PAD Stories

"This time, with a PAD, I did not receive any treatments that I did not want. They were very respectful.  I really felt like the hospital took better care of me because I had my PAD. In fact, I think it's the best care that I've ever received."

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What must hospitals and other institutions do?

The law requires that these entities meet certain requirements in order to be paid under Medicare or Medicaid.  The entity must:

•Provide adults with written information concerning their right under state law to participate in decisions concerning their medical care;

•Provide adults with written information on its policy regarding advance directives.

•Maintain written policies and follow certain procedures with respect to advance directives;

•Document in the patient's medical record whether or not the patient has executed an advance directive (including a psychiatric advance directive);

•Comply with all State laws regarding advance directives (this includes complying with any state law on psychiatric advance directives) ;

•Not condition the provision of care or otherwise discriminate against an individual based on whether or not the individual has executed an advance directive.  This does not mean, however, that a provider is required to provide care that conflicts with an advance directive;

•Inform the individual that complaints concerning implementation of these advance directive requirements may be filed with the state agency that surveys and certifies Medicare and Medicaid providers.

•Provide staff and community education on issues related to advance directives.