Policy work is an important and accepted component of the work of HECs, including both developing new policies for aspects of institutional procedure that have major ethical implications, and reviewing and providing ethics-focused input on drafts of organizational policies created by others (Hester, 2008). This process begins with careful assessment of the institutional environment and history, along with a review of scholarship pertinent to the issue being addressed in the policy. Subsequent steps include engagement of stakeholders within the hospital and in the larger community, and advocacy with hospital leadership. Policy implementation then requires widespread education and careful follow-up to evaluate for unanticipated consequences and barriers to compliance.