Values Based Decision-Making (VBDM)

1. Values Based Decision-Making (VBDM) James J. McCartney, OSA, Ph.D. Associate Professor Department of Philosophy Villanova University Ethics Consultant, Catholic Health East

2. MAKING ETHICAL,VALUES-BASED DECISIONS INTODAY’S HEALTHCARE ENVIRONMENT

3. BUILT TO LAST: SUCCESSFUL HABITS OF VISIONARY COMPANIES James C. Collins & Jerry I. Porras

4. VISIONARY COMPANIES • PRESERVED: • Core values • Core purpose • CHANGED: • Culture and Operating Practices • Specific Goals and Strategies • Anything except the core values and purpose

5. Ethics can be described as “what we ought to do in the light of who we say we are.” Any process needs to assist decision makers in recalling who we say we are, as well as to clarify what it is we ought to do in this particular case. ETHICS

6. Organizational Ethics Definitions: • the intentional use of values to guide the decisions of a system • the intersection and integration of Christian ethics, business ethics, professional ethics, and clinical ethics within a Catholic health care organization • a process to address ethical issues associated with the business, financial, and management areas of health care organizations; as well as with professional, educational, and contractual relationships affecting the operation of the health care organization

7. Organizational Ethics Characteristics • proactive and not just reactive • organizationally integrated and not isolated • accountable according to measurable outcomes • oriented by institutional values

8. Catholic Health East and its affiliates are based upon a set of core values and a core purpose that influence all that we do and are, including the decisions we make. These decisions affect large numbers of people, have far-reaching implications, and, at times, involve multiple and apparently conflicting values. Operating Assumption

9. Ethics and values-based decision making will clarify how a particular decision will, or will not: • advance the mission of CHE and its affiliates • demonstrate our vision and values in action • realize our strategic goals, objectives and initiatives

10. USE OF VBDM WITHIN CHE • SMT: Possible acquisition of new hospitals • Atlanta: Future of heart transplant program • Camden: Future of Family Health Center • Philadelphia: Future use of a facility • Pittsburgh: Future use of a facility • Springfield: Future use of a facility • Human Resources: Nurses from Abroad • West Hartford: Union Issues

11. VBDM ---Board Presentations • CHE Board • St. Joseph’s (Atlanta) Board • Pittsburgh Mercy Board • Catholic Health System (Buffalo) Board • Mercy (Miami) Board • Mercy Community Health, (West Hartford) Board • St. James Mercy (Hornell, NY) Board