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Introduction

IRHA Conference 2012 “Unique Ethical Challenges in Rural Healthcare: How Should Leaders Respond?” Presented by: Indiana University MHA Faculty: Rob Matt & Sara Johnson, FACHE. Introduction.

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Introduction

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  1. IRHA Conference 2012“Unique Ethical Challenges in Rural Healthcare:How Should Leaders Respond?”Presented by: Indiana University MHA Faculty: Rob Matt & Sara Johnson, FACHE

  2. Introduction As faculty at the Indiana University Graduate Program in Health Administration, we are committed to education. We not only believe in education in the classroom but also the community. As practitioners in health administration, we are committed to shared learning. It is a great opportunity for us to make this presentation to the Indiana Rural Health Association members and guests. Through this presentation, our intent is to advance the performance of rural healthcare provider organizations by considering ethical challenges and solutions in a tough healthcare delivery environment. Rob Matt and Sara Johnson

  3. “Unique Ethical Challenges in Rural Healthcare” • Learning Objectives • Achieve an understanding of the unique ethical challenges of rural healthcare leadership in areas such as physician integration, community partnership, and staying focused on quality patient outcomes. • Become familiar with recent research on the topic of ethical challenges in rural healthcare. • Learn from each other via discussions of ethical challenges already being faced as the landscape of rural healthcare changes.

  4. “Unique Ethical Challenges in Rural Healthcare”II. Why all the talk about ethics today? Ethical issues may be caused by: • Changes in healthcare system • Changes in provider behavior • Provider expectations • Patient expectations (consumerism) • Community expectations • Cost drivers

  5. “Unique Ethical Challenges in Rural Healthcare” III. Definition of Ethics & its context for today’s Discussion The Four Principles of Ethics: “

  6. “Unique Ethical Challenges in Rural Healthcare” IV. Ethical Challenges – Some Examples • Professional/Personal Boundary Conflicts • Physician Recruitment/Retention • Mergers, Acquisitions, Partnerships • Community/Patient Perceptions • Staying Local • Other?

  7. “Unique Ethical Challenges in Rural Healthcare” V. Leadership Response • Understand Local Customs and Expectations B. Community Wide Education (how are you assisting your community’s understanding?) C. Higher Education Awareness

  8. “Unique Ethical Challenges in Rural Healthcare”Leadership Response cont’ • Ethics Committees/Internal Discussions E. Ethical Standards of Practice • ACHE (personal integrity and community health status) • Literature and shared learnings (handout-Mission Leader) F. Other suggestions?

  9. “Unique Ethical Challenges in Rural Healthcare” References and Resources A. References: • Handbook for Rural Health Care Ethics, Dartmouth College Press, University Press of New England, 2009. • McCruden, Patrick and Kuczewski, Mark, “Is Organizational Ethics the Remedy for Failure to Thrive? Toward an Understanding of Mission Leadership”, HEC Forum, 2006, 18 (4): 342-348. • Weber, Leonard J., Business Ethics in Healthcare, Indiana University Press, 2006. B. Resources: • www.ache.org/policy/Respon.cfm • www.ache.org/policy/merg.cfm

  10. “Unique Ethical Challenges in Rural Healthcare” Thank you!

  11. Contact Information: • Rob Matt, MPA • Vice President • Hancock Regional Hospital • 317-468-4552 • rmatt@hancockregional.org • Sara Johnson, MHA, FACHE • Lecturer and Director of Undergraduate Programs • IU School of Medicine • Department of Public Health • 317-278-5692 • smj3@iupui.edu

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