A PRACTITIONER’S GUIDE TO ADVANCE CARE PLANNING DISCUSSIONS IN THE POST-ACUTE AND LONG-TERM CARE SETTING

White Paper

April 2, 2019

AMDA- THE SOCIETY FOR POST-ACUTE AND LONG-TERM CARE MEDICINE
WHITE PAPER A17

SUBJECT: A PRACTITIONER’S GUIDE TO ADVANCE CARE PLANNING DISCUSSIONS IN THE POST-ACUTE AND LONG-TERM CARE SETTING INTRODUCED BY: ETHICS SUBCOMMITTEE AND ADVANCE CARE PLANNING WORK GROUP

INTRODUCED ON: MARCH 2017

PURPOSE The purpose of this White Paper is to highlight the importance of Advance Care Planning conversations and informed medical decision-making in the PA/LTC setting. Additionally, the White Paper will serve to delineate the prerequisites and key elements necessary to the adequate performance of an Advance Care Planning visit under the CMS billing codes, 99497 and 99498, which were implemented beginning January 1, 2016.

Click here to download the full PDF version of the White Paper.

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Background

An increasing number of patients with progressive chronic illnesses receive care and ultimately die in long term care facilities. Most of these patients can benefit from palliative care in addition to any curative or restorative therapies they receive. For many individuals, curative or restorative therapies may be unreasonable goals, or goals of care that the patient or responsible party do not wish to pursue. Some patients with palliative needs also may benefit from hospice care.

For those patients who may benefit from palliative care or...

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AMDA- THE SOCIETY FOR POST-ACUTE AND LONG-TERM CARE MEDICINE

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BE IT FURTHER RESOLVED, that AMDA—The Society of Post-Acute and Long-Term Care Medicine urge the Centers for Medicare & Medicaid Services (CMS) to start and maintain a record, by name, of each of the designated medical directors and associate medical directors of all the nation’s nursing homes, tied to the care communities they serve.

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Tuesday, April 2, 2019

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title: POLICY E19A: MEDICAL DIRECTOR COMPENSATED FOR MEDICAL DIRECTORS SERVICES NOT REFFERALS

AMDA- THE SOCIETY FOR POST-ACUTE AND LONG-TERM CARE MEDICINE

POLICY E19A: Medical Director Compensated for Medical directors services not refferals

THEREFORE BE IT RESOLVED, that AMDA- The Society for Post-Acute and Long-Term Care Medicine advocate for medical directors to contractually be given an adequate amount of time to perform their duties, to be accountable for the documentation of such services, and that remuneration is solely based on the provision of medical director services at a fair market...

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date:

Tuesday, April 2, 2019

Paper Type:

White Paper

title: A PRACTITIONER’S GUIDE TO ADVANCE CARE PLANNING DISCUSSIONS

AMDA- THE SOCIETY FOR POST-ACUTE AND LONG-TERM CARE MEDICINE

WHITE PAPER A17

SUBJECT: A Practitioner’s Guide to Advance Care Planning Discussions

in the Post-Acute and Long-Term Care Setting

INTRODUCED BY: Ethics subcommittee and Advance Care Planning Work Group

INTRODUCED ON: MARCH...

attachment:

1-PASSED_A17-Ethics ACP White Paper.docx

date:

Tuesday, March 7, 2017

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White Paper

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2. Identify your high risk patients using a triage tool.

3. Target high risk patients for advance care planning conversations w/ development of supportive documents like AHCD, POLST, &...

attachment:

date:

Wednesday, September 12, 2018

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White Paper

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AMDA- THE SOCIETY FOR POST-ACUTE AND LONG-TERM CARE MEDICINE
WHITE PAPER A17

Checklist for Pro-Active Care of Vulnerable Patients through Disasters – Tim Gieseke MD, CMD

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A PRACTITIONER’S GUIDE TO ADVANCE CARE PLANNING DISCUSSIONS IN THE POST-ACUTE AND LONG-TERM CARE SETTING

AMDA- THE SOCIETY FOR POST-ACUTE AND LONG-TERM CARE MEDICINE WHITE PAPER A17

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AMDA- THE SOCIETY FOR POST-ACUTE AND LONG-TERM CARE MEDICINE
WHITE PAPER A17