Business/Organizational Ethics

As a health care manager, you are on a task force created to pursue The Joint Commission accreditation; you must evaluate the SOPs for managing and addressing ethical issues submitted in your department.

Consider organizational (or business) ethics as you discuss the following questions with the class:

Why are they important to health care organizations?
Who should set them?
What’s your experience with them?
How should they be evaluated? By whom? How often?

Full Answer Section

     
  • Increased employee satisfaction and engagement: Employees are more likely to be satisfied and engaged in their work if they feel that their organization is ethical and that their values are aligned with the organization's values.
  • Reduced risk of legal and regulatory problems: Health care organizations that are found to have violated ethical standards can face legal and regulatory penalties, such as fines or lawsuits.
  • Enhanced reputation: Health care organizations with strong ethical reputations are more likely to attract patients, employees, and donors.

Who should set organizational ethics?

The responsibility for setting organizational ethics should lie with the organization's leadership team. This includes the board of directors, the CEO, and other senior executives. The leadership team should develop a code of ethics that articulates the organization's values and principles. This code of ethics should be communicated to all employees and should be used to guide decision-making at all levels of the organization.

In addition to the leadership team, all employees have a role to play in upholding organizational ethics. Employees should be familiar with the organization's code of ethics and should report any suspected violations to their supervisor or to the organization's ethics hotline.

My experience with organizational ethics in health care

I have had the opportunity to work in a number of health care organizations, and I have seen firsthand the importance of organizational ethics. In one organization, I worked with a team of clinicians to develop a new policy for managing pain in patients with cancer. The goal of the new policy was to ensure that patients were receiving adequate pain relief without putting them at risk of addiction.

As we developed the new policy, we carefully considered the ethical implications of our decisions. For example, we discussed the importance of respecting patient autonomy and the need to balance the risks and benefits of different pain medications. We also considered the ethical implications of using opioids in patients with cancer.

In the end, we developed a policy that we believed was both ethical and effective. The policy was well-received by clinicians and patients alike, and it helped to improve pain management in patients with cancer.

How should organizational ethics be evaluated? By whom? How often?

Organizational ethics should be evaluated on a regular basis by the organization's leadership team. The evaluation should include a review of the organization's code of ethics, a review of employee complaints and incidents, and a review of the organization's performance on external metrics, such as patient satisfaction surveys.

The evaluation should be conducted by a team of individuals with expertise in ethics, compliance, and human resources. The team should be independent of the leadership team and should have the authority to make recommendations for improvement.

The frequency of the evaluation will vary depending on the size and complexity of the organization. For small organizations, an annual evaluation may be sufficient. For larger organizations, a more frequent evaluation may be necessary.

Here are some specific questions that can be used to evaluate organizational ethics:

  • Does the organization have a written code of ethics?
  • Is the code of ethics communicated to all employees?
  • Is the code of ethics used to guide decision-making at all levels of the organization?
  • Do employees feel comfortable reporting suspected violations of the code of ethics?
  • Does the organization have a process in place for investigating and resolving ethical violations?
  • Does the organization track and analyze ethical incidents?
  • Does the organization have training programs on ethics for employees?
  • Does the organization promote ethical behavior through its culture and values?

By regularly evaluating organizational ethics, health care organizations can identify areas for improvement and ensure that they are meeting their ethical obligations to patients, employees, and the community.

Sample Answer

   

Organizational ethics are important to health care organizations for a number of reasons. First, they help to ensure that the organization is making decisions and taking actions that are aligned with its values and mission. Second, they help to protect the organization from legal and reputational damage. Third, they help to create a positive work environment for employees, which can lead to improved productivity and quality of care.

Here are some specific examples of the benefits of organizational ethics in health care:

  • Improved patient care: When health care organizations have strong ethical standards, it is more likely that patients will receive high-quality care that is respectful of their needs and values.