Some non-insured patient and some elderly people who dislike insurance due to cultural and religious reasons, the volume of unpaid medical bills increase over time and this can also raise the costs of the new organization. The issue can significantly increase the hospital re-admission and can also make the PMC Center bankrupt in a few years. In the US, the expansion and widespread implementation of insurance coverage for elderly adults is controlled by the Affordable Care Act of 2010(Mihalopoulos et al., 2020). Using the ERM Risk Management approach, the leaders can monitor and control and analyze risks. Risks can also be evaluated by looking at financial statements and the prediction of the bankruptcy or organizational performance (Resio et al., 2018). The following table shows that risks associated with the initiative. 

This means that the organization should develop administrative cavities to accurately predict the risks and turn them into favorable opportunities. The hospital can remain ahead of the game if it deploys and plans culturally sensitive and ethical solutions to address the risks associated to ensure the future economic security of the organization (Peer at al., 2011). Cost can be high according to Table 1 and the chances of hospital’s services terminated are also high. Through culturally competent and ethical healthcare policies, there is a need in increasingly diverse organizations to reduce racial and ethnic disparities (Mihalopoulos et al., 2020). This means that all the patients must be given equitable access to all the resources and nurses should also increase their cultural competence to improve current initiatives. The promise of cultural competence is that it helps to improve the cultural education or professionals to reduce lower satisfaction and equip all employees with strong English skills. Reducing linguistic barriers and understanding customs, beliefs, and values of professionals of various racial and ethnic backgrounds and social groups can reduce the likelihood of conflicts, as a result, reducing turnover costs. 

Based on the risks provided in the earlier section of the report, the ethical solutions include the ethical practice of telling the patient families and friends and coworkers to avoid too many hospital visits whenever possible. Ensuring hand and equipment hygiene will allow nurses to avoid this issue; skin and oral care will also reduce this risk. Fortunately, the issue of hacked medical equipment can also be avoided using some protection techniques such as tamper-resistant fasteners and potting compounds to disallow the physical access to the devices. 


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