{"ref":"MI-HC-CR-03","title":"Client Choice, Representatives, Consent, and Advance Directives","category":"Client rights","summary":"Sets out how the Agency supports each client to make their own choices about their services, how it identifies and works with representatives (guardians, patient advocates, agents under a power of attorney and people the client chooses to involve), how it obtains and records consent to services and to sharing information, and how it handles advance directives, do-not-resuscitate orders and MI-POST forms. No rule requires a non-medical home care agency to give advance directive information; the Agency's practice on advance directives is its own standard.","inShort":["The client makes their own decisions unless a document gives someone else authority. Ask the client first.","Share information only with the people listed on the client's representative and consent record.","A patient advocate makes medical decisions only once the client cannot take part in them, as Michigan law sets out.","Know where any do-not-resuscitate order or MI-POST form is kept. In an emergency, call 911 and tell the responders.","Never prepare, witness or sign a will, power of attorney or advance directive for a client."],"primaryCitation":"MPM Home Help §1.1","citations":["MPM Home Help §1.1","MPM Home Help §8","MPM Home Help §8.6.A","MPM Home Help §9.1","MPM MI Choice Waiver §6.4","MPM MI Choice Waiver §7.5","MPM MI Choice Waiver §9.7","MPM MI Choice Waiver §9.12.C","MCL 700.5506 et seq.","MCL 556.201 et seq.","MCL 333.1051 et seq.","MCL 333.5671 et seq."],"federalCitations":["45 CFR §164.502","45 CFR §164.506","45 CFR §164.508","45 CFR §164.510"],"surveyorAsks":["Who can make decisions for this client, and where is the document that gives them that authority?","The client's daughter calls asking about her mother's care. What do you tell her?"],"forms":[{"ref":"MI-HC-CR-03-A","title":"Client Representative and Consent Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (MPM Home Help §1.1)","5. Supporting Client Choice","6. Representatives","7. Consent to Services","8. Consent to Share Information","9. Advance Directives and Medical Orders","10. When a Client's Ability to Decide Changes","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"mi-hca","state":"Michigan","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}