Governance Ethics in Healthcare Organizations (Routledge Studies in Health and Social Welfare)

"Drawing on the findings of a series of empirical studies undertaken with boards of directors and CEOs in the United States, this groundbreaking book develops a new paradigm to provide a structured analysis of ethical healthcare governance. Governance Ethics in Healthcare Organizations begins by presenting a clear framework for ethical analysis, designed around basic features of ethics - who we are, how we function, and what we do - before discussing the paradigm in relation to clinical, organizational and professional ethics. It goes on to apply this framework in areas that are pivotal for effective governance in healthcare: oversight structures for trustees and executives, community benefit, community health, patient care, patient safety and conflicted collaborative arrangements. This book is an important read for all those interested in healthcare management, corporate governance and healthcare ethics, including academics, students and practitioners"-- Provided by publisher Cover Half Title Series Page Title Copyright Dedication Contents Acknowledgements 1 Ethics paradigm Introduction Need for governance ethics The ethics paradigm Applied topics Conclusion 2 Clinical and organizational ethics Introduction Clinical ethics Ethical theories and principles Ethics consultation services Organizational ethics Foundation component Process component Practice component Conclusion 3 Professional ethics Introduction Code of Ethics of the American College of Healthcare Executives Identity, accountability, and quality in healthcare management ethics Identity, accountability, and quality in professional ethics Conclusion 4 Governance structure Introduction Need for oversight of board structure Context of foundation-related governance ethics hallmarks Board competence: foundation-related governance ethics hallmark Moral imperative: board oversight of term limits and board composition Board role: foundation-related governance ethics hallmark Moral imperative: board oversight of defined responsibilities and board effectiveness Context of process-related governance ethics hallmarks Board evaluation: process-related governance ethics hallmark Moral imperative: board oversight of fair evaluation processes Succession planning: process-related governance ethics hallmark Moral imperative: board oversight of system planning and continuous updating Context of practice-related governance ethics hallmarks Leadership collaboration: practice-related governance ethics hallmark Moral imperative: board oversight of working relationships System-wide strategy: practice-related governance ethics hallmark Moral imperative: board oversight of transformational change and strategic planning Conclusion 5 Governance of community benefit Introduction Need for board oversight of community benefit Board engagement: foundation-related governance ethics hallmark Moral imperative: board oversight of the standing committee structure Effective communication: process-related governance ethics hallmark Moral imperative: board oversight of community needs assessment Organizational performance: practice-related governance ethics hallmark Moral imperative: board oversight of continuous improvement Conclusion 6 Governance of community health Introduction Need to advance community health partnerships Partnership engagement: foundation-related governance ethics hallmark Moral imperative: board oversight of mission and structure of community partnerships Partnership consensus: process-related governance ethics hallmark Moral imperative: board oversight of collaboration within community partnerships Partnership performance: practice-related governance ethics hallmark Moral imperative: board oversight of performance improvement in community partnerships Conclusion 7 Governance of patient care quality Introduction Need for board oversight of patient care quality Board transparency: foundation-related governance ethics hallmark Moral imperative: board oversight of the development of trust to support patient care quality Board responsiveness: process-related governance ethics hallmark Moral imperative: board oversight of factors contributing to support patient care quality Board mechanisms for patient care quality: practice-related governance ethics hallmark Moral imperative: board oversight of the social contract for patient care quality Conclusion 8 Governance of patient safety Introduction Need for board oversight of patient safety Error prevention: foundation-related governance ethics hallmark Moral imperative: board oversight of a systems approach for patient safety Deliberative processes for patient safety: process-related governance ethics hallmark Moral imperative: board oversight of proactive deliberations for patient safety Practical mechanisms for patient safety: practice-related governance ethics hallmark Moral imperative: board oversight of a patient safety culture Conclusion 9 Governance of conflicted collaborative arrangements Introduction Need for a moral principle of cooperation Organizational reputation: foundation-related governance ethics hallmark Moral imperative: board oversight of organizational flexibility Institutional negotiations: process-related governance ethics hallmark Moral imperative: board oversight of the process of cooperation Collaborative arrangements: practice-related governance ethics hallmark Moral imperative: board oversight of maintaining quality care services Conclusion 10 Governance and virtuous organizations Bibliography Index