Medically Ineffective Treatment Roundtable Working Group
Location: Emory University Center for Ethics
Date: Thursday, October 17, 2019
Time: 1:00pm to 3:00pm
You can also join virtually via Zoom:
Dial by your location:
+1 646 558 8656 US (New York)
+1 669 900 6833 US (San Jose)
Meeting ID: 528 304 994
Additional Working Group Information:
Over the last few years HEC has held several Roundtable sessions on Medically Ineffective Treatment, with our last meeting on July 17 of this year.
Primary points from the most Roundtable discussion:
- There continues to be strong interest nationally in this topic, including both legislative responses and calls for changes in practice regarding how we respond to requests for potentially inappropriate treatment
- Legislation in a number of states provides a process for working through these cases
- Legislation in some states allows for the hospital to make a decision to not continue treatment at the end of the process.
- In some states, legislation allows the family to make the final decision.
- Guidance for changes in medical practice are reflected in many professional association statements and articles. Of particular note is the attached consensus statement from 2015:
- A 2015 consensus statement on “medically inappropriate treatment”: Bosslet, GT et al. An Official ATS/AACN/ACCP/ESICM/SCCM Policy Statement: Responding to Requests for Potentially Inappropriate Treatments in Intensive Care Units. American Journal of Respiratory and Critical Care Medicine Vol 191, Iss 11, pp 1318–1330, Jun 1, 2015
- In January of 2019, the Medical Association of Georgia considered a proposed resolution (thanks to Dr. Anna Skold) regarding responses to requests for Potentially Inappropriate treatment. That resolution is attached.
- Our HEC Roundtable agreed to:
- survey Georgia hospitals regarding current practice
- continue to explore legislative possibilities (probably a year away, for the 2021 legislative session)
- explore development of hospital policy that might serve as a common template across institutions
- continue to review literature and national practice
- begin to meet with possible collaborators
- Continue to meet, with options to join virtually or in person
We welcome your joining us for the next Roundtable discussion.