Welcome to the pilot training for the Clinical Ethics Intensive (CEI).  This opportunity to brings together staff from CommonSpirit hospitals to engage in training provided by the system Mission Innovation, Theology and Ethics team. Join ethicists Kevin Murphy, System Senior Vice President of Mission Innovation, Ethics and Theology and Becket Gremmels, System Vice President of Theology and Ethics in an innovative program designed to educate and enrich ethics committees and leadership.

The CEI has been approved for 12 CME Credits (3 total for 6 EthicsLab Essentials Podcasts and 9 for the Clinical Ethics Intensive live event).

There are 2 components to this training:

1. EthicsLab Essentials Podcast
   • Listen to 6 podcasts episodes, 30 minutes each, that will provide foundational information.  These can be completed at your convenience before the start of your scheduled Clinical Ethics Intensive.
   • These episodes can be found in the Pre-Work section under Course Content below.
2. CommonSpirit Health Virtual Clinical Ethics Intensive (held via Zoom)
   • Following the live event, please complete the Evaluation section under Course Content below.

Are there better ways to build and support a culture of clinical ethics in healthcare? What might that look like? What has worked and how could the ideas and tools offered be implemented? In the late 1990’s the idea was proposed, why not marry the work being done in health care ethics with quality improvement methodology. Would this type of “Thinking Differently” help us get traction and improve the systems and initiatives that clinical ethics tries to accomplish? These are some of the questions and issues that our guests will wrestle with as well as offering concrete examples and even practical solutions being tested today.

After registration, participants pursuing CME credit must complete the following steps:

• Step 1: review and acknowledge the EthicsLab Essentials Disclaimer and complete pre-test to evaluate participant knowledge before listening to the podcast episode
• Step 2: listen to the EthicsLab Essentials podcast episode
• Step 3: complete post test to evaluate participant knowledge gained after listening to the podcast episode
• Step 4: complete evaluation

Once all steps have been successfully completed, participants are issued a PDF certificate that can be printed or saved electronically for submission to accreditation boards.

Why would the question of whether to provide food and water to a patient come up at all? One might assume it is always helpful and never harmful to offer nutrition and hydration to patients. Is that accurate? When might it be appropriate or not appropriate? Our lead contributor in this episode is Alan Sanders, Vice President of Ethics Integration and Strategy at Trinity Health is in conversation with guests in this episode to explore a number of ethical issues related to providing nutrition and hydration to patients who cannot feed themselves.

After registration, participants pursuing CME credit must complete the following steps:

• Step 1: review and acknowledge the EthicsLab Essentials Disclaimer and complete pre-test to evaluate participant knowledge before listening to the podcast episode
• Step 2: listen to the EthicsLab Essentials podcast episode
• Step 3: complete post test to evaluate participant knowledge gained after listening to the podcast episode
• Step 4: complete evaluation

Once all steps have been successfully completed, participants are issued a PDF certificate that can be printed or saved electronically for submission to accreditation boards.

Health care professionals, patients and family members could all agree that patient wishes about their care are important and need to be respected. Why then, nationally, do only 30 percent of adults have an advance directive that documents those wishes? Given that statistic, how could the town of La Crosse, Wisconsin, achieve the surprising goal that 96% of people who die there have an advance directive or similar documentation…such a difference from the national average? Some wonder how to begin such a conversation while others ask what the best systems to put in place are? Yes, there are better tools, practices and systems that can help us.

After registration, participants pursuing CME credit must complete the following steps:

• Step 1: review and acknowledge the EthicsLab Essentials Disclaimer and complete pre-test to evaluate participant knowledge before listening to the podcast episode
• Step 2: listen to the EthicsLab Essentials podcast episode
• Step 3: complete post test to evaluate participant knowledge gained after listening to the podcast episode
• Step 4: complete evaluation

Once all steps have been successfully completed, participants are issued a PDF certificate that can be printed or saved electronically for submission to accreditation boards.

One of the challenging areas in clinical practice today is wanting to honor patient wishes but not being clear on the competency or capacity level a patient with dementia or behavioral health issues. In this episode we explore different challenging situations that ask: a) What is the best assessment of capacity? b) What level of risk should be supported? c) How might health care professionals approach these situations at a deeper human level? Our guests, who are national experts in this area and will offer insight and practical consideration and approaches to the questions listed above and more.

After registration, participants pursuing CME credit must complete the following steps:

• Step 1: review and acknowledge the EthicsLab Essentials Disclaimer and complete pre-test to evaluate participant knowledge before listening to the podcast episode
• Step 2: listen to the EthicsLab Essentials podcast episode
• Step 3: complete post test to evaluate participant knowledge gained after listening to the podcast episode
• Step 4: complete evaluation

Once all steps have been successfully completed, participants are issued a PDF certificate that can be printed or saved electronically for submission to accreditation boards.

Informed consent is one of the foundational ethical principles in health care that supports patient autonomy, or stated differently, the patients right to self-determination. More and more the standard for what clinicians should inform patients about the risks benefits and alternatives of treatment are no longer determined by what a responsible body of physicians deems important, but rather by what a reasonable patient deems important. What is needed to meet that goal is a collaborative communication process between clinicians and patients that integrates the best evidence available with the patients values and preferences to promote high quality health care decisions. In the United States at least half of the states have adopted the reasonable patient standard regarding informed consent. This episode of EthicsLab Essentials is led by lead contributor Rachelle Barina, VP – Mission Integration at SSM Health based in Wisconsin and is in conversation with two nationally known guests.

After registration, participants pursuing CME credit must complete the following steps:

• Step 1: review and acknowledge the EthicsLab Essentials Disclaimer and complete pre-test to evaluate participant knowledge before listening to the podcast episode
• Step 2: listen to the EthicsLab Essentials podcast episode
• Step 3: complete post test to evaluate participant knowledge gained after listening to the podcast episode
• Step 4: complete evaluation

Once all steps have been successfully completed, participants are issued a PDF certificate that can be printed or saved electronically for submission to accreditation boards.