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Professionalism and Ethics
Professionalism deals with the development, monitoring, and maintenance of procedures to ensure that the needs of professional staff are met. Ethics includes identifying, monitoring, and disseminating codes of professional conduct; understanding the implications of ethical decisions, providing procedures to monitor standards of behavior within the organization; and determining, maintaining, and monitoring accountability procedures.
Monday March 8, 2010
Posted by: Teresa Mirwald at 8:00PM EST on March 8, 2010
This is one of the most important aspects of healthcare and often the most overlooked area. It is truly important for this aspect to be integrated into the facility at every level.
Tuesday February 2, 2010
Posted by: Susan at 7:58PM EST on February 2, 2010
My team provides rehabilitation ser vices. One of the challenges we oftgen deal with is having clinicians charge fully for the services we provide. The clear position of the organization is that our goal is to charge accurately for our services--neither getting paid more than we're entitled to, nor certainly not less. Therapists often underbill seemingly because of fears of being "unethical" or committing "fraud" despite education, reassurance and access to support. Would be interested in how others have approached this challenge.
Monday February 1, 2010
Posted by: Nabil El Sanadi at 9:46PM EST on February 1, 2010
It is well known that over 70% of healthcare dollars are spent during the last 30 days of a patient's life in an acute care hospital. Clinicians must be Realistic when providing care, while balancing: -patient autonomy+patient comfort..... without fear of Litigation. Hospital ethics committees are essential in assisting clinicians when making difficult decisions reguarding Providing VS withholding care.
Sunday January 31, 2010
Posted by: Sandra DeLeon at 6:47PM EST on January 31, 2010
I have been a member of our Regional Ethics Committee for the past 6 years in a multi-hospital system. From our readings and from my experience, ethics and ethics committee participation is a very important aspect of operations, however, historically, we have had very limited participation from our senior leadership. Is this relatively common?
Monday January 25, 2010
Posted by: Frank Yamout at 1:45PM EST on January 25, 2010
10. The purpose of a "Living Will" is: A. Establish Laws that define when life support measures are futile. B. Allow persons unable to communicate with caregivers to express their wishes about the extent of treatment they wish to have applied. C. Allow a person to take their own life if there is no hope for a productive life after a long term illness. D. Allow a person to define the distribution of material wealth after die The Answer provided is "A", I beleive "B" is a more accurate answer. What do you think?
Posted by: Sheree Conrad at 10:40AM EST on January 25, 2010
If a physician get numerous formal complaints while practicing at the bedside and then transfers to a hospital where his wife is the administrator and takes the position of VP of Medial Affairs, in your opinion, would that be a conflict of interest for the wife? Would she be able to effectively address formal complaints generated by her husband's behavior. How would you suggest those complaints be handled?
Posted by: Jeanmarie at 6:15AM EST on January 25, 2010
1) Can a non-competition clause be inserted into an employment contract for mid-level professionals? (reference: p.214 supplemental reading, "Human Resources in Healthcare")
2) Absent a non-competition clause contractually, where does a mid-level professional "cross the line" if changing jobs in the same market? Sunday January 24, 2010
Posted by: Joanna Wright at 7:38PM EST on January 24, 2010
One of the things I dealt with, which was very difficult, was a position I held at the very start of my career ,where those at the senior management level were making choices and decisions that then filtered down "through the ranks" to us managers to implement that I believed to be unethical. I think this sort of a situation is especially hard on early careerists who may be new to the healthcare administration field and be told to be quiet or that it is no big deal. With a culture of sweeping those actions under the carpet it takes a strong person to walk away. Anyone else have experiences like this?
Posted by: Andrew Gnann at 6:07PM EST on January 24, 2010
As healthcare leaders continue to make difficult decisions about down-sizing and cost savings, having a solid understanding of healthcare ethics and having access to tools to assist in the decision making process is critical. Ascension Health makes publically available such tools for ethical decision making: http://www.ascensionhealth.org/index.php?option=com_blank&view=blank&Itemid=176
Saturday January 23, 2010
Posted by: Jodi at 2:06PM EST on January 23, 2010
The first article from Nelson raises some questions for me. Specifically, he addresses the issue of closing a clinic and the associated communication about the decision, including press releases, town hall meetings with media invited, etc. I have witnessed closing over services in my community. The attempts to communicate with the community about were overruled by the public relations staff - so much to the extent that letters to other providers and patients notifying them of the decision could not include the word "closing" or any form of it. I would appreciate thoughts on this position, and your interpretation of the ethical nature of the decision. Thanks, Jodi
Posted by: Patricia TenHaaf at 4:15AM EST on January 23, 2010
The decision to reduce staff necessitates consideration of both the short-term and long term impacts on employees. Ethical considerations or strategies include all of the following except: 1. Reviewing Mission, Vision, and Values of the HCA to test conformance in the decision to reduce the labor force 2. Provide minimal, vague information to stakeholders as to not spread fear or concern 3. Supporting employees whose positions have been eliminated with retraining or reemployment elsewhere in the organization 4. Address the needs of the remaining staff including survivor guilt and anger Answer: 2. Information should be provided to stakeholder that is timely and accurate. ACHE Policy Paper – Ethical Issues Related to a Reduction in Force, Nov 2005 |
