UB Center for Clinical
Ethics and Humanities in Health Care

Ethics Committee Core Curriculum

JCAHO 1997

PATIENTS RIGHT AND ORGANIZATIONAL ETHICS


Karen Maricle


The goal of this functional chapter is to promote improved patient outcomes by respecting each patient’s rights and conducting business relationships with patients and the public in an ethical manner. The chapter is divided into two major components: Patients Rights and Organizational Ethics. Although the 1997 Standards remain unchanged from those of 1996, there has been a change in the method of scoring. Historically, when the Joint Commission institutes new Standards, they "cap" those Standards for a year or two in order to provide time for organizations to institute measures to be in full compliance. Prior to 1997 the Standards related to Organizational Ethics were capped at two. A score of two indicates significant compliance; therefore, even if there was no evidence of intent to meet the Standard, a score of two was obtained. In 1997 all Standards related to Organizational Ethics have been capped at three. A score of three indicates minimal compliance. A score of three for several related Standards can result in a Type 1 Recommendation.

I will now present an overview of the 1997 Standards; emphasizing new intents or areas of increased importance.

The Patients Rights Standards continue to emphasize access to care, treatment of patients and respect for patients and their families. While these Standards are requirements, various strategies may be utilized to achieve compliance. Hospital Ethics Committees, while not required, have been effective in addressing many of the issues outlined in these Standards.

RI.1 The hospital addresses ethical issues in providing patient care

Hospitals must have processes and structures in place to support ethical decision making and all staff members must be aware of the ethical issues regarding patient care. Implicit in this Standard is a mechanism for staff education. The following patients’ rights must be guaranteed: access to care, care that is considerate and respectful of his or her personal values and beliefs, informed participation in care decisions, participation in ethical questions that arise in the course of his or her care, privacy, confidentiality, security, surrogate decision making and the right to access protective services. The 1997 Accreditation Manual defines protective services as the need for protective intervention, correction of hazardous living conditions or situations in which vulnerable adults are unable to care for themselves, and investigate evidence of neglect, abuse, or exploitation. Mechanisms to provide protective services can include guardianship and advocacy services, conservatorship, referral to state survey and certification agency, state licensure office, the state ombudsman program, the protection and advocacy network, and the Medicaid fraud control unit.

RI1.1 The patient’s right to treatment or service is respected and supported

The intent of this standard is to provide care that is in response to a patient’s desire or need, as long as that care is within the hospital’s ability, its mission and not in violation of relevant laws and regulations. If a hospital cannot provide required or requested services, the patient is informed and if medically advisable, appropriate transfer arrangements are made.. The decision to transfer must not be made solely for economic reasons.

RI.1.2 Patients are involved in all aspects of their care

The aspects of care that are referred to are informed consent, making care decisions, resolving dilemmas about care decisions, formulating advance directives, withholding resuscitative services, forgoing or withdrawing life-sustaining treatment, and care at the end of life. Hospitals must also allow patients and their families to express their cultural and spiritual practices and beliefs as long as this does not interfere in the treatment of others.

RI.1.2.1 Informed consent is obtained

Treatments or procedures must be fully explained to the patient, and when appropriate the family. The risks and potential benefits must be addressed as well as the possible result of nontreatment. Significant alternatives to the proposed treatment must be shared. Staff members must also inform the patient of any potential conflict of interest, including business relationships and relationships to educational institutions. This Standard includes the requirement of informed consent for all investigational studies or clinical trials. The hospital must have policies and procedures in place which ensure that when patients are asked to participate in an investigational study or clinical trial, they receive appropriate information upon which to base their decision. It is essential that patients understand that their refusal to participate in such trials will not compromise their access to the hospital’s services

RI.1.2.2 The family participates in care decisions

This Standard requires a surrogate decision maker to be identified when a patient cannot make decisions regarding his or her care. In the case of an unemancipated minor, the family or guardian is legally responsible for approving the care prescribed. The patient also has the right to exclude any or all family members from participating in his or her care decisions.

RI.1.2.4 The hospital addresses advance directives

Hospitals are required to determine whether a patient has an advance directive and if not, wishes to implement one. Hospitals must provide assistance to patients in formulating advance directives. The discussion must be conducted by an authorized staff member who has specific training in this area or be the attending physician. If a patient does not wish to implement an advance directive, this must be indicated in the medical record. Once an advance directive is executed, hospitals are required to honor the directive within the limits of the law and the organization's mission, philosophy, and capabilities. Finally, in the absence of the actual advance directive, the substance of the directive is documented in the medical record by hospital staff. This final issue has raised concern since its implementation in 1996. The concern centers around the ability of the staff member to capture the true essence of the advance directive in light of the patient's present condition and limited contact with the patient. Organizations would be prudent to consult with their legal counsel regarding this issue.

RI.1.2.5 The hospital addresses withholding resuscitative services

RI.1.2.6 The hospital addresses forgoing or withdrawing life-sustaining treatment

Policies and procedures should provide a framework which ensures that the decision-making process is applied consistently and that lines of accountability are clear. Hospitals will conform to the legal requirements of their jurisdiction. Policies and procedures should be adopted by the medical staff and approved by the governing board.

RI.1.2.7 The hospital addresses care a the end of life

This Standard provides for the appropriate care of dying patients. The framework used must address the following issues: pain management, sensitively addressing issues such as autopsy and organ donation, respecting the patient's values, religion and philosophy, involving the patient and where appropriate the family in all aspects of care, and responding to the psychological, social, emotional spiritual and cultural concerns of the patient and family

RI.1.3 The hospital demonstrates respect for the following patient needs: confidentiality, privacy, security, resolution of complaints, pastoral counseling and communication.

When the hospital restricts a patient's visitors, mail, telephone calls, or other forms of communication, the restrictions are evaluated for their therapeutic effectiveness. Any restrictions on communication are fully explained to the patient and family, and are determined with their participation.

RI.1.4 Each patient receives a written statement of his or her rights

RI.1.5 The hospital supports the patient's right to access protective services

This Standard refers to the provision of guardianship and advocacy services, conservatorship, and child or adult protective services for at risk populations.

RI.2 The hospital has a policy and procedures, developed with medical staffs' participation, for the procuring and donation of organs and other tissues

Policies and procedures for organ and tissue procurement and donation include the following elements: identification of the organ or tissue procurement agency with which the hospital is affiliated, criteria for identifying potential organ and tissue donors, procedures for notifying the family of each donor of the organ to donate, and for recording their decision, discretion and sensitivity to the circumstances, beliefs, and desires of the families of potential donors, procedures for directly notifying appropriate organ procurement organizations and tissue banks when an organ or other tissue is potentially available, written documentation showing that the patient or family accepts or declines the opportunity for the patient to become an organ or tissue donor and records of potential organ donors whose names have been sent to organ or tissue procurement organizations.

RI.3 The hospital protects patients and respects their rights during research, investigation, and clinical trials involving human subjects (please refer to consent Standard)

ORGANIZATIONAL ETHICS

RI.4 The hospital operates according to a code of ethical behavior This code addresses ethical practices regarding marketing, admission, transfer, discharge and billing, and resolution of conflicts associated with patient billing.

The code ensures that the hospital conducts its business and patient care practices in an honest, decent and proper manner. The code of ethical behavior is driven by leadership and must be approved by the governing board.

RI.4.3 In hospitals with longer lengths of stay, the code addresses a patient's rights to perform or refuse to perform tasks in or for the hospital.

Patients have a right to refuse the work. Work must be appropriate to the patient's need and therapeutic goals.

Reference: 1997 Hospital Accreditation Standards. Joint Commission


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Last Revised 2/15/97