Ethical Issues in Health Care Reform and The 28th Annual Messer Lecture

“The Ethics, Economics and Politics of Rationing: Death Panels, Mammogram Guidelines and Chemotherapy”

Mary Ann Baily, PhD
Fellow, Hastings Center

Introduction

The annual Medical Ethics Update conference provides attendees with an opportunity to hear presentations on a number of current issues of national and local interests in medical ethics, to participate in a question-and-answer period with the speakers, and to participate in smaller, more intimate break out sessions with presenters. This course is designed for a diverse group of concerned physicians, lawyers, community members, clergy, and health care providers.

Conference Objectives

At the end of this program, attendees should have a better understanding of some of the fundamental ethical problems that are raised by – and possibly resolved by – the Affordable Care Act, passed by Congress and signed by the President in 2010. In addition to a general understanding of these issues, those attending the conference should better understand how some of the act’s provisions are likely to have an impact in a variety of settings and contexts, including primary care, inpatient hospitalization, end-of-life care, rehabilitation medicine, prescription medications, and mammography.

Registration Information

The registration fee includes attendance at the conference, course materials, and continuing medical education credit; and continental breakfast and lunch. Online registration at https://ccehs.upmc.com/formalCourses.jsp#2905. To register by fax or mail call 412-647-8232.

Registration Fees*

$100 Physicians and Lawyers
$50 Residents and Fellows
$50 Nurses and other Health Care Professionals
$15 Students (with lunch)
$5 Students (without lunch)
$30 Additional fee for continuing legal education (CLE
credits)
$10 Additional fee for Social Work continuing education
credits
*50% discount for employees of Consortium Ethics Program
member hospitals.
For additional information, contact:
Krystal Moore 412-647-7050

Registrations cancelled by 4:00 p.m. April 11, 2011 will be fully refunded. No refunds after April 11, 2011, but a substitute is permitted. In the event of inclement weather, please call 412-647-5834 for more information. Public parking is available within walking distance of the Biomedical Science Tower. Consult the following links:

UPMC: www.upmc.com/hospitalsfacilities/hospitals/Presbyterian/directionsparking
University of Pittsburgh: www.pts.pitt.edu/parking/visitor.html

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The University of Pittsburgh School of Medicine designates this educational activity for a maximum of 6.25 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity. Other healthcare professionals are awarded 0.6 continuing education units (CEU’s) which are equal to 6.25 contact hours. This program is offered for 6.0 Social Work continuing education through cosponsorship of the University of Pittsburgh School of Social Work, a Council of Social Work Education accredited school and, therefore, a Pennsylvania preapproved provider of social work continuing education. These credit hours satisfy the requirements for LSW/LCSW, LPC and LMFT biennial license renewal. For more information on social work continuing education credit call 412-624-3711. This course has been approved by the Pennsylvania Continuing Legal Education Board for six (6.0) hours of substantive CLE credits.

Schedule

8:00-8:45 a.m. Registration and Continental Breakfast
8:45-9:00 a.m. Introductions
9:00-10:00 a.m. MESSER LECTURE

The Ethics, Economics and Politics of Rationing: Death Panels, Mammogram Guidelines and Chemotherapy

• Mary Ann Baily, PhD - Fellow, Hastings Center

10:00-11:00 a.m.

The Goals of Medicine Near the End of Life

• Douglas White, MD, MAS - University of Pittsburgh, Department of Critical Care Medicine

11:00-12:00 p.m. Panel Discussion and Participation

• Mary Ann Baily, PhD - Fellow, Hastings Center
• Donald R. Fischer, MD, MBA - Senior Vice President and Chief Medical Officer, Highmark
• Melissa McNeil, MD - University of Pittsburgh, Department of Medicine
• Douglas White, MD, MAS - University of Pittsburgh, Department of Critical Care Medicine
• Mark Wicclair, PhD - University of Pittsburgh, Center for Bioethics and Health Law

12:00-1:00 p.m. Lunch

1:00-2:00 p.m. Break Out Sessions

Minority/Immigrant Populations

• Patricia Documét, MD, DrPh - University of Pittsburgh, Department of Behavioral and Community Health Sciences
• Diego Chaves-Gnecco, MD, MPH - Children’s Hospital of Pittsburgh of UPMC
• Jeannette South-Paul, MD - University of Pittsburgh, Department of Family Medicine

The Mammography Controversy: A Harbinger of the Politics of Rationing?

• Nancy E. Davidson, MD - Associate Vice Chancellor for Cancer Research, University of Pittsburgh, School of Medicine
• William Poller, MD - Director, Breast Care Center, West Penn Allegheny Health System

2:10-3:10 p.m. Break Out Sessions

Constitutionality of Health Care Reform, or, Waiting for the Supreme Court to Rule on the Individual Insurance Mandates

• David Barnard, PhD, JD - University of Pittsburgh, Center for Bioethics and Health Law

Implications of Health Care Reform for Pharmacy

• Robert Gibbs, PhD - University of Pittsburgh, School of Pharmacy
• Lauren Jonkman, PharmD, BCPS - University of Pittsburgh, School of Pharmacy
• Melissa Somma McGivney, PharmD, FCCP - University of Pittsburgh, School of Pharmacy
• Melissa Saul, MS - University of Pittsburgh, School of Medicine

Fitting Into the Global Picture: How Do Other Countries Control Costs?

• Julie Donohue, PhD - University of Pittsburgh, Department of Health Policy & Management
• Henk ten Have, PhD - Duquesne University, Center for Healthcare Ethics
• Judith Lave, PhD - University of Pittsburgh, Department of Health Policy & Management

3:20-4:20 p.m. Break Out Sessions

Health Care Reform: Policy, Ethics, and Primary Care Nursing

• Sr. Carole Blazina, MSN, CRNP, FNP-BC - Catholic Charities Free Health Care Clinic
• Brenda L. Cassidy, RN, MSN, CPNP - University of Pittsburgh, School of Nursing
• Judith Erlen, PhD, RN, FAAN - University of Pittsburgh, School of Nursing
• Judith Tabolt Matthews, PhD, MPH, RN - University of Pittsburgh, School of Nursing

Rehabilitation and Health Care Reform

• Anthony Delitto, PhD - University of Pittsburgh, School of Health and Rehabilitation Sciences

Sponsored By

Ira R. Messer Fund of the Pittsburgh Foundation
Ladies Hospital Aid Society
University of Pittsburgh Center for Bioethics and Health Law
University of Pittsburgh School of Medicine
University of Pittsburgh School of Law
University of Pittsburgh Consortium Ethics Program
UPMC Presbyterian Ethics Committee