About Un-Conference

About Un-Conference

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August 26–28, 2018

Innovations in Clinical Ethics: A Working Un-Conference will bring 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 will be no plenary didactics or traditional presentation formats.

The event will include:

  • 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 will culminate 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 being planned during the day on August 26, 2018.

Co-Directors

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
Agenda

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

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


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

Abstract Submission

Abstract Submission

The Un-Conference is accepting abstract submissions for presentation proposals that will 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:

  1. Lightning Talks with Real-Time Crowdsourcing
  2. Peer -to-Peer Solution-Sharing

The deadline for abstract submissions is May 1, 2018.

Please email abstracts and inquiries to wrightc1@ccf.org.

  • 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.
Registration

Registration

  • Registration will be $195 ($225 beginning July 1).
  • Registration includes breakfast and lunch on August 27 and 28, 2018.

Register Now!
Visit our Registration Page to register for the Un-Conference.

Pre-Conference Course

Pre-Conference Course

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 (learn more here) 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: Sunday, August 26, 2018
Time: 1 - 4 p.m.
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

Travel

Travel

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

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