Advanced care planning involves making decisions about the medical 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 to be compliant with the respective regulations and standards. A federal law – Patient Self Determination Act – addresses advance directives with which all hospitals must comply. It has been shown that better end-of-life care can reduce readmissions.

This webinar will discuss the CMS hospital Conditions of Participation (CoPs) and The Joint Commission standards on advance directives to help hospitals ensure compliance.

Learning Objectives:-

• Describe the CMS Conditions of Participation requirements for advance directives for hospitals
• 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 which patients must and should be provided information on the hospital’s advance directive policies in the CMS CoP hospital manual.

Agenda:-

• Introduction
• Types of advance directives
• Case law related to Advance directives
• CMS payment for advance care planning
• Federal Laws on Advance Directives – Patient Self Determination Act
• Deficiency reports on advance directives
• CMS CoP on advance directives
• Required notice to patients
• Patient Representative
• Incompetent patients
• Patient rights and advance directives
• Hospital Policies
• Conscience objectors
• Informing the patient
• DNR and Surgery
• Transfer of a patient
• CAH and advance directives
• Joint Commission standards on advance directives
• Documenting advance directives under the Record of Care chapter
• Professional organization position statements on DNR (AORN, ACS, ASA, ASPAN, ACEP, ENA, etc.)

Appendix: Resources and links

Who Should Attend:-

• Compliance Officers
• Ethics Committee
• Social Workers
• Discharge Planners
• Consumer advocate
• Nurse Educator
• All nurses with direct patient care
• Director of Registration
• Registration staff
• Physicians
• Chief Medical Officer (CMO)
• Chief Nursing Officer (CNO)
• Nurse Managers/Supervisors
• Risk Managers
• Quality Improvement Director
• Joint Commission Coordinator
• Behavioral Health Staff
• Patient Safety Officer
• Outpatient and Emergency Department managers
• OR director
• Hospice director and unit staff.