assist week 4 p1,p2

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PT 1

Examine Professional and Ethical Standards in Healthcare

For this assignment, you will access the professional standards from your professional organizations for your current profession or from the organization for your desired profession. Not only is it important to examine your personal professional and ethical standards, but it is also vital to be aware of the influence your professional and ethical behaviors have on organizational culture.

You will submit a report which explains the importance of these standards in the healthcare setting and for healthcare leadership.

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Length: Minimum 5 pages, not including the title page and the reference page

References: Include a minimum of 3 peer-reviewed scholarly resources

P2

Present Importance of Ethics in Healthcare and for Healthcare Leadership

Begin by reviewing American College of Healthcare Executives Code of Ethics and the ethical toolkit. Then complete the ACHE Ethics Self-Assessment instrument
, located under the week’s Resources.

Once you have completed this self-assessment, you will prepare a presentation with voice-over narration that imparts the importance of ethics in healthcare and for healthcare leadership. Your audience for this presentation is the healthcare emerging leaders who are participating in a seminar at your hospital as part of their leadership development program.

Include the following in your presentation:

· Explain the ethical behavior expected from healthcare leaders.

· Explain the importance of ethical behavior in the delivery of healthcare to patients, families, and the community at large.

· Draw upon personal experience in ethical decision-making.

· Support the American College of Healthcare Executives Code of Ethics.

Length: 12-15 slides (not including title and references) with notes (100-150 words per slide).

References: Include a minimum of 3 peer-reviewed scholarly resources.

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Ethics Self-Assessment

 

Purpose of the Ethics Self-Assessment

Members of the American College of Healthcare Executives agree, as a condition of membership, to abide by ACHE’s Code of Ethics. The Code provides an overall standard of conduct and includes specific standards of ethical behavior to guide healthcare executives in their professional relationships.

Based on the Code of Ethics, the Ethics Self-Assessment is intended for your personal use to assist you in thinking about your ethics-related leadership and actions. It should not be returned to ACHE nor should it be used as a tool for evaluating the ethical behavior of others.

The Ethics Self-Assessment can help you identify those areas in which you are on strong ethical ground; areas that you may wish to examine the basis for your responses; and opportunities for further reflection. The Ethics Self-Assessment does not have a scoring mechanism, as we do not believe that ethical behavior can or should be quantified.

 

How to use this self-assessment

We hope you find this self-assessment thought-provoking and useful as a part of your reflection on applying the ACHE Code of Ethics to your everyday activities. You are to be commended for taking time out of your busy schedule to complete it.

Once you have finished the self-assessment, it is suggested that you review your responses, noting which questions you answered “usually,” “occasionally” and “almost never.” You may find that in some cases an answer of “usually” is satisfactory, but in other cases, such as when answering a question about protecting staff’s well-being, an answer of “usually” may raise an ethical red flag. 

We are confident that you will uncover few red flags where your responses are not compatible with the ACHE Code of Ethics. For those you may discover, you should use this as an opportunity to enhance your ethical practice and leadership by developing a specific action plan. For example, you may have noted in the self-assessment that you have not used your organization’s ethics mechanism to assist you in addressing challenging ethical conflicts. As a result of this insight you might meet with the chair of the ethics committee to better understand the committee’s functions, including case consultation activities and how you might access this resource when future ethical conflicts arise.

We also want you to consider ACHE as a resource when you and your management team are confronted with difficult ethical dilemmas. In the About ACHE area of ache.org, you can access an Ethics Toolkit, a group of practical resources that will help you understand how to integrate ethics into your organization. In addition, you can refer to our regular “Healthcare Management Ethics” column in Healthcare Executive magazine, and you may want to consider attending our annual ethics seminar.

 

Please check one answer for each of the following questions.

Almost Never/Occasionally/Usually/Always/Not Applicable

I. Leadership

I take courageous, consistent and appropriate management actions to overcome barriers to achieving my organization’s mission.

Almost Never

Occasionally

Usually

Always

N/A

 

I place community/patient benefit over my personal gain.

Almost Never

Occasionally

Usually

Always

N/A

 

I strive to be a role model for ethical behavior.

Almost Never

Occasionally

Usually

Always

N/A

 

I work to ensure that decisions about access to care are based primarily on medical necessity, not only on the ability to pay.

Almost Never

Occasionally

Usually

Always

N/A

 

My statements and actions are consistent with professional ethical standards, including the ACHE Code of Ethics.

Almost Never

Occasionally

Usually

Always

N/A

 

My statements and actions are honest even when circumstances would allow me to confuse the issues.

Almost Never

Occasionally

Usually

Always

N/A

 

I advocate ethical decision making by the board, management team and medical staff.

Almost Never

Occasionally

Usually

Always

N/A

 

I use an ethical approach to conflict resolution.

Almost Never

Occasionally

Usually

Always

N/A

 

I initiate and encourage discussion of the ethical aspects of management/financial issues.

Almost Never

Occasionally

Usually

Always

N/A

 

I initiate and promote discussion of controversial issues affecting community/patient health (e.g., domestic and community violence and decisions near the end of life).

Almost Never

Occasionally

Usually

Always

N/A

 

I promptly and candidly explain to internal and external stakeholders negative economic trends and encourage appropriate action.

Almost Never

Occasionally

Usually

Always

N/A

 

I use my authority solely to fulfill my responsibilities and not for self-interest or to further the interests of family, friends or associates.

Almost Never

Occasionally

Usually

Always

N/A

 

When an ethical conflict confronts my organization or me, I am successful in finding an effective resolution process and ensure it is followed.

Almost Never

Occasionally

Usually

Always

N/A

 

I demonstrate respect for my colleagues, superiors and staff.

Almost Never

Occasionally

Usually

Always

N/A

 

I demonstrate my organization’s vision, mission and value statements in my actions.

Almost Never

Occasionally

Usually

Always

N/A

 

I make timely decisions rather than delaying them to avoid difficult or politically risky choices.

Almost Never

Occasionally

Usually

Always

N/A

 

I seek the advice of the ethics committee when making ethically challenging decisions.

Almost Never

Occasionally

Usually

Always

N/A

 

My personal expense reports are accurate and are only billed to a single organization.

Almost Never

Occasionally

Usually

Always

N/A

 

I openly support establishing and monitoring internal mechanisms (e.g., an ethics committee or program) to support ethical decision making.

Almost Never

Occasionally

Usually

Always

N/A

 

I thoughtfully consider decisions when making a promise on behalf of the organization to a person or a group of people.

Almost Never

Occasionally

Usually

Always

N/A

 

I take responsibility for understanding workplace violence and take steps to eliminate it.

Almost Never

Occasionally

Usually

Always

N/A

 

II. Relationships

Community

I promote community health status improvement as a guiding goal of my organization and as a cornerstone of my efforts on behalf of my organization.

Almost Never

Occasionally

Usually

Always

N/A

 

I personally devote time to developing solutions to community health problems.

Almost Never

Occasionally

Usually

Always

N/A

 

I participate in and encourage my management team to devote personal time to community service.

Almost Never

Occasionally

Usually

Always

N/A

 

I engage in collaborative efforts with healthcare organizations, businesses, elected officials and others to improve the community’s well-being.

Almost Never

Occasionally

Usually

Always

N/A

 

I seek to identify, understand and eliminate health disparities in my community.

Almost Never

Occasionally

Usually

Always

N/A

 

I seek to understand and identify the social determinants of health in my community.

Almost Never

Occasionally

Usually

Always

N/A

 

Patients and Their Families

I use a patient- and family-centered approach to patient care.

Almost Never

Occasionally

Usually

Always

N/A

 

I am a patient advocate on both clinical and financial matters.

Almost Never

Occasionally

Usually

Always

N/A

 

I ensure equitable treatment of patients regardless of socio-economic group or payor category.

Almost Never

Occasionally

Usually

Always

N/A

 

I respect the practices and customs of a diverse patient population while maintaining the organization’s mission.

Almost Never

Occasionally

Usually

Always

N/A

 

I demonstrate through organizational policies and personal actions that overtreatment and undertreatment of patients are unacceptable.

Almost Never

Occasionally

Usually

Always

N/A

 

I protect patients’ rights to autonomy, clinical efficacy, and full information about their illnesses, treatment options, and related costs.

Almost Never

Occasionally

Usually

Always

N/A

 

I promote a patient’s right to privacy, including medical record confidentiality, and do not tolerate breaches of this confidentiality.

Almost Never

Occasionally

Usually

Always

N/A

 

I am committed to eliminating harm in the workplace.

Almost Never

Occasionally

Usually

Always

N/A

 

I am committed to helping address affordability challenges in healthcare.

Almost Never

Occasionally

Usually

Always

N/A

 

Board

I have a routine system in place for board members to make full disclosure and reveal potential conflicts of interest.

Almost Never

Occasionally

Usually

Always

N/A

 

I ensure that reports to the board, my own or others’, appropriately convey risks of decisions or proposed projects.

Almost Never

Occasionally

Usually

Always

N/A

 

I work to keep the board focused on ethical issues of importance to the organization, community and other stakeholders.

Almost Never

Occasionally

Usually

Always

N/A

 

I keep the board appropriately informed of patient safety and quality indicators.

Almost Never

Occasionally

Usually

Always

N/A

 

I promote board discussion of resource allocation issues, particularly those where organizational and community interests may appear to be incompatible.

Almost Never

Occasionally

Usually

Always

N/A

 

I keep the board appropriately informed about issues of alleged financial malfeasance, clinical malpractice and potential litigious situations involving employees.

Almost Never

Occasionally

Usually

Always

N/A

 

Colleagues and Staff

I foster discussions about ethical concerns when they arise.

Almost Never

Occasionally

Usually

Always

N/A

 

I maintain confidences entrusted to me.

Almost Never

Occasionally

Usually

Always

N/A

 

I demonstrate through personal actions and organizational policies zero tolerance for any form of staff harassment.

Almost Never

Occasionally

Usually

Always

N/A

 

I encourage discussions about and advocate for the implementation of the organization’s code of ethics and value statements.

Almost Never

Occasionally

Usually

Always

N/A

 

I fulfill the promises I make.

Almost Never

Occasionally

Usually

Always

N/A

 

I am respectful of views different from mine.

Almost Never

Occasionally

Usually

Always

N/A

 

I am respectful of individuals who differ from me in ethnicity, gender, education or job position.

Almost Never

Occasionally

Usually

Always

N/A

 

I convey negative news promptly and openly, not allowing employees or others to be misled.

Almost Never

Occasionally

Usually

Always

N/A

 

I expect and hold staff accountable for adherence to our organization’s ethical standards (e.g., performance reviews).

Almost Never

Occasionally

Usually

Always

N/A

 

I demonstrate that incompetent supervision is not tolerated and make timely decisions regarding marginally performing managers.

Almost Never

Occasionally

Usually

Always

N/A

 

I ensure adherence to ethics-related policies and practices affecting patients and staff.

Almost Never

Occasionally

Usually

Always

N/A

 

I am sensitive to employees who have ethical concerns and facilitate resolution of these concerns.

Almost Never

Occasionally

Usually

Always

N/A

 

I encourage the use of organizational mechanisms (e.g., an ethics committee or program) and other ethics resources to address ethical issues.

Almost Never

Occasionally

Usually

Always

N/A

 

I act quickly and decisively when employees are not treated fairly in their relationships with other employees.

Almost Never

Occasionally

Usually

Always

N/A

 

I assign staff only to official duties and do not ask them to assist me with work on behalf of my family, friends or associates.

Almost Never

Occasionally

Usually

Always

N/A

 

I hold all staff and clinical/business partners accountable for compliance with professional standards, including ethical behavior.

Almost Never

Occasionally

Usually

Always

N/A

 

I am sensitive to the stress of the healthcare workforce (including physicians and other clinicians), and take steps to address personal wellness and professional fulfillment, such as incorporating these issues in employee and physician satisfaction/engagement surveys.

Almost Never

Occasionally

Usually

Always

N/A

 

I take steps to understand my workforce as it relates to safety, stress and burnout, and consider the impact of those who are in positions of authority (including executives and physicians).

Almost Never

Occasionally

Usually

Always

N/A

 

Clinicians

When problems arise with clinical care, I ensure that the problems receive prompt attention and resolution by the responsible parties.

Almost Never

Occasionally

Usually

Always

N/A

 

I insist that my organization’s clinical practice guidelines are consistent with our vision, mission, value statements and ethical standards of practice.

Almost Never

Occasionally

Usually

Always

N/A

 

When practice variations in care suggest quality of care is at stake, I encourage timely actions that serve patients’ interests.

Almost Never

Occasionally

Usually

Always

N/A

 

I insist that participating clinicians and staff live up to the terms of managed care contracts.

Almost Never

Occasionally

Usually

Always

N/A

 

I encourage clinicians to access ethics resources when ethical conflicts occur.

Almost Never

Occasionally

Usually

Always

N/A

 

I encourage resource allocation that is equitable, is based on clinical needs and appropriately balances patient needs and organizational/clinical resources.

Almost Never

Occasionally

Usually

Always

N/A

 

I expeditiously and forthrightly deal with impaired clinicians and take necessary action when I believe a clinician is not competent to perform his/her clinical duties.

Almost Never

Occasionally

Usually

Always

N/A

 

I expect and hold clinicians accountable for adhering to their professional and the organization’s ethical practices.

Almost Never

Occasionally

Usually

Always

N/A

 

Buyers, Payors and Suppliers

I negotiate and expect my management team to negotiate in good faith.

Almost Never

Occasionally

Usually

Always

N/A

 

I am mindful of the importance of avoiding even the appearance of wrongdoing, conflict of interest, or interference with free competition.

Almost Never

Occasionally

Usually

Always

N/A

 

I personally disclose and expect board members, staff members and clinicians to disclose any possible conflicts of interests before pursuing or entering into relationships with potential business partners.

Almost Never

Occasionally

Usually

Always

N/A

 

I promote familiarity and compliance with organizational policies governing relationships with buyers, payors and suppliers.

Almost Never

Occasionally

Usually

Always

N/A

 

I set an example for others in my organization by not accepting personal gifts from suppliers.

Almost Never

Occasionally

Usually

Always

N/A

 

After you’ve completed the self-assessment:

Now that you have finished the self-assessment, you will want to review your responses, noting which questions you answered “usually,” “occasionally,” and “almost never.” You may find that in some cases, an answer of “usually” is satisfactory , but in other cases, such as when answering a question about protecting staff’s well-being, an answer of “usually” may raise an “ethical red flag.” You will note that the instrument does not have a scoring mechanism; this is intentional. We do not believe that ethical behavior can or should be quantified.


We are confident that you will uncover few red flags and that if you do, you will willingly and appropriately address them. We also want you to consider your professional society as an additional resource when you and your management teams are confronted with difficult ethical dilemmas. You should find our regular “Healthcare Management Ethics” column in Healthcare Executive magazine a useful resource as well as ACHE’s

Ethical Policy Statements
. In addition, you may wish to refer to the
Ethics Bibliography, which we have compiled for your use. Finally, you may want to consider attending our annual ethics seminar.

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