This is a discussion on capital expenditures. Prior to beginning work on this discussion forum, read · Chapter 11 and Chapter 12 in your textbook. · 6 Ethical Issues in Healthcare in 2020 (Links to an external site.).

Discussion on capital Expenditures.

Prior to beginning work on this discussion forum, read · Chapter 11 and Chapter 12 in your textbook. · 6 Ethical Issues in Healthcare in 2020 (Links to an external site.). Arcathia Health Care Organization (HCO) is an organization whose current holdings include a 250-bed hospital, three walk-in clinics, a home health care agency, a rehab facility, and 10 satellite doctors’ offices with a total of 50 doctors working in the satellite offices. Arcathia HCO has a capital investment budget of $50 million for the next three years. They have a list of capital investment options that total $100 million that are possible for the organization to pursue.

Discussion on capital Expenditures.

These options are as follows: · $10 million to start 10 new walk-in clinics across the community, to include facility build out, three years of salaries for staffing, and marketing the expansion of services. Locations for the new clinics will be in low-income, median-income, and upper-income areas of the community. There will be two clinics in the low-income areas, four clinics in the median-income area, and four in the upper income areas. · $5 million for a new electronic health record system that will serve all providers across the organization. · $5 million for cybersecurity automation. · $15 million for a new robotic surgical system plus the cost of 5 years of salary for two physicians trained to operate the system.

Discussion on capital Expenditures.

Additionally, the costs include an update to the operating room to accommodate the new system. · $30 million to purchase and renovate a 100-bed hospital building that was closed 6 months previously due to the current owners losing its Medicare and Medicaid funding. The hospital is located in a suburban community approximately 20 miles away from the Avalon Health Care Organization hospital. · $5 million to purchase and renovate a hospice facility. · $5 million to build a clinical laboratory that will run disease-specific tests for cancer patients. · $25 million to purchase private properties surrounding the existing hospital, raze the existing homes, and build a new structure to house a state-of-the-art birthing center.

Discussion on capital Expenditures.

Address the following in your initial discussion post: Select the capital investment projects you would recommend to the hospital leadership. Provide your rationale for the choices made. (Answer) Discuss any ethical considerations related to your expenditure choices. Address a minimum of two ethical considerations in your post. They can be from the following list, or you may discuss other ethical issues not identified here: o Use of data (e.g., quantitative and qualitative information) and analytics (e.g., statistical analysis of the data to reveal patterns, correlations, and cause-and-effect relationships) and the affect it has on patients

Discussion on capital Expenditures.

Safeguarding patient privacy o Equal access to treatments o Reconciling patient care decisions with fiscal responsibility o Implementing artificial intelligence and robotics o Devising ethical responses to pandemics and other widespread medical emergencies (AdventHealth University, 2020) o Equitable patient care o Impact of expansion, both advantageous and detrimental (e.g., increase in jobs versus negative impact on marginalized populations), to the surrounding community (Answer) .https://youtu.be/hTK8rXqWAQs

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