In business, we know decisions may not be black or white In healthcare, the headlines are full of “fraud waste and abuse” In the healthcare industry, there is a lot of extra $$$ floating around I believe, this leads to a lot of questionable behavior / ethics Thus, I built my “Black and white Box” to clarify to myself the continuum of white fading to black, and to articulate where I am comfortable working and where incongruency starts to ramp up. I use this with every introduction to an external partner.

1. Diagramming personal ethics:
Shawn's Black or White Box
White
(Right)
Black
(Wrong)
I can get away with itneed to “justify” zone
Continuum of Risk
Principles:
I do the right thing – every time
I do make mistakes. When I do, I own them
I am ok to explain things – but if my Mom wouldn’t get it, go left
If you must justify something – its probably not the right thing to do
My sweet
spot
Zone of
incongruence No fly zone
Taxes
Facilitating
payments
Vendor gifts
Sugar coating
Withholding info
Shawn Grubb
Update: 1.2020
need to “explain” zone

2. My Black and White Box: why is it relevant?
• In business, we know decisions may not be black or white
• In healthcare, the headlines are full of “fraud waste and abuse”
• In the healthcare industry, there is a lot of extra $$$ floating around
• I believe, this leads to a lot of questionable behavior / ethics
Thus, I built my “Black and white Box” to clarify to myself the continuum of
white fading to black, and to articulate where I am comfortable working and
where incongruency starts to ramp up.
I use this with every introduction to an external partner.
Tags: fraud waste and abuse, Medicare fraud, fraud, ethics, ethical decisions, independent physician practice,