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BuildingEthics NetworksAcross Health Care Systemsand SettingsE
Ellen Fox, MDEllen Fox MDIntegrated Ethics Consulting
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1. Key Issues:
2. Common Challenges:
3. Specific Activities:
4. Hallmarks of an Effective Bioethics Network
• PURPOSE
• POPULATION
• SCOPE
• STRUCTURE
• STRATEGY
• VARIATION
• STANDARDS
• EXPERTISE
• EVALUATION
• EDUCATION
• CONSULTATION
• POLICY
• INITIATIVES
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© Ellen Fox MD 2016
Key Issue:
•PURPOSE
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© Ellen Fox MD 2016
What is the purpose of a consortium?
1. Collaborate
2. Align efforts
3. Leverage resources
4. Share expertise
5. Realize economies of scale
6. Achieve a common goal
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© Ellen Fox MD 2016
What is the goal of your bioethics programs?
“Education, consultation, and policy”
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© Ellen Fox MD 2016
• Decisions and actions
• Health care
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Loma Linda Center for Christian Bioethics:
“….The focus is to improve patient care and the health of the public by encouraging professionalism and responsible decision-making.”
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© Ellen Fox MD 2016
Key Issue:
•POPULATION
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© Ellen Fox MD 2016
Who receives services from your consortium?
• System ethics programs?
• Hospital ethics programs?
• System leadership?
• Hospital leadership?
• Staff?
• Patients/families?
• Outsiders/others?
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© Ellen Fox MD 2016
Key Issue:
•SCOPE
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© Ellen Fox MD 2016
What content areas do you address?
• Clinical ethics (e.g., end-of-life, beginning of life, shared decision making, privacy and confidentiality, professionalism in patient care)
• Resource allocation?
• Business ethics?
• Research ethics?
• Workplace ethics?
• Social ethics?
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© Ellen Fox MD 2016
Key Issue:
•STRUCTURE
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© Ellen Fox MD 2016
How is your consortium organized and run?
• Identify the lead organization
• Identify the member organizations
• Identify the roles and responsibilities of the lead and member organizations
• Identify operating policies and processes
• Determine level of formality
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© Ellen Fox MD 2016
Policies and processes
‐ Decision making
‐ Internal communications
‐ External communications and publicity
‐ Conflict resolution
- Initiating/terminating membership
- Confidentiality/non-disclosure
‐ Intellectual property
‐ Finances
‐ Evaluation
- Accountability
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© Ellen Fox MD 2016
Key Issue:
•STRATEGY
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© Ellen Fox MD 2016
Baseline Assessment of Bioethics Programs
• Clarify the organization’s bioethics-related interests and needs from the perspective of key stakeholders
• Assess the organization’s current bioethics programs and activities and the extent to which they are meeting organizational interests and needs
• Identify gaps by comparing the organization’s current programs and activities to standards of professional organizations and societies, other health care systems, and best practices
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© Ellen Fox MD 2016
Common Challenge:
•VARIATION
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© Ellen Fox MD 2016
Common Challenge:
•STANDARDS
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© Ellen Fox MD 2016
Common Challenge:
•EXPERTISE
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© Ellen Fox MD 2016
Common Challenge:
•EVALUATION
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© Ellen Fox MD 2016
Specific Activity:
•EDUCATION
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© Ellen Fox MD 2016
Specific Activity:
•CONSULTATION
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© Ellen Fox MD 2016
Specific Activity:
•POLICY
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Specific Activity:
•INITIATIVES
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Example of Initiative: iMedConsent
https://www.ethics.va.gov/activities/espd.asp
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Isolated pockets of ethics Comprehensive, organized activity program
Ad hoc, variable processes Systematic, clear standards
Reactive, case-based Proactive, systems-focused
Limited assessment of Improvement-oriented,effectiveness accountable
From… To…
Example of Initiative: IntegratedEthics
VA National Center for Ethics in Health Care
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© Ellen Fox MD 2016
Hallmarks of Highly Effective Ethics Networks
• Clear standards, hold each other accountable
• Sufficient expertise (including leadership)
• Effective information sharing (including feedback)
• Results driven, improvement oriented
• Strategic initiatives
• Appropriately resourced
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Ellen Fox MDIntegrated Ethics Consulting
HOW TO FIND [email protected]
www.linkedin.com/in/ellenfoxmd