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Flashcards in Advanced Care Planning Deck (5)
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1
Q

List the places where a patient’s advanced care plans may be documented.

A
•	Often documented in writing:
o	Advance directive 
o	Living will
o	Electronic health record
o	Physician orders for life-sustaining treatment (POLST) or medication orders for life sustaining treatment (MOLST)
2
Q

State the purpose of the Patient Self Determining Act.

A
  • Passed 20 years ago; Requires most health care facilities to inform adult patients about their rights to execute an AD
  • Since passed, estimates of completed advance directive among adults in the IS range from 5-15% – however 28% of home health care patients, 65% of nursing home residents, and 88% of hospice care patients had at least one AD on record.
3
Q

Identify a family’s areas of unmet needs regarding a loved one’s end-of-life care.

A
  • Symptom management
  • Communication from physicians about medical decision making
  • Emotional support for themselves
  • Respect for their dying family member
4
Q

State what Medicare will reimburse regarding end-of-life planning.

A
  • Medicare part B allows for 30 min discussion for advance care planning (ACP) in clinic or hospital – or will pay up to $75 for 30 additional minutes of consultation
  • ACP may be reimbursed if conducted as part of an annual wellness visit
5
Q

List the minimum documentation required for seeking Medicare reimbursement for advance care planning.

A
  • A person designated to make decisions for the patient if the patient cannot speak for him or herself
  • The types of medical care preferred
  • The comfort level that is preferred
  • Patient consent for ACP performed as part of an annual wellness visit (Required for Medicare Advantage only)