Organizational Ethics in Health Care

This comprehensive and much-needed resource helps health care ethicists to meet the demand of challenges such as managed care, medical technology, and patient activism. Through a review of core principles and a rich selection of cases, practitioners and students will learn to apply ethics in the day-to-day administration of health care organizations. The authors are from the Park Ridge Center, the nationally acclaimed consulting and research firm.

This comprehensive and much-needed resource helps health care ethicists to meet the demand of challenges such as managed care, medical technology, and patient activism. Through a review of core principles and a rich selection of cases, practitioners and students will learn to apply ethics in the day-to-day administration of health care organizations. The authors are from the Park Ridge Center, the nationally acclaimed consulting and research firm.

Foreword xiiiLaurence J. O'ConnellPreface xvAcknowledgments xixThe Authors xxiPart One1 The Moral Ecology of Health Care Organizations 32 Organizational Theory, Culture, and Psychology: Tools forOrganizational Ethics 293 Organizational Support for Ethical Behavior 524 Corporate Compliance and Integrity Programs: The UneasyAlliance Between Law and Ethics 975 Managing Human Resources 1126 Conflicts of Interest 1467 Discretion and Control 1788 Evaluating the Moral Life of an Organization: The Case ofResource Allocation Policies 2049 Resource Allocation and Utilization: Structural Issues 22110 Mission and the Bottom Line 247Part Two: Cases1 The Waiting Room 2772 Nursing Strikes 2793 A Gift, or an Obligation? 2834 Obligations for Adequate Health Care Coverage 2885 A Manager's Dilemma in Hiring 2926 Conflict of Interest, or Just a Great Lunch? 2967 Organizations and Spousal Equivalent Benefits 2998 Organizational Teflon: Making Sure the Case Doesn'tStick 3039 Investment Policy 30610 Compassionate Sedation, or Euthanasia? CompassionateCommunication, or Deceit? 30911 Ethical Considerations in Charting 31512 Executive Use of Discretionary Funds: The Bonus Pool 31713 Integrating Spirituality in the Health Care Setting 32014 Alternative and Complementary Medicine 32315 Overstepping the Bounds of Expertise 32616 Marketing Products and Practicing Medicine 32917 Following the Rules, or Using Them as a Smokescreen? 33318 Organizational Advancement and Corporate Compliance 33719 The Compliance Officer and the Ethics Committee 34120 Aggressive Accounting 344Part Three: AppendixesAppendix One: Joint Commission on Accreditation of HealthcareOrganizations 349Appendix Two: Sample Ethics Statements 361Appendix Three: American College of Healthcare Executives: Codeof Ethics 377Appendix Four: Partnership Health Care: Conflict of InterestPolicy 387Recommended Reading 393Index 401