Advance Directives: Ensuring Compliance with CMS and TJC
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Speaker : LAURA A DIXON
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When : Thursday, October 10, 2024
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Time : 03 : 00 PM EST
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Laura A. Dixon, BS, JD, RN, CPHRM
Laura A. Dixon recently served as the Regional Director of Risk Management and Patient Safety for Kaiser Permanente Colorado where she provided consultation and resources to clinical staff. Prior to joining Kaiser, she 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 consultation and training to facilities, practitioners, and staff in multiple states. Such services included 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.
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 has more than twenty years of clinical experience in acute care facilities, including critical care, coronary care, peri-operative services, and pain management.
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.
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 the CMS CoP hospital manual
Areas Covered
- 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 Record of Care chapter
- Professional organization position statements on DNR (AORN, ACS, ASA, ASPAN, ACEP, ENA etc.)
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
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$200.00
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