Good Afternoon Everyone,
I am a director at a small hospital. I have a couple of questions
Has anyone ever hear of a hospital directing management staff to make rounds on patient and explain all the service that the hospital can provide?
Example We have a HH company and they want to go into the room and market these services along with additional services such as cardiac rehab, physical therapy ect... My issues is that I do not believe that this is ethical to do to a captive audience - our patients. They already get a list of services when they get admitted.
2nd
Our Home Health Company wants to go in then convise or decide the patient will need home health with a free evaluation to assure medications and environment is safe. My response was that I would have to let any HH to come in and do the same.
3rd
HH list for our patients : Marketing wants the list changed to include our home health and then anyone they want. I initiate the list and made the parameter 20 miles increasing our list to 4 companies When we go any farther we have a list of over 50. Marketing has decided to eliminate that list of 4 because the HH on the list is are prime competition. I replied it has to be the patient choice with out interjection from us and not setting a parameter for the people on the list is picking and choosing who you want on the list.
4th
If a patient arrives with a specific fall or diagnosis they want to make it a protocol to sent a request for a specific department to go visit a patient
Example A elevated PT INR would refer to home health for review of meds. I understand the idea, I am not sure if this is the appropriate direction. Instead let case management , ED and nursing review with the patient to examine if there is an issue with the medication/ memory/ ect
Can anyone give me direction to research these issues. I believe these are Ethical issues and I am receiving pressure but my gut is telling me this is wrong.
Thank You I appreciate any in-put
Mary Kay