The Tracks We Leave: Ethics in Healthcare Management

Softbound, 205 pages
ISBN 1567931677
978-1567931679
Health Administration Press
September 2001
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"We will be known forever by the tracks we leave."

Amid the turmoil of constant change, healthcare executives frequently find themselves in situations where the ethical "rules" may be unclear. Rarely is there a single ethical issue to resolve. More often, numerous intertwined issues with many stakeholders interested in the outcome clamor for attention.

"Frankie Perry has succeeded in creating an ethics book that is practical, pragmatic, and thought provoking. This is real-life tied together with solid contributions to our literature to help all of us improve our perspective on ethical situations." —Stuart A. Wesbury, Jr., Ph.D., LFACHE

The Tracks We Leave: Ethics in Healthcare Management provides guidance to executives dealing with the competing values and moral conflicts inherent in healthcare. The book uses cases, discussion, and essays to bring to life debates on issues surrounding:

medical errors
whistle blowing
sexual harassment
gender discrimination
patient safety
workforce reduction
personnel management.

"This book is a must-read for healthcare executives and will prove a valuable teaching tool for graduate programs. By persistently bringing you back to the basics, The Tracks We Leave reduces the ambiguous ethical issues of healthcare management to an understandable level. The contributions gathered in these pages provide valuable models of proper executive behavior in today's healthcare environment." —Mark Howard, FACHE, President/CEO, MountainView Hospital

"With The Tracks We Leave, Frankie Perry has given the field an engaging and practical approach to administrative ethics. Based on a series of complex and relevant case studies, she demonstrates how ethical dilemmas are woven into the day-to-day operations of healthcare organizations and institutions. The implications of the case situations are thoroughly explored and then brought to closure, a satisfying approach that is rare in the management literature. This work will be an invaluable classroom tool, and a welcome addition to the collections of healthcare managers at every level." —Mary Stefl, Ph.D., Dean Division of Behavioral and Administrative Studies, Trinity University

"This book differentiates itself by focusing not only on specific issues facing healthcare, but also on the ethical issues facing managers in general. As managers and leaders in the business of healthcare, we all know that the culture of an organization and its people are among the driving forces behind the organization's success. Frankie Perry does not overlook this in addressing management ethics as well as how they affect relationships with healthcare stakeholders. The Tracks We Leave is an excellent reference which belongs within arm's reach of all healthcare managers." —Mark A. Wallace, President and CEO, Texas Children's Hospital

Contributing authors include these distinguished individuals:

Frankie Perry, RN, FACHE(R) brings many years of healthcare management experience to this practical guide for ethics case analysis. She has held hospital positions in both nursing and hospital administration. Her administrative responsibilities included patient care programs, medical staff recruitment, and relations and graduate medical education and research. As such she was administratively responsible for the activities of the Institutional Review Board and the hospital's Ethics Committee for which she developed the protocols in the early 1980s. In 1988, the inaugural issue of The Journal of Clinical and Laboratory Investigation was dedicated to her in recognition of her efforts in building a foundation of academic excellence within Hurley Medical Center.
Joan McIver Gibson, Ph.D. directs the Health Sciences Ethics Program at the University of New Mexico and chairs the Medical Ethics Committee at St. Joseph Healthcare System, Albuquerque, New Mexico.
Richard H. Rubin, M.D is an Associate Professor of Medicine at the University of New Mexico Health Sciences Center. From 1978 to 1990, Dr. Rubin worked as an internist at the Rutgers Community Health Plan, a health maintenance organization in central New Jersey, where he also served as a physician manager and a member of the physician's governing board.
Rebecca A. Dobbs, R.N., Ph.D., FACHE has extensive experience in the evaluation of healthcare ethics committees, is an adjunct faculty member at the Uniformed Services University of Health Sciences, and presents two-day workshops for healthcare ethics committees. Dr. Dobbs is a Lieutenant Colonel in the United States Air Force Reserve and currently serves as a Medical Service Corps. Officer assigned to the office of the Air Force Surgeon General at Bolling Air Force Base in Washington, D. C.
Clinton H. Dowd, M.D. is Professor of Obstetrics-Gynecology Education, Michigan State University College of Human Medicine.
Glenn A. Fosdick, FACHE is the President/Chief Executive Officer of the Hurley Medical Center, Flint, Michigan, which includes a 495 bed teaching hospital and regional referral center, a Physician Hospital Organization with 275 physicians and over 51,000 covered lives, a 221 bed nursing home, and a 46 primary care physician subsidiary.
Walter P. Griffin, Esq is an attorney-at-law specializing in Medical-Legal Affairs. Griffin is a frequent lecturer at the state and national levels on evidence and risk management and has authored numerous articles in medical publications on medical malpractice issues.

"Frankie Perry has taken advantage of her years of experience by authoring a set of important cases for healthcare managers. These cases, and the thoughtful discussions that accompany them, go far beyond the standard bioethical issues to not only reveal where real tensions arise in the organizations themselves, but how to deal with them." —John R. Griffith, Andrew Pattullo Collegiate Professor, University of Michigan School of Public Health

Founded in 1933, the American College of Healthcare Executives is an international professional society of 30,000 healthcare executives who lead our nation's hospitals, healthcare systems, and other healthcare organizations. ACHE's publishing division, Health Administration Press, is one of the largest publishers of books and journals on all aspects of health services management.

Health Administration Press is a division of the Foundation of the American College of Healthcare Executives (ACHE). ACHE is an international professional society of 30,000 healthcare executives who lead our nation's hospitals, healthcare systems, and other healthcare organizations. ACHE is known for its prestigious credentialing and educational programs and its annual Congress on Healthcare Management, which draws more than 4,000 participants each year. ACHE is also known for its magazine, Healthcare Executive, as well as its groundbreaking research and career development and public policy programs. Through such efforts, ACHE works toward its goal of being the premier professional society for healthcare leaders by providing exceptional value to its members.

Founded in 1972 with support from the W. K. Kellogg Foundation, Health Administration Press has grown from a small office on the campus of the University of Michigan to one of the largest publishers of books and journals on all aspects of health services management, including textbooks for use in college and university courses.

(information from the publisher)

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