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17 HEC F. 1 (2005)

handle is hein.journals/hecforum17 and id is 1 raw text is: H E C FORUM 0 2005 Springer. 2005; 17(1): 1-5. Printed in The Netherlands. VALUES BASED DECISION MAKING IN HEALTHCARE INTRODUCTION JAMES J. MCCARTNEY, OSA, Ph.D. Values based governance and management have been acknowledged by experts as the stuff' of which visionary companies are made (1). The two articles that follow analyze some of the theoretical elements of values based decision making, while this article will describe a process which has been developed to help healthcare professionals implement values based decision making in their facilities and systems. The article by Ana Iltis discusses the importance of values based decision making for establishing and maintaining organizational integrity and also for maintaining (or improving) the financial well-being of healthcare organizations. She discusses the importance of mission, the integration of values based decision making into all aspects of a healthcare organization's life, and the importance of the development of a process for navigating conflicts in interpretation of the mission that frequently occur. The article by Mills and Spencer focuses on values based decision making as a tool for achieving the goals of health care organizations. They see cost containment and maintenance (or improvement) of quality of care as the two most important goals of healthcare, and show how values based decision making can assist in the achievement of both these goals. While their article is interesting and helpful, many healthcare organizations also have improving access to healthcare resources as one of their primary goals, and it would be interesting to see how the authors might include this goal in their analysis. Their essay recommends incorporation of values based decision making in the critical elements of leadership and at all layers in the healthcare organization. For many years, I was an ethics consultant to several (religiously based) health systems and institutions. During that time, I developed a practical guide and process for implementing values based decision making, and I 1

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