Advance Directives: Ensuring Compliance with CMS 2025

Live – 24th October 2025 || 1:00 PM EST

Delivery Type

Clear

Description

Advanced care planning involves making decisions about the medical care a patient wants to receive if they become unable to speak for themselves. CMS has requirements on Advanced Directives for compliance with the respective regulations and standards. A federal law – Patient Self Determination Act – addresses advance directives with which all hospitals must comply. It has been shown that better end-of-life care can reduce re-admissions.

This webinar will discuss the CMS hospital Conditions of Participation (CoPs) on advance directives to help hospitals ensure compliance.

Objectives:

Describe the CMS Conditions of Participation requirements for advance directives for hospitals
Explain what is required of hospitals under the federal law called the Patient Self Determination Act
Discuss which patients must and should be provided with information on the hospital’s advance directive policies, the CMS CoP hospital manual

Content:

Introduction
Types of advance directives
Case law related to Advance directives
CMS payment for advance care planning
Federal Laws on Advance Directives – Patient Self Determination Act
Deficiency reports on advance directives
CMS CoP on advance directives
Required notice to patients
Patient Representative
Incompetent patients
Patient rights and advance directives
Hospital policies
Conscience objectors
Informing the patient
DNR and Surgery
Transfer of a patient
CAH and advance directives
Professional organization position statements on DNR (AORN, ACS, ASA, ASPAN, ACEP, ENA etc.)

Intended Audience:

Compliance Officers
Ethics Committee
Social Workers
Discharge Planners
Consumer advocate
Nurse Educator
All nurses with direct patient care
Director of Registration
Registration staff
Physicians
Chief Medical Officer (CMO)
Chief Nursing Officer (CNO)
Nurse Managers/Supervisors
Risk Managers
Quality Improvement Director
Behavioral Health Staff
Patient Safety Officer
Outpatient and Emergency Department managers
OR director
Hospice director and unit staff

Laura A. Dixon

Laura A. Dixon recently served as the Regional Director of Risk Management and Patient Safety for Kaiser Permanente Colorado where she provided consultation and resources to clinical staff. Prior to joining Kaiser, she served as the Director, Facility Patient Safety and Risk Management and Operations for COPIC from 2014 to 2020. In her role, Ms. Dixon provided patient safety and risk management consultation and training to facilities, practitioners, and staff in multiple states. Such services included the creation of presentations on risk management topics, assessment of healthcare facilities and development of programs and compilation of reference materials that complement physician-oriented products. Prior to joining COPIC, she served as the Director, Western Region, Patient Safety and Risk Management for The Doctors Company, Napa, California. In this capacity, she provided patient safety and risk management consultation to the physicians and staff for the western United States. Ms. Dixon has more than twenty years of clinical experience in acute care facilities, including critical care, coronary care, peri-operative services, and pain management. As a registered nurse and attorney, Laura holds a Bachelor of Science degree from Regis University, RECEP of Denver, a Doctor of Jurisprudence degree from Drake University College of Law, Des Moines, Iowa, and a Registered Nurse Diploma from Saint Luke’s School Professional Nursing, Cedar Rapids, Iowa. She is licensed to practice law in Colorado and California.