When it comes to errors, goofiness, and the insensitivity of top managers, there must be a part of the business school campus that is intentionally avoided—the school of sensible answers and actions.

Case and point: A health care client recently discovered the presence of a mold in one of its buildings, a species that commonly occurs during construction. In another part of the same building, there have been suspicious deaths, although all of the patients involved were already extremely ill. The patients that expired were cared for by two different physicians, both of whom have indicated that the mold may be to blame.

The crucial issue for management seemed to be, rather than dealing with the mold issue directly, was to spend some time (several hours) discussing and debating what their disclosure obligations were. Here are the questions under discussion:

1. How much of this do we have to disclose and to whom?
2. When do we have to disclose it?
3. What should be disclosed first and what can wait?
4. If new facts arise, when do we disclose this newly found information?
5. Are we responsible for balanced disclosure?
6. What are the limits of disclosure we will tolerate before we close this door?
7. Once we start this process, how long do we have to talk about it and keep providing additional information?
8. Won’t too much disclosure discourage and frighten patients and their relatives unnecessarily?
9. Who should make the disclosures? Should this individual be an attorney?
10. What do we not have to tell anyone?
11. Is it possible that some of the information comes under HIPAA regulations and therefore must be kept confidential?
12. How much of this disclosure is a business decision and how much is a moral decision?
13. Should businesses, even health care organizations, be making moral decisions?

The disclosure dilemma occurs frequently in business life. And the habit of over analyzing seemingly simple situations by management is also too common.

What’s your opinion? What should the rules of disclosure be and under what circumstances?

James E. Lukaszewski, ABC, Fellow IABC; APR, Fellow PRSA, BEPS Emeritus

If you have questions, or would like to dive more deeply into the subject of this blog, you can reach me 24/7 at jel@e911.com; 203-948-7029 (voicemail, email, text). I look forward, as a friend and colleague, to helping you achieve the objectives you’ve set for yourself for having a happier, more influential, successful and meaningful career.

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