The Major Problem in the Case Study: Inflating the Numbers

Please answer the following questions:

  1. What is the major problem in which the case study focused on?
  2. What are weakness and strength of the organization culture in the management?
  3. What are the possible solutions/Recommendations to avert  untheatrical behaviors?

Executive Ethics: Inflating the Numbers -- Case Guide
Stephen Duarte
Background Statement
A senior executive of a for-profit hospital falsely reports information to the CEO while protecting his son’s job.
Major Problem and Secondary Issues
The primary issue, in this case, is that the CEO built an organizational culture based on trust, and high autonomy. Unfortunately, that situation was taken advantage of, and the employees used the culture for self-preservation.
Role
The ideal role for this case is the CEO. The CEO built a culture that led to deceptive business practices. The advantage of this role is that the CEO can change the culture and establish checks and balances to assure that the practice of falsifying reports is eliminated. The disadvantages of this role are that the CEO reports to the Board of Directors, who will want to know why the problem went on for as long as it did, and how she is going to rectify the problem. Her ability to do her job may comes into question. The CEO is responsible for the outcomes of the organization and must address the situation with full accountability, despite her best intentions to create an organization that gives her employees a high level of autonomy to make decisions.
Organizational Strengths and Weaknesses
This for-profit hospital has the following strengths:
The senior management and the hospital have an excellent reputation in the industry. This position can be used as leverage when creating solutions.
The employees are committed to the organization and believe their CEO has done all the right things to make the organization successful.
This for-profit hospital has the following weaknesses:
With new pressures to reduce cost, the ability of the current executive team may be in question.
The unethical behavior and the subsequent closure of the lab may cause the employees to be leery of plans laid out by the executive team to move the organization forward.
Solutions and Recommendations
Here is a list of potential solutions:
The CEO must report the situation to the Board of Directors, accept responsibility and provide a course of action that may include the firing of the COO for falsely reporting information.

Hold a meeting with all the employees, be transparent about the situation, and assure that going forward the executive team will be held accountable for all their actions.
Establish a checks and balances system so that there are multiple sources of information for cross-referencing organizational data.
Improve communication with employees to ease any concerns that they too will lose their job.
The literature provides useful strategies for rebuilding stakeholders trust after corporate corruption scandals have occurred.  As stated by Bandsuch, Pate and Thies  (2008) the guiding principles to restore trust are:
Principle-centered leadership
Transparency
Stakeholder's voice
Ethical Culture
This article provides a causal model of corporate governance, leadership, and transparency, as well as the Transparency Measurement Tool (TMT) that will provide students guidance on how transparency can be measured and acted upon for trust restoration.
Evaluation
The following steps should be considered as corrective measures:
The first step is to discuss what to do with the COO who reported the false information used to make decisions. At this point, all trust is assumed broken, and the termination of the COO is an option.
Second, and in conjunction with the first step, the Board of Directors must be notified of the situation and provided a history of the false reports and its impact on the organization. Board approval on the termination of the COO may be required. The CEO should realize that her creditability is also in question, and separation or resignation may be inevitable.
Provided the opportunity, the CEO should put in place a corrective measure plan that assures such falsifications do not occur in the future. Also, the incorporation of transparency measurement tools will assist in keeping the corrective measure on track.
An opportunity for the employees to express their concerns will be crucial in rebuilding trust. A regular update on the status of any actions taken will assist in restoring the confidence lost.

  The Major Problem in the Case Study: Inflating the Numbers The major problem in the case study is the unethical behavior of a senior executive in a for-profit hospital who falsely reports information to the CEO while protecting his son's job. This deceptive practice of inflating the numbers goes against the organizational culture built by the CEO, which is based on trust and high autonomy. The case raises concerns about the weakness in the organization's culture and the need for solutions to avert such unethical behaviors. Strengths and Weaknesses of the Organizational Culture The organizational culture of the for-profit hospital has both strengths and weaknesses. The strengths include an excellent reputation in the industry and committed employees who believe in the CEO's efforts to make the organization successful. These strengths can be leveraged when implementing solutions. However, there are weaknesses in the organization's culture. With new pressures to reduce costs, the ability of the current executive team may come into question. The unethical behavior and subsequent closure of the lab may also cause employees to be skeptical of future plans laid out by the executive team. These weaknesses highlight the need for corrective measures and rebuilding trust within the organization. Possible Solutions and Recommendations To avert unethical behaviors and rebuild trust within the organization, several solutions and recommendations can be implemented: The CEO must report the situation to the Board of Directors, accept responsibility, and provide a course of action. This may include the firing of the COO for falsely reporting information. Hold a meeting with all employees to be transparent about the situation and assure them that going forward, the executive team will be held accountable for their actions. Establish a checks and balances system to ensure that there are multiple sources of information for cross-referencing organizational data. This will help prevent future instances of falsifying reports. Improve communication with employees to address their concerns and alleviate fears of job loss. In addition to these solutions, it is essential to consider strategies for rebuilding trust after corporate corruption scandals. Principle-centered leadership, transparency, stakeholder engagement, and ethical culture are guiding principles that can be incorporated into the organizational culture to restore trust. The literature provides useful strategies for measuring and acting upon transparency for trust restoration. Evaluation: Corrective Measures To address the issue effectively, several corrective measures should be considered: Discuss what to do with the COO who reported false information. Termination may be an option, as trust has been broken. Notify the Board of Directors about the situation, providing a history of false reports and their impact on the organization. Board approval may be required for the termination of the COO. Develop a corrective measure plan to prevent future falsifications. Incorporating transparency measurement tools can help track progress and ensure accountability. Provide an opportunity for employees to express their concerns and rebuild trust. Regular updates on actions taken will help restore lost confidence. By implementing these solutions and corrective measures, the for-profit hospital can address the unethical behavior, rectify the organizational culture, and rebuild trust within the organization.  

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