Ethics Committee Self Evaluation
Site:
Circle the number which reflects your opinion.
5=strongly agree 4=agree 3=neutral 2=disagree 1=strongly disagree
Mission, Vision, Accountability
The Mission and Vision of our committee are clearly understood
5 4 3 2 1 N/A
Our committee’s functions are clearly understood
5 4 3 2 1 N/A
Our committee’s scope of authority and jurisdiction are clearly understood 5 4 3 2 1 N/A
Our committee is perceived to be effective
5 4 3 2 1 N/A
Our committee sets annual goals and measures its effectiveness
5 4 3 2 1 N/A
Our committee sets strategic direction and measures effectiveness
5 4 3 2 1 N/A
Our committee has clear reporting requirements
5 4 3 2 1 N/A
Our committee is proactive for institutional needs
5 4 3 2 1 N/A
Our committee uses cases to advance system change
5 4 3 2 1 N/A
Administration asks our committee to take up specific issues
5 4 3 2 1 N/A
Administration holds our committee accountable for its efforts
5 4 3 2 1 N/A
Our committee is the principle vehicle of change in ethics
5 4 3 2 1 N/A
Our committee is a facilitator for change in ethics
5 4 3 2 1 N/A
Our committee has the skill set needed to address organizational ethics
5 4 3 2 1 N/A
Our institution uses addition mechanisms to address ethics issues
5 4 3 2 1 N/A
Our committee collaborates with the IRB
5 4 3 2 1 N/A
Our committee collaborates with corporate compliance
5 4 3 2 1 N/A
Our committee collaborates with VIP
5 4 3 2 1 N/A
Support of committee
Our committee has adequate budget to support its operation
5 4 3 2 1 N/A
Our committee has adequate administrative support
5 4 3 2 1 N/A
Our committee has support from key publics
5 4 3 2 1 N/A
e.g., administration, physicians & nurses
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Meetings
Our meetings are held regularly
5 4 3 2 1 N/A
The length of the meetings is appropriate
5 4 3 2 1 N/A
We receive agendas and materials with sufficient lead time
5 4 3 2 1 N/A
We use our meeting time well
5 4 3 2 1 N/A
The meetings largely focus on cases
5 4 3 2 1 N/A
Careful attention is given to group process
5 4 3 2 1 N/A
As a general rule when I speak I feel listened to
5 4 3 2 1 N/A
Members share freely at the meeting
5 4 3 2 1 N/A
Membership
Our committee includes a good multi-disciplinary mix of colleagues
5 4 3 2 1 N/A
Key administration is represented on the committee
5 4 3 2 1 N/A
Members are considered volunteers
5 4 3 2 1 N/A
Our committee is the right size
5 4 3 2 1 N/A
We require formal mandatory education/training of new members
5 4 3 2 1 N/A
We rotate members consistent in a consistent pattern
5 4 3 2 1 N/A
Members consistently attend meetings
5 4 3 2 1 N/A
Members prepare for meetings
5 4 3 2 1 N/A
A member’s participation is considered in his/her annual evaluation
5 4 3 2 1 N/A
Policies
We have done a good job of reviewing policies for the institution
5 4 3 2 1 N/A
We have done a good job of developing policies for the institution
5 4 3 2 1 N/A
We have developed effective educational
programs as part of policy development/review
5 4 3 2 1 N/A
Education
Self education
Our committee spends adequate time on self-education
5 4 3 2 1 N/A
Our committee uses a formalize decision process
5 4 3 2 1 N/A
Our committee gets stuck on big cases
5 4 3 2 1 N/A
Institutional education
All component corporations have identifiable First Responders
5 4 3 2 1 N/A
All First Responders have participated in Ethics Champions Programming 5 4 3 2 1 N/A
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Our education efforts are provided to all colleagues
5 4 3 2 1 N/A
E-Cases are distributed to the right audience
5 4 3 2 1 N/A
Our committee has provided education on the
values-based decision-making process
5 4 3 2 1 N/A
Case consultation
When a cases consultations is requested we provide a timely response
5 4 3 2 1 N/A
Patients and families know how to reach the consultation committee
5 4 3 2 1 N/A
Colleagues know how to reach the consultation committee
5 4 3 2 1 N/A
Our consultation team is explicit about its
authority to those who request consultations
5 4 3 2 1 N/A
Our consultation team has articulated competencies for members
5 4 3 2 1 N/A
Our consultation team has training in dispute resolution
5 4 3 2 1 N/A
Our consultation team uses a consistent pattern of analysis
5 4 3 2 1 N/A
Our consultation team annually reviews case trends
5 4 3 2 1 N/A
Leadership
The leadership of the committee is well defined
5 4 3 2 1 N/A
Our leadership makes good use of delegation
5 4 3 2 1 N/A
Our leadership makes good use of process
5 4 3 2 1 N/A
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