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A Dashboard to Improve the Alignment of Healthcare Organization Decisionmaking to Core Values and Mission Statement

  • TIMOTHY LAHEY and WILLIAM NELSON

Abstract:

The mission and value statements of healthcare organizations serve as the foundational philosophy that informs all aspects of the organization. The ultimate goal is seamless alignment of values to mission in a way that colors the overall life and culture of the organization. However, full alignment between healthcare organizational values and mission in a fashion that influences the daily life and culture of healthcare organizations does not always occur. Grounded in the belief that a lack of organizational alignment to explicit organizational mission and value statements often stems from the failure to develop processes that enable realization of the leadership’s good intentions, the authors propose an organizational ethics dashboard to empower leaders of healthcare organizations to assess the adequacy of systems in place to support alignment with the stated ethical mission.

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This CQ section will address ethical challenges arising in the actions and decisions made by health care institutions or a health care system. Organizational ethics articles shift the focus from individual patients to the broader context of the organization, including its mission, values, financial management and health care delivery practices. Readers are invited to contact Bill Nelson to propose a submission at: william.a.nelson@dartmouth.edu

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Notes

1. Darr, K. Ethics in Health Services Management. Sixth ed. Baltimore: Health Professions Press, Inc.; 2019:1.

2. Nelson, WA. The imperative of a moral compass-driven healthcare organization. Front Health Serv Manage 2013;30(1):3945.

3. See note 1, Darr, 2019:1.

4. Nelson, WA, Forcino, RC, Elwyn, G. Patient-centered organizational statements: Merely rhetoric? A survey of health care leaders. The Health Care Manager (Frederick) 2017;36(4):342–6.

5. Nelson, WA, Taylor, E, Walsh, T. Building an ethical organizational culture. The Health Care Manager (Frederick) 2014;33(2):158–64.

6. Nelson, WA. Avoiding blinded healthcare leadership. Healthcare Executive 2014;29(6):46, at 8–9.

7. Sabin, JE. How can clinical ethics committees take on organizational ethics? Some practical suggestions. Journal of Clinical Ethics 2016;27(2):111–6.

8. Tarzian, AJ, Asbh Core Competencies Update Task Force. Health care ethics consultation: An update on core competencies and emerging standards from the American Society For Bioethics and Humanities’ core competencies update task force. The American Journal of Bioethics 2013;13(2):313.

9. Cohen, JH, Foglia, MB, Kwong, K, Pearlman, R, Fox, E. How do healthcare employees rate the ethics of their organization? An analysis based on VA IntegratedEthics@ Staff Survey Data. Journal of Healthcare Managagement 2015;60(3):169–84.

10. Pearlman, RA, Bottrell, MM, Altemose, J, Foglia, MB, Fox, E. The IntegratedEthicsTM Staff Survey: A tool to evaluate and improve ethical practices in health care. AJOB Primary Research 2013;4(1):719.

This CQ section will address ethical challenges arising in the actions and decisions made by health care institutions or a health care system. Organizational ethics articles shift the focus from individual patients to the broader context of the organization, including its mission, values, financial management and health care delivery practices. Readers are invited to contact Bill Nelson to propose a submission at:

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A Dashboard to Improve the Alignment of Healthcare Organization Decisionmaking to Core Values and Mission Statement

  • TIMOTHY LAHEY and WILLIAM NELSON

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