Chapter 10-12 Flashcards
Ethics in governance:
Leadership qualities and values guiding decision-making.
Governance
Planning, directing, managing, and evaluating organizational actions and policies.
Categories and Principles
Understand Governance
Principle 1: Embrace responsibilities.
Principle 2: Respect staff and board roles.
Principle 3: Act as an ambassador for OT
Categories and Principles
Lead with Authenticity
Principle 4: Lead with integrity.
Principle 5: Think independently, act collectively.
Principle 6: Champion justice, equity, and inclusion
Categories and Principles
Facilitate Innovation
Principle 7: Learn about the mission and culture.
Principle 8: Ask insightful questions and listen.
Principle 9: Focus on long-term sustainability.
Principle 4: Integrity
Honesty, transparency, and accountability.
Align actions with personal and organizational values.
Ethical principles: Veracity (truthfulness), Justice (fair access to services).
Principle 6: Champion Justice, Equity, and Inclusion
Remove systemic barriers for diverse members and staff.
Create an inclusive environment.
Promote diversity in leadership recruitment and decision-making
Principle 7: Understand Mission and Culture
Align innovation with the organization’s mission and member needs.
Ethical principle: Beneficence (well-being)
Principle 8: Ask and Listen
Use the “Three Ds” for innovation:
Direction: Purpose of innovation.
Distribution: Fair dissemination.
Diversity: Inclusive and local solutions
Principle 9: Focus on Sustainability
Ensure strategies are environmentally, socially, and economically sustainable.
Ethical leadership anticipates risks and seeks desirable outcomes
Key Connections
Governance principles reflect the code of ethics
Ethical governance includes:
Adhering to organizational bylaws and policies.
Aligning leadership decisions with professional values
Leaders in OT governance or other organizations must:
Familiarize themselves with organizational policies.
Promote ethical and sustainable practices
Core Principle
Governance decisions are only as strong as the ethical actions behind them.
Starting Point
Revisit the organization’s mission and values regularly.
Reinforce the reasons for leadership actions and the values guiding them
Key Consideration and Takeaway
Leaders must act in the organization’s best interests, both short- and long-term.
Ethical governance balances immediate needs with future sustainability.
Understanding Complexity
Governance Oversight
Leaders are responsible for:
-Accountability across departments, commissions, and task forces.
Delegating operational responsibilities ethically.
Key Challenge
- Navigating the expanding complexity of organizational processes and critical
issues.
Selling Equipment and
Supplies in OT
Dual roles (therapist and vendor) can lead to:
Conflicts of interest: Personal motives influencing client decisions.
Conflicts of commitment: Competing obligations impacting clarity and actions.
Key Challenge
Balancing therapeutic goals with business interests
Financial Interest
Selling adaptive or medical equipment, exercise tools, or educational materials.
Potential Harm
-Liability concerns if a product sold causes client injury.
- Adherence to federal, state, and industry regulations is crucial.
Trust and Therapeutic Relationship
-Transparency about business relationships.
- Avoid coercion or exploitation of client trust
self-dealing:
: Decisions must prioritize client welfare over personal gain.
Ethical and Legal Compliance
Practitioner Responsibilities
Adhere to Federal Trade Commission rules for product safety and liability.
Regulatory Standards
- Durable medical equipment vendors must meet CMS regulations for billing and
infection control
Business Transactions and
Therapeutic Boundaries
Trust in the Therapeutic Relationship
Ethical obligation to disclose outside business relationships.
Ensure therapeutic decisions remain objective and free from coercion
Buying from Clients
Bartering or purchasing goods/services from clients is discouraged.
Such transactions risk crossing professional boundaries and straining the
therapeutic relationship
Tips for Ethical Business Practices
Be aware of the legal implications of buying/selling with clients.
Avoid transactions that could strain the therapeutic relationship.
Always disclose financial interests when dual roles exist
