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Ethical Leadership Toolkit - National Center for Ethics in Health ...

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<strong>Ethical</strong> <strong>Leadership</strong> <strong>Toolkit</strong> – Instructions <strong>for</strong> the Coord<strong>in</strong>ator<br />

organizational needs. The Integrated<strong>Ethics</strong> primers, video courses, and onl<strong>in</strong>e<br />

learn<strong>in</strong>g modules can serve as basic resources <strong>for</strong> staff education. Ef<strong>for</strong>ts to educate<br />

staff <strong>in</strong> ethics consultation and preventive ethics can be delegated to those functions.<br />

<strong>Ethics</strong> education should also be regularly <strong>in</strong>corporated <strong>in</strong>to ongo<strong>in</strong>g educational<br />

activities, such as grand rounds, case conferences, <strong>in</strong>services, and annual meet<strong>in</strong>gs.<br />

Update policy related to ethics <strong>in</strong> health care. In addition to develop<strong>in</strong>g policy <strong>for</strong><br />

your Integrated<strong>Ethics</strong> program, the council is responsible <strong>for</strong> ensur<strong>in</strong>g that facility<br />

policies relat<strong>in</strong>g to ethics <strong>in</strong> health care—such as <strong>in</strong><strong>for</strong>med consent <strong>for</strong> treatments<br />

and procedures, advance directives, or end-of-life care—meet the requirements of<br />

VA national policy <strong>in</strong> the relevant areas. The council or a designated subcommittee<br />

should also work with the preventive ethics team to identify and address local policy<br />

requirements—or lack of policy—that give rise to systemic ethics quality issues.<br />

Ensure that the facility meets accreditation standards <strong>for</strong> ethics. The council<br />

is responsible <strong>for</strong> develop<strong>in</strong>g specific action plans to ensure that the facility meets<br />

accreditation standards around ethics and is ready to meet those standards on an<br />

ongo<strong>in</strong>g basis. As of 2006, the Jo<strong>in</strong>t Commission on the Accreditation of <strong>Health</strong>care<br />

Organizations <strong>in</strong>cludes 24 standards explicitly perta<strong>in</strong><strong>in</strong>g to ethics, patient rights, and<br />

organizational responsibilities (RI.1–RI.3.1). It is the council’s responsibility to see that<br />

the facility meets these standards and those of other relevant accredit<strong>in</strong>g bodies.<br />

2.4

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