Bashir Jiwani 
Good Organizational Decisions 
Ethical Decision-Making Toolkit for Leaders and Policy Makers

This book is both a workbook and process guide for making ethical system-level decisions. It is of great use to any individual or team that is looking for support in making an ethically-justified system-level decision – that is, a decision that will impact people in more than one or two individual situations. Traditionally, when people think of ethics in the context of policy, what comes to mind is identification of key principles relevant to the work. Ethics analysis of the policy then explores what these principles mean and how they are balanced in the policy. The conventional approach only considers formal policies as worthy of ethics analysis, and the method of analysis leaves a number of key ethically significant dimensions of the system-level decision process unaddressed. The approach in this book assists decision leaders or teams to make better decisions and realize the benefits of quality, legitimacy, and compliance – and most important, greater integrity for all concerned. Applicable to almost any context, this resource has been effectively utilized in organizations that range from health care to civil society.

Table of Content

In a nutshell.- How to use this resource.- What’s different about this approach.- Frequently asked questions.- Process facilitation FAQs.- Facilitating conversations.- Suggested meeting schedule.- The process.- Appendix A. 

About the author

Dr. Bashir Jiwani is Ethicist and Executive Director of Ethics and Diversity Services with Fraser Health, one of Canada’s largest and fastest growing health authorities. He has also served as Leader of Ethics Services for Providence Health Care in Vancouver and Northern Alberta Coordinator with the Provincial Health Ethics Network. In these roles spanning close to two decades, he has been integrally involved with directly providing clinical ethics consults, setting up clinical ethics services and assisting others to do the same.





Bashir’s academic background is in philosophy and public health. He has a Doctorate from the University of Alberta’s Public Health Sciences department and a Master’s degree in Applied Ethics, specializing in Bioethics, from UBC. His research interests include clinical ethics consultation, ethics and public health policy, health care resource allocation, the work of ethics services in both clinical and organizational ethics, ethicaldecision-making, ethics in Islam, and bioethics in a multicultural context. 


Some of the professional committees and task forces Bashir has been involved in include the Drug Benefit Council for BC, the Expensive Drug and Rare Drug Committee of BC, the Canadian Blood Services’ Organ Donation and Transplantation Expert Advisory Committee, the Board of the Canadian Bioethics Society and the BC College of Pharmacy Ethics Committee.



Bashir is also an experienced speaker, having delivered hundreds of workshops and presentations across the country and internationally on issues in ethics and health ethics both for academic audiences and to health care administrators, providers, patients and the public.