Reference no: EM133859190

Assignment:

The retiring director of the division of primary care in a state health department had recently hired Ann Jones, a 34-year-old nurse with a master's degree in public health, to be director of the division. Ms. Jones was responsible for monitoring of millions of dollars of state and federal money and supervising the funded programs within her division.

She received many requests for funding from a particular state agency that served a large, poor district. The poor people of the district consisted primarily of young families with children and homebound older adults with chronic illnesses. Over the past 3 years, the federal government had allocated considerable money to the state agency to subsidize pediatric primary-care programs, but no formal evaluation of these programs had occurred.

The director of the state agency was a physician who had been in this position for more than 20 years. He was good at obtaining funding for primary-care needs in his district, but the statistics related to the pediatric primary-care program seemed implausible-that is, few physical examinations were performed on the children, which had resulted in extra money in the budget. This unspent federal money was being used to supplement home health care services for the indigent homebound older adults in his district. The thinking of the physician was that he was doing good by providing some needed services to both indigent groups in his district. Ms. Jones experienced moral discomfort because she did not have either the money or the personnel to provide both services.

Answer the following Questions:

A. What facts are the most relevant in this scenario?

B. What are the ethical moral issues?

C. What are there any safety issues?

D. What are the legal issues?

E. How can Ms. Jones resolve the issues while promoting ethical, moral, safety, and legal standards?