MHA 601 Principles of Health Care Administration
Controversial Decision Making All of the toughest decision making responsibilities will fall to the CEO of an organization. When a highly controversial issue is thrown into the mix, then the CEO has an increased responsibility to make the best decision for all people involved without creating negative whiplash. The issue of an employee who possibly had HIV/AIDS and was working in the operating room, would fall into a highly controversial issue. If this situation is not handled with the utmost care, the negative whiplash resulting from the wrong decision could have a devastating impact on the entire community and the world. …show more content…
Vision statements can state one single objective, or they can have multiple goals. These statements can also be updated and modified depending on the direction that the organization is taking. The vision statement of Community Medical Center is providing exceptional first-rate healthcare to the entire community. With this vision statement in mind, the CEO must consider the possibility of the health of the community being compromised if this nurse is truly afflicted with HIV/AIDS. If this nurse is compromised then all of the cases previously could be subject to scrutiny and this could bring up a large civil/criminal case against the …show more content…
The best decision making model for the CEO to use is the ‘garbage can model.’ This model is a reality based model and “involves sets of problems, solutions, energy, and participants” (Johnson, 2009, p. 217). There are multiple problems: surgeons threatening to leave, possible ethics violation in exposing a nurses’ personal medical information, pressure of national media attention, the potential of future loss of income resulting from damaged reputation. There are also multiple solutions, fight the nurse in court, allow the nurse to stay and hopefully call the surgeons bluff, request HIV/AIDS testing on the nurse to confirm or deny the allegations, or offer a settlement to the nurse. In this case, there are a number of participants that will be effected by any decision made: operating room nurse, surgeons, emergency room staff, surgical inpatient floor staff, surgical ICU, as well as all other clinical staff that could possibly lose their jobs if the decision is made in favor of the