Informed Consent John Sanchez, MS, CPHRM
|
|
- Whitney Patrick
- 6 years ago
- Views:
Transcription
1 Informed Consent John Sanchez, MS, CPHRM Informed consent is both an ethical theory and a patient s right that takes into consideration a patient s needs and preferences regarding healthcare decision-making as it pertains to medical treatments or procedures that pose risk to the individual. The essential concept of informed consent is based on the belief that every competent adult has a fundamental right to self-determination i.e., to make decisions affecting one s own body and property. The American roots of self-determination can be traced to the late 1700s as a political and constitutional principle proclaimed in the Declaration of Independence: We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable rights that among these are life, liberty, and the pursuit of happiness. That to secure these rights, governments are instituted among men, deriving their just powers from the consent of the governed. The core ideology of the process of obtaining informed consent is based on the establishment of an agreement between the patient and the provider who is performing the medical treatment or procedure, resulting in the patient s authorization to undergo the medical intervention. Individuals who are unable to express this right, including minor children and incompetent or incapacitated adults, have the right to have another person represent their interests. This healthcare proxy is established to preserve the patient s decision-making right in consenting to medical treatment.
2 PATIENT S BILL OF RIGHTS The doctrine of informed consent is embodied within federal and state laws as well as the Patient s Bill of Rights. The American Hospital Association prepared a Patient s Bill of Rights in 1973, which was later amended in Patient rights were established with the expectation that hospitals and other healthcare entities would extend these rights to patients in the interest of respecting patients wishes and autonomy in the care they receive. In 1998, the U.S. Advisory Commission on Consumer Protection and Quality established the Consumer Bill of Rights and Responsibilities. 2 This document includes several key areas one of which specifically addresses patients taking part in their treatment decisions. There are provisions within the Patient Protection and Affordable Care Act of 2010 that are now referred to as the new Patient s Bill of Rights, which addresses informed consent for patients. There are additional Bill of Rights documents that address other areas of healthcare, including mental health and hospice. These documents support a patient s right to make decisions with respect to his/her healthcare. FEDERAL STATES AND LAWS In addition to the provisions of law referred to under the Patient s Bill of Rights, healthcare entities that participate in federal funding programs overseen by the Centers for Medicare & Medicaid Services (CMS) are required to abide by the CMS Conditions of Participation. CMS has published interpretive guidelines for hospitals and surgical services that include key informed consent guidance. Interpretive guidelines applicable to hospitals include the following content: 1 American Hospital Association. Management Advisory: A Patient s Bill of Rights. Approved by the AHA Board of Trustees October 21, U.S. Department of Health & Human Services, Agency for Healthcare Research and Quality. Consumer Bill of Rights & Responsibilities. June 24, 1998.
3 Hospitals must utilize an informed consent process that assures patients or their representatives are given the information and disclosures needed to make an informed decision about whether to consent to a procedure, intervention, or type of care that requires consent. 3 Aging services entities may be subject to the Nursing Home Reform Act of This Act was established to ensure quality of care and provides guidelines for resident rights, including informed decision-making Pertinent elements of the Act with respect to consent include: Resident s right to be fully informed in a language (s)he can understand his/her total health status, including, but not limited to, medical condition Right to choose an attending physician, to be fully informed in advance about care and treatment, and to be informed of any changes in the care that may affect the resident s well-being Right to participate in planning care and treatment or changes in care and treatment Right to refuse treatment States have established informed consent laws that address certain medical treatments and procedures and the types of information that patients must be provided so they can make informed decisions. Although state laws may differ in terminology, there are some consistencies between them. Some states adopt a professional community standard, while others focus on a patient s expectations for care. The enactment of both federal and state laws establishes a legal framework that encompasses the requirements for compliance in obtaining consent for medical care. OBTAINING INFORMED CONSENT Patient care is based on an overall plan of care centered on the patient s specific medical condition(s). When patients are admitted to a healthcare facility, it is common for them to sign a general treatment consent form that addresses many of the services they will receive during their stay. This general consent serves as the agreement with the patient for many of the services that are established in the care plan. Informed consent applies to those medical interventions that are not addressed on the general consent form; it is up to the healthcare facility, in accordance with state and federal law, to determine which medical interventions require informed consent. 3 Revisions to the Hospital Interpretive Guidelines for Informed Consent (Ref: S&C-07-17). Centers for Medicare & Medicaid Services. April 13, U.S. Code 1395i 3 Requirements for, and assuring quality of care in, skilled nursing facilities. Cornell University Law School.
4 Failure to obtain appropriate consent prior to performing the associated medical treatment or procedure may subject the healthcare provider to liability for battery. 5 From a legal perspective, claims that arise from allegations of medical treatment being performed without a patient s consent are actionable under tort law. 6 Therefore, not establishing an appropriate agreement with the patient for procedures that require informed consent could subject the provider to a medical malpractice claim. There is one exception that pertains to patients in an emergency medical situation. In these instances, informed consent is not required if the healthcare entity can perform emergency services and the patient is incapacitated or unable to make decisions with respect to his/her emergency medical condition. 7 The premise for this exception is that a reasonable person would not want to be denied essential medical care when (s)he is unable to consent to the treatment. PATIENT S BILL OF RIGHTS Unfortunately, there is not a single-source document or list that outlines exactly when informed consent is required, in large part due to the differences in state laws as well as variances in the interpretation of recommendations made by professional medical groups and organizations. Because there is not a single point of reference, healthcare entities must determine which medical treatment and procedures will require informed consent. Examples of medical treatment and procedures that generally require informed consent include: Most surgical procedures Advanced or complex medical tests and procedures Radiation or chemotherapy used in the treatment of cancer Most vaccines Certain blood tests, such as HIV testing 5 J. Stanley Edwards, JD. Tort Law (Boston: Cengage Learning, 2016): Ibid. 7 Kurt M Hartman, JD and Bryan A. Liang, MD, PhD, JD. Perspectives in Legal Medicine and Health Law: Exceptions to Informed Consent in Emergency Medicine. Hospital Physician (Marzch 1999): 53-59
5 INFORMED CONSENT PROCESS The process of informed consent is to establish a clear understanding of the proposed medical intervention and the establishment of an agreement to proceed by the patient. This conversation with the patient occurs with the provider, with specific consent being obtained by the direct caregiver who is performing the intervention or procedure. Although a healthcare entity may have existing consent forms for specific procedures, it is still essential that the consent process occurs directly with the patient. Because patients may be receiving care and treatment for a number of different health conditions with the involvement of a number of different care providers and specialists, it is vital to ensure that clear communication occurs with the patient regarding consent. In addition to the details of the procedure and process, it is important that the patient have a clear understanding of which provider (or providers) will be performing the services as well as others who may be involved in the care process. Prior to meeting with the patient, a communication plan is established that includes several recommended goals and objectives focusing on the key aspects of informed consent. Informed consent can be obtained either verbally or in writing; however, written consent is the preferred method (in addition to documentation by the provider within the medical record). This communication plan includes such items as: The treatment or procedure, with respect to a specific medical condition and who will be involved in the procedure Benefits of the treatment or procedure, including the likelihood of achieving the goals of the patient and the plan of care Risks of the treatment or procedure, including any potential or foreseeable problems after the treatment or procedure Alternatives to the treatment or procedure and information regarding why the proposed treatment option is recommended over any alternative treatment(s) If the treatment or procedure is declined, how does this affect the patient? This includes discussions regarding consequences and how they affect the goals of the patient and the plan of care How the treatment or procedure will affect discharge planning and the patient s post-acute care If the treatment or procedure could lead to the discovery of a reportable disease or condition, this disease/condition may be reportable to local or federal entities (e.g., the Centers for Disease Control and Prevention) An important aspect of this conversation with the patient is to ensure that the information is provided in a manner that the patient understands. Healthcare providers treat a diverse population with varying degrees of capacity for understanding potentially complex medical information. There may also be language barriers that necessitate the use of an appropriate medical interpreter as part of the conversation. A best practice is to utilize certified medical interpreters and avoid the use of the patient s family members or facility staff as interpreters in informed consent discussions.
6 DOCUMENTING INFORMED CONSENT IN THE MEDICAL RECORD Once the informed consent discussion is completed and the provider has answered all questions and established that the patient understands the medical care to be provided, the next step is documenting the discussion and consent in the medical record. A healthcare entity will often have consent forms that are prepared in plain language for elective and non-emergent medical care and procedures. Although a signature on a prepared consent form serves as evidence that the patient has consented to a procedure or treatment, there are instances where a consent form alone may lack credibility. In professional liability claim cases, it can be argued that the patient either did not read or fully understand the form that was signed. In other instances, a patient may allege that (s)he signed the form for other reasons, including a pending loss of health insurance coverage or pressure from a family member to have the procedure performed. A strategy to support an existing consent form is for the provider who is providing the medical treatment or surgical procedure to prepare a note in the medical record that documents the informed consent discussion. This note in the medical record should capture the conversation, including the recommended content (with respect to goals and objectives listed above) and the patient s acceptance and acknowledgment of consent. It is also beneficial to include language that indicates the patient understood what was discussed. This can be as simple as adding a line to the note that affirms the patient stated (s)he understood following the patient s acknowledgment and acceptance. After an informed consent discussion, there may be occasions in which the patient does not consent to the procedure. This refusal of medically essential procedures, or care, is referred to as informed refusal. Informed refusal may be captured on a form or in the documentation of the medical record. Similar to instances in which a patient agrees and provides consent, the patient s refusal is documented along with the informed consent discussion. The doctrine of informed consent is not only an ethical obligation it is also required by state and federal law. By establishing sound informed consent processes and practices, an organization not only meets regulatory and legal compliance requirements, but it is also recognizes and respects the rights of the patient. In doing so, an organization is representing what is truly in the best interest of the patient while ensuring that a key element in the delivery of care i.e., communication is being met. Please visit Ironshore.com for the full disclaimer
Physician Credentialing and Risk Management
Physician Credentialing and Risk Management January 2016 John E. Sanchez - MS, CPHRM In the delivery of healthcare services, identifying and retaining well-trained and competent professionals is a key
More informationResidents Rights. Objectives. Introduction
Residents Rights Objectives By the end of this educational encounter, the clinician will be able to: 1. Identify basic resident rights 2. Relate how resident rights impact daily nursing practice 3. Apply
More informationObjectives. By the end of this educational encounter, the clinician will be able to:
Resident s Rights WWW.RN.ORG Reviewed May, 2016, Expires May, 2018 Provider Information and Specifics available on our Website Unauthorized Distribution Prohibited 2016 RN.ORG, S.A., RN.ORG, LLC By Melissa
More information15. Legal and Regulatory Issues. 1. Laws governing medicine and medical ethics complement and overlap each other.
15. Legal and Regulatory Issues A. General Ethical Legal Principals 1. Laws governing medicine and medical ethics complement and overlap each other. a. In the past, decisions were made by doctors and other
More informationPolicy Number: Advance Care Planning - Goals of Care. Approval Signature: Original signed by A. Wilgosh. Date: April 2011
POLICY REGIONAL Applicable to all WRHA governed sites and facilities (including hospitals and personal care homes), and all funded hospitals and personal care homes. All other funded entities are excluded
More informationHealth Care Proxy. An Informational and Educational Guide for Residents of New York State.
This material is provided to answer general questions about the law in New York State. The information and forms were created to assist readers with general issues and not specific situations, and, as
More information15. Legal and Regulatory Issues. 1. Laws governing medicine and medical ethics complement and overlap each other.
15. Legal and Regulatory Issues A. General Ethical Legal Principals 1. Laws governing medicine and medical ethics complement and overlap each other. a. In the past, decisions were made by doctors and other
More informationThe Monthly Publication of the National Hospice and Palliative Care Organization
The Monthly Publication of the National Hospice and Palliative Care Organization Print-friendly PDF From September 2012 Issue A Hospice Provider s Guide to Live Discharges By Jennifer Kennedy, MA, BSN,
More informationMeasure #47 (NQF 0326): Care Plan National Quality Strategy Domain: Communication and Care Coordination
Measure #47 (NQF 0326): Care Plan National Quality Strategy Domain: Communication and Care Coordination 2017 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY MEASURE TYPE: Process DESCRIPTION: Percentage
More informationDischarge Planning for Patients Hospitalized for Mental Health Treatment Interpretative Guidelines for Oregon Hospitals
Discharge Planning for Patients Hospitalized for Mental Health Treatment Interpretative Guidelines for Oregon Hospitals May 2016 1 PURPOSE This document is meant to offer interpretative guidance for Oregon
More informationPatient Rights & Responsibilities and Advance Directives. Annual Training Program
Patient Rights & Responsibilities and Advance Directives Annual Training Program Background on Patient Rights The legal interests of persons who submit to medical treatment. For many years, common medical
More informationInformed Consent Session Goals
1 Session Goals Identify the importance of informed consent Identify the challenges to effectively auditing and monitoring informed consent Applying the Auditing and Monitoring Framework to Medical Treatment
More informationPosition Statement INTRAOPERATIVE RESPONSIBILITY OF THE PRIMARY NEUROSURGEON
Introduction American Association of Neurological Surgeons American Board of Neurological Surgery Congress of Neurological Surgeons Society of Neurological Surgeons Position Statement on INTRAOPERATIVE
More informationTrainingABC Patient Rights Made Simple Support Materials
TrainingABC 2017 Patient Rights Made Simple Support Materials Video Transcript The Patient Bill of Rights is a list of rights first developed in 1973 and then revised in 1992, by the American Hospital
More informationApplication of Proposals in Emergency Situations
March 27, 2018 Alex Azar Secretary Department of Health and Human Services Hubert H. Humphrey Building Room 509F 200 Independence Avenue, SW. Washington, DC 20201 Re: RIN 0945-ZA03 Re: Protecting Statutory
More informationADMISSION CONSENTS. 1. Yes No Automobile Medical or No Fault insurance due to an accident?
Patient Name: I.D. Number: Section A: Identifying Proper Payor ADMISSION CONSENTS Are services provided to you by Hospice reimbursements through health insurance other than Medicare due to one of the following
More informationI. Disclosure Requirements for Financial Relationships Between Hospitals and Physicians
2400:1018 BNA s HEALTH LAW & BUSINESS SERIES provided certain additional elements (based largely on the physician recruitment exception) are satisfied. 133 10. Professional courtesy, 42 C.F.R. 411.357(s)
More informationSutton Place Behavioral Health, Inc. POLICY NO. CLM-19 EFFECTIVE DATE:
Sutton Place Behavioral Health, Inc. POLICY NO. CLM-19 EFFECTIVE DATE: 03-17-04 HEALTH CARE ADVANCE DIRECTIVES ATTACHMENTS: Living Will Designation of Health Care Surrogate Wallet card Advance Directives
More informationNursing Home (Rehabilitation Facility) 1 : Involuntary Transfer/Discharge
Nursing Home (Rehabilitation Facility) 1 : Involuntary Transfer/Discharge On September 28, 2016 the Centers for Medicare & Medicaid Services (CMS) revised the federal nursing home regulations for the first
More informationMSK Group, PC NOTICE O F PRIVACY PRACTICES Effective Date: December 30, 2015
MSK Group, PC NOTICE O F PRIVACY PRACTICES Effective Date: December 30, 2015 This notice describes how medical information about you may be used and disclosed and how you can get access to this information.
More informationPOLICY TITLE Consent for Health Care
Page 1 of 6 POLICY TITLE 1. PURPOSE To protect the rights of individuals and promote their full participation in making informed decisions with respect to their health care and treatment options. To ensure
More informationGlobal Healthcare Accreditation Standards Brief 4.0
Global Healthcare Accreditation Standards Brief 4.0 for Medical Travel Services Effective June 1, 2017 Copyright 2017, Global Healthcare Accreditation Program All rights Version reserved. 4.0 No Reproduction
More informationAgeWell New York Provider Relations 1991 Marcus Avenue Suite M201 Lake Success, NY 11042
Dear Provider/Facility: Thank you for your interest in becoming a network provider/facility for AgeWell New York, LLC. In accordance with our commitment to the quality of health care services delivered
More informationMedicare Supplement Plans
KPShealth plans P R O V I D E R N E T W O R K If you have questions about any of our Medicare Supplement plans or about the application process, please feel free to contact us at 360-478-6786, or toll
More informationMaking Decisions About Your Health Care. (Information about Durable Power of Attorney for Health Care and Living Wills)
Making Decisions About Your Health Care (Information about Durable Power of Attorney for Health Care and Living Wills) Following guidelines set by federal regulations, we would like to inform you of your
More informationterm does not include services provided by a religious organization for the purpose of providing services exclusively to clergymen or consumers in a
HEALTH CARE FACILITIES ACT - LICENSURE OF HOME CARE AGENCIES AND HOME CARE REGISTRIES, CONSUMER PROTECTIONS, INSPECTIONS AND PLANS OF CORRECTION AND APPLICABILITY OF ACT Act of Jul. 7, 2006, P.L. 334,
More informationPlease Note: Please send all documentation related to the credentialing portion of this documentation to:
Please ote: The application process is split into different actions. Please send all documentation related to the contracting portion of this documentation to: Fax to: (916)350-8860 Or email to: BSCproviderinfo@blueshieldca.com
More informationThe Importance of the Conditions of Participation for Hospitals
The Importance of the Conditions of Participation for Hospitals The Centers for Medicare & Medicaid Services (CMS) issued Transmittal R37SOMA (Transmittal 37) revising the Interpretive Guidelines to Hospitals
More informationPHYSICIAN CREDENTIALING AND RISK MANAGEMENT. John E. Sanchez, MS, CPHRM January 2016
PHYSICIAN CREDENTIALING AND RISK MANAGEMENT John E. Sanchez, MS, CPHRM January 2016 In the delivery of healthcare services, identifying and retaining well-trained and competent professionals is a key strategy
More informationIntroduction...2. Purpose...2. Development of the Code of Ethics...2. Core Values...2. Professional Conduct and the Code of Ethics...
CODE OF ETHICS Table of Contents Introduction...2 Purpose...2 Development of the Code of Ethics...2 Core Values...2 Professional Conduct and the Code of Ethics...3 Regulation and the Code of Ethic...3
More informationGEORGIA S ADVANCE DIRECTIVE FOR HEALTH CARE
GEORGIA S ADVANCE DIRECTIVE FOR HEALTH CARE The Georgia General Assembly has long recognized the right of individuals to control all aspects of their personal care and medical treatment, including the
More informationCode of Ethics and Professional Conduct for NAMA Professional Members
Code of Ethics and Professional Conduct for NAMA Professional Members 1. Introduction All patients are entitled to receive high standards of practice and conduct from their Ayurvedic professionals. Essential
More informationPOLICY TITLE Consent for Health Care
Page 1 of 6 POLICY TITLE 1. PURPOSE To protect the rights of individuals and promote their full participation in making informed decisions with respect to their health care and treatment options. To ensure
More informationCredentialing Application
Credentialing Application 1. NAME Last First MI Degree Gender 2. BIRTH, SOCIAL SECURITY & E-MAIL ADDRESS Date of Birth Social Security # E-Mail Address 3. PRACTICE, OFFICE & SPECIALTY INFORMATION 3.1 Please
More informationNetwork Participant Credentialing Application
Please: Type or print legibly Complete all items. If an item does not apply, enter NA. Do not leave any items blank. Include the following with your application, if applicable: Copy of professional license(s)
More informationCode of Ethics. 1 P a g e
Code of Ethics (Adopted at the annual meeting of ILTA held in Vancouver, March 2000) (Minor corrections approved by the ILTA Executive Committee, January 2018) This, the first Code of Ethics prepared by
More informationThe care of your newborn child, or the placement of a child with you for adoption or foster care; or
Date: Dear Employee: We have been notified of your request to take a leave of absence (LOA) for: A serious health condition (including incapacity due to pregnancy) that makes you unable to perform the
More informationName of Sex: M F Applicant: Last First Middle. Date of Birth: Social Security Number: Phone: ( ) City State Zip. Phone: ( ) City State Zip
SCHNEIDER REGIONAL MEDICAL CENTER 9048 SUGAR ESTATE ST. THOMAS, U.S.V.I 00802 APPLICATION FOR TEMPORARY PRIVILEGES (USED FOR URGENT PATIENT NEED AND LOCUM TENENS) COMPLETE THE APPLICATION IN FULL. PRINT
More informationCATARACT AND LASER CENTER, LLC
CATARACT AND LASER CENTER, LLC Patient Information Date: Patient Name: M F Address: Street City State Zip Home Phone: Work Phone: Cell Phone: E-Mail : Referred by: Medical Doctor: Who is your regular eye
More informationYour Right to Make Health Care Decisions
42 P O Box 10600 Grand Junction, CO 81502-5600 Your Right to Make Health Care Decisions Advance Directives What is an Advance Directive? It is a type of written instruction about your health care to be
More informationJACKSON HOSPITAL & CLINIC, INC. POLICY AND PROCEDURE
JACKSON HOSPITAL & CLINIC, INC. POLICY AND PROCEDURE Name of Policy: Financial Assistance Policy Manual Section: Administration Fiscal Management Policy # JCAHO Section: Approved By: Board Of Trustees
More informationAmy Bassano Centers for Medicare and Medicaid Services June 9, 2009
Amy Bassano Centers for Medicare and Medicaid Services June 9, 2009 Coverage of Clinical Laboratory Services Lab service must meet all requirements of the Clinical Laboratory Improvement Amendment (CLIA)
More informationWelcome to LifeWorks NW.
Welcome to LifeWorks NW. Everyone needs help at times, and we are glad to be here to provide support for you. We would like your time with us to be the best possible. Asking for help with an addiction
More informationLPN 8 Hour Didactic IV Education
LPN 8 Hour Didactic IV Education Legal Aspects of IV Therapy By Pamela Truscott, MSN, Nurse Educator, RN Legal Implications in Nursing Practice Legal Limits of Nursing Knowledge of legal limits allows
More informationHome Health Orientation Manual FEDERAL Edition
Home Health Orientation Manual FEDERAL Edition Foundation Management Services, Inc. 3Q/2010. (FEDERAL) Home Health Orientation Manual FEDERAL Edition Table of Contents Orientation Checklist CHAPTER 9 CHAPTER
More informationADVANCE DIRECTIVE FOR A NATURAL DEATH ("LIVING WILL")
ADVANCE DIRECTIVE FOR A NATURAL DEATH ("LIVING WILL") NOTE: YOU SHOULD USE THIS DOCUMENT TO GIVE YOUR HEALTH CARE PROVIDERS INSTRUCTIONS TO WITHHOLD OR WITHDRAW LIFE-PROLONGING MEASURES IN CERTAIN SITUATIONS.
More informationPrinted from the Texas Medical Association Web site.
Printed from the Texas Medical Association Web site. Medical Power of Attorney Patient and Health Care Provider Information September 1999 General Information To be read by the Patient and Health Care
More informationHEALTH CARE DIRECTIVES POLICY
PURPOSE: HEALTH CARE DIRECTIVES POLICY To implement standards established by Congress in the Patient Self Determination Act of 1990. To comply with the MN Department of Health Statues regarding healthcare
More informationMLN Matters Number: MM6699 Related Change Request (CR) #: 6699
News Flash Medicare will cover immunizations for H1N1 influenza also called the "swine flu." There will be no coinsurance or copayment applied to this benefit, and beneficiaries will not have to meet their
More informationMEMORANDUM. FTCA and Health Center Residency Programs
MEMORANDUM TO: FROM:, National Association of Community Health Centers Martin Bree @ftlf.com DATE: RE: FTCA and Health Center Residency Programs You have asked us to prepare an issue brief on the Federal
More informationThe SOP applies to all human subject research falling under the purview of the University of Missouri Institutional Review Board.
Institutional Review Board.... University of Missouri-Columbia.. Standard Operating Procedure Informed Consent Types and Elements Informed Consent Types and Elements Effective Date: December 12, 2005 Original
More information10111 Richmond Avenue, Suite 400, Houston, Texas (713) / (866) (Toll Free) / (713) (Fax)
Application Date: \ \ Date Available: \ \ Provider s Name: O MD O DO O PA O NP SS # : City: State: Zip: Home Phone ( ) Work Phone ( ) Pager ( ) Cell Phone ( ) E-Mail address: Driver s Lic. # Expires: \
More informationUTILIZATION MANAGEMENT Section 4. Overview The Plan s Utilization Management (UM)
Overview The Plan s Utilization Management (UM) Program is designed to meet contractual requirements and comply with federal regulations while providing members access to high quality, cost effective medically
More informationPatient Rights and Responsibilities
Patient Rights and Responsibilities Your Rights as a Hospital Patient You have certain rights and protections as a patient guaranteed by state and federal laws. These laws help promote the quality and
More informationLEVEL OF CARE GUIDELINES: COMMON CRITERIA & CLINICAL BEST PRACTICES FOR ALL LEVELS OF CARE OPTUM IDAHO
OPTUM LEVEL OF CARE GUIDELINES: COMMON CRITERIA & BEST PRACTICES OPTUM IDAHO LEVEL OF CARE GUIDELINES: COMMON CRITERIA & CLINICAL BEST PRACTICES FOR ALL LEVELS OF CARE OPTUM IDAHO Guideline Number: Effective
More informationYour Right to Make Health Care Decisions in Colorado
Your Right to Make Health Care Decisions in Colorado This e-book informs you about your right to make health care decisions, including the right to accept or refuse medical treatment. It explains the following
More informationLOUISIANA MEDICAID LEVEL OF CARE GUIDELINES
Optum By United Behavioral Health U.S. Behavioral Health Plan, California Doing Business as OptumHealth Behavioral Solutions of California ( OHBS-CA ) LOUISIANA MEDICAID LEVEL OF CARE GUIDELINES Effective
More informationNovember 16, Dear Dr. Berwick:
November 16, 2010 Don Berwick, MD Administrator Centers for Medicare and Medicaid Services Department for Health and Human Services Attn: CMS-6028-P P.O. Box 8020 Baltimore, MD 21244-8017 RE: Medicare,
More informationAccountable Care Organizations. What the Nurse Executive Needs to Know. Rebecca F. Cady, Esq., RNC, BSN, JD, CPHRM
JONA S Healthcare Law, Ethics, and Regulation / Volume 13, Number 2 / Copyright B 2011 Wolters Kluwer Health Lippincott Williams & Wilkins Accountable Care Organizations What the Nurse Executive Needs
More informationPresident & CEO ADVANCE DIRECTIVES POLICY:
Page 1 of 4 REVIEWED DATES REVISED DATES APPROVED BY: 11/1991 11/1991 Patient Safety, Quality Management & Regulatory Affairs 04/2008 04/2008 APPROVED BY: 02/2011 02/2011 President & CEO Administrative
More informationCheri Benander, MSN, RN, CHC, NHCE-C Director of Compliance Consulting Services, HealthTechS3
December 2016 COMPLIANCE NEWSLETTER Cheri Benander, MSN, RN, CHC, NHCE-C Director of Compliance Consulting Services, HealthTechS3 NAVIGATING THE MAZE Cheri Benander, MSN, RN, CHC, NHCE-C Director of Compliance
More informationSignature (Patient or Legal Guardian): Date:
X-Ray Patient Information: [ ] Male [ ] Female Patient Name: Date of Birth: / / SS#: Mailing Address: City: State: Zip: Phone # s: (Home) (Work) (Cell) Referring Physician: Phone #: /Fax#: Additional Physician:
More informationDischarge Planning The CARE Act
Discharge Planning The CARE Act WHY ARE WE HERE? Understand the context for new state legislation related to patient discharge planning and processes Examine the substance of the new CARE Act law and how
More informationEthics for Professionals Counselors
Ethics for Professionals Counselors PREAMBLE NATIONAL BOARD FOR CERTIFIED COUNSELORS (NBCC) CODE OF ETHICS The National Board for Certified Counselors (NBCC) provides national certifications that recognize
More informationIEEE-USA ENGINEERING & DIPLOMACY FELLOWSHIP PROGRAM POLICIES & PROCEDURES (State Department Fellowship)
IEEE-USA ENGINEERING & DIPLOMACY FELLOWSHIP PROGRAM POLICIES & PROCEDURES (State Department Fellowship) 1. STATEMENT OF PURPOSE IEEE-USA's Engineering & Diplomacy Fellows program is created to provide
More informationNebraska pays for telepsychiatry + a separate transmission fee ($.08/minute).
Nebraska pays for telepsychiatry + a separate transmission fee ($.08/minute). Nebraska Telehealth Statutes 2014 Legislative Bill 1076 enacted in 2014 allows Medicaid payment for telehealth when patient
More informationEthical Principles for Abortion Care
Ethical Principles for Abortion Care INTRODUCTION These ethical principles have been developed by the Board of the National Abortion Federation as a guide for practitioners involved in abortion care. This
More informationSection VII Provider Dispute/Appeal Procedures; Member Complaints, Grievances, and Fair Hearings
Section VII Provider Dispute/Appeal Procedures; Member Complaints, Grievances, and Fair Hearings Provider Dispute/Appeal Procedures; Member Complaints, Grievances and Fair Hearings 138 Provider Dispute/Appeal
More informationHow to register under the Health and Social Care Act 2008
A new system of registration How to register under the Health and Social Care Act 2008 Guidance for new October 2010 Introduction This guidance is for all new who are required to register under the Health
More informationPatient s Bill of Rights (Revised April 2012)
Patient s Bill of Rights (Revised April 2012) TIRR Memorial Hermann recognizes the rights of human beings for independence of expression, decision, and action and will protect these rights of all patients,
More informationObjectives: List at least three ethical conflicts experienced when working with vulnerable clients
The Right to Self-Determination vs. The Right to be Protected and Safe A Meeting of the Minds Dementia Conference 2011 Anita L. Raymond, LISW Objectives: List at least three ethical conflicts experienced
More informationOFFICIAL COLLEGE POLICY
OFFICIAL COLLEGE POLICY Health and Safety (7120-8) OFFICIAL COLLEGE POLICY HEALTH AND SAFETY (7120-8) Division or Sector: Responsibility: Administrative Services Coordinator, Purchasing and Auxiliary Services
More informationANCILLARY/FACILITY APPLICATION CREDENTIALING / RE-CREDENTIALING
ANCILLARY/FACILITY APPLICATION CREDENTIALING / RE-CREDENTIALING Please attach copies of all applicable documents to the application: Copy of all Federal, State and/or local licenses required to operate
More informationDelegation Oversight 2016 Audit Tool Credentialing and Recredentialing
Att CRE - 216 Delegation Oversight 216 Audit Tool Review Date: A B C D E F 1 2 C3 R3 4 5 N/A N/A 6 7 8 9 N/A N/A AUDIT RESULTS CREDENTIALING ASSESSMENT ELEMENT COMPLIANCE SCORE CARD Medi-Cal Elements Medi-Cal
More informationBCBS NC Blue Medicare Credentialing Instructions
BCBS C Blue Medicare Credentialing Instructions Licensed Certified Social Worker (LCSW) Certified Substance Abuse Counselor (CSAC) Licensed Clinical Addiction Specialist (LCAS) Licensed Marriage and Family
More informationHIPAA Privacy Rule and Sharing Information Related to Mental Health
HIPAA Privacy Rule and Sharing Information Related to Mental Health Background The Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule provides consumers with important privacy rights
More informationAN ACT. SECTION 1. Title 4, Civil Practice and Remedies Code, is amended by CHAPTER 74A. LIMITATION OF LIABILITY RELATING TO HEALTH INFORMATION
AN ACT relating to the exchange of health information in this state; creating a criminal offense. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Title 4, Civil Practice and Remedies
More informationOKLAHOMA S UPPER PAYMENT LIMIT (UPL) PROGRAM TRAINING GUIDE
OKLAHOMA S UPPER PAYMENT LIMIT (UPL) PROGRAM TRAINING GUIDE April 2017 2 Disclaimer The information provided is current as of April 2017 and is subject to change. Stay current with up-to-date information
More informationADVANCE DIRECTIVE NOTIFICATION:
ADVANCE DIRECTIVE NOTIFICATION: All patients have the right to participate in their own health care decisions and to make Advance Directives or to execute Power of Attorney that authorize others to make
More informationSUGGESTIONS FOR PREPARING WILL TO LIVE DURABLE POWER OF ATTORNEY
SUGGESTIONS FOR PREPARING WILL TO LIVE DURABLE POWER OF ATTORNEY (Please read the document itself before reading this. It will help you better understand the suggestions.) YOU ARE NOT REQUIRED TO FILL
More informationHEALTH CARE POWER OF ATTORNEY
HEALTH CARE POWER OF ATTORNEY NOTE: YOU SHOULD USE THIS DOCUMENT TO NAME A PERSON AS YOUR HEALTH CARE AGENT IF YOU ARE COMFORTABLE GIVING THAT PERSON BROAD AND SWEEPING POWERS TO MAKE HEALTH CARE DECISIONS
More informationMichigan: Advance Directive
Michigan: Advance Directive NOTE: This form is being provided to you as a public service. The attached forms are provided as is and are not the substitute for the advice of an attorney. By providing these
More informationP R O C E D U R E L E V E L 1
P R O C E D U R E L E V E L 1 TITLE CONSENT TO TREATMENT / PROCEDURE(S) DOCUMENT # PRR-01-01 PARENT DOCUMENT LEVEL LEVEL 1 PARENT DOCUMENT TITLE Consent to Treatment/ Procedure(s) APPROVAL LEVEL Alberta
More informationVANTAGE HEALTH PLAN FACILITY CREDENTIALING APPLICATION
VANTAGE HEALTH PLAN FACILITY CREDENTIALING APPLICATION GENERAL INFORMATION Primary Practice Facility Location The type of application being submitted: Please choose facility type (check all that apply):
More informationTitle: ADVANCE DIRECTIVES: LIVING WILL AND MENTAL HEALTH
Title: ADVANCE DIRECTIVES: LIVING WILL AND MENTAL HEALTH Scope: The provisions in this policy relating to Mental Health Advance Directives (MHAD) apply to health care providers in both inpatient and outpatient
More informationDEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services. Discharge Planning
DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services ICN 908184 October 2013 This page intentionally left blank. This booklet was current at the time it was published or uploaded
More informationPATIENT ABANDONMENT OBJECTIVES
PATIENT ABANDONMENT OBJECTIVES Define patient abandonment Learn physician s ethical/professional responsibilities Understand legal and regulatory responsibilities Discuss strategies to prevent abandonment
More informationBenefits Of Hiring A Home Care Agency
Preserving Dignity Through Independence at Home Benefits Of Hiring A Home Care Agency Are you noticing changes in your aging parents that make you concerned about their safety at home? Are they chronically
More informationPATIENTS RIGHTS CHARTER
PATIENTS RIGHTS CHARTER 2014 Promoting Quality Healthcare and Safeguarding the Public is our Prime Concern TABLE OF CONTENTS 1.0 INTRODUCTION...1 2.0 OPERATIONAL DEFINITIONS...2 3.0 PATIENTS RIGHTS...3
More informationPrepublication Requirements
Prepublication Requirements Standards Revisions for Swing Bed Final Rule in Critical Access Hospitals The Joint Commission has approved the following revisions for prepublication. While revised requirements
More informationJodi Bremer-Landau, PhD Licensed Psychologist
WELCOME TO MY PRACTICE Welcome! I recognize that it takes a lot of courage to seek services and I truly appreciate your interest in working together. I look forward to making progress with you as we journey
More informationDWD Canada Toolkit: Ontario Ministry of Health and Long-Term Care Consultation on Doctor-Assisted Dying
DWD Canada Toolkit: Ontario Ministry of Health and Long-Term Care Consultation on Doctor-Assisted Dying Last summer, the Ontario government joined forces with 10 other provincial and territorial governments
More informationTHE HEALTH PROFESSIONS COUNCIL OF SOUTH AFRICA GUIDELINES FOR GOOD PRACTICE IN THE HEALTHCARE PROFESSIONS
THE HEALTH PROFESSIONS COUNCIL OF SOUTH AFRICA GUIDELINES FOR GOOD PRACTICE IN THE HEALTHCARE PROFESSIONS SEEKING PATIENTS INFORMED CONSENT: THE ETHICAL CONSIDERATIONS BOOKLET 4 PRETORIA SEPTEMBER 2016
More informationSECTION ONE - PERSONAL INFORMATION SECTION TWO - EDUCATION INFORMATION
Attachment H ALLIED HEALTH PROFESSIONALS INITIAL APPOINTMENT ADDENDUM TO THE TEXAS DEPARTMENT OF INSURANCE (TDI) STANDARDIZED CREDENTIALING APPLICATION SECTION ONE - PERSONAL INFORMATION Last Name: First
More informationDIVISION CIRCULAR #8 (N.J.A.C. 10:46C) DEPARTMENT OF HUMAN SERVICES DIVISION OF DEVELOPMENTAL DISABILITIES
DIVISION CIRCULAR #8 (N.J.A.C. 10:46C) DEPARTMENT OF HUMAN SERVICES DIVISION OF DEVELOPMENTAL DISABILITIES EFFECTIVE DATE: September 17, 2012 DATE ISSUED: September 17, 2012 (Rescinds DC #8 Waiting List
More informationSTATEMENTS OF POLICY
STATEMENTS OF POLICY Title 55 PUBLIC WELFARE DEPARTMENT OF PUBLIC WELFARE [ 55 PA. CODE CH. 6000 ] Procedures for Surrogate Health Care Decision Making [41 Pa.B. 352] [Saturday, January 15, 2011] Scope
More informationWhat Have we Learned from the Pioneer ACO Model?
What Have we Learned from the Pioneer ACO Model? Sherly Binu, CMMI December 7, 2016 Disclaimers 2 This presentation was prepared as a tool to assist providers and is not intended to grant rights or impose
More informationPrinciples-based Recommendations for a Canadian Approach to Assisted Dying
Principles-based Recommendations for a Canadian Approach to Assisted Dying Principles-based Recommendations for a Canadian Approach to Assisted Dying In February 2015, the Supreme Court of Canada released
More informationHAWAII REGION/ALL LOCATIONS ORIGINAL DATE LEGAL CLAIMS MANAGEMENT DEPARTMENT 07/01/1984
1 of 7 1. Policy INFORMED CONSENT Kaiser Permanente recognizes the right of every patient with decision making capacity to be informed about the nature of proposed diagnostic and therapeutic procedures,
More informationDEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services. Discharge Planning
DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services ICN 908184 October 2014 This booklet was current at the time it was published or uploaded onto the web. Medicare policy
More information