Ethics and Management

"GOOD PRACTICE IS GOOD ETHICS IS GOOD MANAGEMENT POLICY": APPLICATION OF THE JCAHO ETHICAL REQUIREMENTS

The Joint Commission on Accreditation of Health Organizations (JCAHO) establishes standards for health organizations that cover a wide spectrum of operations and responsibilities. One area for which standards are established by the JCAHO is ethics. Ethical standards for health organizations apply to clinical practice, research, and all other aspects of the management of health organizations (Joint Commission on Accreditation of Health Organizations, 1996c).

To be accredited by the JCAHO, a health organization must be rated satisfactory on an assessment of the organization conducted by the JCAHO. This assessment covers all JCAHO standards. Assessments are conducted as an on-site survey of a health organizations operations and responsibilities (Joint Commission on Accreditation of Health Organizations, 1996a).

The principal focus of all standards developed for the JCAHO is on the patient. While the specifics of a standard for a particular performance area may emphasize the clinical or operational aspects of that performance area, the ultimate intend of the performance standard is the outcome for the patient (Joint Commission on Accreditation of Health Organizations, 1996b).

This research reviews the ethical standards required by the JCAHO for health organizations generally and for hospitals specifically. The ethical standards required by the JCAHO for

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