to improved service to the clients. The success of the proposed
solutions deeply relies on professional collaboration. Its implementation requires
departments to cooperate in improving synergy and eliminating wastes. For instance, there
must be a common definition of ‘minor nonspecific conditions,’ how to identify them and
action to be taken. However, looking at the interaction with Scott and the outcomes of the
executive committee meeting, Losinski should expect tough resistance and even breakdown
of relationships. Therefore, should Losinski fail to win the support of the management, the
process is bound to fail as changing the status quo will not be easy. Conclusion The case
brings to the fore the fact that ethical principles must be supported by the
operationalization of the appropriate culture within the hospital setting. The right attitude
produces staff who are receptive to change and able to go the extra mile to deliver on their
mandate. In the case of CGH, the hospital commitment to public service was hampered by a
poor system which staff and the leadership had gotten used to after years of the facility
being in the hands of county government. Improving the conditions at the hospital will
require a realization of the problem by all departments and members. This will help in
reshaping the status quo and changing the organizational culture to accommodate the new
changes within the hospital. [Nice conclusion. A strong conclusion goes hand-in-hand with a
strong introduction and restates the thesis statement, summarizes the sub-points of your
paper, and leaves the reader with an interesting final impression of your topic.]#Moral
#Awareness