Content
If the Centers for Medicare and Medicaid Services (CMS) or the Joint Commission (TJC) showed up tomorrow, would you be in compliance with advance directive requirements? Did you know there is a federal law that addresses advance directives? Did you know that CMS reimburses some physicians for advance care planning, or that better end-of-life care can reduce readmissions?
Advance care planning is making decisions about the care a patient wants to receive if they become unable to speak for themselves. While it was a big step for CMS to allow physicians to be compensated for advance care planning, it is essential that practitioners understand the CMS advance directive requirements when doing advanced care planning.
This web conference will discuss the CMS hospital Conditions of Participation (CoPs) on advance directives along with TJC standards to help hospitals ensure compliance. The program will cover in detail advance directives such as living will, durable power of attorney, organ donation, mental health declaration, organ donor cards, patient advocates and do not resuscitate orders. It will discuss rights of patient representatives such as durable power of attorney (DPOA), support persons, parents or guardians. It will discuss the IHI conversation starter kit regarding discussions about end-of-life care, which has been downloaded over 100,000 times. It will also discuss how to talk to patients about end-of-life wishes; resources on advance care planning; and the clinical prediction tool, Criteria for Screening and Triaging to Appropriate ALternative care (CRISTAL), to identify dying patients.
Learning objectives
- Recall that the CMS CoPs have requirements for advance directives for hospitals
- Discuss that CMS will now pay physicians to do advance care planning
- Describe that TJC has standards on advance directives
- Explain what is required of hospitals under the federal law called the Patient Self Determination Act
- Discuss that CMS has now issued a deficiency report that shows the number of hospitals out of compliance with the advance directive standards
- 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 CoPs hospital manual
Speaker
Laura A. Dixon, B.S., J.D., R.N., president, Healthcare Risk Education and Consulting, LLC
Laura A. Dixon is the president of Healthcare Risk Education and Consulting. She previously served as the director, facility patient safety and risk management and operations, for COPIC from 2014 to 2020. In her role, Dixon provided patient safety and risk management consultation and training to facilities, practitioners and staff in multiple states.
Dixon has more than 20 years of clinical experience in acute care facilities, including critical care, coronary care, perioperative 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 physicians and staff for the western United States.
As a registered nurse and attorney, Dixon holds a Bachelor of Science degree from Regis University, a Doctor of Jurisprudence degree from Drake University College of Law and a registered nurse diploma from Saint Luke’s School Professional Nursing. She is licensed to practice law in Colorado and California.
Who should attend
CMOs, CNOs, compliance officers, ethics committee members, social workers, discharge planners, consumer advocates, nurse educators, nurse managers, nurse supervisors, nurses with direct patient care, registration staff, ethicists, physicians, risk managers, quality improvement directors, Joint Commission coordinators, hospital legal counsel, directors of registration, palliative care physicians, behavioral health staff, psychiatrists, patient safety officers, outpatient and emergency department managers, OR directors, hospice unit staff and patient safety officers.
Continuing education
The program has been designed to meet the Minnesota Board of Nursing continuing education requirements for a total of 1.5 contact hours.
Fee
- $200 per session for MHA member hospitals
- $300 per session per organization for nonmembers
In order to allow for social distancing, pricing is set up per hospital rather than per connection. Please register just one person from your facility and have that person share the access information with others within your facility who wish to participate. Each hospital within a system must register separately.
Registration deadline
Please register by 5 p.m. on Nov. 10 to ensure timely delivery of access instructions. Once the deadline has passed, we will no longer be able to accept registrations.
Prior to the program you will receive an email that contains instructions on how to connect to the web conference. Advance registration is required to ensure delivery of instructional materials.
If you do not receive an email from Christy Hammer prior to the program with web conference details, please contact info@mnhospitals.org to confirm your registration.