End of Life Care Manual

A Program Guide for Washington Hospitals

Legal Requirements and General Guidance for Addressing End of Life Care in the Context of Advance Directives, Surrogate Decision-Making and Organ Procurement.

Washington State Hospital Association
Association of Washington Public Hospital Districts
300 Elliott Avenue West, Suite 300
(206) 281-7211

CONTENTS

Introduction

1. Advance Directives Law
   • Federal and State Law on Advance Directives
   • Medicare and Medicaid Conditions of Participation
   • The Joint Commission on Accreditation of Healthcare Organizations Standards
   • Nursing Home Regulations
   • Question and Answer Sheet on the Patient Self-Determination Act
2. Establishing Policies and Procedures on Advance Directives
   • Establishing Hospital Policies and Procedures to Comply with Federal Law
   • Suggestions on How to Meet the Community Education Requirements
   • Resource List for Patients and Providers on End of Life Care
   • Sample Advance Directive Forms
3. Statutes and Regulations on Advance Directives
   • Text of Relevant State and Federal Statutes and Regulations
     • Washington State's Natural Death Act Statute
     • Washington State's Power of Attorney Statute
     • Washington Regulations for Serving Medical Assistance Clients
     • Washington State Regulations for Nursing Homes
     • Medicare and Medicaid Conditions of Participation on Advance Directives and Patients' Rights
     • Federal Regulations Implementing the Patient Self-Determination Act
4. Surrogate Decision-Making
   • Introduction to Washington State Guardianship and Surrogacy Law
   • Text of Relevant Statutes and Regulations
5. Organ Procurement
   • Introduction to Federal and State Law on Organ Donation and Procurement
   • The Department of Health and Human Service's Resource Guide for Hospitals
   • Text of Relevant State Statutes and Regulations
   • Text of Medicare Conditions of Participation with a Question and Answer sheet and Interpretive Guidelines Prepared by the Department of Health and Human Services
6. Physician Orders for Life-Sustaining Treatment Program
   • Information on the Physician Orders for Life-Sustaining Treatment Form