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WVNEC Noon Webinar - Discharge against Medical Advice: Potentially Fraught with Ethical & Legal Issues



Event Cost:

WVNEC Members: $20.00

Non-Members: $30.00

Course Description:

Starting with this webinar, WVNEC will take a NEW approach to healthcare ethics education. Instead of gearing the webinars toward ethics consultation, WVNEC will focus on providing helpful information to prepare WVNEC members to respond to questions from colleagues on everyday ethical issues in patient care.  

This webinar will address Discharge Against Medical Advice (DAMA) which has been found to occur with 1-2% of hospital admissions. The traditional focus with DAMA has been to get patients to sign a form acknowledging that they are leaving the hospital against medical advice. However, failure to properly inform a patient about the specific risks of DAMA may create legal   liability despite the patient’s refusal of care.

It turns out that the preferred approach to DAMA is to use shared decision-making and an Ask-Tell-Ask method to explore the patient’s understanding of his/her condition and the reason for hospitalization, and to ensure that leaving the hospital is really consistent with the patient’s values, preferences, and goals. Learn a comprehensive approach to address ethical and legal issues and to decrease DAMA.


At the conclusion of the conference, participants should be able to:

  1. apply ethical principles and the process of ethical decision-making to analyze and resolve ethical conflicts in patient care;
  2. incorporate knowledge of WV healthcare law into the process of ethical decision-making; and
  3. proceed in a systematic way to perform ethics consultation on a challenging case.


Suzanne Messenger, JD
West Virginia's State Long-term Care Ombudsman

Daniel Miller, PhD
Assistant Professor
Department of Philosophy
Eberly College of Arts & Sciences
West Virginia University 

Moderator:  Alvin H. Moss, MD, FACP, FAAHPM
Professor Medicine, WVU School of Medicine
Section of Geriatrics, Palliative Medicine, and Hospice
Director, WVU Center for Health Ethics and Law
Executive Director, West Virginia Network of Ethics Committees

Target Audience:

This conference is appropriate for physicians, nurses, social workers, administrators, clergy, attorneys, and ethics committee members who serve on institutional ethics committees and wish to expand their knowledge of ethical and legal issues in health care ethics consultation.


This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the WVU School of Medicine and WV Network of Ethics Committees.

The WVU School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

For each session: The WVU Office of CME designates this live activity for a maximum of 1 AMA PRA Category 1  CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

For each session: This continuing education activity has been provided by the West Virginia University School of Nursing for 1.2 contact hours. The West Virginia University School of Nursing is an approved provider of continuing education by the State of West Virginia Board of Examiners for Registered Professional Nurses, Legislative Rule §19CSR11-4 under provider number 50-26086.

This course is sponsored by the Center for Health Ethics and Law, Provider Number 490095, which is a Certified Provider of continuing education credits for social workers. For each session: This program has been awarded up to 1 hour of continuing education credit. Please consult your state licensing board for limits on CE hours for other than “face-to-face” programs.

For each session: This program has been approved for 1.2 MCLE online credits under the West Virginia Rules for Mandatory Continuing Legal Education.

Registration is closed for this event. 

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