LEADERSHIP and ETHICS in HEALTHCARE
LEADERSHIP and ETHICS in HEALTHCARE
HA405-01, HA405-02
1804C, SEPTEMBER 2018
PROF. STEPHEN J. LEMIRE
AGENDA 1. COURSE ADMINISTRATION 2. BIOETHICAL ISSUES IN HEALTHCARE (PART I) 3. POLITICAL ISSUES IN HEALTHCARE (PART I)
TECH SUPPORT 1-866-522-7747
ASSIGNED WORK
PARTICIPATE IN SEMINAR
OR, COMPLETE OPTION 2
READ ASSIGNED ARTICLES
POST TEAM DISCUSSION BOARD ENTRY
ADD, AT LEAST, TWO RESPONSES TO PEERS’ OR MY ENTRIES
SEE NEXT SLIDE FOR DETAILS
DISCUSSION BOARD
YOU HAVE BEEN ASSIGNED TO EITHER GROUP 1 OR GROUP 2.
GROUP 1 – LAST NAME BEGINS WITH “A” THROUGH “L”
GROUP 2 – LAST NAME BEGINS WITH “M” THROUGH “Z”
YOU CAN ONLY ACCESS THE DISCUSSION FOR THE GROUP TO WHICH YOU HAVE BEEN ASSIGNED.
YOU ARE REQUIRED TO ARGUE THE STATED POSITION WHETHER THOSE ARE YOUR PERSONAL FEELINGS OR NOT.
THE GOAL IS FOR YOUR TEAM TO DEVELOP A CONSENSUS ARGUMENT.
PLEASE RESPOND TO THE QUESTION ASSIGNED TO YOUR GROUP IN THE USUAL DISCUSSION BOARD MANNER AND IN THE TYPICAL DISCUSSION BOARD LOCATION.
ETHICS
BELIEFS ABOUT RIGHT/WRONG; GOOD/BAD
BUSINESS ETHICS – BEHAVIORS OF HEALTHCARE ADMINISTRATORS IN CONTEXT OF THEIR JOBS
TOWARD EMPLOYEES
TOWARD THE ORGANIZATION
TOWARD STAKEHOLDERS
ETHICAL NORMS
UTILITY – IS IT FAIR?
RIGHTS – IS IT RESPECTFUL?
JUSTICE – IS IT CONSISTENT?
CARING – IS IT RESPONSIBLE?
© 2010 Jones and Bartlett Publishers, LLC
AUTONOMY
AUTONOMY
SELF RULE OR SELF DETERMINATION
FREEDOM FROM OTHER’S CONTROL TO MAKE CHOICES
FREEDOM TO COMPLY OR NOT WITHOUT PENALTY
PATIENT AUTONOMY ISSUES
CONCERNED WITH TREATMENT BY THE OVERALL SYSTEM
LEVEL OF HEALTH LITERACY
ABILITY TO UNDERSTAND AND MAKE INFORMED DECISIONS
ACCESS TO INFORMATION
LANGUAGE OR CULTURAL DIFFERENCES
© 2010 Jones and Bartlett Publishers, LLC
AUTONOMY as INFORMED CONSENT
INFORMED CONSENT
COMPETENT, VOLUNTARY DECISION THAT INCLUDES DISCLOSURE
LEGAL AND ETHICAL OBLIGATIONS
UNDERSTANDING AND PERMISSION ARE REQUIRED
REASONABLE PERSON STANDARD
COMPETENT
VOLUNTARY
NEED FOR INFORMED CONSENT
AUTONOMY
BATTERY (UNCONSENTED TOUCHING)
NEGLIGENCE
© 2010 Jones and Bartlett Publishers, LLC
AUTONOMY as CONFIDENTIALITY
SAFE-GUARDING CONFIDENTIALITY
HIPAA
ELECTRONIC RECORDS
ANTI-GOSSIP
NEED TO KNOW
ONLY THOSE REQUIRED
OTHER ISSUES
PATIENT EXPECTATIONS
WHEN TO VIOLATE CONFIDENTIALITY
HCA DUTIES
COMPANY PRACTICES
WRITTEN CODES (examples)
CONFLICT OF INTEREST
SEXUAL HARASSMENT
ETHICS PROGRAM
© 2010 Jones and Bartlett Publishers, LLC
NONMALEFICENCE
NONMALEFICENCE
TO NOT CAUSE HARM TO OTHERS
TO REFRAIN FROM THINGS THAT CAUSE HARM
HARM
CAUSING PAIN, DISABILITY, OR DEATH
© 2010 Jones and Bartlett Publishers, LLC
STAFF and NONMALEFICENCE
AVOID HARM TO STAFF; CREATE A SAFE WORKPLACE
PRACTICE DUE DILIGENCE IN HIRING AND POLICIES
BE CAUTIOUS OF SAFETY HAZARDS UNIQUE TO HEALTH CARE
CREATE A CLIMATE OF INCLUSION
TO RESPECT DIVERSITY
TO REDUCE HARM
© 2010 Jones and Bartlett Publishers, LLC
BENEFICENCE
ACTING WITH CHARITY AND KINDNESS
IN BUSINESS, IT IS CALLED CORPORATE KINDNESS
AS ADMINISTRATOR
PREVENTION
COMPASSION
ETHICS
FINANCES
COMMUNITY RESPONSIBILITY
ACCREDITATION
THE JOINT COMMISSION
NCQA
COMPLIANCE
HIPAA
LICENSURE
SOCIAL RESPONSIBILITY
THE WAY IN WHICH AN ORGANIZATION BALANCES ITS COMMITMENTS TO ALL INTERESTED GROUPS
STAKEHOLDERS
PATIENTS
EMPLOYEES
POLICYMAKERS
SUPPLIERS
COMMUNITIES
BOARD MEMBERS
SOCIAL RESPONSIBILITY PROGRAM