HomeMy WebLinkAbout970946.tiffRESOLUTION
RE: APPROVE AMENDMENTS TO BY-LAWS OF WELD COUNTY LONG-TERM CARE
BIO-ETHICS COMMITTEE
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, by Resolution dated March 25, 1996, the Board of County Commissioners
did approve the Weld County Long -Term Care Bio-Ethics Committee By -Laws, and
WHEREAS, proposed amendments to said by-laws have been written and submitted to
the Board of County Commissioners for its review and approval, a copy of said by-laws being
attached hereto and referred to herein, and
WHEREAS, after study and review, the Board deems it advisable to approve said
proposed amendments.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of
Weld County, Colorado, that the Amendments to the Weld County Long -Term Care Bio-Ethics
Committee By -Laws be, and hereby are, approved.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 14th day of May, A.D., 1997.
Deputy Clerk t;' the Board
BOARD OF COUNTY COMMISSIONERS
WEL)UNTY, C7RADO
eorge'E. Baxter, Chair
EXCUSED
tance L. Harbert, • ro-
IF / IIin
Dale K. Hall
OFORM: !/ /71
arbara J. Kirkmeye
ounty Attor ey
970946
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H R0002
WELD COUNTY LONG-TERM CARE BIO-ETHICS COMMITTEE
BY-LAWS
Purpose and Functions of the Committee
The purpose of the Weld County Long -Term Care Bio-Ethics Committee is to create a
community -based, interdisciplinary, volunteer advisory committee to assist health care decision
makers and providers in clarifying and resolving bio-ethical dilemmas. The Committee will assist
surrogate medical decision makers in promoting and protecting "the best interests" of those persons
who cannot make decisions for themselves. The Committee will also assist health care patients,
professionals, family members and Weld County organizations in health care decisions that involve
ethical dilemmas. The functions of the Committee include education, consultation and case review,
and the development of guidelines related to medical decision making in long-term care facilities and
with patients receiving home health care.
The Committee's educational function includes informing committee members, family
members and community members about ethical principles in health care decision making and their
relation to current issues, cases, and options.
The Committee is consultation and case review function involves two activities: (1) on -call
review of current cases and dilemmas; and (2) retrospective case reviews in the regularly scheduled
monthly meetings.
The Committee's guideline development function includes promoting advance medical
directives, designing appropriate surrogate decision making protocols, and reviewing established
procedures for meeting the needs of long-term care recipients.
THE COMMITTEE DOES NOT MAKE DECISIONS IN BIO-ETHICAL DILEMMAS, BUT
ACTS AS A RESOURCE AND FORUM FOR INFORMED DISCUSSION.
Composition, Selection, Training, and Responsibilities
Committee Composition. The Committee will consist of at least twelve members and up to
thirty members. It will be interdisciplinary and may include social workers, physicians, nurses,
nursing home administration representatives, attorneys, clergy, ethicists, long-term care recipients,
advocates of the elderly and disabled, home health care representatives, mental health professionals,
certified nurses aides, nursing home staff members, children with parents receiving long-term care,
and any other persons interested in the work of the Committee. In addition to the Committee members
described above, there will be three standing or permanent members of the Committee: The Weld
Page 1 of 5 Pages
County Long -Term Care Ombudsman, a Case Manager from the Weld County Area Agency on
Aging, and an Adult Protection Services Case Worker from the Weld County Department of Social
Services.
Committee Member Selection. Prospective Committee members can be nominated by any
active committee member or they can apply directly to the Committee. Individuals interested in
becoming active members must submit an application upon the form approved by the Committee for
Weld County Advisory Board Applications to be submitted to the Weld County Commissioners.
Applicants will be interviewed and approved by the Committee as a whole. The final approval and
appointment of the person as a member of the Committee shall be made by the Weld County Board
of County Commissioners. Committee selection will encourage diversity in gender, age, ethnicity,
education, socioeconomic status, and values orientation.
Terms of Membership. Each member of the Committee will be nominated to serve a term
of three years, with the possibility of one additional renewal term. The terms of Committee members
shall commence on January 1 of the first year of the membership. Members, terms shall be staggered
so that no more than one-third of the Committee membership will be scheduled for appointment by
the Weld County Board of County Commissioners in any one year. By staggering the terms of
memberships of the Committee members, this will help provide for continuity of the Committee
membership and functions. This provision does not apply to the standing members of the Committee.
Committee Member Training. The Committee members are committed to educating
themselves in bio-ethical theory, issues and decision making related to the purpose and functions of
the Committee. Training and education are continual and include awareness of current ethical
thought, biomedical advances, and relevant legal applications. Committee members agree to
familiarize themselves with the basic textbook and material studied by the Committee members,
collect relevant literature and case studies, share pertinent information with other Committee
members, and attend, when possible, ethics seminars, workshops and lectures.
Committee Responsibilities. Committee members agree to do the following:
a. Serve for a minimum of one term;
b. Respect the diversity and range of ethical outlooks expressed by other
Committee members;
c. Contribute regularly to the Committee process (education, case review and
guideline formation);
d. Acknowledge the dignity and rights of privacy and confidentiality of
individuals involved in case consultations and reviews; and
e. Obtain prior Committee approval of any speeches, articles, or statements
Page 2 of 5 Pages
of opinion made by a Committee member, in which the Committee member
identifies `mcnx2cives himself as a member of this Committee. And If If such
approval is granted and the Commttee member is- making it elcar in any such
speech, article, or statement of opinion cnt lrts,o t=behalf, then the tiieax ber
shall; make it cleat that such does not nreflect the position of the
Committee.
Removal of Committee Members. If a Committee member has more than three unexcused
absences in a given calendar year, she/he will be removed from the membership roster. A member
may be excused by notifying the chairperson in advance of the meeting of their inability to attend.
Upon motion of any Committee member, the Committee may consider the removal of one of its
members for good cause. After a motion for removal is made, notice shall be given to all Committee
members for the next meeting of the Committee that a vote will be taken upon the motion to remove
a Committee member. Upon the vote of a majority of the members of the Committee present at the
time of the vote upon the motion, a recommendation for removal of the Committee member may be
approved. The recommendation for the removal of the Committee member will then be forwarded
to the Weld County Board of Commissioners for final approval.
Committee Member Liability
The Weld County Long Term Care Bio-Ethics Committee is not a decision maker. This
obligation falls to the legal guardian, family member, health care proxy, or agent of the incapacitated
individual. Since the Committee is advisory only, there should be little basis to which any liability
can attach.
The Committee is a separate and distinct advisory committee under the supervision and
approval of the Weld County Area Agency on Aging. Committee members shall be appointed and
subject to removal by the Weld County Board of County Commissioners. The Committee therefore
is a volunteer organization organized pursuant to the Weld County Home Rule Charter and subject
to the control and direction of the Weld County Board of County Commissioners.
Committee Operations
Officers. The Committee will annually elect a chairperson who will be responsible for
coordinating meeting agendas and other committee activities.
Meetings. Regularly scheduled meetings will be held monthly for approximately one and
one-half to two hours at a date and time set by the chairperson. The agenda for the meetings will be
distributed by the chairperson prior to the meeting. No voting in the meetings shall be permitted
except on matters of policy and procedure, or upon a motion for removal of a Committee member.
Any action to be taken by the Committee shall be approved by a majority vote of those Committee
members present at the meeting. The meetings of the Committee are not open to the public, and no
person shall be allowed to attend except members of the Committee and those persons invited in
Page 3 of 5 Pages
accordance with the policies contained herein.
Review of a Specific Case. The request for a meeting of the Committee for consideration of
a bio-ethical situation requiring the review of a specific case shall be made in writing on the form
prescribed by the chairperson. The request will be reviewed by the chairperson, or a designated
representative, to determine whether the issues presented in the request are issues which are within
the purpose and function of the Committee. If a meeting is set by the chairperson for the review of
a specific case, all members of the Committee will be invited to attend by adequate prior notice. No
quorum shall be necessary for conducting a meeting. In no event will a meeting be held concerning
a specific case unless and until the treating physician, the responsible patient care staff, and the
patient/surrogate medical decision maker for the patient have been invited to attend. Scheduling of
the meeting will be made to accommodate the attendance of the physician, responsible nursing staff,
patient and family.
On -Call Subcommittee. A subcommittee of four committee members will meet as needed
to provide consultation on active cases in which circumstances require urgent action. Subcommittee
members shall serve one month during each rotation.
Organization Subcommittee. The organizational subcommittee shall be responsible for
preparation of agendas for meetings, distribution of agendas and notices to members, and all other
matters regarding the organization of meetings and consultations of the committee.
Members Subcommittee. This subcommittee will be responsible for actively seeking
additional members, and screening applicants for possible membership on the Committee.
Educational Subcommittee. The members of this Committee will be responsible for
organizing materials, speakers and other, education opportunities for presentation at the committee
meetings.
Access to the Committee. Upon request and advance notification, any interested party to a
case can appear before the Committee or to seek information and clarification of issues and options.
Documentation. A brief record of Committee activities will be kept. The record will include
issues discussed, actions taken, and cases reviewed. All Committee members shall maintain strict
confidentiality of patient information, patient identity, and care giver identities.
States of Operation. Any expenses or costs for the operations of the Committee must be
agreed upon by representatives of the five nursing home facilities in Weld County. The nursing home
facilities (Bonell Good Samaritan Center, Kenton Manor Living Center, Centennial Health Care
Center, Fairacres Manor, Inc., and Windsor Health Care Center) shall share equally all mutually
agreed upon costs and expenditures for operations of the Committee. The Weld County Board of
County Commissioners shall not be obligated to pay any of the costs of operation of the Committee.
Page 4 of 5 Pages
Effective Date of By Laws. These by laws shall become effective after approval by a vote
of the committee members, subsequent approval by the Weld County Area Agency on Aging, and
final approval by the Weld County Board of County Commissioners.
Amendments. These by laws may be amended or repealed by a vote of the majority of the
members present at a regularly scheduled meeting of the Committee. Recommendations for
amendments must then be submitted to the Weld County Area Agency on Aging for its approval of
the amendments, and final approval of any amendments to the by laws must be made by a vote of the
Weld County Board of County Commissioners.
CERTIFICATE
I hereby certify that the foregoing by laws have been approved by the Weld County Long Term
Care Bio-Ethics Committee.
M:\ WPFILES\BYLAWS \BI•BYL.BTB
Page 5 of 5 Pages
WUDe.
COLORADO
TO: Board of Weld County Commissioners
FROM: Bruce T. Barker, Weld County Attorney
DATE: May 5, 1997
RE: Revised Proposed Amendments to Weld County Long
Term Care Bioethics Committee Bylaws
As you may recall, on April 9, 1997, I submitted to the Board of County Commissioners a
Memorandum regarding the proposed amendments to the Weld County Long Term Care
Bioethics Committee Bylaws. A copy of that Memorandum is attached. I received the
Memorandum back with the comments which are shown. I then spoke with Linda Piper by E -
Mail and with Chuck Connell, Attorney at Law, by telephone regarding the comments.
Attached are the Bylaws with the proposed amendments and with my revisions to the proposed
amendments in accordance with the comments which you all provided. Those revisions are
shown in the strike outs and highlighted language.
Please review the revisions and let me know if they are ok. If they are, I will see that the Bylaws
are put on the agenda for the Board's formal approval.
Say OK to the Proposed
Amendments and Place Schedule
on Agenda Work Session
George Baxter
Dale Hall
Connie Harbert
Barb Kirkmeyer
Bill Webster
BTB/db:Memo/BOCC/Biobylaw
Attachments
pc: Linda Piper
Chuck Connell
Vicky Sprague
e T. Barre
Weld County Attorney
Other
970946
TO: Board of County Commissioners
f to 1st
FROM: Bruce T. Barker, Weld County Attorney
DATE: April 9, 1997
RE:
COLORADO
Proposed Amendments to Weld County Long Term Care
Bioethics By Laws
Attached are copies of a resolution and explanatory letter which I received from Chuck Connell
regarding some proposed changes to the Weld County Long Term Care of Bioethics Committee Bylaws.
Linda Piper reports that the proposed changes are because one of the Committee members has been
speaking to the Greeley Tribune about a confidential matter. The majority of the Committee's members
desire to oust the talkative member. Additionally, the Committee wants to create a rule whereby no
member may speak or write in a manner in which he identifies himself as a Committee member. ,1
5PLrl.K&&E aite'Act- or Crsin vi7" /uni5Z,LF �A>ts
The proposed changes have been incorporated into the current version of the Bylaws. Those changes are
highlighted in gray on the attached copy.
Linda and I recommend that the Board consider and approve the proposed changes. I note that the
removal section states the Committee's role is merely to recommend removal to the Board of County
Commissioners. The Board then has ultimate authority with respect to the removal. Regarding the
proposed rule on speaking or writing, that rule seems to be one which is definitely important and should
be included in the Bylaws.
Say OK and
Place on Agenda
George Baxter
Dale Hall
Connie Harbert
Barb Kirkmeyer i�..,.
Bill Webster
BTB/db: Memo/BOCC/B ioethics
Attachments
pc: Linda Piper
2„,40-,71
Schedule
Work Session
Bruce T. Bar r
Weld County • ttorney
Iw6 qFs qal'" rent",
a1/ise s vita k1 Cam;
c,
MEMO
To: George Baxter, Chair Board of County Commissioners
From: Linda E. Piper, Director Weld County Area Agency on Agi
Subject: Revision to Bio-Ethics Committee By -Laws
Date: March 14, 1997
Attached please find By -Law revisions for the Weld County Area Agency on Aging Bio-Ethics
Committee. The revisions were drafted in accordance with stated procedures and address the
following:
► procedure for removal of any committee member
► procedure to obtain prior Committee approval of any speeches, articles, or statements of
opinion when the Committee member identifies himself as a member of the Committee.
Please call Linda Piper at 353-3800, extension 3320 if you have questions.
CHARLES J. CONNELL
ATTORNEY AT LAW
The Law Building
1011 11th Avenue
Greeley, CO 80631
February 20, 1997
Ms. Linda E. Piper, Director
Weld County Area Agency on Aging
P.O. Box 1805
Greeley, CO 80632
(97d) 353-2507
Fax (970) 356-1111
RE: Weld County Long -Term Care Bio-Ethics Committee
Dear Linda:
The Committee has recommended that there be amendments to the
original By -Laws of the Committee. The original By -Laws provide
that any recommended amendments would first be approved by the Area
Agency on Aging. Please find enclosed the original of the
Resolution that has been signed by Dan W. Gauger, the Chairperson
of the Committee. If the proposed amendments meet with your
approval, we would request that you date and sign it where
indicated on page two. Then please return the original to my
office so I can forward it on to Ms. Vicky Sprague at the Office of
the Clerk of the Board of County Commissioners for her to send it
through their approval process.
If you have any questions regarding the amendments please let me
know.
Thank you for your attention to this matter.
Very truly you
rtes -J. Connell
ttorney at Law
CJC/lsb
/Enclosure
RESOLUTION
WHEREAS, the members of the Weld County Long -Term Care Bio-
Ethics Committee have considered certain amendments to the By -Laws
of the Committee, and
WHEREAS, notice to all members of the Committee having been
sent prior to the January meeting of the Committee for
consideration of amendments to the By -Laws of the Committee, and
WHEREAS, a majority of those individuals present at the
regularly scheduled January meeting of the Committee on January 27,
1997 have approved the amendments to the By -Laws of the Committee
as provided herein.
NOW, THEREFORE, BE IT RESOLVED by the Weld County Long -Term
Bio-Ethics Committee that the following amendments be recommended
to the Weld County Board of County Commissioners for their approval
to modify the original By -Laws of the Committee:
1. The By -Laws of the Committee shall be amended by adding
to the paragraph "Removal of Committee Members" the following
provisions:
Upon motion of any Committee member, the
Committee may consider the removal of one of
its members. After a motion for removal is
made, notice shall be given to all Committee
members for the next meeting of the Committee
that a vote will be taken upon the motion to
remove a Committee member. Upon the vote of a
majority of the members of the Committee
present at the time of the vote upon the
motion, a recommendation for removal of the
Committee member may be approved. The
recommendation for the removal of the
Committee member will then be forwarded to the
Weld County Board of Commissioners for final
approval.
2. Amendment to the By -Laws provision regarding "Committee
Operations" under the paragraph "Meetings" would be as follows:
The third sentence of the paragraph would be
amended to read as follows:
No voting in the meeting shall be permitted
except on matters of policy and procedure, or
upon a motion for removal of a Committee
member.
3. The paragraph of the By -Laws entitled "Committee
Responsibilities" shall be amended by adding the following
subparagraph "e".
e. Obtain prior Committee approval of any
speeches, articles, or statements of
opinion made by a Committee member, in
which the Committee member identifies
themselves as a member of this Committee.
And if such approval is granted, making
it clear in any such speech, article, or
statement of opinion, that such do not
reflect the position of the Committee.
The above and foregoing Resolution was, on motion duly made
and seconded, adopted by the Weld County Long -Term Care Bio-Ethics
Committee by a majority of those persons present at the meeting
held on January 27, 1997.
Weld County Long -Term Care
Bio-Ethics Committee
Date
BY:
BY:
Date Linda Piper, Director
Dan W. Gauger, CijAirperson
APPROVED:
WELD COUNTY AREA AGENCY ON AGING
2
WELD COUNTY LONG-TERM CARE BIO-ETHICS COMMITTEE
BY-LAWS
Purpose and Functions of the Committee
The purpose of the Weld County Long -Term Care Bio-Ethics Committee is to create a
community -based, interdisciplinary, volunteer advisory committee to assist health care decision
makers and providers in clarifying and resolving bio-ethical dilemmas. The Committee will assist
surrogate medical decision makers in promoting and protecting "the best interests" of those persons
who cannot make decisions for themselves. The Committee will also assist health care patients,
professionals, family members and Weld County organizations in health care decisions that involve
ethical dilemmas. The functions of the Committee include education, consultation and case review,
and the development of guidelines related to medical decision making in long-term care facilities and
with patients receiving home health care.
The Committee's educational function includes informing committee members, family
members and community members about ethical principles in health care decision making and their
relation to current issues, cases, and options.
The Committee is consultation and case review function involves two activities: (1) on -call
review of current cases and dilemmas; and (2) retrospective case reviews in the regularly scheduled
monthly meetings.
The Committee's guideline development function includes promoting advance medical
directives, designing appropriate surrogate decision making protocols, and reviewing established
procedures for meeting the needs of long-term care recipients.
THE comm 11 LE DOES NOT MAKE DECISIONS IN BIO-ETHICAL DILEMMAS, BUT
ACTS AS A RESOURCE AND FORUM FOR INFORMED DISCUSSION.
Composition, Selection, Training, and Responsibilities
Committee Composition. The Committee will consist of at least twelve members and up to
thirty members. It will be interdisciplinary and may include social workers, physicians, nurses,
nursing home administration representatives, attorneys, clergy, ethicists, long-term care recipients,
advocates of the elderly and disabled, home health care representatives, mental health professionals,
certified nurses aides, nursing home staff members, children with parents receiving long-term care,
and any other persons interested in the work of the Committee. In addition to the Committee members
described above, there will be three standing or permanent members of the Committee: The Weld
Page 1 of 5 Pages
County Long -Term Care Ombudsman, a Case Manager from the Weld County Area Agency on
Aging, and an Adult Protection Services Case Worker from the Weld County Department of Social
Services.
Committee Member Selection. Prospective Committee members can be nominated by any
active committee member or they can apply directly to the Committee. Individuals interested in
becoming active members must submit an application upon the form approved by the Committee for
Weld County Advisory Board Applications to be submitted to the Weld County Commissioners.
Applicants will be interviewed and approved by the Committee as a whole. The final approval and
appointment of the person as a member of the Committee shall be made by the Weld County Board
of County Commissioners. Committee selection will encourage diversity in gender, age, ethnicity,
education, socioeconomic status, and values orientation.
Terms of Membership. Each member of the Committee will be nominated to serve a term
of three years, with the possibility of one additional renewal term. The terms of Committee members
shall commence on January 1 of the first year of the membership. Members, terms shall be staggered
so that no more than one-third of the Committee membership will be scheduled for appointment by
the Weld County Board of County Commissioners in any one year. By staggering the terms of
memberships of the Committee members, this will help provide for continuity of the Committee
membership and functions. This provision does not apply to the standing members of the Committee.
Committee Member Training. The Committee, members are committed to educating
themselves in bio-ethical theory, issues and decision making related to the purpose and functions of
the Committee. Training and education are continual and include awareness of current ethical
thought, biomedical advances, and relevant legal applications. Committee members agree to
familiarize themselves with the basic textbook and material studied by the Committee members,
collect relevant literature and case studies, share pertinent information with other Committee
members, and attend, when possible, ethics seminars, workshops and lectures.
Committee Responsibilities. Committee members agree to do the following:
a. Serve for a minimum of one term;
b. Respect the diversity and range of ethical outlooks expressed by other
Committee members;
C. Contribute regularly to the Committee process (education, case review and
guideline formation);
d. Acknowledge the dignity and rights of privacy and confidentiality of
individuals involved in case consultations and reviews; and
e. Obtain prior Committee approval of any speeches, articles, or statements
Page 2 of 5 Pages
of opinion made by a Committee member, in which the Committee member
identifies themselves as a member of this Committee. And if such approval is
granted, making it clear in any such speech, article, or statement of opinion,
that such do not reflect the position of the Committee.
Removal of Committee Members. If a Committee member has more than three unexcused
absences in a given calendar year, she/he will be removed from the membership roster. A member
may be excused by notifying the chairperson in advance of the meeting of their inability to attend.
Upon motion of any Committee member, the Committee may consider the removal of one of its
members. After a motion for removal is made, notice shall be given to all Committee members for
the next meeting of the Committee that a vote will be taken upon the motion to remove a Committee
member. Upon the vote of a majority of the members of the Committee present at the time of the vote
upon the motion, a recommendation for removal of the Committee member may be approved.
The recommendation for the removal of the Committee member will then be forwarded to the Weld
County Board of Commissioners for final approval.
Committee Member Liability
The Weld County Long Term Care Bio-Ethics Committee is not a decision maker. This
obligation falls to the legal guardian, family member, health care proxy, or agent of the incapacitated
individual. Since the Committee is advisory only, there should be little basis to which any liability
can attach.
The Committee is a separate and distinct advisory committee under the supervision and
approval of the Weld County Area Agency on Aging. Committee members shall be appointed and
subject to removal by the Weld County Board of County Commissioners. The Committee therefore
is a volunteer organization organized pursuant to the Weld County Home Rule Charter and subject
to the control and direction of the Weld County Board of County Commissioners.
Committee Operations
Officers. The Committee will annually elect a chairperson who will be responsible for
coordinating meeting agendas and other committee activities.
Meetings. Regularly scheduled meetings will be held monthly for approximately one and
one-half to two hours at a date and time set by the chairperson. The agenda for the meetings will be
distributed by the chairperson prior to the meeting. No voting in the meetings shall be permitted
except on matters of policy and procedure, or upon a motion for removal of a Committee member.
Any action to be taken by the Committee shall be approved by a majority vote of those Committee
members present at the meeting. The meetings of the Committee are not open to the public, and no
person shall be allowed to attend except members of the Committee and those persons invited in
accordance with the policies contained herein.
Page 3 of 5 Pages
Review of a Specific Case. The request for a meeting of the Committee for consideration of
a bio-ethical situation requiring the review of a specific case shall be made in writing on the form
prescribed by the chairperson. The request will be reviewed by the chairperson, or a designated
representative, to determine whether the issues presented in the request are issues which are within
the purpose and function of the Committee. If a meeting is set by the chairperson for the review of
a specific case, all members of the Committee will be invited to attend by adequate prior notice. No
quorum shall be necessary for conducting a meeting. In no event will a meeting be held concerning
a specific case unless and until the treating physician, the responsible patient care staff, and the
patient/surrogate medical decision maker for the patient have been invited to attend. Scheduling of
the meeting will be made to accommodate the attendance of the physician, responsible nursing staff,
patient and family.
On -Call Subcommittee. A subcommittee of four committee members will meet as needed
to provide consultation on active eases in which circumstances require urgent action. Subcommittee
members shall serve one month during each rotation.
Organization Subcommittee. The organizational subcommittee shall be responsible for
preparation of agendas for meetings, distribution of agendas and notices to members, and all other
matters regarding the organization of meetings and consultations of the committee.
Members Subcommittee. This subcommittee will be responsible for actively seeking
additional members, and screening applicants for possible membership on the Committee.
Educational Subcommittee. The members of this Committee will be responsible for
organizing materials, speakers and other, education opportunities for presentation at the committee
meetings.
(Bruce, I don't know what goes here.) Upon request and advance notification, any interested
party to a case can appear before the Committee or to seek information and clarification of issues and
options.
Documentation. A brief record of Committee activities will be kept. The record will include
issues discussed, actions taken, and cases reviewed. All Committee members shall maintain strict
confidentiality of patient information, patient identity, and care giver identities.
States of Operation. Any expenses or costs for the operations of the Committee must be
agreed upon by representatives of the five nursing home facilities in Weld County. The nursing home
facilities (Bonell Good Samaritan Center, Kenton Manor Living Center, Centennial Health Care
Center, Fairacres Manor, Inc., and Windsor Health Care Center) shall share equally all mutually
agreed upon costs and expenditures for operations of the Committee. The Weld County Board of
County Commissioners shall not be obligated to pay any of the costs of operation of the Committee.
Page 4 of 5 Pages
Effective Date of By Laws. These by laws shall become effective after approval by a,vote
of the committee members, subsequent approval by the Weld County Area Agency on Aging, and
final approval by the Weld County Board of County Commissioners.
Amendments. These by laws may be amended or repealed by a vote of the majority of the
members present at a regularly scheduled meeting of the Committee. Recommendations for
amendments must then be submitted to the Weld County Area Agency on Aging for its approval of
the amendments, and final approval of any amendments to the by laws must be made by a vote of the
Weld County Board of County Commissioners.
CERTIFICATE
I hereby certify that the foregoing by laws have been approved by the Weld County Long Term
Care Bio-Ethics Committee.
M:\WPFILESTYLAWSkBIOBYLBTB
Page 5 of 5 Pages
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