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CAPC Palliative Care Discussion Forum
Palliative Care and the ICU

Next Reply: Palliative Care Information Act - New York State
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Post DOH: Palliative Care Information ACT New York Stat
Author: Laura
Date: Feb 15, 2011 11:45 am
The palliative care information act just became law in NY state on 2/9/11 requiring attending physicians and NPs to offer "terminally ill" (defined as having a condition likely to cause death within 6 months) patients counseling and information regarding prognosis, palliative care and end of life care options. Documentation of counseling, or the decline of the patient to be counseled, needs to be included in the medical record.

I agree with the intention of the law and believe our consultation service will benefit from increased referrals, but the overall implementation seems burdensome.

I would be interested to hear from others how their organization intend to operationalize this new law.
Laura HummelRN, MSN, CHPN
Administrator Palliative Care South Nassau Communities Hospital
Replies: order by [Date] [Author] [Subject]
+ Palliative Care Information Act - New York State (by Lustbader on 03/11/2011)
Laura,
Although it is unpleasant to have to legislate good medicine, this is the right thing to do. North Shore LIJ has created a one page sheet which includes patient information about hospice and palliative care with contact telephone numbers and websites. This is intended to supplement counseling and conversation about prognosis, end of life options for terminally ill patients and pain and symptom management. We are also creating an electronic trigger for hospice and palliative care referral for terminally ill patients admitted to the hospital who legally must receive this information. I think this law provides an excellent opportunity to do the right thing and forces reluctant practitioners to call for help if they cannot give the required counseling and information themselves.

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