Organizational Ethics in Health Care

PHILIP J. BOYLE is chief operating officer at The Park Ridge Center for the Study of Health, Faith, and Ethics. EDWIN R. DUBOSE is research associate at The Park Ridge Center for the Study of Health, Faith, and Ethics in Chicago, Illinois.STEPHEN J. ELLINGSON is a post-doctoral fellow in sociology, religion, and health care and director of the Lilly Program for Congregational Ministry at Pacific Lutheran Theological Seminary.DAVID E. GUINN is research associate and editor at The Park Ridge Center for the Study of Health, Faith, and Ethics.DAVID B. MCCURDY is research associate and director of consultation and education services at The Park Ridge Center for the Study of Health, Faith, and Ethics.

• Foreword xiiiLaurence J. O'ConnellPreface xvAcknowledgments xixThe Authors xxiPart One1 The Moral Ecology of Health Care Organizations 32 Organizational Theory, Culture, and Psychology: Tools for Organizational Ethics 293 Organizational Support for Ethical Behavior 524 Corporate Compliance and Integrity Programs: The Uneasy Alliance 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 of Resource 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’t Stick 3039 Investment Policy 30610 Compassionate Sedation, or Euthanasia? Compassionate Communication, 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 Healthcare Organizations 349Appendix Two: Sample Ethics Statements 361Appendix Three: American College of Healthcare Executives: Code of Ethics 377Appendix Four: Partnership Health Care: Conflict of Interest Policy 387Recommended Reading 393Index 401

"This book is one of the most effective handbooks on health-care OE." (The National Catholic Bioethics Quarterly, Summer 2004) "...has won the James A. Hamilton book of the year award, sponsored by the American College of Healthcare Executives." (AHA News, 3/02)"The index is thorough, and tables and checklists enhance the text." (E-Streams, 3/02)