Values Based Decison Making: A Tool for Achieving the Goals of Healthcare - 3 views

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  #1 Eve Byrd on 27 Oct 14

   

  Mills, A.E., & Spencer, E.M., (2005) Values based decision making: a tool for achieving the
  goals of healthcare. HEC Forum, 17, 18 -32
  Mills and Spencer define values-based decision making as decision making based on values of the organization with less emphasis on rules and allowing for decisions that are complex when a goal is to provide patient centered care at a reasonable cost. Governance and management's understanding of values-based decision making is key to its success. The authors suggest that an ethics program can support implementation of values-based decision making by "ensuring that stakeholders are aware of the values and goals of the healthcare organization and motivate stakeholders to base their decisions on the values and goals of the organization." The authors point out that informal or "shadow" relationships influence decisions that an organization makes and usually depend on personal and social relationships. Such relationships can undermine the goals of the organization so the authors suggest that governance's role is to encourage communication and collaboration between stakeholders. Management must create an environment where informal rules and formal rules support achieving the healthcare organizations goals. Rules can "constrain and interfere with care, undermine morale, cause resentment and ultimately lower expectations of both employees and the organization." The authors sum up their points in "Roles and Rules - or Goals and Values." If leaders have both clinical and administrative skills, ideally governance and managers can "encourage relationships and adaptive, creative and flexible goal-oriented activity." Decision making which can suspend rules implies that its organization trusts and empowers its stakeholders to lead. It impacts the culture and climate of the organization.
  Background regarding the authors was not provided. The article was printed in the Netherlands but the information is transferrable, not specific to Netherlands healthcare system. The article provides practical information for applying the theoretical model.

   

  <div class="cArrow"> </div><div class="cContentInner">Mills, A.E., & Spencer, E.M., (2005) Values based decision making: a tool for achieving the <br /> goals of healthcare. HEC Forum, 17, 18 -32 <br /> Mills and Spencer define values-based decision making as decision making based on values of the organization with less emphasis on rules and allowing for decisions that are complex when a goal is to provide patient centered care at a reasonable cost. Governance and management's understanding of values-based decision making is key to its success. The authors suggest that an ethics program can support implementation of values-based decision making by "ensuring that stakeholders are aware of the values and goals of the healthcare organization and motivate stakeholders to base their decisions on the values and goals of the organization." The authors point out that informal or "shadow" relationships influence decisions that an organization makes and usually depend on personal and social relationships. Such relationships can undermine the goals of the organization so the authors suggest that governance's role is to encourage communication and collaboration between stakeholders. Management must create an environment where informal rules and formal rules support achieving the healthcare organizations goals. Rules can "constrain and interfere with care, undermine morale, cause resentment and ultimately lower expectations of both employees and the organization." The authors sum up their points in "Roles and Rules - or Goals and Values." If leaders have both clinical and administrative skills, ideally governance and managers can "encourage relationships and adaptive, creative and flexible goal-oriented activity." Decision making which can suspend rules implies that its organization trusts and empowers its stakeholders to lead. It impacts the culture and climate of the organization. <br /> Background regarding the authors was not provided. The article was printed in the Netherlands but the information is transferrable, not specific to Netherlands healthcare system. The article provides practical information for applying the theoretical model.</div>

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  #2 Phyllis Wright on 29 Oct 14

   

  This values based decision making approach has been used successfully in businesses such as the Ritz Carlton to empower employees based on the values of the organization. I often wonder why it takes us so long in health care to employ a broader base of autonomy for excellence.

   

  <div class="cArrow"> </div><div class="cContentInner">This values based decision making approach has been used successfully in businesses such as the Ritz Carlton to empower employees based on the values of the organization. I often wonder why it takes us so long in health care to employ a broader base of autonomy for excellence.</div>

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