Ethical Issues In Emergency Management

Public health departments make certain that safety of local communities such as the facility of sewerage systems, clean water and safe waste disposal are all taken care of. Environmental health also consists of making sure that food outlets meet the mandatory food safety standards and are inspected regularly.

The City of Bend, Oregon Government consists of approximately 500 employees across thirteen different divisions. These divisions are Police, Fire, Community Development, Public Works, etc and are all coordinated under the City Manager’s office. Bend’s government style is called a “weak mayor” form of city government, in that the citizens elect a city council, which then elects a mayor from among the council members. The city council and mayor, then hire a City Manager to run the day to day operations of the city. In doing this form of government, the City Manager is not directly accountable to the citizens and can focus on the needs of the city and its employees. At the same time, the City Council can only provide direction to the city manager and is accountable to the citizens. The city employees in this case are led by the city manager as directed by city council. The community leadership environment in this case is established by council to provide direction to the city manager.

Within the Public Health Department, like in the county structure, there is an Operations Chief, responsible for all the actions taken by the department. This is someone with experience in the field, supervisory experience, and an understanding of the structure and function of the department. Under the Operations Chief, there are officers for Logistics, Planning, Finance/Administration, Public Information and Liaison.

According to" Public Health Infrastructure - Healthy People" (n.d.), "Public health infrastructure includes 3 key components that enable a public health organization at the Federal, Tribal, State, or local level to deliver public health services. These components are:

Financial emergency management stripped City Council of many powers and included state financial oversight.  Another issue the City Council has recently contended with is the water crisis.  City Council is charged with the authority to make investigations into the affairs and operations of city departments by city charter.  Investigations into the recent water crisis has involved considerable council

Also, Public Health concerned on entire populations’ health, there no specify that force on, but these populations can be as small as a local neighborhood, or as huge as an entries country or region of the world. Which means basically that Public health protects and promotes health care to people in community by work with other partners around the worlds like Monitor health, detect and investigate health problems, research conduct to enhance preventions, develop and advocate public health policies, implement prevention strategies, and promote healthy behaviors. For example, some public heath concept are Community partnerships, develop policies, and link people to needed services. How they work is? Community partnerships will provide facilitate and emergency preparedness for their people. Develop policies create some laws and regulations how to run the public heath department run and how they can develop it further beyond the world. Link people to needed services like community health centers, clinics, and effective care for socially disadvantaged people. All in all, in public heath concept works together, try to safe and help people in community from

EMS organizations also have their contract options for funding. According to the Centers for Medicare and Medicaid Services (2013), they developed a fee schedule for ambulance services, in order to contain costs. This schedule is written into a contract. Many patients that are transported by ambulance are Medicare beneficiaries. The government will only reimburse the companies for services rendered during transport, unless contraindicated by the patient’s medical condition. There are codes associated with treatment that either replace or supplement ICD-9 codes. The fee schedule also corresponds with BLS and ALS levels of care, rating treatment from routine to complex (Brennan, 2012). Private insurance companies like Blue Cross Blue Shield include ambulance services for their patients when other transportation would otherwise harm the patient. Cities and hospitals create contract agreements with private ambulance companies for services.

“Running a health care organization is a team sport. It is very important that all members of the team-whether on the medical staff, in management or on the board-understand the role of governance and what constitutes effective governance” (Arnwine, 2002). Running a hospital is a difficult task. Several factors need to be seriously thought of and considered in every decision and undertaking. Unfortunately, all the three important factors in governing a hospital is not always in harmony. As likened to a team sport, if the three major components are not working with each other as a team, there will be tension and a great divide will be experienced. And often times, the patients will be in the middle and will be greatly impacted. This writer believes that there are several factors that contribute to the tension that usually exists among the medical staff, the board and administration. One factor is the disconnect, where each entity is not seeing each other eye to eye and their visions may be different from each other. Another factor may be the lack of communication in order to bridge the gap and to build a respectful and a relationship wherein there is trust for each end every member of the group. Often times, the medical staff is concerned with ensuring that patients are cared for in a manner that their practice is protected as well as the patients are getting the appropriate care. On the other hand, the board of trustees may be focused in ensuring that that

In the NYC Health Department of health and mental hygiene, the role in running the local health department efficiently are the Commissioner, President and CEO, Professor, Dean, Director, Medical consultant, Administration, Physicians, Surgeons, Chair, researchers and member of Board of Health. These Position work together in many different conducts and they are an important positions of the NYC Health Department of health and mental hygiene. All these positions depend upon each other to run the health department and provide quality care to public’ s health. These group of people work together in many forms and one of them is

This is a review of Emergency Management: The American Experience 1900-2010 by Claire B. Rubin and Butler (2012), chapters 1 and 2. Emergency management at the federal level was nonexistent before 1950 when the Federal Disaster relief Act was passed. Disaster relief was the responsibility of state and volunteer agencies like the Red Cross. Several disasters paved the way for emergency management. The Galveston Hurricane of 1900, the San Frisco Earthquake of 1906, and the Great Influenza Pandemic of 1918 were the disasters that laid the foundation for the 1950 Federal Disaster relief Act (Butler, 2012, pg. 17).

There are unique ethical and legal obligations of the Emergency Room Physician. Commonly faced issues include patient “dumping”, organ donation, and Do-Not Resuscitate orders. These issues have ethical and legal considerations for the Emergency Room Physician in regards to their responsibilities and actions.

Ethics of Emergencies “The Ethics of Emergencies” explains Ayn Rand’s radical and unique view of altruism. She believes that there are 4 consequences of altruism, all of which are negative. These, simply put, are lack of self-esteem, lack of respect for others, a pessimistic view of life, and an indifference to ethics. She says that altruism hinders acts of true benevolence, and instead people act out of an obligation to others that has been internalized over time. Rand then argues that one should only volunteer to help strangers in emergency situations, and even then, only when the risk to one’s own life is less than the risk to the stranger’s. Rand advocates action in such emergencies because of the high value of human life. But Rand

The health administrator is new to Well Care Hospital, and the hospital for the past six months has been under scrutiny for breach of medical compliance. It is important that the top administrator be concerned about the importance of his or her conduct within

In less than two decades, social media has revolutionized modern communication and information sharing. What began as a simple form of social networking has turned into innumerable platforms for people around the globe to share ideas, create and share businesses, promote brands, read news from various sources, as well as share and find vast amounts of information, among many other uses. Thus, with a few clicks of a button, people are now able to interact with someone on the other side of the world. The capabilities created through social media’s many uses have forever changed global politics, business, and interpersonal communication.

This extract will elaborate on some of the legal considerations that the emergency manager must consider when conducting searches, seizures, and evacuation operations during an emergency management activity. Unfortunately with the unforeseen nature of the emergency and/or disaster one must consider whether this event involves imminent threat of widespread or severe damage, harm, lost of life or property resulting from any natural or man-made cause, the choices that must be made by local officials frequently are not easy to make in a split of a second (Nicholson, n.d.). Most of their decisions may not be the most popular choice but must be the course of action that will benefit the cause.