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Building an Organizational Ethics Program on a Clinical Ethics Foundation.

Timothy Lahey1, Evan G DeRenzo2, Joshua Crites3

  • 1University of Vermont Medical Center, UVM's Larner College of Medicine, Burlington, Vermont USA. Timothy.Lahey@UVMhealth.org.

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Summary

Clinical ethicists can lead organizational ethics programs by developing new skills and collaborating with leaders. Incremental program building through quality improvement projects ensures alignment with organizational values.

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Area of Science:

  • Healthcare Management
  • Bioethics
  • Organizational Behavior

Background:

  • Organizational ethics programs address value tensions identified through clinical ethics consultations.
  • Clinical ethicists have core competencies for leading these programs but require additional skills.

Purpose of the Study:

  • To guide clinical ethicists in developing and leading organizational ethics programs.
  • To highlight necessary skill development and strategic approaches for program implementation.

Main Methods:

  • Suggests incremental program development via quality improvement projects.
  • Emphasizes collaboration with senior clinical and organizational leaders.
  • Recommends understanding differences between clinical and organizational ethics programs.

Main Results:

  • Clinical ethicists need expertise in healthcare delivery science, financing, and quality improvement.
  • Successful program development requires forging new partnerships across the organization.
  • Programs must be designed to align leadership decisions with organizational values.

Conclusions:

  • Clinical ethicists can effectively lead organizational ethics programs with strategic skill development and collaboration.
  • Incremental implementation using quality improvement methodologies is recommended.
  • Focusing on institutional needs assessments ensures program advocacy and value alignment.