My publications have been cited in dozens of government reports and professional association statements. But my involvement is sometimes even more direct. I have been honored to participate in the drafting of seven professional organization official policy statements.
Because these guidelines and practices are recommended by a major medical society or expert working group, they have a different status from other publications. Healthcare practitioners and institutions pay serious attention to these recommendations and benchmark their own internal policies against them. Professional organization policy statements "make legal norms effective within the healthcare culture."
Medical Association Policy Statements
An Official ATS/AGS Policy Statement: Making Medical Treatment Decisions for Unrepresented Patients in the ICU (in progress with multi-disciplinary committee).
Statement on Futility and Goal Conflict in End-of-Life Care in ICU Medicine, 191(11) AMERICAN JOURNAL OF RESPIRATORY & CRITICAL CARE 1318-1330 (2015).
An Official American Thoracic Society Policy Statement: Managing Conscientious Objection in Intensive Care Medicine, 191(2) AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE 219-227 (2015).
National Quality Forum
The National Quality Forum (NQF) is a not-for-profit, nonpartisan, membership-based organization that works to catalyze improvements in healthcare. The NQF Decision Aids Project will build consensus around national standards for the certification of decision aids; and identify approaches to measure the quality of decision making and provide guidance to support the development of measures to assess the impact of shared decision making. I am excited to be a part of the multistakeholder group of experts on this project.
Task Force Recommendations
Dementia and the Ethics of Choosing When to Die, HASTINGS CENTER (in progress).
Clinical Criteria for Physician Aid-in-Dying, 19(3) JOURNAL OF PALLIATIVE MEDICINE 259-262 (2015) (with David Orentlicher & Ben Rich).
POLST Legislative Guide (Feb. 2014) (with Legislative Working Group of the National POLST Paradigm Task Force).
Individual Institution Policies
I have helped draft and edit policies and procedures for more than ten hospitals. These have been on medical futility, DNR, informed consent, surrogate decision making, and other issues.
Citations in Government Reports and Policy Statements