Ethics of the American College of Healthcare Executives
One named code and one general question. The code is short and worth reading, because its structure — obligations to several constituencies at once — is what answers the second question.
Editorial process
Last reviewed · August 22, 2026
Read the code, because its structure is the answer
The code is a short document and reading it is the difference between an answer and a guess. What makes it distinctive is not that it exists but how it is organised: it sets out obligations to several constituencies at once, covering responsibilities to the profession, to patients and others served, to the organisation, to employees, and to community and society, with a separate section on conflicts of interest. That structure is the point, because it acknowledges that an executive's duties can pull against each other, and it also carries a grievance procedure and the possibility of expulsion, which makes it enforceable in a way most codes are not. Note too that it binds an individual member rather than an organisation, so the obligations described are personal ones an executive carries into whatever job they hold, which is why reading it as an organisational policy misses what it is for.
The second question is broader and it improves enormously if you resist the temptation to say business ethics matters more in health care because lives are at stake. That is true but unexplanatory. The useful answer names the structural features that make health care different from other markets: the information asymmetry between clinician and patient, so the buyer cannot evaluate the product; the fact that the person choosing, the person consuming and the person paying are frequently three different parties; demand that is often non-deferrable and non-negotiable, since a person in acute need is a poor bargainer; and the entanglement of clinical and financial decisions, where a utilisation or staffing choice made on a spreadsheet becomes a clinical outcome at the bedside. Then give one concrete example where a defensible business decision creates an ethical problem, such as closing an unprofitable service line that is the only one in the area, and say what the code asks of the executive.
Likely learning objectives
- Describe a named code by its actual structure rather than its existence.
- Recognise that a code addressing several constituencies acknowledges conflict.
- Explain what makes health care markets structurally different.
- Apply the code to a decision where business and ethics diverge.
Assignment instructions
Read the full question
Review every instruction before using the planning guidance that follows.
What is the Code of Ethics of the American College of Healthcare Executives (ACHE)? What is the role of Business Ethics in Healthcare? Use at least two high-quality resource from the Saint Leo Library or other liable resources to support your answer
Course-wide instructions that accompany this question
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes. Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages. Ethics of the American College of Healthcare Executives Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor. The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument. ADDITIONAL INSTRUCTIONS FOR THE CLASS Discussion Questions (DQ) Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses. Weekly Participation Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week. APA Format and Writing Quality Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition. Use of Direct Quotes I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source. LopesWrite Policy For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score. Late Policy The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading. Communication Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. Ethics of the American College of Healthcare Executives
Turn the brief into deliverables
- 01What the ACHE code is and who it binds.
- 02The constituencies it names and the conflicts that implies.
- 03Its enforcement mechanism.
- 04Structural features that make health care unlike other markets.
- 05A concrete example where a business decision creates an ethical problem.
- 06At least two high-quality sources.
What the code contains, then why health care differs
What the code is
Describe the document, who it binds and what it covers.
What the assessor is likely looking for
The multiple constituencies identified as its organising structure.
Why that structure matters
Show that naming several duties acknowledges they can conflict.
What the assessor is likely looking for
A conflict between two duties the code itself names.
How it is enforced
Describe the grievance process and the sanction available.
What the assessor is likely looking for
Enforceability distinguished from aspiration.
What makes health care different
Give information asymmetry, split payer roles and non-deferrable demand.
What the assessor is likely looking for
A market feature rather than a moral assertion.
One decision that shows it
Work an example where a defensible business choice creates an ethical problem.
What the assessor is likely looking for
A decision that is genuinely defensible on business grounds.
Where the code and the ethics literature sit
Recommended databases
- ACHE
- PubMed Central
- NCBI Bookshelf
- Saint Leo Library
Search sequence
- 1.Read the code itself before writing anything about it.
- 2.Find the enforcement or grievance procedure attached to it.
- 3.Look for literature on information asymmetry in health care markets.
- 4.Find a documented case where a service closure raised access concerns.
Reference shortlist
These are authoritative starting points, not a ready-made bibliography. A qualified reviewer must confirm that each source fits the assignment and supports the claim beside which it is cited.
Code of Ethics
American College of Healthcare Executives · 2024
The code itself, for its constituencies, structure and enforcement.
Medical Ethics
StatPearls, NCBI Bookshelf · 2026
Medical ethics, for the principles the code's obligations rest on.
Cost-Effectiveness Analysis in Disease Control Priorities, Third Edition
StatPearls, NCBI Bookshelf · 2023
Cost-effectiveness analysis, for the economics behind resource decisions.
Access to Health Services
Healthy People 2030, Office of Disease Prevention and Health Promotion · 2024
Access evidence, for the consequence of a service closure decision.
Patient Safety and Quality
Agency for Healthcare Research and Quality, NCBI Bookshelf · 2008
Patient safety and quality, for where management decisions reach the bedside.
Before you submit this answer
Common mistakes
- Describing the code without reading it.
- Answering the second question with the observation that lives are at stake.
- Ignoring that the code names conflicting obligations deliberately.
- Treating business ethics as a constraint on business rather than part of it.
- Omitting an example, so the answer stays abstract.
Submission checklist
- Have you named the constituencies the code addresses?
- Is the enforcement mechanism mentioned?
- Does your second answer name structural market features?
- Is there a concrete example?
- Are both sources high quality rather than general web content?
Use this guide to plan and review your own work. Follow your institution's rules and read Brinevia's academic-integrity policy.
Written by
Maren Caldwell
MSN, RN, CNE
Medical-surgical nursing, pharmacology and NCLEX preparation
Maren is a registered nurse with over 15 years of clinical and educational experience in medical-surgical nursing. She writes on NCLEX preparation, patient care fundamentals, pharmacology and evidence-based practice.

Reviewed by
Dr. Tessa Redmond
DNP, RN, CNE
Evidence-based practice and clinical education
Tessa is a doctorally-prepared nurse educator. She reviews Brinevia content for clinical accuracy and alignment with current evidence-based guidelines.