Physician Update

INTEGRIS Clinical Ethics

The goal of INTEGRIS Clinical Ethics, achieved through CECS (Clinical Ethics Consultations Service) and ethics committees, is to assist healthcare providers, patients, and caregivers in the most difficult situations and to continually improve the ethical quality of patient care.  

The CECS provides a structured approach for handling ethical issues in the clinical setting. An ethics issue is any conflict or uncertainty of values, preferences, and/or professional responsibilities occurring in patient care. When encountering an ethics issue, an ethics consultation helps to:

  • Identify and assess situational issues and considerations
  • Facilitate communication and collaboration between healthcare providers, patients, and caregivers
  • Evaluate and clarify options or plans of care    
  • Make recommendations supporting healthcare providers in difficult situations.

An ethics consultation follows a standardized process, IICARD.


Click for more detailed IICARD information.

A confidential ethics consultation can be requested, 24 hours a day.

Consultations are peer-reviewed, using minimum identification of patient and provider, by an appropriate ethics committee. Ethics committees not only review consultations, but also focus on developing educational projects and policy. Ethics committee membership requires completion of an ethics competency course.

INTEGRIS is the first healthcare system in the state of Oklahoma, and one of only a few in the country, working to ensure ethics committee members have the certified competencies for addressing ethics issues.

INTEGRIS Clinical Ethics is working with INTEGRIS facilities to support, develop, or expand their ethics committees. We aim to educate, empower, and engage physicians, allowing them to be proactive in addressing ethics issues and to continually elevate the ethical quality of patient care.


Contact Gavin Enck, Ph.D., director of Clinical Ethics