Академический Документы
Профессиональный Документы
Культура Документы
2 | Page
Health Information Documentation
Management
3 | Page
Health Information Documentation
Management
what is asked for is Patients Identification Data. Each page of the face sheet or screen in case of
EMR, should have the patients name or Medical Code on top of the sheet. The Face Sheet
generally has sections corresponding to the patients Personal Information, Demographic
Information, Socio-Economic Information and Financial Information. All these is collected from
the patient at the time of admission and inserted in the Face Sheet. In case some information is
missing at the initial stage, the face sheet has to be made complete within a month of the
discharge of the patient, as per the Joint Committees stipulations.
The Advanced Directive follows from the PDSA act of 1990. It is a legal document
which contains the patients instructions on the health care facilities they want to receive at the
stage when death is inevitable and there is no hope of recovery.
4 | Page
Health Information Documentation
Management
The Patient Property Form lists the possessions of the patient on admission into the
hospital. Under Informed Consent fall such forms as DNR which has been treated at length in
Question 2.
***********
Contrast the various types of advance directives available. How do advance directives affect
delivery of patient care? Your response should be at least 200 words in length.
Advanced Directives are those directives that specify how a patient wants healthcare to
be administered, in the final period of his/her life. There are mainly two types of health directives
which are the (a) The Living Will & (b) The Medical Power of Attorney. (Health Care Proxy is
considered same as the MPoA).
A Living Will is a statement in writing by the patient where the health care the patient
wishes to be provided at the stage of incapacitation, is spelled out. For example, a DNR (Do Not
Resuscitate) will fall under this category. This document is called a living will, though it may go
by a different name as per State Laws. A living will is strictly a place to spell out your health care
preferences and has no connection to the patients estate.
The Medical PoA is a durable Power of Attorney for health care, . In this document, a
person whom the patient trusts is made the patients Health Care Agent. When the patient
becomes incapacitated, it is the agent who directs the health care the patient receives.
Advance directives do affect the quality of health care. It can be so that the position
anticipated by the patient, suffers a complete volte-face when the days of incapacitation, finally
come. In the case of the MPoA, the agent can at best be reasoned with but with the living will,
5 | Page
Health Information Documentation
Management
health care provided has to be as per that described in the will. This surely affects the quality of
the health care offered.
************************
REFERENCES:
Green, M. A., & Bowie, M. J. (2011). Essentials of health information management: Principles
and practices (2nd ed.). Clifton Park, NY: Cengage
Irving, S. (J.D.) (2016) What Do a Living Will and Power of Attorney for Health Care Cover?
Nolo Legal Encyclopedia. Retrieved http://www.nolo.com/legal-encyclopedia/livingwill-power-attorney-medical-issues-29536.html.