An Introduction to Healthcare Organizational EthicsThis is a lucid, readable discussion of ethical questions in health care as they arise on the business or organizational level: an effort to spell out an ethical perspective for healthcare organizations. It will be of use to students in health services management programs, health care professionals, healthcare administrators, and members of healthcare ethics committees. Hall begins with the ethical analysis of decision-making in the management of healthcare organizations and then addresses some of the questions of organizational ethics through an analysis of corporate social responsibility in for-profit and not-for-profit organizations and of the problem of uncompensated care. Later chapters take up patient development, community relations, diversity, employee relations, governmental relations, regulatory compliance and medical records. The author's analysis focuses on healthcare institutions as business organizations with many of the problems faced by corporate management in other fields but with the difference that health care holds a special place among human needs and has traditionally been viewed from an altruistic perspective. He gives special attention to the new standards on organizational ethics promulgated by the Joint Commission on Accreditation of Healthcare Organizations and includes many case studies not only to illustrate the main points but also to direct the reader's attention to peripheral aspects that can complicate theses issues. |
Contents
Medical Ethics and Organizational Ethics | 3 |
1 Ethical Perspectives | 9 |
2 Charity Care and Social Responsibility | 41 |
3 Advertising and Marketing | 59 |
4 Managed Care | 77 |
5 Diversity | 97 |
6 Program Development | 119 |
7 Medical Records | 133 |
11 Clinical Ethics Medical Research and Compliance Programs | 206 |
12 The Development of an Organizational Ethics Program | 223 |
Ethical Conduct for Health Care Institutions | 236 |
A Patients Bill of Rights | 241 |
Code of Ethics | 245 |
Appendix 4 Model Organizational Code of Conduct | 250 |
Community Accountability with Changes in the Ownership or Control of Hospitals or Health Systems | 252 |
Sample Components of an Organization Ethics Framework | 255 |
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Common terms and phrases
actions advertising American American Hospital Association Association benefits bill Bioethics Carelink charity Claritin clinical ethics committee Code of Ethics confidentiality conflict of interest considered corporate social responsibility cost decisions disclosure effective employees employment ethical analysis ethical issues ethical perspective federal for-profit groups guidelines health care Health care institutions Health Plan healthcare administrators healthcare executive healthcare organizations hospital human individuals informed consent Institutional Review Board involved JCAHO Kutak Rock managed care managed care plans MCOs Medicaid Medical Center medical ethics medical records mission statements moral needs not-for-profit nurses obligations organizational ethics program organizational goals patient dumping patients physicians policies practice principles problem procedures professional question relations relationships risk sexual sion social audit social responsibility society stakeholder analysis standards tion tional treatment values workers workplace