The concept of "quality" isn't new in healthcare, but it is vitally important and something we strive to achieve every single day. Regulatory agencies and programs such as the Centers for Medicaid and Medicare Services, Medicare Star Ratings, the Washington State Department of Health, The Joint Commission (TJC) and others have monitored and surveyed healthcare quality activities with the goal of continually improving the reliability and safety of care provided.
Over the past decade, the focus on quality has been sharpened by the call to accountability through TJC's Agenda for Change, the Institute of Medicine's report on medical errors, the National Quality Forum's endorsed safe practices, the demand for value by healthcare purchasers, and the increasing understanding of the public we serve. Performance measures for healthcare have also expanded to include outcome measures such as patient satisfaction and cost as well as key clinical measures.
It is no surprise that the public's demand for quality in healthcare services (that which is safe, effective, patient-centered, timely, efficient, and equitable) matches our mission, vision, and values. At Valley, we are working hard to improve clinical, service and financial outcomes by collecting, trending and responding to performance measures and implementing/refining evidence-based practices. Initiatives include:
At Valley, safety is our core value and providing quality care allows us to deliver the best possible outcomes and customer service for our community. We strive for zero harm by proactively seeking out, speaking up about, listening and responding to all safety concerns.
As our mission statement declares, we are committed to "caring for our community like family." And we take this commitment very seriously.
We consider you a partner in your hospital care. When you are well informed, participate in treatment decisions and communicate openly with your doctor and other health professionals, you help make your care as effective as possible. Valley Medical Center encourages respect for the personal preferences and values of each individual. It is our goal to assure that your rights as a patient are observed.
At Valley Medical Center, we respect our patients' right to privacy.
You have the right to make your own healthcare decisions. However, it is wise to prepare for situations when you may not be able to communicate your wishes—such as when you are rendered unconscious during surgery or following an unexpected accident. Recommended preparations include completing a Durable Power of Attorney for Healthcare and a Health Care Directive (a.k.a. Living Will). Learn more
In March 2008, the State of Washington approved Initiative 1000, also known as the Death with Dignity Act. Valley Medical Center respects the right of patients to make choices, while also recognizing the right of healthcare providers to participate in activities specific to I-1000. Learn more
What is the Ethics Committee and what do they do?
The Ethics Committee is a multi-disciplinary team that includes physicians, nurses, hospital leadership, legal experts, spiritual care providers, and members of the community. The Ethics Committee advises staff and patients on questions about moral or ethical questions that may arise as part of a patient’s care. They also help to educate clinical staff about ethical issues, and create policies related to patient care.
How can I get the Ethics Committee involved in my care?
Any member of a patient’s care team can request an Ethics Consultation from the Ethics Committee. Patients, loved ones, and legal surrogate decision makers for patients who are unable to make their own decisions can request an Ethics Consult as well. Patients, loved ones, and legal surrogate decision makers can email the Ethics Committee at ethics@valleymed.org or call the Ethics Hotline at 425-690-4380.
Ethics Consultation is available Monday-Friday, 8am-4pm, except for Valley Medical Center holidays. The Ethics consultants will respond to requests within one business day.
When is Ethics Consultation requested?
Some examples of when an Ethics Consult might be requested in a patient’s care are:
What happens during an ethics consult?
During an ethics consult, an Ethics Consultant gathers more information about the situation. They may talk to:
At completion of the ethics consultation the following take place:
What is the goal of an ethics consult?
The goal of ethics consultation is to support informed, deliberative decision making on the part of patients, families, physicians, and the health care team. By helping to clarify ethical issues and values, facilitating discussion, and providing expertise and educational resources, ethics consultants promote respect for the values, needs, and interests of all participants, especially when there is disagreement or uncertainty about treatment decisions. (AMA Principles of Medical Ethics: IV,V)
You may also submit compliments or concerns to the following:
The Joint Commission
Office of Quality Monitoring
One Renaissance Boulevard
Oakbrook Terrace, IL 60181
Phone: (800) 994-6610
Fax: (630) 792-5636
Email
Washington State Department of Health
PO Box 47857
Olympia WA 98504-7857
Phone: 1-800-633-6828
Email
Accountable Care Organization: Anonymous Reporting of Compliance Concerns
If you have any compliance concerns regarding Valley Medical Group-Renton or Accountable Care Organization (ACO) activities, submit an anonymous online reporting form here.