2021 Advance Directives: Ensuring Compliance with CMS and TJC
Description:-
Advanced care planning involves making decisions about the care a patient wants to receive if they become unable to speak for themselves. Both CMS and The Joint Commission (TJC) address and have requirements on Advanced Directives. A federal law addresses advance directives with which all hospitals comply with. It has been shown that better end-of-life care can reduce readmissions.
This webinar will discuss the CMS hospital Conditions of Participation (CoPs) on advance directives along with the Joint Commission standards to help hospitals ensure compliance with the standards.
Objectives:-
- Describe the CMS Conditions of Participation requirements for advance directives for hospitals
- Discuss that CMS will now pay physicians to do advance care planning
- Describe that the Joint Commission has standards on advance directives
- Explain what is required of hospitals under the federal law called the Patient Self Determination Act
- Discuss that information on the hospital’s advance directive policies must be given to inpatients, ED, observation, and same-day surgery patients under the CMS CoP hospital manual
Agenda:-
- Introduction
- Number of patients who have advance directives
- CMS payment for advance care planning
- CMS CoP on advance directives – Tag 132
- Joint Commission standards on advance directives
- Federal law on Patient Self Determination Act
- Community education requirement
- Documenting advance directives under the Record of Care chapter
- Case law update
- Approaching patients about end of life wishes
- Resources from advance care planning
- Requirements of the Patient Self Determination Act federal law
- Informed consent requirements
- Living wills, DPOA, DNR orders, mental health declarations, organ donor
- Assisted suicide
- Professional organization position statements on DNR (AORN, ACS, ASA, ASPAN, ACEP, ENA, etc.)
- Joint Commission Tracer
- Joint Commission standard under RI and RC chapters
- Visitation Advance Directive under CMS and TJC visitation standard
- Resources
Who Should Attend:-
- Chief Nursing Officer (CNO)
- Compliance Officers
- Ethics Committee
- Social Workers
- Discharge Planners
- Consumer advocate
- Nurse Educator
- Chief Financial Officer
- All nurses with direct patient care
- Director of Registration
- Registration staff
- Ethicist
- Physicians
- Chief Medical Officer (CMO)
- Nurse Managers/Supervisors
- Risk Managers
- Quality Improvement Director
- Joint Commission Coordinator
- Hospital Legal Counsel
- Palliative Care Physicians
- Behavioral Health Staff
- Psychiatrist
- Patient Safety Officer
- Outpatient and Emergency Department managers
- OR director
- Hospice unit staff
- Any physician who does doing advance care planning
Presenter BIO
Laura A. Dixon
(BS, JD, RN, CPHRM)
Laura A. Dixon served as the Director, Facility Patient Safety and Risk Management, and Operations for COPIC from 2014 to 2020. In her role, Ms. Dixon provided patient safety and risk management consulting and training to facilities, practitioners, and staff in multiple states. Such services included the creation of and presentations on risk management topics, assessment of healthcare facilities; and development of programs and compilation of reference materials that complement physician-oriented products. Ms. Dixon has more than twenty years of clinical experience in acute care facilities, including critical care, coronary care, peri-operative services, and pain management. Prior to joining COPIC, she served as the Director, Western Region, Patient Safety and Risk Management for The Doctors Company, Napa, California. In this capacity, she provided patient safety and risk management consultation to the physicians and staff for the western United States. Ms. Dixon’s legal experience includes representation of clients for Social Security Disability Insurance providing legal counsel and representation at disability hearings and appeals, medical malpractice defense, and representation of nurses before the Colorado Board of Nursing. As a registered nurse and attorney, Laura holds a Bachelor of Science degree from Regis University, RECEP of Denver, a Doctor of Jurisprudence degree from Drake University College of Law, Des Moines, Iowa, and a Registered Nurse Diploma from Saint Luke’s School Professional Nursing, Cedar Rapids, Iowa. She is licensed to practice law in Colorado and California.
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