Managing Healthcare Ethically, Volume 2: Organizational Concerns PDF
Preview Managing Healthcare Ethically, Volume 2: Organizational Concerns
WiClopyinlg Aanid .diNsatri buemtionl of thsisI PPoDF iasn prou Bhibitle.Hd w i tohoutf writtmen paerImEinssio dnn. i tors For permission, please contact Copyright Clearance Center at www.copyright.com. ManagHienagl tEhtchaircea lly Copying and distribution of this PDF is prohibited without written permission. For permission, please contact Copyright Clearance Center at www.copyright.com. ACHE Management Series Editorial Board Douglas E. Anderson, DHA, LFACHE, Chairman SHELDR Consulting Group Tyler A. Bauer NorthShore University HealthSystem CDR Janiese A. Cleckley, FACHE Defense Health Agency Kris M. Drake, FACHE Ingham Community Health Centers Guy J. Guarino Jr., FACHE Catawba Valley Medical Center Shanna Johnson, FACHE Ascension St. John Hospital Sylvia E. Lozano, FACHE Alameda Health System Faith Needleman Samaritan Life Enhancing Care Mitali Paul, FACHE Houston Methodist Specialty Physicians Group Jayson P. Pullman Hawarden Regional Healthcare CDR Lisa A. White, FACHE Navy Medicine Professional Development Center Nichole C. Wilson, FACHE Community Health Network Copying and distribution of this PDF is prohibited without written permission. For permission, please contact Copyright Clearance Center at www.copyright.com. ACHE Management Series Copying and distribution of this PDF is prohibited without written permission. For permission, please contact Copyright Clearance Center at www.copyright.com. Your board, staff, or clients may also benefit from this book’s insight. For information on quantity discounts, contact the Health Administration Press Marketing Manager at (312) 424-9450. This publication is intended to provide accurate and authoritative information in regard to the subject matter covered. It is sold, or otherwise provided, with the understanding that the publisher is not engaged in rendering professional services. If professional advice or other expert assistance is required, the services of a competent professional should be sought. The statements and opinions contained in this book are strictly those of the authors and do not represent the official positions of the American College of Healthcare Executives or the Foundation of the American College of Healthcare Executives. Copyright © 2022 by the Foundation of the American College of Healthcare Executives. Printed in the United States of America. All rights reserved. This book or parts thereof may not be reproduced in any form without written permission of the publisher. 26 25 24 23 22 5 4 3 2 1 Library of Congress Cataloging-in-Publication Data Names: Nelson, William A., editor. | Hofmann, Paul B., 1941– editor. Title: Managing healthcare ethically / William A. Nelson, Paul B. Hofmann, editors. Other titles: Management series (Ann Arbor, Mich.) Description: Third edition. | Chicago, IL : Health Administration Press, [2022] | Series: HAP/ACHE management series | Includes bibliographical references. | Contents: v. 1. Leadership roles and responsibilities — v. 2. Organizational concerns — v. 3. Clinical challenges. | Summary: “This book discusses the numerous and complex issues that healthcare executives encounter every day as an intrinsic part of organizational life”— Provided by publisher. Identifiers: LCCN 2021023677 (print) | LCCN 2021023678 (ebook) | ISBN 9781640552500 (v. 1 ; paperback ; alk. paper) | ISBN 9781640552555 (v. 2 ; paperback ; alk. paper) | ISBN 9781640552609 (v. 3 ; paperback ; alk. paper) | ISBN 9781640552470 (v. 1 ; epub) | ISBN 9781640552487 (v. 1 ; mobi) | ISBN 9781640552524 (v. 2 ; epub) | ISBN 9781640552531 (v. 2 ; mobi) | ISBN 9781640552579 (v. 3 ; epub) | ISBN 9781640552586 (v. 3 ; mobi) Subjects: MESH: Health Services Administration—ethics | Leadership Classification: LCC RA971 (print) | LCC RA971 (ebook) | NLM W 84.1 | DDC 362.1068—dc23 LC record available at https://lccn.loc.gov/2021023677 LC ebook record available at https://lccn.loc.gov/2021023678 The paper used in this publication meets the minimum requirements of American National Standard for Information Sciences—Permanence of Paper for Printed Library Materials, ANSI Z39.48-1984. ∞ ™ Acquisitions editor: Jennette McClain; Project manager: Andrew Baumann; Cover designer: Book Buddy Media; Layout: Integra Found an error or a typo? We want to know! Please e-mail it to [email protected], mentioning the book’s title and putting “Book Error” in the subject line. For photocopying and copyright information, please contact Copyright Clearance Center at www. copyright.com or at (978) 750-8400. Health Administration Press A division of the Foundation of the American College of Healthcare Executives 300 S. Riverside Plaza, Suite 1900 Chicago, IL 60606-6698 (312) 424-2800 Copying and distribution of this PDF is prohibited without written permission. For permission, please contact Copyright Clearance Center at www.copyright.com. Contents Foreword ix Deborah J. Bowen, FACHE, CAE Acknowledgments xi Introduction xiii The Impending Physician Shortage 1 Richard A. Culbertson Ethical Community Engagement: Lessons Learned 7 Richard A. Culbertson The Myth of Comprehensive Policies 13 Paul B. Hofmann Trauma Care: Economic Versus Social Justice 19 Richard A. Culbertson Coping with Staffing Shortages 25 Benn J. Greenspan Responsibility for Unsuccessful Promotions 29 Paul B. Hofmann Fulfilling Disruptive-Behavior Policy Objectives 33 Paul B. Hofmann 7 Factors Complicate Ethical Resource Allocation Decisions 39 Paul B. Hofmann v Copying and distribution of this PDF is prohibited without written permission. For permission, please contact Copyright Clearance Center at www.copyright.com. Ethics: A Foundation for Quality 45 William A. Nelson Ethics and Advertising 51 William. A. Nelson and Emily C. Taylor Comparing Ethics and Compliance Programs 57 William A. Nelson A Reflection on Everyday Ethics 63 Jack A. Gilbert The Ethics of Mandatory Flu Shots 69 William A. Nelson and Tim Lahey Proposed Ethics Guidelines for Quality Improvement 75 William A. Nelson Rethinking the Traditional Ethics Committee 83 William A. Nelson Discrimination and Patient-Centered Care 87 William A. Nelson and Andrew Huang The Debate Over Aid-in-Dying Laws 93 Paul B. Hofmann The Ethical Foundation for Environmental Responsibility 99 John J. Donnellan Jr. and Cassandra Thiel Ethical Considerations When Treating VIPs 105 John J. Donnellan Jr. To Minimize Risk, Ethics Audits Are as Essential as Financial Audits 111 Paul B. Hofmann Redefining Criticism 121 John J. Donnellan Jr. Addressing Disparities 127 John J. Donnellan Jr. vi Contents Copying and distribution of this PDF is prohibited without written permission. For permission, please contact Copyright Clearance Center at www.copyright.com. Addressing Questionable Donations 133 William A. Nelson and Lauren A. Taylor Why Good People Behave Badly 139 Paul B. Hofmann The Use and Misuse of Incentives 143 Paul B. Hofmann Selected Bibliography 149 About the Editors 159 About the Contributors 163 Contents vii Copying and distribution of this PDF is prohibited without written permission. For permission, please contact Copyright Clearance Center at www.copyright.com. Copying and distribution of this PDF is prohibited without written permission. For permission, please contact Copyright Clearance Center at www.copyright.com. Foreword As healthcare executives, we regularly face a range of issues in which ethics plays an important role, from determining what services are needed in the communities we serve, to always main- taining good financial stewardship and delivering the best care for patients, their families and your employees. The American College of Healthcare Executives has made an unwavering commitment to act in ways that merit the trust, confi- dence and respect of our members, our profession and the general public. We believe all healthcare leaders have a professional obliga- tion to create an ethical culture within the organizations they lead. To this end, we provide our members with several resources that serve as a touchstone in times and situations of uncertainty. The “Healthcare Management Ethics” column in Healthcare Executive, ACHE’s official magazine, has been a key component of our ethics resources since it became a part of the magazine in 1992. The editors of this new edition, William A. Nelson, PhD, HFACHE, and Paul B. Hofmann, DrPH, LFACHE, have regularly contributed to the column for more than 20 years and are recognized experts in healthcare management ethics. The columns they chose for this second volume of Managing Healthcare Ethically focus on issues that affect policies and management within healthcare organizations. An organization’s ability to achieve its full potential as an ethically aligned entity depends on the motivation, skills and practices of each ix Copying and distribution of this PDF is prohibited without written permission. For permission, please contact Copyright Clearance Center at www.copyright.com.
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