I have been honored to be invited 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 recomenndations and benchmark their own internal policies against them.
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).
Making Decisions for Incapacitated Unrepresented Patients (in progress with American Thoracic Society) (2016).
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
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.