Hospitals & Asylums
Ethics Committee
Viability Study
(abolished and renamed Ethical Review Board)
Community Health
Center
Proposed Advertisement
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.
Preliminary Documents
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.