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6 HEC F. 1 (1994)

handle is hein.journals/hecforum6 and id is 1 raw text is: HE C FORUM * 1994 Kluwer Academic Publishers. 1994; 6(1):1-2. Printed in the Netherlands. EDITORS' INTRODUCTION We are pleased to serve as guest editors of this issue of HEC Forum, which highlights the Cleveland Clinic Foundation's (CCF) Ethics Committee as it celebrates its Tenth Anniversary. The formation of the Committee in August 1984 occurred at the same time that George A. Kanoti, S.T.D., accepted an invitation from the Clinic's professional staff to establish a Department of Bioethics to provide consultation and educational services for health care professionals, patients, and their families. From the start, the Committee and the Department have been proactive and collaborative in identifying and dealing with institutional and patient ethical concerns. During its 10 years of existence, the Committee's membership has evolved from 8 to 14 members. The expansion increased interdisciplinary perspectives and representation, while providing additional committed and knowledgeable individuals to serve on the Committee's standing subcommittees and ad hoc task forces. A total of 27 persons have served on the Committee for various periods of time. Three of the current members were founders of the Committee in 1984. The developing role of the Committee in the institution and the community is similar to that of many healthcare ethics committees (HEC) in the United States. Over the past decade, the Committee has channeled its energies into policy recommendations, education, and case consultation. The Committee is rightfully proud of its accomplishments, which parallel developments in the field of bioethics. The Committee's contribution to institutional policies on such topics as Do-Not-Resuscitate orders, brain death, anencephalic infants as organ donors, and forgoing life-supporting therapies demonstrates its ability to respond to local needs and national issues in bioethics. The Committee's publication of a patient and family brochure (Your Guide to Managing Personal Health Care Decisions) is symbolic of the members' continual concern that clinical ethics and bedside decisions always give appropriate consideration to the experiences, values, and circumstances of patients and their loved ones.

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