Catalog Number : ncd1476
Title : Informed Consent Update: Maneuvering the Maze
Speaker : Sue Dill

Webplay Recording Date : 7-24-2017
Webplay Price : $ 150 for two weeks viewing

Webinar Overview:

Ever been confused about what standards and guidelines apply to informed consent? This program will discuss the current CMS hospital Conditions of Participation (CoPs) and Joint Commission standards on informed consent requirements. It will include some confusing CMS changes such as having a patient advocate sign the consent form when present even if the patient is competent. Come join us for a fun session on making informed consent a little simpler to understand!

Webinar Objectives:

• Recall that the CMS hospital CoP interpretive guidelines have 3 separate sections on informed consent
• Explain the hospitals and critical access hospitals have a separate guideline from CMS on informed consent
• Describe the six minimum requirements that are now mandatory to be in the informed consent form for surgery
• Discuss that the CMS and accreditation standards applicable to your facility should be reflected in the hospital's policies and procedures
• Identify that the medical staff must have a list of procedures and tests that will require an informed consent under federal regulations

Target Audience:

CEO, Compliance officer, chief medical officer (CMO) chief nursing officer (CNO), COO, Nurse Educator, Nurses, Nurse Directors, Nurse Supervisors, Nurse Managers, Board Members, Physicians, Medical staff coordinator, patient safety officer, senior leadership, hospital legal counsel, Risk Manager, Chief Risk Officer, PI director, Joint Commission coordinator, director of health information management, director of anesthesia, OR nurse director, nurses, Patient Safety Officer, Pastoral Care, Patient Advocates, Ethics Committee and others responsible for compliance with hospital regulations, and persons responsible for rewriting policy and procedure on informed consent

Webinar Outline:

• Introduction to the Hospital CoP Informed Consent Requirements
  • CMS interpretive guideline on informed consent for hospitals
  • Three sections in hospital CoP
  • Update policies and procedures
  • Educate staff including medical staff
  • Consent from the patient who is not incapacitated and the patient representative
  • Consent when the patient is incapacitated
  • Patient advocate asked to sign consent even if patient is competent
• Informed Decision Section 1 CMS Hospital CoPs
  • Informed consent as a process
  • Right to make informed decisions
  • Right to be informed of health care status
  • Right to refuse care o Evaluate patient rights
  • Right to delegate right to another for informed decisions
  • Surrogate decision makers
  • Right to participate in plan of care after discharge
  • Right to receive understandable information
  • Policies and procedures required
  • Survey procedure for surveyor
• Surgical services Section 2 CMS Hospital CoPs
  • Consent form on chart before surgery
  • Emergency exception
  • Short and long term risks
  • Benefits
  • Physician professional judgment
  • Surgery definition
  • Hospital must assure consent process
  • Anesthesia consent required
  • Surgery consent policy requirements
  • Documentation in medical record
  • Elements of well-designed consent process
  • Risks, benefits, alternatives etc.
  • Surgical residents, RNFA, surgical Pas
  • Important tasks related to surgery and disclosure
  • Surgical resident section o Moonlighting resident or fellow
  • MS must approve list of when consent is required
  • Surveyor to interview patients on process
  • Medical record review by surveyor
• Medical Records-Section 3 CMS Hospital CoPs
  • Inpatients and outpatient requirement
  • Consent on chart prior to surgery
  • Minimum elements in informed consent
  • Name of hospital on consent form
  • Revised witness requirement
  • Material risk definition
  • Signature of patient on consent form required
  • Additional elements to consider on consent form
  • Surveyor review of six charts
  • Surveyor procedure
• CMS Critical Access Hospital CoPs
  • 2 separate sections in CAH manual
  • Consent requirements
  • Significant surgical tasks
  • Consent as a process
  • Mandatory and optional requirements
• Joint Commission Informed Consent Standards
  • Remember state law requirements
  • RI.01.03.01 and the EPs
  • Written policy requirements
  • Surgery and procedures requiring consent must be specified
  • Consent as a process
  • Risks benefits, and side effects
  • Elements not required by CMS
  • Exceptions to policy
  • Emergency surgery
  • Consent on chart required before surgery
  • Consent for photography
  • TJC tracer on consent
• Research Informed Consent Requirements
• Professional Organization Resources on Consent
• Additional Resources Slides Provided on:
  • AAAHC and AAAASF Standards on Consent
  • DNV Healthcare Standard on Informed Consent
  • AOA HCFA Standard on Informed Consent
  • Questions and Answers

Full tuition is refunded immediately on request if the participant has not been sent the program materials and instructions. Once the instructions (including access codes) have been sent, a full refund will be issued only after the program runs and it is verified that the participant did not access the program.