{"ref":"MI-HH-PR-02","title":"Advance Directives, Patient Advocate Designations, Do-Not-Resuscitate Orders, and MI-POST","category":"Client rights","summary":"Sets out how the Agency gives every adult patient written information about the right under Michigan law to accept or refuse treatment and to make advance directives before the patient comes under the Agency's care, records whether the patient has a patient advocate designation, living will, out-of-hospital do-not-resuscitate order or POST form, puts that information in the plan of care, follows valid documents, never conditions care on them, and educates staff and the community, as 42 CFR §489.102 requires.","inShort":["Give every adult patient the advance directive information at the first visit, before any care.","Ask about a patient advocate designation, living will, out-of-hospital DNR order, MI-POST form or guardian, and record the answers on the face sheet.","A patient advocate decides only after two doctors (or a doctor and a psychologist) find the patient unable to take part in decisions.","Know each patient's DNR and POST status before you visit. Never make care depend on whether a patient has a document.","Do not act as a witness to a patient's documents."],"primaryCitation":"42 CFR §489.102","citations":["MCL 700.5506 to 700.5515 (patient advocate designations, Estates and Protected Individuals Code)","Michigan Do-Not-Resuscitate Procedure Act, MCL 333.1051 to 333.1067","MCL 333.5671 et seq. (physician orders for scope of treatment, MI-POST)"],"federalCitations":["42 CFR §489.100","42 CFR §489.102","42 CFR §484.60(a)(2)(xv)","42 CFR §484.50(c)(4)"],"surveyorAsks":["When does this patient receive your advance directive information, and where is that documented?","Where in the clinical record would I find whether the patient has executed an advance directive?"],"forms":[{"ref":"MI-HH-PR-02-A","title":"Advance Directive Information and Acknowledgment"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §489.102)","5. Michigan Law in Brief","6. At Admission, Before Care","7. Recording and Care Planning","8. When a Patient Advocate or Guardian Acts","9. Patients Who Cannot Receive the Information at Admission","10. Statement of Limitation","11. Following Documents During Care","12. If a Patient Is Found Without Signs of Life","13. Staff and Community Education","14. Responsibilities","15. Records and Compliance Monitoring","16. Staff Training","17. References","18. Related Policies and Forms","19. Approval","20. Revision History"],"version":"1.0","sample":false,"pack":"mi-hha","state":"Michigan","service":"Home health","guides":[{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}