Ethical Culture of Conduct Report

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    University Of Wollongong

    Sydney Business School

    Corporate Governance

    TBS-909

    Creating a Culture of Ethical Conduct and Social

    Responsibility in a Public Sector Agency

    Abdel razzaq AbuShahout

    3954808

    July 19th. 2012

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    Words Count: 2836

    Executive Summary

    In the next couple of pages of this report we will be discovering an

    important sub-factor that contributes in the prosperity of the public

    agency, as is the ethical aspect and social responsibility, as the drivers

    not only for survival but actually they have been showing high results in

    term of profitability and competitive advantage. Though, precisely the

    report focuses on how to create the code of ethical conduct and social

    responsibility, that could be adhered by all the agency pillars,

    accordingly, by explaining and exemplifying the fundamentals on how

    to create successful code of conduct, proceeding to components of

    successful ethical code of conduct, which spins over leading by example,the role of human recourses department and the positive correlation

    between the agency social responsibility and the code of ethics.

    Finally, some recommendations provided for public sector bodies to

    establish effective code of ethical conduct according to the previous

    results.

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    Table of Contents

    Executive Summary.................................................................................................... 2

    Introduction................................................................................................................. 5

    Fundamentals that support a successful code program ................................... 7

    Elements and Motivation of Ethical Culture ..................................................... 7

    Components of a successful code program ......................................................... 9

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    Leadership and Top Management Commitment towards Ethical Culture 9

    Human Resources Development Techniques ................................................. 12

    Public Agency Social Responsibility ................................................................. 13

    Conclusion.................................................................................................................. 17

    Recommendations ................................................................................................... 18

    References.................................................................................................................. 20

    Appendices................................................................................................................. 24

    Table (1.0): Ethical Guideline for Medical Practitioners............................... 26

    Figure (1.0): Likelyhood of being satisfied with Organisation Top

    Management .......................................................................................................... 26

    Figure (2.0): Likelyhood of observing some type of misconduct by senior

    executive ................................................................................................................. 27

    Table (2.0): Health Care Practitioners Ethics Self-assessment ................... 31

    Table (3.0):Self constructed CSR Indicators for public agency .................. 33

    Figure (3.0): G.S.R Model..................................................................................... 33

    Figure (4.0): Social Responsibility Sustainable Development .................... 34

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    Introduction

    Ethics in operations is not a new movement in agency environment, however,

    what we have seen in the last decade of global agencies collapses affecting

    the whole world of unforgettable financial recession period, urge us to be

    more aware and emphasise on ethical conduct in the operational side of the

    business which reflects on the commercial side (Bowen et al. 2003). In spite of,

    the emergence of different corporate governance mechanisms to govern

    these operations, taken into consideration different theories spanning from

    normative stakeholders theory as a framework for corporate ethics and

    management, which addresses morals and ethical values in the management

    of corporate and other agencies (Qfinance.com 2012). Expanded to

    stockholders theory to be applied between agencies to maximise stockholders

    profitability while complying with the laws (Villines 2010), and ultimately social

    contract theory that focuses on improving the wellbeing of corporation and

    the overall welfare of society by setting rules to govern behaviors, where

    rational people would accept, on the condition that others accept them as

    well (Jones 2011; CSUS.edu n.d).

    Nevertheless, agencies that strive at least to maintain its position in the

    market during tough times they relies on their reputation, as according to

    executives survey 60% of agencies market value resulting from its reputation

    (McCafferty 2012). Therefore, when it comes to building an immune agency

    environment its believed that its culture the main driver for the agency

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    reputation according to the survey conducted by MWW Group for over than

    100 institutions (Rather 2012), though, when the agency initially starts or

    develop its culture they are optimistic of the results will be attained in practice,

    of higher reputation, trustable agency to gain higher the profitability, in sense

    its stimulates and satisfies public interest as employees are fairly treated,

    management leads by example and different stakeholders want to be a part

    of its operations to gain mutual monetary benefit (Allegiance 2008).

    Shortly after, the benefits gained from establishing a culture of ethical

    conduct are real. Hence, agency should understand the absence of not having

    such kind of culture it would be costly in way or another to the agency,

    formed of moral hazard, fraud, corruption and toxic work environment

    impacting the overall prosper of the agency (Ethicsa.org 2012). Since then,

    public agencies put efforts to determine and set up the pits and parts needed

    to develop an ethical culture comprises ethical leadership, senior

    management reinforcement, individuals commitment to ethics derived from

    their own or agency official values (Mintz, S & Sage, A 2012) increase

    feasibility and transparency (DNB 2009).

    Therefore, particularly as a public sector agency they have to develop their

    own ethical culture of conduct, that support its main values as main stream to

    serve public interest. Though, it has to be break into three levels therein, as

    suggested by Johnson & Scholes cited in (ACG.com 2012), firstly, macro level

    concern of society, secondly, agency level concern of social responsibility and

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    ethical issues related to implementation of strategies and thirdly, individual

    level concern of workforce ethical behaviour, consequently, incorporating

    both terminologies ethics and corporate governance in the agency structure

    to be able to meet different needs of individuals and stakeholders.

    Fundamentals that support a successful code program

    Elements and Motivation of Ethical Culture

    Indeed, to be able to develop a culture of ethical conduct we have to address

    what the public agency needed to be concerned of, for instance, public

    agencies over the last decade become more aware of the concept of total

    quality management, ongoing improvement and social responsibility.

    Accordingly, these concerns impacting positively the agency culture, in the

    way they doing business, to contribute in further improvements regarding

    efficiency and effectiveness of operations resulting of higher stakeholders

    satisfaction, higher retention of workforce, above all higher potentiality of

    sustainability (GSR 2012). Accordingly, towards this direction we need to

    develop a holistic approach to introduce the required change in corporate

    culture, to enable cohesive integration between the social, economical and

    environmental aspects to build upon it to achieve sustainability. Therefore,

    this transitional approach here will be highly effective if high collaboration

    between stakeholders, such as (national-local government, higher education

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    institutions, social partners, community groups, private enterprises, chamber

    of commerce and NGOsetc.), engaged to share their expertise and know-

    how to develop a baseline of agreed ethics (GSR 2012). As a result, this

    network will help public agencies to agree on and constantly communicated

    well-defined objectives, that are aligned with their ethical endeavor mission to

    embrace a set of accepted morals required in daily interactions (Merchant

    2012), hence, forming an ethical guideline, which fundamentally epitomise the

    overall code of ethical conduct (Merchant 2012).

    A good example fits in this area is the public health care sector as it aims to

    provide a holistic health awareness among health care providers, to offer high

    quality health care for patients. Hence, an annual conference to be held for

    medical staff and administrative members, to share the knowledge and

    experience regarding various situations to ease making ethical decisions,

    however, they are guided by universal practice principles endorsed by

    international Society of Holistic Health (ISHH), to fulfill public perception of

    health care sector quality, table (1.0) in appendices shows basic guideline for

    health care practitioners to comply with. Certainly, similar modified table that

    serves the public interest should be used in any public agency. However,

    according to the Australian health care system even effective governance in

    place that only could remove the barriers, more delegation, better allocation

    of resources, but does not mean solving patients care problems rather than

    creating enabler environment to solve issues effectively and efficiently in

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    ethical manner, which is what should be sought in any Australian health care

    provider (Dwyer & Eager 2008).

    Components of a successful code program

    Leadership and Top Management Commitment towards Ethical

    Culture

    Top managers commitment is threshold to an ethical culture of conduct,

    because there is no point to invest in implementing ethics and compliance

    program, unless there is a foreseeable initiatives by the top level managers as

    motivations to engage all lower levels personnel, thus, those top managers

    become as an fulfilling example for fellow workers as shown in figure (1.0),

    Therefore, as they became leaders they should stand up for their values and

    balancing public interests inside/outside to prevent conflicts, as well as, they

    Should be transparent and consistent in their words and deeds, additionally,

    tailoring HR policies, they should go through development programs focuses

    on how to encourage employees to behave ethically, protect them from

    unethical behavior consequences and openly recognise competencies at lower

    level through monitoring and open discussion for ethical issues (DNB 2009).

    Otherwise, as an implication the principles of ethical conduct will not be

    actually followed by the employees in the organisation (Singh 2012 ).

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    Certainly, to ensure higher level of compliance and ethical conduct corporate

    could establish ethics office, to take care of monitoring what others doing

    regarding ethical decision-making to help keep the company out of the dog

    house, and to help maintain/restore the companys reputation when

    unethical or compliance issues faced (Bednar 2007).

    More importantly, without buy-in and the supportive role of senior

    management more likely any code of ethics initiatives will jam at this level,

    thus, senior managers has significant contribution in communicating a clear

    understanding of agency strategic direction, as long as they are able to build

    relationships with their followers based on trust, as agencies with high level of

    trust have three folds shareholders return in comparison with its peers with

    lower level of trust (Trevino & Nelson 2010, p.228), which will ease showing

    their ethical behaviour, by acting ethically all the time and frequently point

    out clearly ordered core values and widely shared ethics of the agency, as

    many agencies try to indicate its core values in relation to some extent to

    reputation-drivers (transparency, credibility, reliability, liability); hyper-

    norms (openness, equality, empathy, integrity, expectedness, accountability);

    and ethical-decision criteria (cost of an action, observance of duties, rights

    and/or justice and expected skill) (Ethicscentre.org 2008), to be in the best

    interest of stakeholders related to decision making process, as well provide

    practical guidance on how employees adhere to those code of conduct as

    standard operating procedures (SOP) (Walker 2010; Ehrich et al. 2004), this

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    ethical leadership requires modeling, coaching, and careful communication

    (McGunagle 2011). Therefore, since we have determined which is the core

    values that suits the corporation strategic direction, then senior management

    are able to clarify the roles and assign responsibilities at all pillars, by defining

    each position classification standards and the reporting channels to ensure

    everyone are able to contact at anytime the ethics office to guarantee

    transparency and accountability (opm.gov 2009). Though, impedes

    environment of misconduct as shown in figure (2.0).

    Exemplifying the prior theoretical platform of building ethical culture by how

    the healthcare executive plays fundamental role, to cope with todays public

    interest from health care, hence, those executives has to review, reflect and

    foster change in culture required to their corporations operations, basically as

    first they starts by taking the self-assessment provided by ACHEs ethics as

    shown briefly in table (2.0), based on that they start reviewing the agency

    statement of values and clearly crossing the message during interviews,

    orientations and usually need to be aligned/tailored with employees position

    description, as well as determine rewards and punishments on some types of

    behaviors. Most importantly, health care managers must ensure existence of

    ethics-oriented system to proactively promote ethical practices and address

    uncertain situations with engagement of all staff members in daily operations

    (Nelson & Donnellan 2009). For example, as procurement in health care reflect

    the performance of the system for resources allocation and reduce the system

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    rigidities, therefore, decentralising the decision-making is the best option but

    that could lead to unethical practices within procurement department

    personnel, such as inaccurate billing, bias contracts, briberyetc. with the

    existence of understood sound ethical (SOP), which will act as deterrent for

    those vulnerabilities done by any person who pretend adhering to ethical

    code of conduct (Nelson & Donnellan 2009). Accordingly, achieving

    corporatisation as refers to restructuring health sector in term of

    management decision-making and mimics the structure and efficiency of

    private sector while assuring that social needs precisely met (Dwyer & Eager

    2008).

    Human Resources Development Techniques

    Another enabler for ethical and social responsible culture is acquiring best

    practices in human resources department, to define a definite ethics baseline

    in the agency, which will help in recruitment and selection processes.

    Therefore, we are able to examine candidates personal believes in ethics and

    social awareness during interviews, by providing previous ethical dilemmas

    they went through, and ask for solutions for ethical situations they could face,

    e.g. what is their response to receiving a free gift from a vendor? Or, their

    reaction on misconduct by colleague? and so on, Consequently, if they were

    successful applicants they will be asked to read and agree by signing-off well

    written code of conduct provide basic awareness of how the operations is

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    conducted and agency expectation of them (Walker 2010). Later on, HR

    department has bigger contribution role by providing intensive training

    sessions, that differ from top managers/seniors or junior employees according

    to different assessment criterias that takes differences into account

    (Levanon & Choi 2006). As well it does not have the same effect on all level of

    employees (Ethics.org 2006). Thereby, it should be broken down to provide

    more focused training experience based on particular job, culture and level

    (Giacolone & Knouse n.d).

    In that sense, HR leaders has to make employees accountable for their

    behaviors, through strategies of punishments for ethical infractions, such as

    rehabilitation to get them back on track and teach them how to do the right

    things, and setting them as an example for their colleagues as deterrence of

    ethics offending. Ultimately, the most powerful way to make them adhere to

    ethics is by considering ethical standards in promotion, as criterion for

    advancement in the organization (Giacolone & Knouse n.d).

    Public Agency Social Responsibility

    Accordingly, within this context the existence on effective code of ethical

    conduct will lead the agencys individual leaders and subordinates to be self

    responsive to societal issues, as in general public agencies want to build

    trustful relationship with stakeholders, which could not be succeed unless the

    public perceives these actions is honest (Regency.org 2008), hence, over the

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    last years many governmental funded agencies starts performing some

    activities related to their social responsibility, knowing that those imperatives

    are whether inner-driven (e.g. trustworthiness, integrity, transparency)/ outer-

    driven (e.g. social norms: equality, compassion, responsibility). However,

    within the Australian public agencies environment those drivers are made

    known respectively as recruitment (staff retention), public (perception) and

    cost management are the leading drivers for government social responsibility

    (GSR) initiatives (Thornton 2011). Therefore, initially we need construct a

    supportive factor for social responsible culture, according to the Australian

    centre of CSR (ACCSR) we should define number of indicators to measure the

    corporate performance towards its social responsibilities, that it has been

    already incorporated within the operations strategies at all pillars vertically

    and horizontally from different perspectives, as shown in table (3.0).

    Afterwards, as we implemented the basics of the SR culture, here the ethics

    and compliance officials contribute to transform our workforce mindsets, to

    increase their awareness for areas are vulnerable to public scepticism, such as

    productivity and quality of services offered (Hills et al. 2009), through, HR

    practices discussed previously. Hence, if we particularly focus on the new GSR

    model developed by South East Europe (SEE) programme regions in figure

    (3.0), we would be able to address specific issues surrounding innovation,

    environment, accessibility and the prosperous sustainable growth areas in

    countries that have low-level of corruption to consider as bigger issue than

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    environment, thus, as clarified by global CEO survey findings to focus on by

    2014, for agencies who relies on governments as source of revenues, those

    areas are environmental and SR practices, as such eco-friendly products and

    services, retaining the right people for eco-innovative strategy and more

    importantly, more attention on risk management to protect themselves of

    depletion of natural resources (PwC.com 2011).

    Accordingly, NSW state transit provide closer example as a leader in buses

    industry in environment management, after the implementation of

    environmental management system, allowing state transit develops its

    policies relying on environmental principles, basically, to deliver safe, reliable

    and environmentally sustainable services at affordable prices (Statetransit.info

    2012). Therefore, senior managers public duty towards their commitment in

    fostering employees environmental responsibility, by proactive identification

    and manage environmental risks, setting targets and on-going measuring

    results against the indicators of success (Statetransit.info 2011), towards best

    practices of environmental standards, adhering to AS/NZS ISO 9001:2008 and

    ISO 26000:2010 as a guidance on social responsibility, as well as promoting

    awareness of the benefits of creating sustainable environment, between all

    employees, contractors, suppliers and governmental bodies to deliver better

    air quality, less obstruction, enhance energy and reduce wastes to achieve

    resource efficiency. Therefore, by providing lead by example activities and

    measures such as, improve energy efficiency in government facilities to

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    reduce GHG emissions (Epa.gov 2012), more precisely in procuring energy

    efficient products, simply by inclosing a single clause in contracts to ensure

    vendors aware of supplying products that meets the ENERGY STAR

    specifications (Energystar.gov 2012). As if we look at figure (4.0) all sectors

    should contribute and collaborate to communicate, share the knowledge and

    resources needed to meet these obligations toward sustainable development

    of social responsible culture. As a result, public encouraged to use accessible

    public transport services as they would be expected from state transit

    compliance with laws, policies and procedures, maintains higher level of

    probity of operations, while being honest and transparent in dealing with

    stakeholders in accordance to code of conduct.

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    Conclusion

    Consequently, as we have acquired the basics for ethical and social

    responsible culture, based on implied values and public interest in strategies,

    any public agency will observe the results while monitoring both financial or

    performance indicators, and touch the benefits of less misconduct practices,

    increase reporting, higher satisfaction, higher risks preparations and reduction

    of pressure to compromise ethical principles. Henceforth, the agency will able

    to manage ethical values in different managerial positions, as all pillars

    adhered to consistent ethical value-oriented standards. In term of social

    responsibility, the agency will touch increase in profits as long as its stays

    within the rules of the game (Glynn 2012).

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    Recommendations

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    The agency key personnel with supervision of government bodies are

    responsible for its prosperity while encountering issues related to corporate

    governance, social responsibility and ethics. Therefore, we recommend for

    them:

    Firstly, to develop as much as possible communication networks with key

    stakeholders to identify/ resolve potential unethical issues for ethical conduct.

    Secondly, ideally for a public agency to periodically revisit its values and

    standards to keep communicating fresh message that cope with

    environmental changes.

    Thirdly, empowering agencys seniors as a backbone of ethical culture.

    Fourthly, consistently reassessing training programs to ensure crossing the

    messages of values.

    Fifthly, having ethics officers from a diverse background anticipates good

    compliance and culture of ethical conduct.

    Sixthly, conducting 360o feedback to check ethical perception between

    management levels.

    Finally, establishing an effective reward and punishment criteria that

    everybody aware of in conducting daily operations.

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    Appendices

    ETHICAL GUIDELINES FOR MEDICAL PRACTIONERS

    http://www.livskvalitet.org/pdf/IJCHD-2008-1_1_-Bell-ISSH_Ethics.pdfhttp://www.livskvalitet.org/pdf/IJCHD-2008-1_1_-Bell-ISSH_Ethics.pdfhttp://www.livskvalitet.org/pdf/IJCHD-2008-1_1_-Bell-ISSH_Ethics.pdfhttp://www.livskvalitet.org/pdf/IJCHD-2008-1_1_-Bell-ISSH_Ethics.pdfhttp://voices.yahoo.com/philosophy-summary-explanation-milton-friedmans-5536557.htmlhttp://voices.yahoo.com/philosophy-summary-explanation-milton-friedmans-5536557.htmlhttp://voices.yahoo.com/philosophy-summary-explanation-milton-friedmans-5536557.htmlhttp://tfoxlaw.wordpress.com/2010/07/27/integrating-ethics-and-compliance-into-the-entire-organization/http://tfoxlaw.wordpress.com/2010/07/27/integrating-ethics-and-compliance-into-the-entire-organization/http://tfoxlaw.wordpress.com/2010/07/27/integrating-ethics-and-compliance-into-the-entire-organization/http://tfoxlaw.wordpress.com/2010/07/27/integrating-ethics-and-compliance-into-the-entire-organization/http://tfoxlaw.wordpress.com/2010/07/27/integrating-ethics-and-compliance-into-the-entire-organization/http://tfoxlaw.wordpress.com/2010/07/27/integrating-ethics-and-compliance-into-the-entire-organization/http://voices.yahoo.com/philosophy-summary-explanation-milton-friedmans-5536557.htmlhttp://voices.yahoo.com/philosophy-summary-explanation-milton-friedmans-5536557.htmlhttp://www.livskvalitet.org/pdf/IJCHD-2008-1_1_-Bell-ISSH_Ethics.pdfhttp://www.livskvalitet.org/pdf/IJCHD-2008-1_1_-Bell-ISSH_Ethics.pdf
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    Values and Laws

    Compassion

    Mutual trust

    Respect for the patients integrity

    Human rights

    Truth and justice to the patient and society

    National laws

    Informed approval

    Confidentiality

    Delivering healthcare

    Give information regarding the purpose, content,

    duration, cost of treatment and complaint rules.

    Build the practice on evidence.

    Use methods that are validated.

    Use methods one can master.

    Use methods that do not harm.

    Place concern for the patient as paramount when

    trying out methods.

    Keep records (10 years) that patients can read.

    Conduct research, develop and test new methods

    of diagnosis and treatment to high standards of

    quality research practice.

    Monitor and evaluate results.

    Develop and improve ones practice. Use ones resources fairly.

    Relationship to

    colleagues

    Be respectful.

    Involve raising misconduct by other practitioners

    directly with them in a caring way; secondly with

    authorities.

    Not express criticism of colleagues in front of

    patients.

    Be transparent, sharing, and open, assuming

    informed consent in patient matters.

    Not involve inappropriate interference in, or

    prevention of, treatment given by others.

    Relations with patients

    Disrespect the patients right to choose

    (treatment, life or death).

    Assist actively in ending life.

    Exploit or manipulate the patient economically,

    philosophically, religiously, sexually or in any other

    way (the consent of the patient does not free the

    practitioner from this duty).

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    Engage in a sexual relationship with the patient.

    Promise to cure the patient, or hinder the patient

    receiving help from others.

    Table (1.0): Ethical Guideline for Medical Practitioners

    Source: (Vibe et al. 2008).

    Figure (1.0): Likelihood of being satisfied with Organisation Top Management

    Source: (Ethics.org 2006).

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    Figure (2.0): Likelihood of observing some type of misconduct by senior

    executives

    Source: (Ethics.org 2006)

    ASPECT OF ETHICS

    Almost

    never

    Occasiona

    ll Usually

    Always

    Not

    Leadership

    I take courageous, consistent and appropriate management

    actions to overcome barriers to achieving my organizations

    mission.

    I place community/patient benefit over my personal gain.

    I strive to be a role model for ethical behavior to conflict

    resolution.

    I work to ensure that decisions about access to care are based

    primarily on medical necessity, not only on the ability to pay.

    My statements and actions are honest, consistent with

    professional ethical standards, including the ACHE Code of Ethics.

    I advocate ethical decision-making by the board, management

    team and medical staff.

    I initiate and encourage discussion of the ethical aspects of

    management/financial issues.

    I demonstrate respect for my colleagues, superiors and staff.

    I demonstrate my organizations vision, mission and value

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    statements in my actions.

    I seek the advice of the ethics committee when making ethically

    challenging decisions.

    Relationships

    Community

    I promote community health status improvement as a guiding

    goal of my organization and as a cornerstone of my efforts on

    behalf of my organization.

    I personally devote time to developing solutions to community

    health problems.

    I participate in and encourage my management team to devote

    personal time to community service.

    Patients and Their Families

    I use a patient- and family-centered approach to patient care.

    I am a patient advocate on both clinical and financial I ensure

    equitable treatment of patients regardless of their socioeconomicstatus, ethnicity or payer category.

    I demonstrate through organizational policies and personal

    actions that overtreatment and under treatment of patients are

    unacceptable.

    I protect patients rights to autonomy through access to full,

    accurate information about their illnesses, treatment options and

    related costs and benefits.

    I promote a patients right to privacy, including medical record

    confidentiality, and do not tolerate breaches of this

    confidentiality.

    Board

    I have a routine system in place for board members to make full

    disclosure and reveal potential conflicts of interest, financial

    manipulation, clinical malpracticesetc.

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    I ensure that reports to the board, my own or others

    appropriately convey risks of decisions or proposed projects.

    I work to keep the board focused on ethical issues of importance

    to the organization, community and other stakeholders.

    I keep the board appropriately informed of patient safety and

    quality indicators.

    Colleagues and Staff

    I foster discussions about ethical concerns when they arise.

    I demonstrate through personal actions and organizational

    policies zero tolerance for any form of staff harassment.

    I encourage discussions about and advocate for the

    implementation of the organizations code of ethics and value

    statements.

    I expect and hold staff accountable for adherence to our

    organizations ethical standards.

    I demonstrate that incompetent supervision is not tolerated and

    make timely decisions regarding marginally performing managers.

    I ensure adherence to ethics-related policies and practices

    affecting patients and staff.

    I am sensitive to employees who have ethical concerns and

    facilitate resolution of these concerns.

    I encourage the use of organizational mechanisms (e.g., an ethics

    committee or program) and other ethics resources to address

    ethical issues.

    I act quickly and decisively when employees are not treated fairly

    in their relationships with other employees.

    I hold all staff and clinical/business partners accountable for

    compliance with professional standards, including ethical

    behavior.

    Clinicians

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    When problems arise with clinical care, I ensure that the problems

    receive prompt attention and resolution by the responsible

    parties.

    I insist that my organizations clinical practice guidelines areconsistent with our vision, mission, value statements and ethical

    standards of practice.

    When practice variations in care suggest quality of care is at stake,

    I encourage timely actions that serve patients interests.

    I encourage clinicians to access ethics resources when ethical

    conflicts occur.

    I encourage resource allocation that is equitable, is based on

    clinical needs and appropriately balances patient needs and

    organizational/clinical resources.

    I expeditiously and forthrightly deal with impaired clinicians and

    take necessary action when I believe a clinician is not competent

    to perform his/her clinical duties.

    I expect and hold clinicians accountable for adhering to their

    professional and the organizations ethical practices.

    Buyers, Payers and Suppliers

    I negotiate and expect my management team to negotiate in good

    faith.

    I am mindful of the importance of avoiding even the appearance

    of wrongdoing, conflict of interest, or interference with free

    competition.

    I personally disclose and expect board members, staff members

    and clinicians to disclose any possible conflicts of interest before

    pursuing or entering into relationships with potential business

    partners.

    I promote familiarity and compliance with organizational policies

    governing relationships with buyers, payers and suppliers.

    I set an example for others in my organization by not accepting

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    personal gifts from suppliers.

    Table (2.0): Health Care Practitioners Ethics Self-assessment

    Source: (ache.org 2012).

    Standard

    Disclosures

    Indicator Descriptor

    Indicator:

    Profile

    Statement from the most senior decision-maker of the

    organisation (e.g., CEO, chair, or equivalent senior position) about

    the relevance of sustainability to the organisation and its strategy.

    Basis for identification and selection of stakeholders with whom to

    engage

    Governance structure of the organisation, including committees

    http://www.ache.org/http://www.ache.org/
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    under the highest governance body responsible for specific tasks,

    such as setting strategy or organisational oversight.

    Mechanisms for shareholders and employees to provide

    recommendations or direction to the highest governance body.Indicators:

    Economic

    Direct economic value generated and distributed, including

    revenues, operating costs, employee compensation, donations and

    other community investments, retained earnings, and payments to

    capital providers and to governments.

    Development and impact of infrastructure investments and

    services provided primarily for public benefit through commercial,

    in-kind or pro bono engagement.

    Policy, practices and proportion of spending on locally based

    suppliers at significant locations of operation.

    Indicators:

    Environment

    Initiatives to mitigate environmental impacts of products and

    services and extent of impact reduction.

    Indicators:

    Human Rights

    Total number of incidents of (discrimination/workforce

    treatment/workplace environmentetc.) and actions taken.

    Indicators:

    Labour Rights

    Percentage of employees receiving regular performance and career

    development review.Rates of injury, occupational diseases, lost days and absenteeism

    and total number of work-related fatalities by region.

    Average hours of training per year per employee broken down by

    employee category.

    Programs for skills management and wellbeing learning that

    support the continued employability of employees and assist them

    in managing career endings.

    Indicators:

    Product/Service

    Responsibility

    Practices related to customer satisfaction, including results of

    surveys measuring customer satisfaction.

    Procedures for adherence to laws, standards and voluntary codes

    related to marketing communications including advertising,

    promotion and sponsorship.

    Total number of substantiated complaints regarding breaches of

    customer privacy and losses of customer data.

    Indicators: Public policy positions and participation in public policy

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    Social development and lobbying.

    Total value of financial and in-kind contributions to political

    parties, politicians, and related institutions by country.

    Table (3.0): Self constructed CSR Indicators for public agency

    Source: (ACCSR.com.au 2012).

    Figure (3.0): G.S.R Model: An Innovative approach of quality in governamental

    operations and outcomes

    Source : (GSR 2012).

    Innovation Accessibility

    EnvironmentSustainable

    GrowthAreas

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    Figure (4.0): Social Responsibility Sustainable Development

    Source : (SpringersImages.com n.d).