Schraffenberger L A
American Health Information Management Association.
J AHIMA. 1992 Feb;63(2):85-98.
This issue of the Journal of AHIMA contains a Position Statement on advance directives. Here we have included several "tools" or helpful documents to support your organization's ongoing education regarding advance directives. First, we offer a "Sample Policy and Procedure" addressing the administrative process of advance directives. This sample policy was adapted from a policy shared by Jean Clark, RRA, operations director with Roper Hospital in Charleston, SC, and a director on the AHIMA Board of Directors. Do not automatically accept this policy and procedure for your organization. Instead, the health information management professional could use this sample to write your organization's own, specific policy and procedures that are consistent with your state's law and legal counsel's advice. The second article, "Advance Directives and the New Joint Commission Requirements," compares 1992 Joint Commission standards for Patient Rights and The Patient Self-Determination Act requirements. Selected sections from the Joint Commission chapter on Patient Rights are highlighted and comments added that contrast it with the act. "Common Questions and Answers Related to Advance Directives" is the third tool we offer. These questions and answers may be used for a patient education brochure or staff inservice education program outline. Again, information specific to your own state needs to be added. The fourth tool we offer is miniature "Sample Slides" or overhead transparency copy that can be enlarged and used for a presentation on the basics of advance directives for a community group for staff education. We thank Dee McLane, RRA, director, Medical Information Services at Self Memorial Hospital in Greenwood, SC, who developed these slides for presentations conducted at her hospital. We also thank Jeri Whitworth, RRA, who produced the graphics on these slides. Whitworth is a first year director on the AHIMA Board of Directors this year. Again you can use as is or consider these a model as you develop your own presentation geared for your specific audience. Last, but not least, we include samples of a "Living Will Declaration" and a "Durable Power of Attorney for Health Care" forms reprinted with permission from the American Association of Retired Persons (AARP). We include them here so you can examine the language of each type of advance directive. Copies for your organization should be requested from AARP at 1909 K Street NW, Washington, DC 20049, (202) 662-4895. Forms specific to each state are available from The Society for the Right to Die/Concern for Dying at 250 W. 57th Street, New York, NY 10107, (212) 246-6973. The requirement under The Patient Self-Determination Act became effective December 1, 1991, but the educational requirements of the act are meant to be ongoing. These "tools" are to help you continue to be a regular contributor to the educational process in your organization.
本期《美国健康信息管理协会杂志》包含一份关于预立医疗指示的立场声明。在此，我们提供了一些“工具”或实用文件，以支持贵机构持续开展有关预立医疗指示的教育工作。首先，我们提供一份“样本政策与程序”，涉及预立医疗指示的行政流程。该样本政策改编自南卡罗来纳州查尔斯顿市罗珀医院运营总监、美国健康信息管理协会董事会成员珍·克拉克分享的一项政策。请勿直接将此政策和程序应用于贵机构。相反，健康信息管理专业人员可利用此样本编写符合贵州法律和法律顾问建议的本机构专属特定政策与程序。第二篇文章《预立医疗指示与联合委员会新要求》，比较了1992年联合委员会患者权利标准与《患者自我决定法案》的要求。联合委员会患者权利章节中的部分选定内容被突出显示，并添加了与该法案形成对比的评论。《预立医疗指示常见问答》是我们提供的第三个工具。这些问答可用于患者教育手册或员工在职教育项目大纲。同样，需要添加贵州的特定信息。我们提供的第四个工具是微型“样本幻灯片”或投影仪透明胶片副本，可放大后用于为社区团体或员工教育举办的关于预立医疗指示基础知识的演示。我们感谢南卡罗来纳州格林伍德市自我纪念医院医疗信息服务主任迪伊·麦克莱恩，她为在其医院举办的演示制作了这些幻灯片。我们还感谢杰里·惠特沃思制作了这些幻灯片上的图形。惠特沃思今年是美国健康信息管理协会董事会的第一年成员。同样，你可以原样使用这些内容，也可将其作为为特定受众开发自己的演示文稿的模板。最后但同样重要的是，我们收录了经美国退休人员协会（AARP）许可重印的“生前遗嘱声明”和“医疗保健持久授权书”表格样本。我们在此收录它们，以便你能审视每种预立医疗指示的措辞。贵机构如需副本，可向华盛顿特区西北K街1909号的美国退休人员协会索取，电话：(202) 662 - 4895。各州特定的表格可从位于纽约市西57街250号的死亡权利协会/临终关怀协会获取，电话：(212) 246 - 6973。《患者自我决定法案》规定的要求于1991年12月1日生效，但该法案的教育要求旨在持续进行。这些“工具”旨在帮助你继续成为贵机构教育过程的定期贡献者。
