Ann Mills, M.sc(Econ), MBA
Assistant Professor
Director of Outreach Programs,
Co-Director, Program in Ethics and Policy in Healthcare Systems
Center for Biomedical Ethics
434.982.3978
amh2r@virginia.edu
Ann Mills has a B.A. from Sarah Lawrence College, a masters of economics from London School of Economics, and an MBA from James Madison University. She is an assistant professor in Medical Education and member of the core faculty at the Center for Biomedical Ethics. Ms. Mills is Director of Outreach Programs and Co-Director of the Program in Ethics and Policy in Healthcare Systems.
Ms. Mills has written on the healthcare delivery system and is co-author of two books on healthcare organization ethics. In addition, she is the editor of a recently published book which explores the ACGME competencies on professionalism and system-based practice.
Books
E.M. Spencer, A.E. Mills, M.V. Rorty, P. A. Werhane, Organization Ethics for Healthcare Organizations, Oxford University Press: 2000. (Reviewed by George Agich in Nov/Dec 2000 issue of The Hastings Center Report.)
Mills A. Spencer E. Werhane P. (editors) Developing Organization Ethics in Healthcare: A Case-Based Approach to Policy, Practice and Compliance. (2001) University Publishing Group. Frederick: MD.
Mills A. Chen D., Werhane P., Wynia M. (editors) Professionalism in Tomorrow's Healthcare System: Towards Fulfilling the ACGME Requirements for Systems-Based Practice and Professionalism University Publishing Group. (2005) University Publishing Group Frederick: MD.
Peer Reviewed Essays
E. M. Spencer, A.E. Mills, "Ethics in Healthcare Organizations," HEC Forum, Volume 11 Issue 4. 12/4/99.
A.E. Mills and M.V. Rorty, "Total Quality Management and the Silent Patient," Business Ethics Quarterly Vol 12 No. 4 2002 p. 481-504.
A.E. Mills and E.M. Spencer, "Organization Ethics or Compliance: Which Should Articulate Values for the U.S. Healthcare System?" HEC Forum Vol 13 No 4. Dec 2001. p. 329-343.
Ann E. Mills and E.M. Spencer, "The Healthcare Organization: New Efficiency Endeavors and the Organization Ethics Program." Journal of Clinical Ethics, Spring 2002 Vol 13 No 1 p. 31-41.
E.M. Spencer and Ann E. Mills, Letter to the Editor. "Recommendations on Quality." Health Affairs, 21(4): 295, 2002.
A.E. Mills, M. V. Rorty, P. H. Werhane, "Stakeholder Expectations in Practice Based Medicine," Journal of Continuing Education in Health Professions, Volume 23, Supplement 1, Spring 2003 p. 19-26
A. E. Mills, M.V. Rory, P.H. Werhane, "The Organization Process as a Vehicle for Change in Healthcare Organizations," Organizational Ethics: Healthcare, Business, and Policy 1(1): p. 19-30. Spring 2004
A.E. Mills, M.V. Rory, P.H. Werhane, "Complexity and the Role of Ethics in Health Care," A Journal of Complexity Issues in Organizations and Management (5) 3 p. 3-21. October 2003.
A.E. Mills and Edward M. Spencer, "Evidence Based Medicine: Why Clinical Ethicists Should be Concerned," HEC Forum (15)3: p. 231-244, Fall 2003.
M.V. Rorty, P.H. Werhane, Ann E. Mills, "The Rashomon Effect: Justifying a Systems Approach to Ethics in Health Care," HEC Forum 16(2)1-20 2004.
Ann E. Mills and Edward M. Spencer, Values Based Decision-Making: A Tool for Achieving the Goals of Healthcare Organizations, HEC Forum 17 (1)18-22 2005.
A. E. Mills, P. Tereskerz, W. Davis, "Is Evaluating the Ethics Consultation on the Basis of Cost a Good Idea?" Cambridge Quarterly of Health Care Ethics. Vol 14, No 1, Winter 2005 p. 54-66
A.E. Mills, M.V. Rorty, Business Practices, Ethics and Professionalism. Organization Intersections in Healthcare, Policy and Business Spring 2005, 2(1) p. 30-34
A.E. Mills, P.H. Werhane, M. K. Wynia, "Introduction and Forward to the Special Issue on ACGME Requirements for Residents on Professionalism and Systems-Based Practice," Organization Intersections in Healthcare, Policy and Business Spring 2005, 2(1) p. 3-7.
P. Tereskerz and A. E. Mills. "Legal Ramifications of Industry Sponsorship of Clinical Research and Financial Conflicts Of Interest," Organization Ethics: Healthcare, Business, and Policy. 2006.
A.E. Mills, M.V. Rorty, P.H. Werhane, "Clinical Ethics and the Managerial Revolution in American Health Care," Journal of Clinical Ethics. Forthcoming Summer 2006.
A.E. Mills, D.T. Chen, J.Gillon, P.Tereskerz, "The CREATE Act: Increasing Costs Associated with the Biotechnology Industry?" Nature Biotechnology. Forthcoming July 2006.
Solicited Manuscripts Subject to Peer Review
D. Chen, P. Werhane, A. Mills, "The Role of Organization Ethics in Critical Care Medicine." The Journal of Critical Care Medicine. Forthcoming 2007.
Book Essays, Cases, and Chapters
E. M. Spencer, A. E. Mills, "An Overview of Organization Ethics" in Frontiers in Bioethics, edited by Franklin G. Miller, University Publishing Press: MD 2000. p. 171-186.
Mills, Spencer, Werhane, "Introduction," in Developing Organization Ethics in Healthcare: A Case-Based Approach to Policy, Practice and Compliance. p. 1-9. University Publishing Group. Frederick: MD, 2001.
Mills, A.E. "A Good Neighbor" in Developing Organization Ethics in Healthcare: A Case-Based Approach to Policy, Practice and Compliance. p. 19-23. University Publishing Group. Frederick: MD, 2001.
Mills, A.E. "Introduction to Organization Issue in Research Ethics," in Developing Organization Ethics in Healthcare: A Case-Based Approach to Policy, Practice and Compliance. p. 107-114. University Publishing Group. Frederick: MD, 2001.
Mills, A.E. "A Strategic Alliance," in Developing Organization Ethics in Healthcare: A Case-Based Approach to Policy, Practice and Compliance. p. 123-124. University Publishing Group. Frederick: MD, 2001.
Mills, A.E. "The Olivieri/Apotex Affair," in Developing Organization Ethics in Healthcare: A Case-Based Approach to Policy, Practice and Compliance. p. 129-138. University Publishing Group. Frederick: MD, 2001.
A.E. Mills and P. H. Werhane, "After the Terror: Healthcare Organizations, Healthcare Systems and the Future of Organization Ethics," in In the Wake of Terror, edited by Jonathan D. Moreno, MIT Press: Cambridge, MASS. p. 167-181. (Chapter mentioned in review in New England Journal of Medicine, September 11, 349:11; p. 1097-1098.), 2003.
A.E. Mills, Case Commentary, "Professional Promises In the "Real" World: SNFS" in Joel Zimbelman and Becky White, eds., Moral Dilemmas in Community Health Care: Cases and Commentaries (NY: Addison Wesley Longman,) p. 252-254, 2004.
A. E. Mills and P.H. Werhane, "Organization Moral Distress", in The Blackwell Guide to Encyclopedia of Management (2nd edition) MA: Backwell Publishing p.391-394, 2005.
A.E. Mills and E.M.Spencer, "Introduction to Organization Ethics," in Spencer and Lombardo (eds) Fletcher's Introduction to Clinical Ethics (3rd ed) University Publishing Press: MD p. 35-46, 2005.
E.M.Spencer and A.E. Mills, "Economics and Patient Advocacy," in Spencer and Lombardo Fletcher (eds) Fletcher's Introduction to Clinical Ethics (3rd ed) University Publishing Press: MD p. 283-296, 2005.
A.E. Mills, M.V. Rorty, "Business Practices, Ethics and Professionalism," Organization Intersections in Healthcare, Policy and Business Spring 2005, 2(1) p. 30-34 Reprinted in Mills A. Chen D., Werhane P., Wynia M. (editors) Professionalism in Tomorrow's Healthcare System: Towards Fulfilling the ACGME Requirements for Systems-Based Practice and Professionalism University Publishing Group. Frederick: MD. 2005 University Publishing Group, 2005.
D. Chen, A. Mills, P. Werhane, "Towards System-Informed Professionalism," in Mills A. Chen D., Werhane P., Wynia M. (editors) Professionalism in Tomorrow's Healthcare System: Towards Fulfilling the ACGME Requirements for Systems-Based Practice and Professionalism University Publishing Group. Frederick: MD. University Publishing Group p. 21-42, 2005.
D. Chen, A. Mills, "Educating for Systems-Informed Professionalism," in Mills A. Chen D., Werhane P., Wynia M. (editors) Professionalism in Tomorrow's Healthcare System: Towards Fulfilling the ACGME Requirements for Systems-Based Practice and Professionalism University Publishing Group. Frederick: MD. University Publishing Group p. 181-208, 2005.
A.Mills, D. Chen, P.Werhane, M.Wynia, "Introduction," in (editors) Mills A. Chen D., Werhane P., Wynia M. Professionalism in Tomorrow's Healthcare System: Towards Fulfilling the ACGME Requirements for Systems-Based Practice and Professionalism University Publishing Group. Frederick: MD. University Publishing Group, vii-xxii, 2005.
A.Mills, D. Chen, P.Werhane, M.Wynia, "Summary and Conclusion" in (editors) Mills A. Chen D., Werhane P., Wynia M. Professionalism in Tomorrow's Healthcare System: Towards Fulfilling the ACGME Requirements for Systems-Based Practice and Professionalism University Publishing Group. Frederick: MD. Fall 2005 University Publishing Group, p.251-264, 2005.
A.E. Mills, P.H. Werhane, Michael Gorman, "The Pharmaceutical Industry and Its Obligations in the Developing World," in (ed) Patricia Illingsworth, Power of Pills Pluto Press, Forthcoming 2006.
Mary V. Rorty, A.E. Mills, Patricia H. Werhane, "Institutional Practices, Ethics and the Medical Professional" in (eds) Rosamond Rhodes and Anita Silvers Blackwell Companion to Medical Ethics Forthcoming 2006
Ann E. Mills and Patricia J. Tereskerz "The Tragedy of the Commons (and Anti-Commons)" in (ed) Robert Kolb, The Encyclopedia of Business, Ethics, and Society, Sage Publications Inc. Thousand Oaks: California. Forthcoming 2007
Ann E. Mills, Mary V. Rorty, Patricia H. Werhane, "Organization Moral Distress" in (ed) Robert Kolb, The Encyclopedia of Business, Ethics, and Society, Sage Publications Inc. Thousand Oaks: California. 2007
Selected Addresses
"Ethics Committees and Community Education," Hanover Health Care, Richmond, VA October 1995
"Developing Nursing Home Ethics Programs", Lovingston Health Care Center, Lovingston, VA October 1995
"Developing Hospital Ethics Programs," University of Virginia, July 1994 Sponsored by the Greenwall Foundation
"The New Economics of Health Care," Holiday Inn, Afton Mountain, October 1994
"Managed Care - An Organizational Analysis", University of Virginia, August 1995
"Healthcare Organization Ethics - What is it?" Bluefield, West Virginia, 1996
"The Effect of the JCAHO Organization Ethics Standard on Managed Care,"
University of Virginia, August 1996
"A New Approach to Evaluating Ethics Consultation," Richmond, VA Oct 1996 Richmond Bioethics Consortium
"A Collaborative Model of Health Care?" University of Virginia, March 1997
"The Relationship of Organization Ethics and Risk Management, Continual Quality Improvement, and Compliance Programs" University of Virginia, March 1998
"Stakeholder Theory and Healthcare Organization Ethics," National Conference on Healthcare Organization Ethics, University of Virginia, sponsored by Darden Graduate School of Business and Center for Biomedical Ethics, September 1998
"Accountability in the Healthcare Delivery System," University of Virginia March 1999.
"Learning from Other Industries," Conference on Healthcare Organization Ethics, University of Virginia, sponsored by Darden Graduate School of Business and Center for Biomedical Ethics, November 1999
"Power Relationships in the Healthcare Delivery System," "Economics and Ethics" Conference, Sacramento, CA Jan 2000 sponsored by UC Davis Medical School.
"Total Quality Management and the Silent Patient," American Association for Professional and Applied Ethics, Washington DC February 2000.
"The Future of the Healthcare System," Virginia Healthcare Ethics Network, October 2000, Charlottesville, VA
"Economic Aspects of Healthcare Ethics" Conference: Developing Hospital Ethics Committees March 2001
"Practical Issues in Developing an Organization Ethics Program." Conference: Developing Hospital Ethics Committees March 2001
"Cases in Organization Ethics" Conference: Developing Hospital Ethics Committees March 2001
"Compliance, Risk Management and Quality Assurance." Conference: Developing Hospital Ethics Committees March 2001
"Quality Initiatives and the Organization Ethics Program," Virginia Healthcare Ethics Network, Charlottesville, VA 2001
"Six Sigma and Healthcare Values," American Association of Practical and Applied Ethics, Cincinnati, OH. March 2002.
"Organization Ethics in Health Care," Plenary Session, New York Association of Homes and Services for the Aging, co-sponsored by the New York Ethics Network, Saratoga Springs, New York, June 2002.
"Stakeholder Expectations in Practice Based Medicine," Conference "Practice-Based Learning and Improvement" in Atlanta, Georgia September 2002.
"What is the Role of an Ethical Climate in a Complex Adaptive System?" Managing the Complex IV Conference on Complex Systems and the Management of Organizations. Fort Worth, Florida December 2002.
"Moral Distress and Business Systems and Structures," American Association of Applied Ethics, Charlotte, NC February 2003.
"Organization Moral Distress," American Association of Applied Ethics, Cincinnati, OH. March 2004.
"Conflicts of Interest and the Olivieri Affair" The Third Loyola Conference on: Organization Ethics in Health Care June 10-12, 2004 Chicago, IL
"Organization Moral Distress," The Eleventh Annual International Business Ethics Conference. DePaul University, Institute for Business and Professional Ethics, Chicago, Ill. October 23, 2004
"Business Practices and Professionalism," American Association of Applied Ethics, San Antonio, TX February 2005.