Un-Conference | Center for Bioethics

Overview

Innovations in Clinical Ethics: A Working Un-Conference brings together experienced clinical ethicists from diverse healthcare systems for a purposeful and productive few days of promoting the cross-pollination and idea generation of innovative practices in clinical ethics consultation. There is no plenary didactics or traditional presentation formats.

The event includes:

In-person peer-to-peer solution-sharing through structured and facilitated crowdsourcing
Targeted lightning talks on cutting-edge practices in clinical ethics consultation
Session formats that enhance constructive conversation, collaborative relationship-building, and concrete idea development

The event culminates in the creation of enduring work products through capstone workshopping and white paper development.

Professional clinical ethicists who lead clinical ethics programs or serve on ethics consultation services will benefit most from this un-conference. An optional pre-conference course through the Cleveland Clinic Center for Excellence in Healthcare Communication is offered to attendees.

Download our Innovations in Clinical Ethics: A Working Un-Conference Brochure

Co-Directors

Paul Ford, PhD
Email: fordp@ccf.org
Hilary Mabel, JD
Email: mabelh@ccf.org

Organizing Committee

Mahwish Ahmad, MD, MPH
Marguerite (Peg) Augustine, MS
Joshua Crites, PhD
Margot Eves, JD, MA
Jane Jankowski, DPS
Cristie Cole Horsburgh, JD
Jordan Potter, PhD
Susannah Rose, PhD
Kathryn Weise, MD
Cynthia (Cindy) Wright

Registration

Registration will be $195 (subject to change).

Registration includes breakfast and lunch on Monday and Tuesday.

More information on registration coming soon.

Location

The Un-Conference will be held at the following location:

Cleveland Clinic Administrative Campus Building 3
3050 Science Park Drive
Beachwood, OH 44122

There is ample free parking. Indoor temperatures may vary; we recommend wearing layers.

Accommodations

Room blocks at discounted rates are available at the following local hotels. These hotels have stated they plan to provide a shuttle to and from the event. The Cleveland Clinic Center for Bioethics is not coordinating these shuttles and cannot make any guarantees, so please inquire with your hotel regarding shuttle specifics and availability.

Marriott Residence Inn Cleveland-Beachwood
3628 Park East Drive
Beachwood, OH 44122
Phone: 216.831.3030
Room Rate: $99–$129 depending on room type
Book by 7/26/2018

Book a room at Marriott Residence Inn

Homewood Suites by Hilton Cleveland-Beachwood
25725 Central Parkway
Beachwood, OH 44122
Phone: 216.464.9600
Room Rate: $125
Book by 8/3/2018

Book a room at Homewood Suites

Agenda

Past Un-Conference Event Agenda - Sunday, August 26, 2018

Anchoring Before Breaking New Ground

1 p.m. - 4 p.m.	Pre-Conference Workshop: R.E.D.E to Communicate: A Relationship Based Communication Symposium for Clinical Ethics Optional pre-conference course offered in collaboration with the Cleveland Clinic Center for Excellence in Healthcare Communication.
4 p.m.	Registration Opens
4:30 p.m. - 5 p.m.	Opening Remarks & Vision-Setting
5 p.m. - 5:30 p.m.	Speed Peer-to-Peer Solution-Sharing Extending Ethics Expertise to the Support of Fellow Caregivers Marguerite L. Augustine, MS Cleveland Clinic It is Dry in the Desert: How do We Plant and Cultivate a New Clinical Ethics Service? Johan Bester, MBChB, PhD UNLV School of Medicine, University of Nevada, Las Vegas Patient-Initiated Ethics Consultation Cynthia C. Coleman, D.Be Medstar Washington Hospital Center The Struggle to Receive Helpful Feedback to Prove Our Existence Laura Guidry-Grimes, PhD University of Arkansas for Medical Sciences & Arkansas Children’s Hospita Measuring the Good: Sensemaker™ as a Resource for Measuring Ethics Service Impact Lucia D. Wocial, PhD, RN, FAAN Charles Warren Fairbanks Center for Medical Ethics, Indiana University Health
5:30 p.m. - 6 p.m.	Speed Solution-Sharing Report Out
6 p.m. - 6:30 p.m.	Final Vision-Setting

Past Un-Conference Event Agenda - Monday, August 27, 2018

High-Speed Engagement & Peer-to-Peer Solution Sharing

7:30 a.m.	Breakfast & Registration Continues
8 a.m. - 9:15 a.m.	Lightning Talks with Real-Time Crowdsourcing (Round I) Lightning talks consist of 5-minute presentations on innovative practices in clinical ethics. Each lightning talk will include the solicitation of real-time feedback from the audience via a digital technology platform. Innovations and New Directions for Ethics Committee Work Integrating Clinical Ethics within an Institution by Leveraging Explicit and Implicit Committee Processes Jeffrey S. Farroni, JD, PhD & Emma Tumilty, PhD University of Texas Medical Branch at Galveston Embarrassment of Riches: Managing a Bounty of Ethics Committee Members Kathy Johnson Neely, MD, MA Northwestern Memorial Hospital Ethics Program & Northwestern Medicine Cultivating Institutional Buy-In Requesting Anecdotes from Leaders: Arguing for Clinical Ethics Value Kelly Kent, DBe Cleveland Clinic Rethinking Ethics Consultation Metrics as Return on Investment (ROI) Mark Repenshek, PhD Hospital Sisters Health System, Wisconsin From the Administrator’s Desk: Demonstrating the Value of Your Clinical Ethics Service Ruchika Mishra, PhD Sutter Health Bay Area, San Francisco, California
9:15 a.m. - 10:25 a.m.	Lightning Talks with Real-Time Crowdsourcing (Round II) Optimizing Programmatic & Systems Design in Clinical Ethics Integrating Caregiver Survey Feedback into Ethics Consultation Processes Joshua Crites, PhD Cleveland Clinic Navigating Complex Complicated Relationships: Promoting Best Practices through Systemized Meetings with Risk Management, Legal Affairs and Hospital Administration Adira Hulkower, JD Montefiore Medical Center & Montefiore Einstein Center for Bioethics Ethics Champion Programs: Systems Interventions to Promote Moral Agency and Ethical Climate Heather Fitzgerald, MS, RN Children's Hospital Colorado Ascension's Proactive Ethics Integration Model Matthew R. Kenney, PhD Ascension Ethics Contributions to Patient Experience Initiatives Susannah Rose, PhD Cleveland Clinic
10:25 a.m. - 10:45 a.m.	Break
10:45 a.m. - Noon	Lightning Talks with Real-Time Crowdsourcing (Round III) Measuring the Effectiveness of Ethics Education *Advance Care Planning in the ICU: Integrating or Outsourcing Ethics?* Andy Kondrat, PhD Cedars-Sinai Medical Center (Re-)Defining Meaningful Quality Improvement in Clinical Ethics Consultation *Utilizing a Strengths/Weaknesses/Opportunities/Threats (SWOT) Approach in Clinical Ethics Quality Improvement* Cynthia C. Coleman, D.Be Medstar Washington Hospital Center *Quality Improvement in Ethics Consultation: Soliciting Patient and Family Perspectives through Focus Groups* Jordan Potter, PhD Cleveland Clinic The Measurement Imperative: A Tool to Assess Productivity in Clinical Ethics Consultation Janet Malek, PhD Baylor College of Medicine & Houston Methodist Hospital System *A Taxonomy for Clinical Ethics Consultation* Mark Repenshek, PhD Hospital Sisters Health System, Wisconsin
Noon - 1 p.m.	Lunch
1 p.m. - 3:15 p.m.	Peer-to-Peer Solution-Sharing Presenters will describe a challenge that their clinical ethics program faces, and attendees will offer solutions and feedback in a small group setting. Attendees will attend groups based upon the challenges that most resonate with them (i.e., attendees may have successfully addressed a similar challenge, face a similar challenge in their practice, or have interests in the aspect of clinical ethics addressed by the challenge). Evaluating Fellows: What is an Optimal Post-Call Evaluation? Trevor Bibler, PhD Baylor College of Medicine & Houston Methodist Hospital System The Challenge of Raising Awareness of Clinical Ethics Consultation within Healthcare Organizations Caroline A. Buchanan, PhD, University of Kentucky Chandler Hospital Marika Warren, PhD, Dalhousie University Tracking Healthcare Ethics Consult Service Activities Minimally, Meaningfully, and Efficiently Thomas V. Cunningham, PhD, MA, MS Kaiser Permanente Southern California Discharging Incapacitated, Unbefriended Patients Evan G. DeRenzo, PhD, MedStar Washington Hospital Center Jamie Carlin Watson, PhD, University of Arkansas for Medical Sciences Building and Sustaining a Robust Ethics Network within Your Institution Margot Eves, JD, MA Cleveland Clinic Innovations to Promote Earlier Ethics Consultation in the Non-ICU Setting Kristin Furfari, MD University of Colorado Ethical Challenges in Co-Occurring Psychiatric and Non-Psychiatric Illness David Y. Harari, MD, MSB & Sally Bliss, RN, MSB The University of Vermont Medical Center Influencing Culture and Expanding Ethics Program Activity Beyond Ethics Consultation Kaarkuzhali Babu Krishnamurthy, MD, MBE Harvard Medical School & Steward Medical Group, Brighton, Massachusetts Moving from a Consultative Model to an Integrated, More Frequent Conversation Model Andrew Lasky, MD Randall Children's Hospital at Legacy Emanuel, Portland, Oregon Pediatric Ethics Consultation: The Need for a Universal Reporting Schematic Brian Leland, MD Charles Warren Fairbanks Center for Medical Ethics, Indiana University Health & Indiana University School of Medicine Gathering Patient and Family Feedback on Ethics Consultation Janet Malek, PhD Baylor College of Medicine & Houston Methodist Hospital System Boundary-Crossing between Research and Clinical Ethics Consultation Emma Tumilty, PhD & Jeffrey S. Farroni, JD, PhD University of Texas Medical Branch at Galveston Can Ethics Consultation be Transformed Using Lean Techniques? Lucia D. Wocial, PhD, RN, FAAN Charles Warren Fairbanks Center for Medical Ethics, Indiana University Health
3:15 p.m. - 3:35 p.m.	Break
3:35 p.m. - 4:50 p.m.	Lightning Talks with Real-Time Crowdsourcing (Round IV) Other Practice Innovations in Clinical Ethics *Finding Great Value in Tapping into Allied Health Colleagues* Clare Delany, PhD, MHlth & MedLaw, MPhysio Royal Children’s Hospital, Children’s Bioethics Centre, Melbourne, Australia *Innovating Capacity Assessments Using Supported Conversation* Debjani Mukherjee, PhD Shirley Ryan AbilityLab & Northwestern University *Developing a Critical Decision-Making Team* Nneka O. Sederstrom, PhD, MPH, MA, FCCP, FCCM Children’s Hospitals and Clinics of Minnesota *AMA Discharges: Exploring How to Promote Best Practices* Preya S. Tarsney, JD Shirley Ryan AbilityLab *Discharge to Nowhere: The Patient as a Safety Concern Limiting Discharge Options* Laura Webster, MA, RN Virginia Mason Medical Center *A Toolkit to Enhance ICU Multidisciplinary Rounding* Kathryn Weise, MD, MA Cleveland Clinic
4:50 p.m. - 6 p.m.	Lightning Talks with Real-Time Crowdsourcing (Round V ) Thinking Outside the (Intensive Care) Unit: Embedded, Emerging, Outpatient, and Organizational Ethics Digitizing Ethics Consultation: A Virtual Model Expanding Access to Outpatient Settings Mahwish Ahmad, MD, MPH Cleveland Clinic Integrating Ethics into Outpatient Neurosurgery Care Lauren Sankary, JD, MA Cleveland Clinic Ethics Consults Are Not Everything: Pushing Boundaries in the Non-Acute Setting Shilpa Shashidhara, PhD Sutter Health Bay Area, San Francisco, California Refining Ethics Consultation Databases and Identifying Clinical Ethics Research Opportunities National Benchmarks for Clinical Ethics Consultation Services Avery Glover, BA, WellStar Fellow Religion and Public Life, Georgia State University Jason Lesandrini, PhD, Wellstar Health System Thomas V. Cunningham, PhD, MA, MS, Kaiser Permanente Southern California ECMO-Ethics Consultation-Moral Distress Study Kathy Johnson Neely, MD, MA Northwestern Memorial Hospital Ethics Program & Northwestern Medicine

Past Un-Conference Event Agenda -Tuesday, August 28, 2018

Integrating New Knowledge & Creating Enduring Capstone Work Products

7:30 a.m.	Breakfast
8 a.m. - 9:25 a.m.	Peer-to-Peer Solution-Sharing Report Out Challenge presenters will report out on the solutions proposed by their groups and how they plan to integrate these new insights.
9:25 a.m. - 9:45 a.m.	Break
9:45 a.m. - 10:35 a.m.	Peer-to-Peer Solution-Enhancing Building on the lessons learned during peer-to-peer solution-sharing, small groups will offer refinements, advancements, or complementary ideas and processes related to the challenges and solutions previously raised.
10:35 a.m. - 11:30 a.m.	Final Peer-to-Peer Report Out Challenge presenters will report out on the enhancements discussed in their groups and will share two key insights related to their challenge.
11:30 a.m. - Noon	Capstone Vision-Setting & Lunch Pick-Up
Noon - 3 p.m.	Capstone Workshopping and Whitepaper Groups The Un-Conference will culminate in the creation of enduring work products through capstone workshopping and whitepaper groups. Workshopping Groups These groups will develop best practice guidelines to further the field of clinical ethics on topics that grow organically from the ideas and practice innovations discussed throughout the event. Guidelines will be published on the Un-Conference website as a resource for clinical ethics programs. Attendees interested in developing concrete, practical clinical ethics guidelines who will benefit from this form of in-depth, pragmatic collaboration are encouraged to attend a workshopping group. *Keeping Clinicians Responsible for Addressing Ethical Challenges* Andy Kondrat, PhD Cedars-Sinai Medical Center *Multiple Valve Replacement Secondary to Infective Endocarditis* Robert Guerin, PhD, University Hospitals Cleveland Medical Center Susannah Rose, PhD, Cleveland Clinic *Other Topics to Grow Organically from Discussion at the Un-Conference* Patricia A. Mayer, MD, MS. Banner Health Cristie Cole Horsburgh, JD, Cleveland Clinic Whitepaper Groups These groups will produce a conference proceeding in four parts on the Un-Conference themes of Demonstrating Value to the Institution; Continuous Quality Improvement; Our Roles as Clinical Ethicists (Traditional and Emerging); and Unique Considerations in Pediatric Ethics Consultation. Whitepapers will offer high-level summaries of the ideas developed around these themes and will offer new directions for the future of clinical ethics. Whitepapers will not discuss specific practice innovations developed by individuals or clinical ethics programs in attendance without permission or attribution. Attendees interested in contributing to the preservation of the ideas generated throughout this groundbreaking event and committed to continued writing and revision following the event are encouraged to participate in a whitepaper group. *Demonstrating Value to the Institution* Laura Guidry-Grimes, PhD, University of Arkansas for Medical Sciences & Arkansas Children's Hospital Jane Jankowski, DPS, Cleveland Clinic Continuous Quality Improvement Joshua Crites, PhD, Cleveland Clinic Thomas V. Cunningham, PhD, MA, MS, Kaiser Permanente Southern California Traditional and Emerging Roles in Clinical Ethics Margot Eves, JD, MA, Cleveland Clinic Jeffrey S. Farroni, JD, PhD, University of Texas Medical Branch at Galveston Unique Considerations in Pediatric Ethics Consultation Johan Bester, MBChB, PhD, UNLV School of Medicine, University of Nevada, Las Vegas Kathryn Weise, MD, MA, Cleveland Clinic

Pre-Conference

R.E.D.E to Communicate: A Relationship Based Communication Symposium for Clinical Ethics

The Cleveland Clinic Center for Excellence in Healthcare Communication has developed a three-hour symposium on promoting and strengthening ethicist-patient and ethicist-team relationship-centered communication. The Center for Excellence in Healthcare Communication has delivered its own relationship-centered communication course, the R.E.D.E Model to over 7000 clinicians.

Using advanced facilitation methods, the symposium will be learner-centered, interactive, practical, poignant and fun! At the end of the symposium, we expect that you will not only recognize various strategies to enhance your communication with patients but you will also increase your confidence with widely applicable skills that will help you navigate your most challenging communication scenarios.

Date: TBD
Time: TBD
Price: Registration fee is $175 (course size is limited to 30 participants)
Location: Cleveland Clinic Administrative Campus Building 3
3050 Science Park Drive
Beachwood, OH 44122

More information on registration coming soon.

Abstract Submission

The Un-Conference accepts abstract submissions for presentation proposals that engage attendees in developing action-oriented innovations and solutions to challenges in clinical ethics practice and program development.

Proposals must fall into one of two presentation categories:

Lightning Talks with Real-Time Crowdsourcing
Peer -to-Peer Solution-Sharing

Individuals may submit up to 2 abstracts in each presentation category.
There is a limit of 1 presenter for each abstract submission.
Notifications will be sent by June 1, 2018.
Presenters must be able to attend the Un-Conference in person to deliver their presentation.

Lightning Talks with Real-Time Crowdsourcing

The format for these sessions consists of a 5-minute lightning talk (with a maximum of 3 slides) regarding an innovative practice or advancement in clinical ethics. Each lightning talk will be followed by a 3-minute polling component using Poll Everywhere software in which the audience will offer feedback and/or ideas for enhancing the innovative practice. Topics—which fall under the Un-Conference themes of organizational impact, practice innovation, and expanding interfaces—are listed below. Each topically related set of lightning talks and polling will conclude with 10 minutes of Q&A. Abstracts for Lightning Talks with Real-Time Crowdsourcing must:

Include your name and institutional affiliation.
State the title of your presentation.
State the topic under which your abstract falls.
Describe an innovation in clinical ethics related to the topic in 200 words or less.
Include two or three poll questions. Questions can be multiple choice or open-text.

Proposals will be evaluated on the innovativeness of the idea presented, the impact of the innovation on clinical ethics practice, the relevance of the presentation to the topic, and the strength of the poll questions.

The topic categories are:

Organizational Impact

Optimizing Programmatic & Systems Design in Clinical Ethics
(Re-)Defining Meaningful Quality Improvement in Clinical Ethics Consultation
Refining Ethics Consultation Databases & Identifying Consultation Research Opportunities
Cultivating Institutional Buy-In

Practice Innovation

Innovations and New Directions for Ethics Committee Work
Thinking Outside the (Intensive Care) Unit: Embedded, Emerging, Outpatient, and Organizational Ethics
Leveraging Digital and Non-Traditional Tools in Consultation Delivery

Expanding Interfaces

Interfacing with the Public & Philanthropic Efforts
Measuring the Effectiveness of Ethics Education
Miscellaneous Topics

Peer-to-Peer Solution-Sharing

For these sessions, presenters will have 5 minutes to describe a systems or programmatic challenge that their clinical ethics program currently faces, and attendees will attend small groups around such challenges to offer solutions and feedback. The structure of these sessions mirrors formats at the Association of Bioethics Program Directors meetings and workshops such as the popular Bioethics Summer Camp. Presenters will report out to all Un-Conference attendees on the feedback they received the morning after the small group sessions.

Abstracts for Peer-to-Peer Solution-Sharing must:

Include your name and institutional affiliation.
Describe a programmatic or systems challenge in 200 words or less.
The first sentence should offer a clear statement of the challenge. Subsequent content should include:
1. support for the relevance of this question to real-world clinical ethics practice,
2. a history of the problem, and
3. a description of the potential downstream impact of soliciting solutions from Un-Conference attendees.

Best Practice Guidelines

One of the goals of the Un-Conference was for the event to culminate in the creation of enduring work products. As part of that effort, workshopping groups collaborated on best practice guidelines to further the field of clinical ethics on topics that were pre-selected and that grew organically from the ideas and practice innovations discussed throughout the event. These best practice guidelines are intended to be a resource for clinical ethics programs facing the issues taken up by the Un-Conference workshopping groups. These guidelines represent the work of the collaborators listed on each set of guidelines and do not represent the views or advice of Cleveland Clinic.

Please view the guidelines at the links below.