Useful to both graduate and undergraduate learners, Ethics in Health Administration: A Practical Approach for Decision Makers translates the principles and practice of ethics into usable information for application to the real world of health care administration. Based on a model that centers on the administrators’ role in practice-based ethics, this text also recognizes influences that impact their ethics decision making. Fictional cases based on real world events help to emphasize chapter content and make it interesting for the learner.
This ideal teaching tool contains useful features for educators. Each chapter contains at least two cases which for class discussion. The text also contains references and Web sites for each chapter for additional information. Ethics in Health Administration: A Practical Approach for Decision Makers is also accompanied by an instructor’s manual that contains practical activities for each chapter that enhance student learning. This manual is divided into an undergraduate and a separate graduate section to accommodate all users. Finally, the text comes which 16 sets of author-designed power point slides that present key topics for each chapter. These slides can be adapted for individual faculty teaching style.
Author(s): Eileen E. Morrison
Edition: 1
Publisher: Jones & Bartlett Publishers
Year: 2005
Language: English
Commentary: 48561
Pages: 369
DEDICATION......Page 4
CONTENTS......Page 6
GRATITUDES......Page 12
CONTRIBUTORS......Page 14
INTRODUCTION......Page 16
A Word about the Text......Page 17
Reference......Page 19
INTRODUCTION......Page 20
WHY STUDY ETHICS THEORY?......Page 21
Concept Summary......Page 22
Concept Summary......Page 23
Theory Applications......Page 24
Biographical Influences on His Theory......Page 25
Theory Applications......Page 26
Concept Summary......Page 27
Theory Applications......Page 28
Concept Summary......Page 29
Concept Summary......Page 31
Theory Applications......Page 33
Concept Summary......Page 34
WHAT IS ETHICS?......Page 35
References......Page 37
INTRODUCTIONS AND DEFINITIONS......Page 40
AUTONOMY AS INFORMED CONSENT......Page 41
AUTONOMY AS CONFIDENTIALITY......Page 44
AUTONOMY AS TRUTH-TELLING......Page 46
AUTONOMY AS FIDELITY......Page 48
Summary......Page 50
Case Information......Page 51
Responses and Commentary on Questions......Page 52
Case Information......Page 55
Responses and Commentary on Questions......Page 56
References......Page 58
INTRODUCTION AND DEFINITIONS......Page 60
NONMALEFICENCE IN HEALTH CARE SETTINGS......Page 61
Nonmaleficence and Staff......Page 62
BENEFICENCE IN HEALTH CARE SETTINGS......Page 65
Summary......Page 67
The Case of the Academic Bully......Page 68
The Case of the Beneficent Boss......Page 73
References......Page 77
INTRODUCTION AND DEFINITIONS......Page 78
JUSTICE FOR PATIENTS......Page 79
DISTRIBUTIVE JUSTICE......Page 80
Theories of Distributive Justice......Page 81
Issues for Health Care Organizations......Page 83
STAFF JUSTICE......Page 84
Summary......Page 87
The Case of the Dipsomaniac Veteran......Page 88
Case Information......Page 90
Responses and Commentary on Questions......Page 91
References......Page 92
INTRODUCTION......Page 94
CHAPTER 5: Quis Custodiet Ispos Custodes? Who Will Guard the Guardians?......Page 98
THE AGE OF ACCOUNTABILITY......Page 99
The Dogma of JCAHO......Page 102
The Dogma of AHA......Page 103
The Dogma of HIPAA......Page 104
The Dogma of NCQA......Page 105
THE ETHICS OF ADVOCACY......Page 106
Practices for Competency Assurance......Page 108
Ethics and Incompetence......Page 112
What about Your Competence?......Page 113
Case Information......Page 116
Responses and Commentary on Questions......Page 118
Responses and Commentary on Questions......Page 121
References......Page 123
CHAPTER 6: Market Forces and Ethics......Page 126
GENERAL MARKET FORCES......Page 127
MANAGED CARE AND ETHICS......Page 129
Current Situation......Page 130
Future Concerns......Page 132
Where Is the Ethics?......Page 133
Why IM and Why Now?......Page 137
Where Is the Ethics?......Page 140
Summary......Page 141
Case Information......Page 142
The Case of the Confused Abuela (Grandmother......Page 143
Case Information......Page 144
Responses and Commentary on Questions......Page 145
References......Page 147
CHAPTER 7: Social Responsibility and Ethics......Page 148
WHAT IS SOCIAL RESPONSIBILITY IN THE HEALTHCARE BUSINESS?......Page 149
PREVENTION AS SOCIAL RESPONSIBILITY......Page 151
Public Health’s Role......Page 152
QUALITY ASSURANCE AS SOCIAL RESPONSIBILITY......Page 155
The Case of the Devoted Dentist......Page 157
Responses and Commentary on Questions......Page 158
Comment......Page 160
The Case of the Proactive Public Health Administrator (PHA)......Page 161
Responses and Commentary on Questions......Page 162
References......Page 164
CHAPTER 8: Technology and Ethics......Page 166
TECHNOLOGY AND ITS IMPACT ON HEALTH CARE......Page 167
Clinical Applications......Page 168
Business Practice Applications......Page 170
EMERGENT TECHNOLOGIES AND FUTURE ISSUES......Page 171
Technology, Ethics, and Society......Page 174
Technology, Ethics, and the Business of Health Care......Page 175
TECHNOLOGY AND THE ROLE OF THE HEALTHCARE ADMINISTRATOR......Page 176
Case Information......Page 177
Responses and Comments on Questions......Page 178
The Case......Page 181
Responses and Comments on Questions......Page 182
References......Page 185
INTRODUCTION......Page 188
CHAPTER 9: No Mission No Margin: Fiscal Responsibility......Page 190
SHOW ME THE MONEY......Page 191
MARGIN VERSUS MISSION: A DELICATE BALANCE......Page 193
Beyond Mission/Margin Balance: Other Concerns of Finance and Ethics......Page 196
Billing and Finance Ethics......Page 199
Summary......Page 200
The Case of the Lost Chapel......Page 201
Case Information......Page 202
Responses and Commentary on Questions......Page 203
Case Information......Page 205
Responses and Commentary on Questions......Page 206
Web Resources......Page 207
References......Page 208
CHAPTER 10: Organization Culture and Ethics......Page 210
CULTURE: A MACRO AND MICRO VIEW......Page 211
How Do You Merge Subcultures?......Page 213
THE HEALTH CARE CULTURE RESPONDS: ETHICS COMMITTEES......Page 215
Pediatric Ethics Committees......Page 216
Institutional Review Boards......Page 217
ASSISTING THE PROCESS: CHOOSING A DECISIONMAKINGMODEL......Page 218
The Case of Code White Coat......Page 220
Case Information......Page 221
Responses and Commentary on Questions......Page 222
Case Information......Page 225
Web Resources......Page 228
References......Page 229
CHAPTER 11: Corporate Compliance: The Letter or the Spirit of the Law......Page 230
A HISTORICAL VIEW......Page 231
Through the Organization’s Eyes......Page 234
Malcolm Baldrige National Quality Awards Program......Page 235
Six Sigma® and Health Care......Page 237
Poka-Yoke......Page 240
Health Care Quality Improvement Projects......Page 242
ETHICS OF QUALITY PROGRAMS......Page 244
Summary......Page 246
Case Information......Page 247
Responses and Commentary on Questions......Page 248
Case Information......Page 250
Responses and Commentary on Questions......Page 252
References......Page 253
CHAPTER 12: Patient Issues and Ethics......Page 256
PATERNALISM, OR “WE KNOW WHAT’S BEST”......Page 257
THE PATIENT HEALTH CARE EXPERIENCE......Page 259
MEASURING THE PATIENT EXPERIENCE......Page 262
HOW DOES MEASUREMENT RELATE TO ETHICS?......Page 264
PROVIDING CARE THROUGH A DIFFERENT VISION: PATIENT-CENTERED CARE AND ETHICS......Page 265
Summary......Page 270
Case Information......Page 271
Responses and Commentary on Questions......Page 272
Case Information......Page 276
Responses and Commentary on Questions......Page 278
Web Resource......Page 279
References......Page 280
INTRODUCTION......Page 282
DEFINITIONS OF MORALITY......Page 284
WHAT DO THE EXPERTS SAY ABOUT MORALITY?......Page 286
Morality Ignored: What Happens When the Compass Is Broken?......Page 289
MAINTAINING YOUR MORAL INTEGRITY......Page 294
10 Challenges for Maintaining Moral Integrity......Page 296
References......Page 307
CHAPTER 14: Codes of Ethics and Administrative Practice......Page 308
WHY BOTHER WITH CODES OF ETHICS?......Page 309
CODE OF ETHICS FOR THE AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES......Page 312
LEARNING FROM OTHER CODES......Page 314
Code of Ethics for Nurses......Page 315
Code of Ethics for Pharmacists......Page 316
Code for Dental Hygienists......Page 317
Code of Ethics for Counselors......Page 318
Lessons from the Code......Page 320
LIMITATIONS AND CRITICISMS OF CODES......Page 321
Five Challenges for Living in Code......Page 322
References......Page 324
CHAPTER 15: Practicing as an Ethical Administrator......Page 326
WISDOM FROM THE MASTERS: ETHICS IN PRACTICE......Page 327
Wisdom from Other Voices......Page 330
Planning......Page 333
Organizing......Page 335
Directing......Page 337
Controlling......Page 338
VOICES FROM THE FIELD......Page 341
Summary......Page 342
Challenges......Page 343
References......Page 344
SUMMARY OF PREVIOUS CHAPTERS......Page 346
THE FUTURE, OR WHO HID THE CRYSTAL BALL?......Page 349
ALERT: Disaster Preparation......Page 350
ALERT: The Boomers Are Coming! The Boomers Are Coming!......Page 351
Final Summary......Page 352
References......Page 353
References......Page 354
Index......Page 360
