As part of its mandate to encourage discussion regarding ethical issues in health, from time to time, the Provincial Health Ethics Network sponsors facilitated discussion sessions regarding policy documents. In the past, these sessions have been held in various parts of the province, and have provided PHEN members and other interested Albertans with an opportunity for reflection and discussion on an important policy document. In each case, feedback received in the sessions was summarized in a report and submitted to the appropriate agency or body. The final summary report reflects the views of the participants and not necessarily those of the Provincial Health Ethics Network.

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A Foundation for Alberta's Health System: Report of the Minister's Advisory Committee on Health (July, 2010)
Requesting BodyMinister's Advisory Committee on Health, Alberta Health and Wellness
BackgroundIn July 2010, PHEN was asked by the Minister's Advisory Committee on Health and Alberta Health and Wellness to review and provide feedback on A Foundation for Alberta's Health System: Report of the Minister's Advisory Committee on Health. PHEN solicited feedback on the document from several members of the bioethics community familiar with policy development.
PHEN Discussion SummaryClick here to view PHEN's summary document Review of A Foundation for Alberta's Health System: Report of the Minister's Advisory Committee on Health


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Alberta Health Services Draft Code of Conduct (November, 2009)
Requesting Body Alberta Health Services Ethics and Compliance Office
Background PHEN hosted a teleconference discussion on November 6, 2009 to review the Alberta Health Services Draft Code of Conduct – October 28 from an ethics perspective and, in response to a request to do so, provide feedback to the Ethics and Compliance Office of Alberta Health Services (AHS). Participants (including comments submitted via email) included eight ethics committee members, front-line health care workers and ethics services staff, spanning various professions.
PHEN Discussion Summary Click here to view PHEN's summary document Review of Alberta Health Services Draft Code of Conduct

 

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Review of Draft Code of Conduct of the College of Physicians and Surgeons of Alberta (October, 2009)
Requesting Body College of Physicians and Surgeons of Alberta
Background On September 24, 2009, PHEN held a teleconference discussion to review the Draft Code of Conduct of the College of Physicians and Surgeons of Alberta from an ethics perspective and provide feedback to the CPSA. PHEN members, ethics committee members and other interested individuals were invited to attend. Feedback was also received by email from those who were unable to participate in the discussion.
PHEN Discussion Summary Click here to view PHEN's summary document Review of Draft Code of Conduct of the College of Physicians and Surgeons of Alberta

 

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Review of Bill 31: Mental Health Amendment Act 2007 (September, 2007)
Requesting Body Alberta Standing Committee on Community Services
Background PHEN coordinated two review sessions on September 4, 2007 with its members to examine the proposed amendments to the Mental Health Act rom an ethics perspective. One session was held by teleconference, and one was held in-person in Calgary. A combined total of 22 individuals provided feedback.
PHEN Discussion Summary Click here to view PHEN's summary document Review of Bill 31: Mental Health Amendment Act 2007.

 

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Review of Bill 41: Health Professions Statutes Amendment Act 2007 (September, 2007)
Requesting Body Alberta Standing Committee on Community Services
Background On September 4, 2007, PHEN held a provincial discussion to review Bill 41: Health Professions Statutes Amendment Act 2007 from an ethics perspective and provide feedback to the Standing Committee on Community Services. The discussion session was facilitated by teleconference and attended by 12 people representing a number of health regions, professional associations and colleges and sectors of the health care system.
PHEN Discussion Summary Click here to view PHEN's summary document Review of Bill 41: Health Professions Statutes Amendment Act 2007.

 

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Review of Canadian Council on Health Services Accreditation (CCHSA) Draft Accreditation Programme 2008 (June, 2007)
Requesting Body Canadian Council for Health Services Accreditation
Background In June 2007, the Provincial Health Ethics Network (PHEN) in Alberta solicited feedback from PHEN members and others interested and working in the area of health ethics to review the standards within the CCHSA Draft Accreditation Programme 2008.
PHEN Discussion Summary Click here to view PHEN's summary document Review of CCHSA Draft Accreditation Programme 2008.

 

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Addressing Values: Ethical Considerations for the Future of the Health System (June, 2001)
Requesting Body (Alberta) Premier's Advisory Council on Health
Background

In 2000, Alberta's Premier's Advisory Council on Health requested that the PHEN staff provide a presentation to the Council addressing ethical issues involved in developing public policy and allocating resources. Representatives from the PHEN staff and board made a presentation to the Council in Feburary 2001. The paper provided here provides a summary of the presentation, and was submitted to the Council in April 2001.

In what is likely to be a different vein from most other submissions to the Premier’s Council, and given's PHEN's organizational policy of 'philosophical neutrality'. this paper makes no recommendations about the content of possible options for the direction of Alberta’s health system. Rather, it offers suggestions about the method and process by which decisions about Alberta’s future health system could be made, and provides discussion of several pressing ethical issues to be addressed in the area of health policy decision-making.

PHEN Discussion Summary Click here to view PHEN's summary document Addressing Values: Ethical Considerations for the Future of the Health System
Outcome The Premier's Advisory Council Report was released on January 8, 2002. To download the report, please click here.

 

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Ethics and Influenza Pandemic Planning (2001)
Requesting Body Alberta Health and Wellness Influenza Pandemic Planning Team
Background Three or four times a century the influenza virus changes dramatically and unexpectedly and forms a completely new strain to which few people will be immune. If this new virus spreads easily from person to person, it could quickly travel around the world and cause serious illness and death for millions of people. This global epidemic is called an influenza pandemic. Influenza pandemics occur at unpredictable intervals but with a frequency of three to four times a century. Since it has been over thirty years since the last pandemic, experts predict that we are likely to have another pandemic in the near future.

The Alberta Pandemic Influenza Contingency Plan Project is part of the international and federal planning for the pandemic. The Alberta Interdepartmental Pandemic Influenza Committee, led by Alberta Health and Wellness and Alberta Municipal Affairs, struck a Working Group to develop a plan in five areas: surveillance, communications, emergency preparedness, vaccine and antiviral delivery and health services.

Recognizing that the decisions made in these areas are value laden and would benefit from careful and systematic consideration from an ethics perspective, the Working Group requested PHEN to deliver a presentation identifying the ethical dimension of the work and offering a framework for thinking about these issues from an ethics perspective.

PHEN Discussion Summary The presentation on the ethics of planning for pandemic influenza flu that was made by Bashir Jiwani of the Network to the Working Group, can be downloaded as a .pdf file here.

 

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Review of Proposed Standards for Comprehensive Health Services (March, 2000)
Authoring Body Canadian Council for Health Services Accreditation
Background In 1999, the CCHSA released the draft version of its new accreditation standards, AIM: Achieving Improved Measurement.

The Provincial Health Ethics Network, in conjunction with the CCHSA, hosted discussion sessions in Grande Prairie, Fort McMurray, Edmonton, Calgary and Lethbridge to solicit feedback on those sections of the new standards relating to the addressing of ethical issues and their incorporation into decision-making in healthcare organizations.

PHEN Discussion Summary Click here to view the summary document Review of Proposed Standards for Comprehensive Health Services
Outcome The Achieving Improved Measurement (AIM) Program standards have been published and are now in effect. For more information, visit the CCHSA's web site at http://www.cchsa.ca/english/indexeng.html.

PHEN has also compiled a selection of excerpts of the new accreditation standards that will be of particular interest to health ethics committees in Canada. You can download this summary here

 

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Long-term Care Policy Advisory Committee Final Report (January, 2000)
Authoring Body Long Term Care Policy Advisory Committee, Alberta
(Chaired by Dave Broda, MLA).
Background In November 1999, the Long Term Care Policy Advisory Committee released its final report and recommendations for the future of Long Term Care in Alberta as a document entitled Health Aging: New Directions for Care.

The Provincial Health Ethics Network, in conjunction with 16 Regional Health Authority and Long Term Care Centres, hosted discussions sessions in Calgary and Edmonton in December 1999 to consider Recommendation #46 of the report, Take Steps to Address Ethics Issues. Feedback and discussion was summarized in the document below, submitted to Alberta Health and Wellness in January 2000

PHEN Discussion Summary Click here to view PHEN & Partners' Response to the Long-Term Care Policy Advisory Committee Final Report
Outcome The final report and recommendations are available at
http://www.health.gov.ab.ca/key/lt_list.pdf

 

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A Framework for Action: A Coordinated and Comprehensive Organ and Tissue Donation and Transplantation Sytem for Alberta (2000)
Requesting Body Alberta Health and Wellness
Background

In 1999, the Provincial Health Ethics Network was invited to appoint a representative to the Alberta Advisory Committee on Organ and Tissue Donation and Transplantation.

The purpose of the Committee was to develop a framework for a coordinated provincial system of organ and tissue donation and transplantation, in light of the shortage of these in relation to potential transplant recipients.

The Provincial Health Ethics Network appointed Dr. Michael Sting, Assistant Professor, University of Lethbridge, as its representative to the Committee.

Outcome The Final Report of the Committee, released in April 2000, can be viewed here.

 

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Personal Directives: A One Year Retrospective (March, 1999)
Authoring Body Government/Legislature of Alberta
Background In December 1998, the Provincial Health Ethics Network and the Office of the Public Guardian hosted facilitated discussion sessions in five areas of the province to solicit feedback from care providers and members of the public regarding the impact of the December 1, 1997 proclamation of the Personal Directives Act in Alberta.
PHEN Discussion Summary Click here to view the summary document Personal Directives: A One Year Retrospective
Outcome Feedback will be considered in a government-sponsored evaluation of the Act's impact, to be completed two years after its proclamation (i.e. December 1999)

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Joint Statement on Resolving Ethical Conflicts Between Providers of Health Care and Persons Receiving Care (July, 1998)
Authoring Body Canadian Healthcare Association
Canadian Nurses Association
Canadian Medical Association
Catholic Healthcare Association of Canada
Background The document supplements the Joint Statement on Resuscitative Interventions (Update 1995) and offers guidance for the development of policies for resolving ethical conflicts about the appropriateness of initiating, continuing, withholding or withdrawing treatments. The authoring organizations listed above sought feedback from healthcare providers and member organizations to inform further drafts of the Statement. In June 1998, the Provincial Health Ethics Network hosted discussions sessions in Calgary and Edmonton to consider the draft version of the above document.
PHEN Discussion Summary Click here to view the document Joint Statement on Resolving Ethical Conflicts Between Providers of Health Care and Persons Receiving Care. 
Outcome The final version of the Joint Statement is available at
http://www.canadian-healthcare.org/chapol/joint.htm