A Pilot Evaluation of Portfolios for Quality Attestation of Clinical Ethics Consultants

Joseph J. Fins; Eric Kodish; Felicia Cohn; Marion Danis; Arthur R. Derse; Nancy Neveloff Dubler; Barbara Goulden; Mark Kuczewski; Mary Beth Mercer; Robert A. Pearlman; Martin L. Smith; Anita Tarzian; Stuart J. Youngner

doi:10.1080/15265161.2015.1134705

A Pilot Evaluation of Portfolios for Quality Attestation of Clinical Ethics Consultants

Joseph J. Fins, Eric Kodish, Felicia Cohn, Marion Danis, Arthur R. Derse, Nancy Neveloff Dubler, Barbara Goulden, Mark Kuczewski, Mary Beth Mercer, Robert A. Pearlman, Martin L. Smith, Anita Tarzian, Stuart J. Youngner

Houston Methodist

Research output: Contribution to journal › Article › peer-review

53 Scopus citations

Abstract

Although clinical ethics consultation is a high-stakes endeavor with an increasing prominence in health care systems, progress in developing standards for quality is challenging. In this article, we describe the results of a pilot project utilizing portfolios as an evaluation tool. We found that this approach is feasible and resulted in a reasonably wide distribution of scores among the 23 submitted portfolios that we evaluated. We discuss limitations and implications of these results, and suggest that this is a significant step on the pathway to an eventual certification process for clinical ethics consultants.

Original language	English (US)
Pages (from-to)	15-24
Number of pages	10
Journal	American Journal of Bioethics
Volume	16
Issue number	3
DOIs	https://doi.org/10.1080/15265161.2015.1134705
State	Published - Mar 3 2016

Keywords

clinical ethics consultation
ethics consultants
portfolio evaluation
quality assessment

ASJC Scopus subject areas

Issues, ethics and legal aspects
Health Policy

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10.1080/15265161.2015.1134705

Cite this

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title = "A Pilot Evaluation of Portfolios for Quality Attestation of Clinical Ethics Consultants",

abstract = "Although clinical ethics consultation is a high-stakes endeavor with an increasing prominence in health care systems, progress in developing standards for quality is challenging. In this article, we describe the results of a pilot project utilizing portfolios as an evaluation tool. We found that this approach is feasible and resulted in a reasonably wide distribution of scores among the 23 submitted portfolios that we evaluated. We discuss limitations and implications of these results, and suggest that this is a significant step on the pathway to an eventual certification process for clinical ethics consultants.",

keywords = "clinical ethics consultation, ethics consultants, portfolio evaluation, quality assessment",

author = "Fins, \{Joseph J.\} and Eric Kodish and Felicia Cohn and Marion Danis and Derse, \{Arthur R.\} and Dubler, \{Nancy Neveloff\} and Barbara Goulden and Mark Kuczewski and Mercer, \{Mary Beth\} and Pearlman, \{Robert A.\} and Smith, \{Martin L.\} and Anita Tarzian and Youngner, \{Stuart J.\}",

note = "Funding Information: We are grateful to the Greenwall Foundation and the Josiah Macy Jr. Foundation for funding this effort, and to the Cleveland Clinic for administrative support. We appreciate the wise counsel and guidance of Drs. George Thibault and Bernard Lo and the Board of Directors of ASBH for their support and helpful comments on this article. We also thank the VA team that was responsible for developing and providing the draft version of the Ethics Consultation Quality Assessment Tool for use in this project. We are grateful to the three anonymous peer reviewers and AJOB editors for their helpful suggestions to improve the article. Finally, we thank all those who submitted letters of intent, and especially the 23 individuals who compiled and submitted pilot portfolios. Publisher Copyright: {\textcopyright} 2016, Copyright {\textcopyright} Taylor \& Francis Group, LLC. Copyright: Copyright 2016 Elsevier B.V., All rights reserved.",

year = "2016",

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doi = "10.1080/15265161.2015.1134705",

language = "English (US)",

volume = "16",

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AU - Fins, Joseph J.

AU - Kodish, Eric

AU - Cohn, Felicia

AU - Danis, Marion

AU - Derse, Arthur R.

AU - Dubler, Nancy Neveloff

AU - Goulden, Barbara

AU - Kuczewski, Mark

AU - Mercer, Mary Beth

AU - Pearlman, Robert A.

AU - Smith, Martin L.

AU - Tarzian, Anita

AU - Youngner, Stuart J.

N1 - Funding Information: We are grateful to the Greenwall Foundation and the Josiah Macy Jr. Foundation for funding this effort, and to the Cleveland Clinic for administrative support. We appreciate the wise counsel and guidance of Drs. George Thibault and Bernard Lo and the Board of Directors of ASBH for their support and helpful comments on this article. We also thank the VA team that was responsible for developing and providing the draft version of the Ethics Consultation Quality Assessment Tool for use in this project. We are grateful to the three anonymous peer reviewers and AJOB editors for their helpful suggestions to improve the article. Finally, we thank all those who submitted letters of intent, and especially the 23 individuals who compiled and submitted pilot portfolios. Publisher Copyright: © 2016, Copyright © Taylor & Francis Group, LLC. Copyright: Copyright 2016 Elsevier B.V., All rights reserved.

PY - 2016/3/3

Y1 - 2016/3/3

N2 - Although clinical ethics consultation is a high-stakes endeavor with an increasing prominence in health care systems, progress in developing standards for quality is challenging. In this article, we describe the results of a pilot project utilizing portfolios as an evaluation tool. We found that this approach is feasible and resulted in a reasonably wide distribution of scores among the 23 submitted portfolios that we evaluated. We discuss limitations and implications of these results, and suggest that this is a significant step on the pathway to an eventual certification process for clinical ethics consultants.

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A Pilot Evaluation of Portfolios for Quality Attestation of Clinical Ethics Consultants

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Keywords

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