Webinar Purpose:

This seminar will discuss the 2010 Joint Commission Patient Rights standards, also called the Rights and Responsibilities of the Individual or the RI chapter. There are many changes made to this chapter in 2009 as a result of the Standards Improvement Initiative (SII) which continued into 2010. There was a change effective July 1, 2010 and the 2011 patient provider standards will be discussed.

There will a discussion of a crosswalk to the CMS Hospital Conditions of Participation which all hospitals must follow if they receive payment for Medicare and Medicaid patients including the proposed changes to the visitation standards.

Advance directives, informed consent, use of interpreters, and complaint and grievances are some of the important standards in this chapter. Inpatients must be given a copy of their rights in writing. This program will discuss the patient rights issues.

This session will be presented by Sue Dill Calloway, who is the author of the book by HCPro on “The Compliance Guide to Ethics, Rights, and Responsibilities. Winning Strategies for Joint Commission and CMS Compliance.”

Target Audience:

• Joint Commission Coordinator
• Ethics Committee
• Social workers
• Consumer advocate or complaint manager
• Interpreting services director
• Quality Improvement Coordinator
• Chief Nursing Officer
• Chief Operating Officer
• Nurses
• Nurse Managers/Supervisors
• Compliance Officer
• Consumer Advocates
• Risk Managers
• Outpatient Director
• Patient Safety Officer
• Marketing Director
• Nurse educators
• OR staff In-house legal counsel

Webinar Objectives:

• Discuss what patient rights must be provided in writing to the patient
• Describe what patient responsibilities are required by the Joint Commission
• Recall the requirements from CMS and TJC on grievances and complaints
• Discuss the CMS and TJC requirements for informed consent
• Recall the importance of using and documenting the use of an interpreter if the patient does not speak English
• Describe the proposed changes to the CMS CoP on visitation

Here are a few of the topics that will be covered:

• Patient Rights
  • Developing patient rights
  • Written policies on patient rights
  • Communicating patient rights
  • Right to effective communication
  • Patient’s cultural and personal values, beliefs, and preferences
  • Right to privacy
  • Pain management
  • Information tailored to patient’s age, language, ability to understand
  • Interpreters and translators
  • Patients with speech, hearing, and cognitive impairment
  • Participating in care decisions
  • Surrogate decision makers
  • Consent for recordings or films
  • Informed consent
  • Documenting consent
  • Right to know your care provider
  • Complaints
  • Complaint process required
  • Access to protective and advocacy services
  • End of life issues
  • Rights during research
  • Advance directives
  • Foregoing or withdrawing life sustaining treatment
  • Outpatient advance directive requirements
  • Neglect, abuse and exploitation
  • Environment to support positive self image and dignity
  • Telephone and mail service standard
  • Personal rights
  • Services provided by hospitals to respect patient rights
  • CMS proposed changes to visitation
• Patient Responsibilities
  • Written policy required
  • Notifying patients
  • Asking questions
  • Accepting consequences
  • Following rules and regulations
  • Showing respect and consideration
  • Acknowledgement if understands treatment course
  • Meeting financial commitments,

Nursing Contact Hours:

This course has been approved for 2.4 Iowa Nursing Contact Hours. There is usually a reciprocal agreement between state associations to allow these to count for each state. If you have any questions, please ask your state association.