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Ethics Committee Benchmark Project

Ethics Committee Benchmark Project. William J. Kirkpatrick, LICSW Director, Clinical Social Work. Bradley Butler Charlton (Southcoast) Kent Landmark Memorial Miriam. NEMC Newport Rhode Island Roger Williams St. Anne’s South County Woman & Infants. Participating Hospitals *.

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Ethics Committee Benchmark Project

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  1. Ethics Committee Benchmark Project William J. Kirkpatrick, LICSW Director, Clinical Social Work

  2. Bradley Butler Charlton (Southcoast) Kent Landmark Memorial Miriam NEMC Newport Rhode Island Roger Williams St. Anne’s South County Woman & Infants Participating Hospitals *

  3. Does your hospital have a functioning ethics committee? • Results – 13/13 = 100%

  4. Quality Council Board of Trustees Medical Director Sub-Comm. Of Medical Staff CEO Board of Trustees Board of Trustees Medical Staff President & CEO Board of Trustees, Chair Medical Staff Exec. Committee What is the reporting relationship of your ethics committee within the hospital hierarchy?

  5. Does the Ethics Committee document the results of a consult in the medical record? • 13/13 responses • 7/13 = 54% yes • 3 use forms • 4 use progress notes • 2 debating action

  6. Do you have an individual on your committee with bio-ethics training? • 11/13 responses = 85% • PhD in Philosophy • MDiv; MAT • MD/Fellowship in ethics • PhD in bio-ethics • RN, Prof. Of Philosophy • Ethicist

  7. Does your ethics committee conduct educational activities in the hospital? • 11/13 responses = yes • Grand Rounds • Palliative Care Conference • CME Program • Nursing & Residents • End-of-life issues; Advance Directives • Rounds

  8. How many formal ethics consults are presented to your committee annually? • 11/13 responses • 1 to 2 = 2 • 2 to 3 = 1 • 3 to 7 = 2 • 7 to 10 = 2 • 10 to 15 = 3 • 15 to 20 = 1

  9. Is your ethics committee accessible 24/7? • 12/13 responses • 7 = yes • 5 = no

  10. Would your ethics committee be interested in participating in a regional network? • 12/13 responses • 10 = yes • 1 = already participating • 1 = not able due to geographical distance

  11. Analysis • Ethics Committees institutionalized. • All conducting some form of self-examination. (ASBH knowledge and skills assessment) • Variability in position within hierarchy. • Variability in activity. • Most engage in some education. • Could have asked about nature of consults.

  12. Future Project • Contact additional hospitals • Conduct literature search • Size of hospital/annual discharges/patient days • Issues peculiar to Rhode Island • Decision making vs. consultative • 3 Most common reasons for consult • What are the consults

  13. Future Project • Does your hospital have a futility policy? • Have you discussed the issue of Ethics Committees as a Peer Review entity • Decision making vs. advisory function • Composition of Committee – disciplines/community representatives • Pros and cons of documentation: how did the decision to document evolve

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