Discussion Post: Leadership and Management

The discussion posts revolve around two different topics in healthcare management. The first post discusses the importance of maintaining professional standards through the regulation of factors such as effectiveness, efficiency, efficacy, performance, and quality. It also highlights the impact of healthcare reforms, such as the Patient Protection and Affordable Care Act, on the service delivery of the healthcare system. The second post discusses the case scenario of a patient, Roland Jones, who wants to leave the hospital against medical advice. The post emphasizes the importance of respecting patients' autonomy and providing safe assessments and discharge procedures.

Running head: LEADERSHIP
LEADERSHIP
Name of the Student:
Name of the University:
Author Note:

1LEADERSHIP AND MANAGEMENT
Discussion post 1:
The professional standards are maintained in an organization with the stringent
regulation of factors that control effectiveness, efficiency, efficacy, performance and quality.
The set standards help in the process of ensuring professional credibility and at the same time
also helps in assuring adherence to government regulatory frameworks. Further, it can also be
said that the regulation of the quality standards majorly affect the economic scenario in the
global context. The current healthcare reforms have critically focused on improving the
quality as well as access to the healthcare facilities for all. The Patient Protection and the
Affordable Care Act (PPACA) can be mentioned as a landmark legislative reform that has
changed the service delivery of the healthcare system (Sklar, 2015). In addition to this, the
modifications incorporated within the Health Care and Education Reconciliation Act that was
passed in 2010 has also enhanced the improvement and affordability of the healthcare
services. The health care sector can be identified as a dynamic system which is characterised
by the economic and the environmental challenges. These challenges can be identified to be
existing in the form of financial inflation and the non-uniform healthcare needs of the people.
Thus, setting up quality standards would help in rendering continuous quality improvement to
foster better service delivery.
Discussion post 2:
On the basis of the case scenario, it should be mentioned that Roland Jones cannot be
forcefully kept in the hospital against his consent. The case here represents a critical violation
of the ethical standard of the medical profession. The law clearly states that a patient cannot
be retained within the healthcare facility against his/her consent. Also, care facilities must
ensure patient safety which can be seen to be violated as the patient managed to sneak out.
Therefore, the correct way to deal with the patient should have included conducting a safe

2LEADERSHIP AND MANAGEMENT
assessment followed by a discharge with a consent form by the patient that would testify the
fact that the patient wishes to be discharged against the will of the physician. According to
Coleman et al. (2013), it has been stated the above mentioned routine showed by followed in
cases of dealing with patients that either practice self-harm or cause harm to others. As a
hospital administrator, I would first ensure that the hospital security is tightened to ensure the
safety of other patients and ask Dr. Simon to conduct a safe assessment of Roland Jones.
Then I would engage in a one on one session with him, where I would explain him the law
and ask him for his consent and would discharge him.

3LEADERSHIP AND MANAGEMENT
References:
Coleman, E. A., Chugh, A., Williams, M. V., Grigsby, J., Glasheen, J. J., McKenzie, M., &
Min, S. J. (2013). Understanding and execution of discharge instructions. American
Journal of Medical Quality, 28(5), 383-391.
Sklar, D. P. (2015). The Affordable Care Act: Who Will Write the Next Chapter?. Academic
Medicine, 90(10), 1287-1289.