United States Department of Veterans Affairs
National Center for Ethics in Health Care

IntegratedEthics Tools and Materials

The documents and files listed below were all produced by the National Center for Ethics in Health Care as part of VA’s IntegratedEthics initiative. While the materials were originally developed for use in the VA health care system, they can be easily adapted for use in other health care organizations.

IE Basics

IntegratedEthics: An Innovative
Program to Improve Ethics Quality
in Health Care

VHA Policy

Primers

Videos

Tools & Toolkits

Pocket Cards

IE Function Coordinators

Ethical Leadership

Ethics Consultation

Preventive Ethics

IE Program & Staff Support

Facility Workbook

Communications materials

ECWeb Online Learning Module

IE in Action

Journal Articles

Facility Presentations

IntegratedEthics Staff Survey

Miscellaneous

Domains of Ethics in Health Care

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Primers

IntegratedEthics: Improving Ethics Quality in Health Care download PDF file (aka "IE Monograph")

Ethical Leadership download PDF file

Ethics Consultation  download PDF file

Preventive Ethics   download PDF file

Return to index


Videos

IntegratedEthics: Improving Ethics Quality in Health Care download Windows Media file           Video with descriptive captioning download Windows Media file  

Ethical Leadership video download Windows Media file           Video with descriptive captioning download Windows Media file   

Ethics Consultation video Part I: download Windows Media file           Part I - video with descriptive captioning download Windows Media file  

Ethics Consultation video Part II: download Windows Media file          Part II - video with descriptive captioning download Windows Media file   

Preventive Ethics video download Windows Media file           Video with descriptive captioning download Windows Media file

Return to index


Tools & Toolkits

VISN Roles & Responsibilities download PDF file

IntegratedEthics Program Officer Toolkit download PDF file


Ethical Leadership Toolkit
 (entire manual) 
download PDF file

Ethical Leadership Bookmark download PDF file     2in x 8 indownload PDF file      3in x 5in download PDF file

Ethical Leadership Self-Assessment Tool  download Word file download PDF file 

Ethical Decision-Making: Quality Check download PDF file

Other Ethical Leadership Toolkit Components

Instructions for the Ethical Leadership Coordinator download PDF file

Ethical leadership video course materials download PDF file


 Ethics Consultation Toolkit (entire manual) download PDF file

Ethics Consultation CASES pocket card download PDF file

Ethics Case Consultation Summary Template  download PDF file          (Sample download PDF file)

Ethics Consultation Feedback Tool  download Word file        Fillable - VA Form 10-0502 download PDF file 

Ethics Consultant Proficiency Assessment Tool (Revised September 2011)  download Word file  download PDF file

Ethics Consultation Service Proficiency Assessment Tool (Revised October 2011)    

Ethics Consultation Brochure

 

Ethics Consultation Toolkit components

Instructions for the Ethics Consultation Coordinator  download PDF file

Ethics consultation video course materials download PDF file 


Preventive Ethics Toolkit (entire manual) 
 download PDF file

ISSUES Pocket Card download PDF file

ISSUES Storyboard  download Word file download PDF file      ( Sample download PDF file  )

Summary of ISSUES Cycles download Word file download PDF file      ( Sample download PDF file   )

Choosing issues for PE Worksheet (revised Sep 2011) download PDF file download Word file

Choosing issues for PE Tracking Tool (revised Sep 2011) download PDF file download Word file

Meeting Minutes  download Word file download PDF file      ( Sample download PDF file )

Other Preventive Ethics Toolkit components

Instructions for Preventive Ethics Coordinator download PDF file

Preventive ethics video course materials download PDF file

Return to index


Pocket Cards

Ethical Leadership Bookmark download PDF file     2in x 8 indownload PDF file      3in x 5in download PDF file

Ethical Leadership Self-Assessment Tool  download Word file download PDF file 

Ethical Decision-Making: Quality Check download PDF file

Ethics Consultation CASES pocket card download PDF file

ISSUES Pocket Card download PDF file

Return to index


Facility Workbook

IntegratedEthics Facility Workbook   download PDF file

IntegratedEthics Facility Workbook: Guide to Understanding Your Results download PDF file

Return to index


Communications Materials

Improving Ethics Quality: Looking Beneath the Surface download PDF file

IntegratedEthics: Closing the Ethics Quality Gap download PDF file

A Brief Business Case for Ethics download PDF file

IntegratedEthics: Making It Easier to Do the Right Thing (VAnguard, March - April 2005) download PDF file

2010 IntegratedEthics Staff Survey Questions download PDF file

Return to index


ECWeb Online Learning Module

Return to index


IntegratedEthics in Action

Issue 22 - Janury 2013  download PDF file This issue includes:
Using Focus Groups to Gain a Deeper Perspective on Survey Data: A Story of Three Facilities
NCEHC Recognizes Top IESS Marketing Achievements with Marketing Awards
IEPOs Speak: Tips for Promoting Participation in the IESS
IE Program Champion Peter Mills
Call for Applications 2013-2014 VA/University of Chicago Fellowship in Health Care Ethics Consultation
EL Improvement Project Checklist
Guidance for Ethics Consultation Performance Reporting Requirements
Ethics Consultation Brochure for Patients and Families

Issue 21 – November 2012 download PDF file  NCEHC Releases IESS Data in New Dashboard Format. This issue highlights national 2012 data from the Ethics Consultant Proficiency Assessment Tool; notes the inclusion of ethics in VA’s new SES Appraisal System; and reports on success of FY 2012 IE program goals. Also includes considerations when adding a Veteran or other non-federal employee to your IE council, and an announcement of the VA/University of Chicago Ethics Consultation Fellowship.     

Issue 20 - September 2012 download PDF file Advancing Ethical Leadership Across VHA; Planning for Enhanced ECWeb.  This issue highlights programs at two VA facilities - South Texas Veterans HCS, Temple, TX, and Harry S. Truman Memorial Hospital, Columbia, MO - aimed at strengthening ethical leadership in VHA.  Also discussed is a recent evaluation of ECWeb and plans for an enhanced version of that database.  The updated ECWeb will be combined with a new PEWeb section that supports ethics quality improvement; together, these two sections will form a comprehensive IEWeb. 

Issue 19 - July 2012 download PDF file IntegratedEthics Staff Survey; Celebrating Compliance and Ethics Week; 2011 Nelson Award Winner.  With the 2012 IntegratedEthics Staff Survey approaching, this issue highlights ways in which facilities and VISNs can boost participation in the Survey.  We also cover ways in which VHA facilities celebrated Compliance and Ethics Week 2012.  Finally, the issue profiles Dr. Ware Kuschner, winner of the 2011 William A. Nelson Award for Excellence in Health Care Ethics.

Issue 18 - June 2012 download PDF file IntegratedEthics Symposium; Informed Consent for HIV Testing.  This issue highlights a recent IntegratedEthics symposium hosted by VISN 17.  The conference drew over 200 participants from VHA, Army, and non-government hospitals.  Topics included organizational ethics; ethics, privacy, and social media; and the impact of religion, culture, and race on informed consent.  This issue also highlights National HIV Testing Day (June 27, 2012) and discusses VA policy for obtaining and documenting informed consent for HIV testing.

Issue 17 - April 2012 download PDF file National Compliance and Ethics Week:  An NCEHC and CBI Partnership. This issue celebrates 2012 National Compliance and Ethics Week, May 6-12, a partnership between the National Center for Ethics in Health Care and the Office of Compliance and Business Integrity.  The theme of this year's observance is "Think Integrity First."  Several articles discuss activities which may be appropriate for use by facilities in their Compliance and Ethics Week activities.  Other articles highight the firs year of the joint VA/University of Chicago Fellowships in Health Care Ethics Consultation, IE as a cornerstone of VA's succession planning, and announcements of future national IE activities.

Issue 16 - March 2012  download PDF file Two Promising Practices and Redesigned Training Program for Function Coordinators.  This issue highlights the Ethics Recognition Program for employees at the Boise VAMC and the personal approach taken by the ethics consultation team at the Beckley VAMC to introduce their service to the facility.  Also discussed is NCEHC's recently revised IntegratedEthics Function Coordinator Orientation training.

Issue 15 - October 2011  download PDF file Building and Spreading Ethical Leadership Enhancement Initiatives: What Works?  Five facilities share their experiences implementing Ethical Leadership Enhancement initiatives and involving facility leaders in the IntegratedEthics program.  

Issue 14 - June 2011  download PDF file Spreading Promising Practices that Improve Ethics Quality: IntegratedEthics Competitive Enhancement Grants: During FY 2010 and 2011 a total of 14 field-based IntegratedEthics programs were awarded competitive enhancement funding. This issue details the accomplishments of two FY10 grantees, VISN 10 and the New Mexico VA Health Care System. 

Issue 13 - April 2011 download PDF file Meeting the Objectives of Ethics Consultation Through Dedication, Process, and Leadership Support: Four Facilities Share Promising Practices. This issue focuses on what makes the ethics consultation services successful in four facilities.

Issue 12 - December 2010 download PDF file Developing the Requisite Structures and Supports for a Robust Preventive Ethics Program. In this issue two facilities and one VISN describe innovative approaches they developed to build effective PE programs. 

Issue 11 - October 2010 download PDF file The Patient Advocacy Program's Invaluable Role in Linking Veterans to IntegratedEthics. In this issue two facility IEPOs discuss the advantages of involving the facility Patient Advocate in the IntegratedEthics program.

Issue 10 - July 2010 download PDF file What's IntegratedEthics Again? Communicating Your IE Program to All Audiences at Your Facility. In this issue six IE team members describe ongoing efforts to inform and educate their facility communities about the IE program.

Issue 9 - April 2010 download PDF file Integrating Ethics into Facility Culture: Five Leadership Examples. In this issue we explore promising strategies used in five facilities, incorporating aspects of the Ethical Leadership Compass into decisions made by facility leaders.

Issue 8 - March 2010 download PDF file On Joining the IntegratedEthics Team: Five New IE Members Share Experiences and Insights. Every facility faces staff turnover, and the same thing happens with facility IE programs. Key IE staff rotate to new opportunities and new IE team members join the program. This edition focuses on the importance of succession planning, and chronicles the stories of five VHA staffers who recently joined their facilities' IE teams.   

Issue 7 - December 2009 download PDF file Operationalizing IntegratedEthics At a VISN Level: The Role of VISN Conferences. As IntegratedEthics enters its third year since implementation, many program staff are focusing on broader dissemination and integration strategies. Others continue to seek basic guidance and education to develop the program. This edition looks at the efforts of three VISNs which met these differing needs via network-wide IE conferences.

Issue 6 - July 2009 download PDF file Preventive Ethics in Action: Using the ISSUES Approach to Improve Ethics Quality in Facility Settings. Five facilities describe their work on specific ISSUES cycles and how that work led to improved ethics quality at their facilities. Includes an accompanying chart detailing the contributors' ISSUES cycles.

Issue 5 - May 2009 download PDF file Educating Your New Employees: Strategies for Introducing IntegratedEthics at New Employee Orientations. Eleven IntegratedEthics program staff members from ten VHA facilities contributed to this discussion on how to use New Employee Orientations (NEOs) to introduce new hires to IntegratedEthics. Includes "Anatomy of an IntegratedEthics Presentation at New Employee Orientations" and suggested conversation starters for your NEO.  

Issue 4 - March 2009 download PDF file Beyond the Workshop: Five Attendees Share Knowledge, Experiences From the Ethics Consultation Beyond the Basics Workshop includes interviews with five participants in the Beyond the Basics Workshops for ethics consultants, their impressions of the workshops, and how they used their new knowledge when they returned to their facilities. 

Issue 3 - November 2008 download PDF file IE Retreat: Lexington Takes a Day Out to Move Forward  looks at an all day offsite retreat for IE team and Council members organized by Lexington VAMC, providing basic IE training and "jump starting" the program within the facility.  And, Did You Know . . . Intranet vs. Internet. A look at the intranet and internet sites maintained by the National Center for Ethics in Health Care, the differences and similarities, and ethics resources available through the sites.

Issue 2 - September 2008 download PDF file Louisville Develops Prototype Intranet Site for Dissemination to VISN 9 Facilities describes how the IE team in VAMC Louisville established an IE area not only for their facility's intranet, but also created a template that has since been adapted for use by their VISN as well as other VISN 9 facilities. And, The Tale of Three Facilities. Three IE teams share their experiences with establishing and maintaining an IE area on the intranets of their respective facilities (Central Texas VHCS, Temple, TX; G.V. [Sonny] Montgomery VAMC, Jackson, MS; and VA Puget Sound HCS, Seattle, WA).

Issue 1 - June 2008 download PDF file Preventive Ethics in Action: Using the ISSUES Approach to Protect Patient Data VA New York Harbor Healthcare System. Margaret McGibbon, LCSW, PE Coordinator and Sathya Maheshwaran, MD, IEPO (also featuring St. Albans campus). And, Visibility is Important: Inform All Staff about IE Using Screensavers  Saginaw VAMC. Judith Davidson, ACSW LMSW, IEPO (also featuring Battle Creek VAMC)  

Return to index


Journal Articles

Fox E, Bottrell MM, Berkowitz KA, Chanko BL, Foglia MB, Pearlman RA. IntegratedEthics: An Innovative Program to Improve Ethics Quality in Health Care download PDF file. The Innovation Journal. 2010 Summer;15(2).

Foglia MB, Pearlman RA, Bottrell MM, Altemose JA, Fox E. Priority Setting and the Ethics of Resource Allocation within VA Healthcare Facilities: Results of a Survey download PDF file. Organizational Ethics. 2008 Fall-Winter;4(2):83-96. (based on research conducted as part of the IESS). [PDF]

Return to index


Facility Presentations

This presentation template is designed for use by IEPOs to brief facility leadership about the status of the local IntegratedEthics program.

Power Point presentation template download PowerPoint file
How to use this tool download PDF file

Return to index


Domains of Ethics in Health Care

Domains of Ethics in Health Care download PDF file

Return to index