Managing Healthcare Ethically, Volume 2: Organizational Concerns

179 Pages·2022·4.107 MB·English

by  William A. Nelson, Paul B. Hofmann

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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
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ACHE Management Series
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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
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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
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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
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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
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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
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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
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