Professional Ethics Self-Assessment Tool

LEADERSHIP

Itakecourageous,consistentandappropriateactionstoovercomebarrierstoachievingmy
organizationsmission.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

Iplacecommunity,organizationandpatientbenefitovermypersonalgain.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

Istrivetobearolemodelforethicalbehavior.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

Iadvocateforethicaldecisionmakingbytheboard,managementteam,medicalstaffandmy
workteams.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

IfulfillthepromisesImake.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

Ithoughtfullyconsiderdecisionswhenmakingapromiseonbehalfoftheorganizationtoa
personoragroupofpeople.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

Iopenlysupportestablishingandmonitoringinternalmechanisms(e.g.,anethicscommitteeor
program)tosupportethicaldecisionmaking.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

Mypersonalexpensereportsareaccurateandareonlybilledtoasingleorganization.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

Imaketimelydecisionsratherthandelayingthemtoavoiddifficultorpoliticallyriskychoices.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

Idemonstratemyorganizationsvision,missionandvaluestatementsinmyallactions.

Idemonstraterespectformycolleagues,superiorsandstaff.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A
AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

Whenanethicalconflictconfrontsmyorganizationorme,Iamsuccessfulinfindinganeffective
resolutionprocessandensureitisfollowed.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

Iusemyauthoritysolelytofulfillmyresponsibilities,andnotforselfinterestortofurtherthe
interestsoffamily,friendsorassociates.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

Professional Ethics Self-Assessment Tool

Mystatementsandactionsarehonest,evenwhencircumstanceswouldallowmetoconfuse
theissues.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

Iinitiateandencouragediscussionoftheethicalaspectsofmanagement/financialissues.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

Iuseanethicalapproachtoconflictresolutionwhichencompassessensitivitytocultural
diversities.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

RELATIONSHIPS:ColleaguesandStaff

Ifosterdiscussionsaboutethicalconcernswhentheyarise.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

Iexpectandholdstaffaccountableforadherencetoourorganizationsethicalstandards(e.g.,
performancereviews).

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

Idemonstratethroughpersonalactionsandorganizationalpolicieszerotoleranceforanyform
ofstaffharassment.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

Iencouragediscussionsaboutandadvocatefortheimplementationoftheorganizationscode
ofethicsandvaluestatements.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

Iamrespectfulofviewsdifferentfrommine.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

Iamrespectfulofindividualswhodifferfrommeinethnicity,gender,educationorjob
position.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

Idemonstratethatincompetentjobperformanceisnottoleratedandmaketimelydecisions
regardingmarginallyperformingemployees.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

Iamsensitivetoemployeeswhohaveethicalconcernsandfacilitateresolutionofthese
concerns.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

Iconveynegativenewspromptlyandopenly,notallowingemployeesorotherstobemisled.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

Iencouragetheuseoforganizationalmechanisms(e.g.,anethicscommitteeorprogram)and
otherethicsresourcestoaddressethicalissues.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

Professional Ethics Self-Assessment Tool

Iactquicklyanddecisivelywhenemployeesarenottreatedfairlyintheirrelationshipswith
otheremployees.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

Iassignstaffonlytoofficialdutiesanddonotaskthemtoassistmewithworkonbehalfofmy
family,friendsorassociates.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

RELATIONSHIPS:Clinicians

Whenproblemsarisewithclinicalcare,totheextentofmyinvolvement/authority,Iensure
thattheproblemsreceivepromptattentionandresolutionbytheresponsibleparties.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

Whenpracticevariationsincaresuggestqualityofcareisatstake,Iencouragetimelyactions
thatservepatientsintereststotheextentofmyauthority.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

Iexpeditiouslyandforthrightlydealwithimpairedclinicians,andtotheextentofmy
authority,ItakenecessaryactionwhenIbelieveaclinicianisnotcompetenttoperform
his/herclinicalduties.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

Iexpect,andtotheextentofmyauthority,holdcliniciansaccountableforadheringtotheir
professionalandtheorganizationsethicalpractices.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

RELATIONSHIPS:ExternalBusinessPartners(buyers,suppliersandpayors)

Inegotiateandexpectmyteamtonegotiateingoodfaith.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

Iammindfuloftheimportanceofavoidingeventheappearanceofwrongdoing,conflictof
interest,orinterferencewithfreecompetition.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

Ipersonallydisclose,andexpectboardmembers,employeesandclinicianstodisclose,any
possibleconflictsofinterestsbeforepursuingorenteringintorelationshipswithpotential
businesspartners.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

Ipromotefamiliarityandcompliancewithorganizationalpoliciesgoverningrelationshipswith
buyers,payors,andsuppliers.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

Isetanexampleforothersinmyorganizationbynotacceptingpersonalgiftsfromsuppliers.

AlwaysUsuallyOccasionally
AlmostNeverNeverN/A

Professional Ethics Self-Assessment Tool

NAMSSCODEOFCONDUCT

Iprovideappropriatequalitycredentialingsupportwhenrequestedbyapeerorsuperior.

AlwaysUsuallyOccasionally
AlmostNeverNever

Iprovideforpatientsafetyandservicesunrestrictedbytheconcernsofpersonalattributes
andwithoutdiscriminationonthebasisofgender,sexualorientation,race,creed,religion,
nationaloriginorsocioeconomicstatus.

AlwaysUsuallyOccasionally
AlmostNeverNever

Iusetechnologyconsistentwiththepurposesforwhichitwasdesigned,andemployee
proceduresandtechniquesappropriatelyforcredentialingbestpractices.

AlwaysUsuallyOccasionally
AlmostNeverNever

Iassesssituations;exercisecare,discretionandjudgment;assumeresponsibilityfor
professionaldecisions;andactinthebestinterestofpatients,myemployerandthepublic.

AlwaysUsuallyOccasionally
AlmostNeverNever

Idemonstrateexpertisebyprotectingthesafetyofpatientsandothermembersofthe
healthcareteamthroughcredentialingprocessesthatmeetindustrystandardsand
understandingofregulatoryrequirements.

AlwaysUsuallyOccasionally
AlmostNeverNever

Ipracticesethicalconductappropriatetotheprofessionandprotectthepatientsrightfor
qualityhealthcare.

AlwaysUsuallyOccasionally
AlmostNeverNever

Irespectandpreserveconfidenceentrustedinthecourseofprofessionalpracticeandreveal
confidentialinformationonlyasneededandinaccordancewithanyapplicablelaws.

AlwaysUsuallyOccasionally
AlmostNeverNever

Iencourageinnovationevenwhenmaintainingthestatusquowouldbeaneasierchoice.

AlwaysUsuallyOccasionally
AlmostNeverNever

Isubmitcompleteandaccurateinformationtomaintainmycontinuingeducationrequirements.

AlwaysUsuallyOccasionally
AlmostNeverNever

Iclaimonlythoserelevantprofessionalcredentialsactuallypossessedandcorrectany
inaccuraciesoccurringregardingmycredentials.

AlwaysUsuallyOccasionally
AlmostNeverNever

IadvocatefortheMedicalServiceProfessioninallsettingsandparticipateinactivitiesthat
promoteandexplainthemission,values,andprinciplesofthisprofessiontothepublic.

AlwaysUsuallyOccasionally
AlmostNeverNever

Icontinuallystrivetoimprovemyknowledge,skillsandproductivitybyparticipatingin
continuingeducationandprofessionaldevelopmentactivities,andsharingmyknowledgewith
colleagues.

AlwaysUsuallyOccasionally
AlmostNeverNever

Professional Ethics Self-Assessment Tool

Itakeprecautionstoensureandmaintaintheprivacyandsecurityofinformationtransmitted,
transferred,ordisposed.

AlwaysUsuallyOccasionally
AlmostNeverNever

Itakeresponsibilityandcredit,includingauthorshipcredit,onlyforworkIactuallydeveloped
orperformed,ortowhichIcontributed.

AlwaysUsuallyOccasionally
AlmostNeverNever

Ispeakof,andonbehalfof,myemployerandthoseorganizationstowhichIamaffiliated
(NAMSS)withappropriaterespectandaccuratelyrepresenttheirofficialpositionsonissues.

AlwaysUsuallyOccasionally
AlmostNeverNever

ImakecleardistinctionsbetweenstatementsImakeoractionsItakeasaprivateindividual
andasarepresentativeofmyemployerand/oraffiliatedorganizations.

AlwaysUsuallyOccasionally
AlmostNeverNever

IseektheadviceoftheNAMSSEthicsCommitteeifthereisaseriousethicalchallengefacingme
orwhenmakingethicallychallengingdecisions.

AlwaysUsuallyOccasionally
AlmostNeverNever

Mystatementsandactionsareconsistentwithprofessionalandethicalstandards,includingthe
NAMSScodeofprofessionalconduct.

AlwaysUsuallyOccasionally
AlmostNeverNever

ThisethicalselfassessmentwasderiveddirectlyfromatooldevelopedbytheAmericanCollegeofHealthcareExecutives(ACHE),andisbeingusedwithexpressed
permissionoftheACHE.AdditionalmaterialshavebeenaddedtoreflectrequirementsoftheNAMSSCodeofProfessionalConduct.