In March 2022, WV Governor Jim Justice vetoed HB 4020, a bill that would have split the massive DHHR into two different agencies. He authorized hiring a national consulting group to identify top-to-bottom issues, bottlenecks, and inefficiencies of DHHR. Consultants with the McChrystal Group spent the latter part of 2022 embedded physically and virtually in DHHR and spent hundreds of hours with various department staff. The McChrystal Group's findings recommend DHHR remain a single department and focus structure and progress improvement around a prioritized plan.

The report concludes:

"To improve West Virginia's health and human services outcomes, the status quo is not an option; DHHR requires bold organizational change. After completing this organization assessment and strategic plan, the McChrystal Team disagrees that splitting DHHR into two separate departments is the option that will provide the desired results. Instead, the McChrystal Team recommends that DHHR remain a single department and focus all improvement efforts - to both structure and process - around the strategic plan designed to address the highest priorities within West Virginia's environment."

DHHR Reorganization study:

https://dhhr.wv.gov/Pages/DHHR-Moving-Forward.aspx

1. Summarize the process the consultants used in issue identification.

2. Summarize their findings and recommendations

3. Consider the answer to #2 above. Compare it to corporate responsibility for compliant processes. (In other words, using a third party to evaluate issues and recommend strategies). Many healthcare organizations utilize external consulting when issues (including compliance internal externally) can't be resolved effectively. In other words, corporate compliance here is assurance of effective service delivery to constituents. Obviously, something wasn't working... there are many good examples in the report. How does this relate to either professional ethics or code of conduct? Or not?