Index of resources – national center for ethics in health care gas 99 cents a litre

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• Action Kit: Leadership Strategies for Building an Ethical Environment and Culture – based on interviews with leaders in VA facilities with strong ethical environments and cultures, this action kit provides an overview of the kinds of strategies leaders use to influence the ethical environment and culture at their facility. (See also: full interview report.)

• Action Kit: Demonstrate that Ethics Matters to You: Model A Regular Discussion of Ethics – this action kit explores two options for systematic approaches to ethics discussions: a topical ethics meeting and a book club. By staking out time for discussing ethics with supervisors and managers, leaders can reinforce a facility-wide commitment to ethics, demonstrate that ethics matters to them, and encourage staff to discuss ethics in the open and often.

• Action Kit: Quadrad Ethics Office Hours – this Action Kit, designed for use by the facility director and other senior members of facility leadership, helps a facility to implement Office Hours, a strong practice that has been developed, tested and refined at other sites. Quadrad Ethics Office Hours provides a transparent, accessible and ongoing mechanism for senior leaders to hear about and handle ethical concerns from staff before they become triggers for a whistleblower event.

• Ethical Leadership Tips – Double-sided tips sheet to provide leaders quick and practical information about the Four Compass Points of Ethical Leadership. Included are examples, phrases, and discussion starters that leaders may incorporate into their daily work to enhance the ethical environment and culture in their facility or program office. (*Note that the document has been formatted to allow for double sided printing.)

• Peer Feedback Activity on Leadership Behaviors and the Organization’s Ethical Environment – based on the ELSA, this 15-minute group activity allows leaders to obtain information from their peers on behaviors that have had positive and negative effects on their organization’s ethical environment and culture

• Value of the Month Ethical Leadership Activities – a set of brief discussion activities that include value and discussion prompts, examples, and case studies. Intended for leaders at all levels, including committee chairs, to help employees articulate their individual values and improve mutual understanding of how values impact the work of the group or committee ( editable version)

• Employee Ethics Tips Pamphlet – Provides practical suggestions for how employees can support ethics and integrity in VA, and resources to help employees resolve ethics questions. Fillable format allows facilities to customize with local ethics contact information.

A special issue of AJOB Primary Research, a journal of the American Journal of Bioethics, features seven papers describing VA’s experience evaluating ethics quality in the VA health care system as part of IntegratedEthics (IE), VA’s comprehensive model for managing ethics in health care organizations.

• The IntegratedEthics Staff Survey (IESS) was developed to assess ethics practices in health care settings and to serve as a catalyst for the improvement of practices. IESS assesses staff perceptions of what they have observed and experienced related to ethics in health care. Background, use, and validity testing is described here.

• IntegratedEthics Facility Workbook – designed to help facilities assess current ethics quality, identify strengths as well as opportunities for improvement, set goals, and develop quality improvement plans. (See also article on IEFW background and field testing.)

• IntegratedEthics program achievement goals – IntegratedEthics Program data are collected with the purposes of monitoring implementation of IntegratedEthics as required in VHA Handbook 1004.06 and to obtain examples of strong practices in ethics consultation, preventive ethics, ethical leadership, and the Facility IntegratedEthics Council and VISN IE Advisory Board.