Inpatient Nurses - Update to Advance Directive screening

CMS has new requirements for Advance Directives and Epic@UNC will be updated March 1.

The new CMS requirements are:

  1. It must have been documented that the patient in an inpatient Psychiatric unit has been asked about whether the patient has executed an advance directive that addresses the patient’s wishes for mental health treatment, as well as an advance directive that addresses their wishes for medical health treatment.
  2. There also needs to be documentation of why there is not an Advance Directive (for either medical or mental health treatment). 
  3. If there is not a surrogate decision maker appointed, must document the reason “Why not?”

View details on the updated Advance Directive screening in Epic@UNC.