Improving corporate environmental, social, and governance (ESG) performance starts with recognizing that not every dollar of earnings is created equally, as some profit may be earned at the cost of damaging the environment or of harming stakeholder relationships. These costs are often invisible to corporate employees, as they are not recorded. To earn corporate profits that are environmentally and socially responsible, boards and CEOs must overcome two barriers: (1) the ESG issue-assessment barrier, which reflects an organization's inability to fairly assess, prioritize, scope, and plan ESG initiatives that address the invisible environmental and social damage corporations cause, and (2) the shareholder value barrier, which recognizes that corporate employees may resist implementing ESG initiatives owing to their entrenched belief that corporations must maximize shareholder returns. To overcome these two barriers, we propose an ESG mindset model that highlights the pitfalls relating to ESG issue assessment and to the common belief in maximizing shareholder value and then suggests tactics to overcome them. The benefits to corporations that successfully overcome the barriers and improve their corporate ESG performance are threefold: They (1) will be perceived as positively contributing to environmental and societal issues, and thereby (2) avoid accusations of greenwashing and (3) improve their standing with stakeholders.

In 2017, the chief information officer (CIO) of Midwest Health System (Midwest), a major health care provider in a central town in the United States, noticed that incorrect billing, data theft, waste, fraud, and abuse in the health care industry had increased over the years. Compliance requirements related to various rules and regulations had also posed increasing challenges. The CIO wanted to meet with his colleagues in the information systems and audit groups to review risks related to information technology and the billing and collection process—the most critical process in terms of its impact on Midwest’s operations and financial statements. His plan was to modify and strengthen existing controls and to institute new ones to mitigate the significant risks identified. The CIO believed that better controls would enable Midwest to improve patient satisfaction and reduce loss of revenues due to incorrect billing, fraud, and other factors by ensuring better security processes while complying with various rules and regulations.

In 2017, the chief information officer (CIO) of Midwest Health System (Midwest), a major health care provider in a central town in the United States, noticed that incorrect billing, data theft, waste, fraud, and abuse in the health care industry had increased over the years. Compliance requirements related to various rules and regulations had also posed increasing challenges. The CIO wanted to meet with his colleagues in the information systems and audit groups to review risks related to information technology and the billing and collection process-the most critical process in terms of its impact on Midwest's operations and financial statements. His plan was to modify and strengthen existing controls and to institute new ones to mitigate the significant risks identified. The CIO believed that better controls would enable Midwest to improve patient satisfaction and reduce loss of revenues due to incorrect billing, fraud, and other factors by ensuring better security processes while complying with various rules and regulations.