Advanced Directive Policy
The purpose of this policy is to implement Federal requirements pursuant to the Patient Self Determination Act (PSDA) of OBRA '90 requiring the Hospital to inform patients of their rights regarding decisions concerning medical care. Johnson Memorial Hospital (JMH) will provide a written document for distribution by the admissions staff to every adult patient upon admission to the Hospital outlining the individual's rights under Connecticut General Statutes Section 19a -570, et seq. as revised by Public Act 91-283, and/or formulate advance directives for their medical care.
The Hospital will maintain as part of the patient's current medical record a copy of a fully executed and witnessed original document outlining the patient's wishes, should the patient provide such a document to the Hospital at the time of admission or during the Hospital stay. The document is also commonly referred to as a "Living Will" or "Advance Directive Regarding Medical Care." An original copy of this document must be provided at every admission.
The Hospital will also maintain as part of the patient's current medical record, in addition to or in lieu of the aforementioned document, a copy of a fully executed and witnessed original durable power of attorney pursuant to Connecticut General Statutes Sections 1 - 54a, which permits another individual to make decisions for the principal subsequent to the disability or incompetence of the principal, or a copy of a fully executed and witnessed form appointing a health care agent pursuant to Public Act 91 - 283.
The Hospital will make every effort to make this documentation available to the attending physician in the event that the patient is unable to be consulted regarding his/her treatment plan. Patients should give a copy of their advance directive to an individual who is in a position to bring the instructions to the attention of the Hospital (family member, physician, etc.). In no event will the Hospital condition care or discriminate if an individual patient has or does not have such document (i.e. Living Will, Advance Directive, Durable Power of Attorney, etc.). Patients can direct concerns related to compliance with advance directives to the State Survey and Certification Agency.
The Hospital will continue to provide in-service and public seminars regarding individual rights to accept or refuse medical treatment, including the individual's rights under state laws, including statutory and case law. The Hospital recommends that each individual consult with his/her family attorney, physician and clergy. The Hospital does not offer advice or consultation beyond informing patients of their rights and the Hospital policy regarding "Living Wills."
A written copy of this policy will be provided to each adult patient upon admission to the facility.