Advanced Directives Policy and Implementation Guide for Orthopedic Practices

Purpose

To establish standardized procedures for documenting, maintaining, and honoring patient advanced directives in accordance with state laws and medical best practices.

Policy Statement

This orthopedic practice recognizes and respects patients' rights to make informed decisions about their medical care, including end-of-life decisions and treatment preferences.

Procedures

1. Documentation Requirements

• Request advanced directive documentation during initial patient registration
• Scan documents into EMR system within 24 hours of receipt
• Flag patient charts with advanced directive status
• Update documentation annually or as requested by patient

2. Staff Responsibilities

Front Desk Staff

• Inquire about advanced directives during registration
• Provide advanced directive forms when requested
• Forward completed documents to medical records

Clinical Staff

• Review advanced directive status before procedures
• Document discussions about advanced directives
• Ensure compliance with stated preferences

3. Storage and Accessibility

• Maintain electronic copies in designated EMR section
• Keep hard copies in readily accessible location
• Ensure 24/7 accessibility for emergency situations

Compliance Requirements

Documentation Review

• Annual audit of advanced directive files
• Quarterly staff training on policy updates
• Monthly verification of document accessibility

Legal Considerations

• Comply with state-specific regulations
• Maintain HIPAA compliance
• Update forms per legal requirements

Review and Updates

This policy shall be reviewed annually and updated as needed to maintain compliance with current regulations and best practices.