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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

Ethics Committee Benchmark Project

William J. Kirkpatrick, LICSW

Director, Clinical Social Work

participating hospitals
Bradley

Butler

Charlton (Southcoast)

Kent

Landmark

Memorial

Miriam

NEMC

Newport

Rhode Island

Roger Williams

St. Anne’s

South County

Woman & Infants

Participating Hospitals *
what is the reporting relationship of your ethics committee within the hospital hierarchy
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?
does the ethics committee document the results of a consult in the medical record
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
do you have an individual on your committee with bio ethics training
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
does your ethics committee conduct educational activities in the hospital
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
how many formal ethics consults are presented to your committee annually
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
is your ethics committee accessible 24 7
Is your ethics committee accessible 24/7?
  • 12/13 responses
  • 7 = yes
  • 5 = no
would your ethics committee be interested in participating in a regional network
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
analysis
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.
future project
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
future project13
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