Including the Entire Healthcare Team in Goal-Directed Care Planning: A Policy Approach

Second presentation in session:

In order to preserve their professional and ethical integrity, all members of a patient’s healthcare team should be involved in goal-directed care planning. Dr. Marshall led the development of institutional policy that requires the inclusion of non-physician healthcare team members in establishing patient code status and associated treatment plans. She will describe this successful program, including who is involved in the decision-making team, roles of various team members, and how the team works collaboratively and cohesively when making difficult choices with patients and families in the ICU.

Mary Faith Marshall, PhD, FCCM, HEC-C, is the Emily Davie and Joseph S. Kornfeld Chair of Biomedical Ethics and Director of the Center for Health Humanities and Ethics in the UVA School of Medicine, and a professor in the School of Nursing. She was an adult critical care nurse for eleven years, is past Chair of the SCCM Ethics Committee, past President of the American Society for Bioethics and Humanities and the American Association of Bioethics, and is co-chair of the SCCM End-of-Life Guidelines Taskforce.  She is a national leader and widely-published scholar in healthcare ethics and health policy and has decades of experience directing ethics consult services.