Advance Directives: Ensuring Compliance With CMS and TJC in 2024

Audience

chief medical officers, chief nursing officers, compliance officers, emergency department personnel, TJC coordinators, medical records staff, quality improvement personnel, risk managers and legal counsel

The following program content was provided by the speaker.

Overview

Advance care planning involves patients making decisions about the medical care they will receive should they become unable to speak for themselves. Hospitals must follow certain requirements from both CMS and TJC in order to comply with regulations and standards. Hospitals also must comply with the Patient Self-Determination Act, which requires hospitals to inform patients of their rights under state law regarding medical care decisions. Additionally, it has been shown that better end-of-life care can reduce readmissions.

This virtual event will discuss the CMS hospital CoPs and TJC standards on advance directives to help hospitals ensure compliance.

Objectives

Upon completion of this program, participants will be able to:

• • describe the CMS CoP requirements for advance directives for hospitals
  • describe TJC standards on advance directives
  • explain what is required of hospitals under the Patient Self-Determination Act
  • discuss which patients must and should be provided with information on the hospital’s advance directive policies and the CMS CoPs hospital manual

Speaker

Laura A. Dixon, B.S., J.D., R.N., CPHRM, most recently served as the Director of Risk Management and Patient Safety for the Colorado Region of Kaiser Permanente. Before joining Kaiser, she served as the Director of 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. Before joining COPIC, she served as the Director of the Western Region, Patient Safety and Risk Management for The Doctors Company in Napa, Calif. In this capacity, she provided patient safety and risk management consultation to the physicians and staff for the western U.S. As a registered nurse and attorney, Dixon holds a Bachelor of Science from Regis University in Denver; a Doctor of Jurisprudence from Drake University College of Law in Des Moines, Iowa; and a Registered Nurse diploma from Saint Luke’s School of Professional Nursing in Cedar Rapids, Iowa. She is licensed to practice law in Colorado and California.