What is ethics case consulta/on? Ethics Case Consulta/on (ECC) A - PowerPoint PPT Presentation

What is ethics case consulta/on? Ethics Case Consulta/on (ECC) A service and a prac/ce staffed by the Lake to support pa/ents, families, and health care teams facing ethical issues

What are ethical issues? Ethics Case Consulta/on Unresolved uncertain/es or conflicts of moral (ECC) values among pa/ents, families, clinicians, and organiza/ons

What kinds of ethical issues can be effec/vely addressed in ethics consults? Shared decision making with pa/ents and families Adolescent privacy, confiden/ality, and decision making Ethics Case Consulta/on Prenatal and beginning of life care (ECC) End of life and non-beneficial care Professional conflicts on health care teams

Who requests ethics consults? Pa/ents and families AKending and consul/ng physicians Ethics Case Nurses and other health care team members Consulta/on Hospital leaders (ECC) Bioethicist Hospital’s Ethics CommiKee

How do people request ethics case consulta/on? Contact Bioethicist Ethics Case Ethics Hotline office/cell phone numbers Consulta/on email/text (ECC) Physicians may request ethics consults by clicking “Bioethics” on the EPIC Consults Page

Who provides ethics consults? Bioethicist Ethics Case Consulta/on Team Ethics Case Consulta/on Invited clinicians and hospital leaders (ECC) The Ethics CommiKee

How is an ethics consult conducted? 1.) Bioethicist gathers informa/on and ini/al Ethics Case understanding by talking with the requester and Consulta/on other involved par/es and reviewing the chart. (ECC) Bioethicist may also talk with leaders of medical, clinical, and organiza/onal departments.

How is an ethics consult conducted? 2.) ECCT can complete the consult by edi/ng/ accep/ng the Assessment, and may make a Ethics Case recommenda/on. Bioethicist enters consult into Consulta/on (ECC) chart and follows up involved par/es.

How is an ethics consult conducted? 3.) ECCT can otherwise complete the consult by Ethics Case mee/ng in person with involved par/es and Consulta/on upda/ng the Assessment, and may make a (ECC) recommenda/on.

How is an ethics consult conducted? 4.) ECCT can refer consult to the Lake Ethics CommiKee. The CommiKee can meet with Ethics Case involved par/es, update the ECCT’s Assessment, Consulta/on and may make a recommenda/on. (ECC) 5.) Ethics recommenda/ons are advisory

What is the Ethics process? 1.) Support and lead respec]ul communica/on Ethics Case with, among, and between involved par/es Consulta/on (ECC) 2.) Elicit ques/ons and concerns and assure that all par/es be heard and respected

What is the Ethics process? 3.) Support par/es in clarifying their own Ethics Case values, understanding those of others, Consulta/on (ECC) recognizing shared values, and acknowledging disagreements .

What is the Ethics process? 4.) Review relevant informa/on and Ethics Case aKempt to facilitate a shared Consulta/on (ECC) understanding and acceptance of the informa/on

What is the Ethics process? 5.) Clarify the ethical consensus or disagreement Ethics Case Consulta/on (ECC) 6.) Discuss a range of ethically permissible decisions

What is the Ethics process? 7.) Ensures that decided op/ons comport with the hospital’s mission and policies and with Ethics Case Consulta/on relevant laws (ECC) 8.) Iden/fies the ethically appropriate decision maker when disagreement and conflict are not resolved

Providers’ Virtues Respect Ethics Case Caring Consulta/on Compassion (ECC) Transparency

Providers’ Virtues Honesty Ethics Case Consulta/on Accuracy (ECC) Clarity Consistency

Providers’ Virtues Humility Ethics Case Pa/ence Consulta/on (ECC) Perseverance Resiliency Kindness

Providers’ Principles 1.) Respect for persons Ethics Case Consulta/on (ECC) 2.) The Harm Principle: stabilize; do not add harm yourself; prevent harm by others) 3.) Do good (stabilize, heal, palliate)

Providers’ Principles 4.) Jus/ce: pa/ents are due best standards Ethics Case of care Consulta/on (ECC) 5.) Fairness: give pa/ents equal opportunity; no discrimina/on 6.) U/lity: rela/ve best, or least worst, or tolerable outcomes

What is the Ethics Value Added? 1.) Enact personal moral virtues and professional Ethics Case ethical principles which comprise and govern Consulta/on clinicians and organiza/ons taking care of (ECC) vulnerable pa/ents and families

What is the Ethics Value Added? 2.) Resolve or defuse or tolerate or take Ethics Case addi/onal ac/on about unresolved Consulta/on (ECC) uncertain/es and conflicts of moral values