Ethics Committee Viability Study
(abolished and renamed Ethical Review Board)
Community Health Center
Community Health Center social workers and Hospitals & Asylums have partnered to conduct an Ethics Committee Viability Study pursuant to E: 9.11 of the AMA Code of Medical Ethics that states,
“Ethics committees in all health care institutions should be educational and advisory in nature. Generally, the function of the ethics committee should be to consider and assist in resolving unusual, complicated ethical problems involving issues that affect the care and treatment of patients within the health care institution. Recommendations of the ethics committee should impose no obligation for acceptance on the part of the institution, its governing board, medical staff, attending physician, or other persons. A wide variety of background training is preferable, including such fields as philosophy, religion, medicine, and law. Ethics consultation services, like social services, should be financed by the institution. Patients, employees and family are humbly invited to submit their ethics and human rights cases”
The primary law protecting patient privacy is the Health Insurance Portability and Accountability Act of August 21, 1996 P.L. 104-191. The Patient Safety and Quality Improvement Act of 2005 (PSQIA) was codified in 2009 at 42 C.F.R. Part 3 establishing a voluntary reporting system for workers to enhance the data available to assess and resolve patient safety and health care quality issues. The Community Health Center does not report health information to their billing company. The services of Community Health Center are made available pursuant to a generous sliding-fee-schedule, which is adjusted for household income and number of dependents. Patients are permitted to make small monthly payments commensurate with their financial abilities. The agency emphasizes a patient participation model, and offers a hand up but not a hand out. No one is turned away because of their inability to pay.
Community Health Center was initially founded in 1972 as the result of an extensive, grassroots, community-based effort, and exists today as an Oregon non-profit corporation, which enjoys IRS tax-exempt status. The singular charitable mission of Community Health Center has remained relatively unchanged for over a quarter-century and that is to promote the health of low-income, working uninsured, and other vulnerable adults and children in Jackson County, Oregon.
In the 2009 Annual Report Board President Tilly Gibbs wrote that the 2009 Operating Budget was $5 million of which $4,065,019 was wages for 76 employees, an average salary of $53,487 a year. 9,135 unduplicated patients paid 35,452 visits. 95% of these patients were at 200% below the federal poverty line and 51% were uninsured, $1,836,675 was discounted. Patients are 51 percent uninsured, 32% Medicaid, 12% Private Insurance and 5% Medicare. Financial support comes 58.3% from patient fees ($2.915 million), 23.2% from federal grants ($1.16 million), 11.9% other grants ($595,000), 3.1% fundraising ($155,000), 1% Jackson County ($50,000), City of Medford 0.8% ($40,000), City of Ashland 0.7% ($35,000), United Way 0.6% ($30,000), other 0.2% ($10,000).
To ensure a minimum of ten hours of work a week is done on this subject, ethics, the three month Syllabus for October - December 2010 is as follows: 1st month Financial Audit, 2nd month Corporate History and 3rd month Ethical Findings. All emails shall be responded to personally in a timely and respectful fashion. CHC cases shall be summarized and indexed. Cases for compensation shall be reviewed with CHC on a regular basis, and petitioners informed of decisions. Fearless human rights and ethical decisions shall be published on this page with a regularly emailed informed consent of the author/patient or CHC and can be removed at the request of the author/patient or CHC at any time. The below poverty line rate for writers is arbitrarily set at $10 a page and reading is free for everyone.
Scelza, Sharon M. Ulcerative Colitis and Fatigue: Is Fatigue Manageable. Hospitals & Asylums HA-20-4-09
Scelza, Sharon M. Night Shift: What you should know. Is it worth it? Hospitals & Asylums HA-20-4-09
Sanders, Tony J. CHC Medical Ethics Viability Study: A Bill for 24 Hours Reading and Writing. Human Resources Department. Community Health Center. Hospitals & Asylums. HA-15-10-10
Sanders, Tony J. Over-the-counter Oral Antimicrobial Agent Course for the FDA: A Trade of Copyright for Organic Antibiotics by the Holidays. Hospitals & Asylums. HA-20-11-10
Scelza, Jay. Pathologic Liability Report on the Generic Surgery of Early Acute Appendicitis. Ashland Community Hospital. Hospitals & Asylums. HA-10-1-11
Sanders, Tony J. Dear Rivka Samoss, MD on her Birthday: Contempt Proceeding of Dr. Samoss-Sanders. Community Health Center. Hospitals & Asylums. HA-13-1-1
Sanders, Tony J. Armed Forces Retirement Home v. Martin Bodzin et al. Hospitals & Asylums. HA-6-2-11
Sowa, Jason. e-Motion in limine the False Light of a False Tooth. Oregon Department of Transportation. HA-12-3-11
Family Opinions on the Patient Physician Relationship HA-14-4-11
Anti-Viral Medicine for the Treatment of Chronic Disease HA-24-4-11
In conclusion: CHC neglected to email, did not renew Dr. Samoss-Sanders’ contract, and is materially illiterate in their release form that needs to amend “operation” to “name”. I crossed it out in my office visit I only paid $5 to not be prescribed antibiotics for. The significant others were not so lucky to amend the civil contract. The price remains $250.