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National Center for Ethics in Health Care

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Policy and Guidance

The National Center for Ethics in Health Care is responsible for developing policies on topics in health care ethics, including advance care planning, informed consent, and life-sustaining treatment. We develop educational resources and other supplementary materials to assist the field with implementation of these policies. NCEHC also assists other VHA Program Offices in the development of national policies that have ethical implications.

 NCEHC Policy

 NCEHC and Other Program Office Guidance

Advance Care Planning and Management of Advance Directives 

Disclosure of Adverse Events to Patients 

Financial Relationships between VHA Health Care Professionals and Industry 

iMedConsent 

Informed Consent for Clinical Treatments and Procedures 

Informed Consent for Long-Term Opioid Therapy for Pain 

IntegratedEthics 

Life-Sustaining Treatment (LST) Decisions 

National Center for Ethics in Health Care 

State-Authorized Portable Orders

Ethical Issues in Ebola Virus Disease Preparedness and Response 

Ethical Issues in Pandemic Influenza Preparedness and Response 

Informed Consent for HIV Testing

National Ethics Committee (NEC) Reports  

Protocol for Prioritizing HCV Treatment: An Ethical

 

 

NCEHC Policy 

Relevant Materials 

Advance Care Planning and Management of Advance Directives
(December 24, 2013)

VA Advance Directive - Durable Power of Attorney for Health Care and Living Will  

Directrices Anticipadas De Va Poder Legal Para La Designacion De Agente Para El Cuidado De Salud Y Testamento En Vida

Your Rights Regarding Advance Directives 

What You Should Know About Advance Directives

Mental Health Care Preferences Worksheet

Who to Contact Worksheet

CPRS Advance Directive Notification and Screening Documentation

VHA Training for Staff Who Provide Information and Assistance with Completing Advance Directives

FAQ: Advance Care Planning and Management of Advance Directives

Podcast: Identifying the Patient’s Authorized Surrogate: Close Friends as Surrogate Decision-Makers (6:12)

MCM Template for VHA Handbook 1004.02

Disclosure of Adverse Events to Patients
(October 2, 2012) 

Clinical and Institutional Disclosure of Adverse Events

Critical Thinking About Institutional Disclosure of Adverse Events

Financial Relationships Between VHA Health Care Professionals and Industry
(November 24, 2014)

Training Module for Health Care Professionals 

Frequently Asked Questions: Financial Relationships Between VHA Health Care Professionals and Industry

Model Medical Center Memorandum Template: Financial Relationships Between Health Care Professionals and Industry

Verbal Disclosure Script for Chair

Verbal Disclosure Information for Members

National Ethics Committee Report: Compensation to Health Care Professionals from the Pharmaceutical Industry

Gifts to Health Care Professionals from the Pharmaceutical Industry

National Ethics Committee Report: Gifts to Health Care Professionals from the Pharmaceutical Industry
iMedConsent
(December 10, 2014)

FAQ: iMed Consent Asynchronous Signature

FAQ: iMedConsent DNR Discussion WizardModel Medical Center Memorandum for VHA HB 1004.05, iMedConsent

Informed Consent for Clinical Treatments and Procedures 
(August 14, 2009)

Informed Consent for HIV Testing

Amendment of VHA Handbook 1004.01: Removing the Requirement for Specific Documentation of Oral Informed Consent to Tests for Hepatitis B (HBV) Virus and Hepatitis C (HCV) Virus

Frequently Asked Questions: VHA Notice 2017-38, Amendment of VHA Handbook 1004.01: Removing the Requirement for Specific Documentation of Oral Informed Consent to Tests for Hepatitis B (HBV) Virus and Hepatitis C (HCV) Virus

EthicsRx - Signature Informed Consent Workflows: "Gurney Consent" (July 28, 2015)

Podcast: Obtaining and Documenting Oral Informed Consent for HIV Testing (5:59)

Informed Consent for Long-Term Opioid Therapy for Pain
(May 6, 2014)

Consent for Long-term Opioid Therapy for Pain

Medical Center Memorandum Template: VHA Directive 1005: Informed Consent for Long-Term Opioid Therapy for Pain

Taking Opioids Responsibly for Your Safety and the Safety of Others 

Taking Opioids Responsibly for Your Safety and the Safety of Others - Spanish

Podcast: Informed Consent for Long-Term Opioid Therapy for Pain (7:27)

Podcast: Urine Drug Testing in the Context of Long-Term Opioid Therapy for Pain (5:42)

IntegratedEthics
(August 29, 2013)

FAQ 

Model IntegratedEthics Policy Template

Life-Sustaining Treatment (LST) Decisions: Eliciting, Documenting, and Honoring Patients’ Values, Goals, and Preferences
(January 11, 2017)

Medical Center Memorandum (MCM) Template for VHA Handbook 1004.03

Crosswalk of Policy Changes

LSTDI Webpage

National Center for Ethics in Health Care
(September 6, 2013)
 
State-Authorized Portable Orders  

 

NCEHC Guidance 

Other Program Office Guidance 

Ethical Issues in Ebola Virus Disease Preparedness and Response Decedent Affairs
(February 8, 2013)
Ethical Issues in Pandemic Influenza Preparedness and Response Patient Record Flags
(December 3, 2010)
Informed Consent for HIV Testing Providing Health Care for Transgender and Intersex Veterans
(February 8, 2013)
National Ethics Committee (NEC) Reports Title 38: Pensions, Bonuses, and Veterans' Relief
(February 3, 2014)
 Protocol for Prioritizing HCV Treatment: An Ethical Framework Use of Patient Record Flags to Identify Patients at High Risk for Suicide
(July 18, 2008)
  VHA Privacy Program
(April 11, 2012)