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    Forming A Moral Community: Organizational Training Intensives for Corporate Ethics Committees

    Pan Pacific Hotel, San Francisco, June and August 1998

For the last 10 years, we at the Bioethics Consultation Group have been helping health care organizations develop methodologies for decision making in managed care settings. We have found that use of our methodology can reduce the resources, time and energy involved in these decisions. In addition to savings, over time decisions are more consistent and organizations learn from them, reducing legal consequences and increasing fairness of case decisions.

As the country undergoes the managed care "revolution" many organizations are feeling the increased number of complex, conflicting and risky decisions that must be made. Some of these
corporate decisions are:

-extra-contractual benefits for individual patients
-use of investigational interventions in the clinical setting
-the use of confidential clinical and demographic information for population health programs
-appropriate levels of economic incentives for physicians' compensation.

These decisions require trade-off's, choices among multiple values with little or no guidance, yet accreditation organizations such as JCAHO and NCQA and trade associations such as AMA, AAHP, and THMOG suggest or stipulate implementation of explicit processes for addressing theses difficult ethical decisions.

We are offering a three-day intensive that will allow participants to experience first hand the methods and results of our system. By working with case studies that reflect the real issues participants deal with day in and day out, a process unfolds that can improve corporate decision making and help establish a like process in organizational structure.

Case studies form the platform through which the content is delivered. Through experiences with each case participants of the Intensive will discover ways to:

Maximize fairness in decisions when you have scarce resources
Establish values guiding the decisions when the outcomes are unclear as to the benefit of the treatment
Encourage the provision of appropriate services – "the right thing at the right time"
Balance the resource allocation between disciplines within your organization
Evaluate and develop appropriate communications to staff regarding organizational changes

The shifts in the health care industry evidenced by our aging population, life/death prolonging technology and infectious disease "ease" of global lifestyles are adding additional burdens to health care systems. This burden increases the need for health care senior managers to become proficient at making these value based trade off decisions.

We welcome you to join us in San Francisco, California, on either June 1, 2 and 3 or August 26, 27 and 28, 1998 to explore with your peers and us this delicate balance and learn new skills and
methodologies. Costs to institutions are $1750 per individual (plus your expenses). You will return to your organization with tools to create you own process to address these difficult decisions.

For further information or to make a reservation for either intensive, please contact Christopher Wilkie at (510) 486-0626.


Sincerely,

Marjorie S. Wolf
Managing Director
Senior Consultant
John D. Golenski Ed. D
President




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