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.
- 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
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
|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
Embarrassment of Riches: Managing a Bounty of Ethics Committee Members
Cultivating Institutional Buy-In
Requesting Anecdotes from Leaders: Arguing for Clinical Ethics Value
Rethinking Ethics Consultation Metrics as Return on Investment (ROI)
From the Administrator’s Desk: Demonstrating the Value of Your Clinical Ethics Service
|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
Navigating Complex Complicated Relationships: Promoting Best Practices through Systemized Meetings with Risk Management, Legal Affairs and Hospital Administration
Ethics Champion Programs: Systems Interventions to Promote Moral Agency and Ethical Climate
Ascension's Proactive Ethics Integration Model
Ethics Contributions to Patient Experience Initiatives
|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?
(Re-)Defining Meaningful Quality Improvement in Clinical Ethics Consultation
Utilizing a Strengths/Weaknesses/Opportunities/Threats (SWOT) Approach in Clinical Ethics Quality Improvement
Quality Improvement in Ethics Consultation: Soliciting Patient and Family Perspectives through Focus Groups
The Measurement Imperative: A Tool to Assess Productivity in Clinical Ethics Consultation
A Taxonomy for Clinical Ethics Consultation
|Noon - 1 p.m.||Lunch|
|1 p.m. - 3:15 p.m.||
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?
The Challenge of Raising Awareness of Clinical Ethics Consultation within Healthcare Organizations
Tracking Healthcare Ethics Consult Service Activities Minimally, Meaningfully, and Efficiently
Discharging Incapacitated, Unbefriended Patients
Building and Sustaining a Robust Ethics Network within Your Institution
Innovations to Promote Earlier Ethics Consultation in the Non-ICU Setting
Ethical Challenges in Co-Occurring Psychiatric and Non-Psychiatric Illness
Influencing Culture and Expanding Ethics Program Activity Beyond Ethics Consultation
Moving from a Consultative Model to an Integrated, More Frequent Conversation Model
Pediatric Ethics Consultation: The Need for a Universal Reporting Schematic
Gathering Patient and Family Feedback on Ethics Consultation
Boundary-Crossing between Research and Clinical Ethics Consultation
Can Ethics Consultation be Transformed Using Lean Techniques?
|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
Innovating Capacity Assessments Using Supported Conversation
Developing a Critical Decision-Making Team
AMA Discharges: Exploring How to Promote Best Practices
Discharge to Nowhere: The Patient as a Safety Concern Limiting Discharge Options
A Toolkit to Enhance ICU Multidisciplinary Rounding
|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
Integrating Ethics into Outpatient Neurosurgery Care
Ethics Consults Are Not Everything: Pushing Boundaries in the Non-Acute Setting
Refining Ethics Consultation Databases and Identifying Clinical Ethics Research Opportunities
National Benchmarks for Clinical Ethics Consultation Services
ECMO-Ethics Consultation-Moral Distress Study
Tuesday, August 28, 2018
Integrating New Knowledge & Creating Enduring Capstone Work Products
|8 a.m. - 9:25 a.m.||
Peer-to-Peer Solution-Sharing Report Out
|9:25 a.m. - 9:45 a.m.||Break|
|9:45 a.m. - 10:35 a.m.||
|10:35 a.m. - 11:30 a.m.||
Final Peer-to-Peer Report Out
|11:30 a.m. - Noon||Capstone Vision-Setting & Lunch Pick-Up|
|Noon - 3 p.m.||
Capstone Workshopping and Whitepaper Groups
Keeping Clinicians Responsible for Addressing Ethical Challenges
Multiple Valve Replacement Secondary to Infective Endocarditis
Other Topics to Grow Organically from Discussion at the Un-Conference
Demonstrating Value to the Institution
Continuous Quality Improvement
Traditional and Emerging Roles in Clinical Ethics
Unique Considerations in Pediatric Ethics Consultation
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:
- Lightning Talks with Real-Time Crowdsourcing
- Peer -to-Peer Solution-Sharing
The deadline for abstract submissions is May 1, 2018.
Please email abstracts and inquiries to [email protected].
- 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:
- 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
- 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
- Interfacing with the Public & Philanthropic Efforts
- Measuring the Effectiveness of Ethics Education
- Miscellaneous Topics
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:
- support for the relevance of this question to real-world clinical ethics practice,
- a history of the problem, and
- 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.
- Registration will be $195 ($225 beginning July 1).
- Registration includes breakfast and lunch on August 27 and 28, 2018.
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
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.
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
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
Room Rate: $125
Book by 8/3/2018