1. Introduction

2. An Organizational Ethics Decision-Making Process (PDF)
   An article from Healthcare Executive magazine that outlines the following multi-step process for ethical decision making:
   • Step One: Clarify the Ethical Conflict

   • Step Two: Identify All of the Affected Stakeholders and Their Values

   • Step Three: Understand the Circumstances Surrounding the Ethical Conflict

   • Step Four: Identify the Ethical Perspectives Relevant to the Conflict

   • Step Five: Identify Different Options for Action

   • Step Six: Select Among the Options

   • Step Seven: Share and Implement the Decision

   • Step Eight: Review the Decision to Ensure It Achieved the Desired Goal

3. Using ACHE's Code of Ethics
   An explanation of the history and purpose of the Code of Ethics and how it can be used in practical, everyday situations.

4. Using ACHE's Ethical Policy Statements
   Strategies for applying ACHE's specific policy statements such as "Decisions Near the End of Life" or "Ethical Issues Related to Staff Shortages," to your decisions and your organization's policy development.

5. Using ACHE's Ethics Self-Assessment
   Tips for getting the most out of an ethics self-audit, and how to address potential red flags that you may identify in the process.

6. Strengthening Ethical Decision Making (PDF)
   Specifically for Senior Leaders!
   An article that offers strategies senior leaders can use to enhance their ethical awareness and make better ethical decisions.

7. Additional Ethics Resources
   A list of books, magazine and journal articles, periodicals, and Web sites that can provide additional ethics guidance.

ACHE would like to recognize the invaluable assistance of William A. Nelson, PhD, director, Rural Ethics Initiatives, and associate professor at Dartmouth Medical School, Hanover, NH, in the development and creation of the Ethics Toolkit.