Alphabet Soup
IDT
What is
Interdisciplinary Team?
Meet and, if possible, interview the resident prior to an IDT meeting for ____, or ____, or ____.
What is an IDT meeting for
(1) The initial review of a proposed treatment intervention, or
(2) The quarterly review of that intervention, or
(3) A review upon a change in the resident’s condition necessitating a change in the proposed intervention?
In a non-emergency situation, the facility must provide the Initial Notice of an IDT review to the resident and the patient representative _____________.
What is
at least five days prior to conducting the IDT review?
A competent person whose interests are aligned with a resident who has agreed to serve on an IDT pursuant to HSC 1418.8. This person may be a family member or friend.
What is
a patient representative?
Where a facility submits a Request for PPR
What is
CAPRIS?
PPR
What is
Public Patient Representative?
Written notices from the facility to the resident regarding the IDT, resident’s medical and clinical records, and documentation of any prior expressions of the resident’s health care wishes
What are
documents that the PPR shall review prior to participating in an IDT review?
This notice must be provided to the resident and patient representative for every IDT review held pursuant to HSC 1418.8.
What is
the Notice of Outcome?
Facilities
What are
skilled nursing facilities and intermediate care facilities?
Required journal types/topics to close a case
What are
IDT Review Notes and Outcome journals?
CAPRIS
What is
California Patient Representative Information System?
Identify and report any concerns regarding abuse and neglect of the resident to the Office of the Long-Term Care Ombudsman, the California Department of Public Health, and other appropriate organizations or agencies.
What is
the PPR’s mandated reporting responsibility?
The Notice of Failure to Conduct Timely IDT Review must be provided to the LTCPRP if the facility does not conduct an IDT review ____________.
What is
within one week of the administration of the emergency medical intervention?
The resident’s attending physician, a registered professional nurse with responsibility for the resident, other appropriate staff in disciplines as determined by the resident’s needs, and a patient representative
Who
must be included in an IDT convened pursuant to
HSC 1418.8(e)(1)?
Number of times a Request for PPR can be denied
What is
once?
A form in which an individual:
(1) Appoints a person or persons to make health care decisions for the individual if and when the individual loses capacity to make health care decisions; and/or
(2) Provides guidance or instructions for making health care decisions, typically in end-of-life situations
What is
an AHCD, or Advance Health Care Directive?
Refer resident to appropriate legal services identified by LTCPRP and CDA Office of Legal Services only.
What is
the responsibility of the PPR when a resident seeks judicial review pursuant to HSC 1418.8?
Except in case of emergency, the facility shall not take this action
(1) Until it has been reviewed and authorized by the IDT,
(2) The resident and patient representative have received the Notice of Outcome, and
(3) The resident has had reasonable opportunity to seek judicial review.
What is
administer the proposed medical intervention?
Legal Decision Maker
Who is a (name at least 4):
(1) A conservator
(2) A person designated by a resident in an AHCD
(3) A person designated by resident as a surrogate pursuant to Probate Code 4600 and 4670
(4) A person appointed by a court authorizing treatment pursuant to Probate Code 3200
(5) A resident’s spouse or registered domestic partner
(6) A parent or guardian of a resident who is a minor
(7) A resident’s closest available relative or friend whom resident’s MD, NP, or PA reasonably believes has authority to make health decisions for the resident
(8) Other person authorized by state or federal law?
Number of days a facility has to appeal a denial of Request for PPR
What is
within 14 business days from the date of denial?
This form, which consists of a set of medical orders, can prevent unwanted or ineffective treatments, reduce patient suffering, and ensure that a patient’s wishes are honored
What is
a POLST?
(Physician Orders for Life-Sustaining Treatment form)
Factors to consider when participating in the IDT review of a proposed intervention
What are
(1) the risks and benefits of the proposed intervention, and
(2) any alternative interventions, and
(3) whether the proposed intervention is consistent with the resident’s preferences or best approximation of preferences, if known, or
(4) whether the proposed intervention appears consistent with the best interests of the resident?
The Emergency Intervention Notice must be submitted to the LTCPRP within 24 hours of administration of the intervention in these situations.
What are
cases when the emergency results in the application of
(1) A medical intervention to treat severe and sustained emotional distress, or
(2) Physical restraints, or
(3) Chemical restraints?
Emergency
What is
a situation when a medical treatment is immediately necessary for
(1) the preservation of life,
(2) the prevention of serious bodily harm,
(3) the alleviation of severe physical pain, or
(4) the alleviation of severe and sustained emotional distress?
The earliest date that CAPRIS will allow for an "Original IDT" review of a prescribed intervention if the intake date is 04/14/2023
What is
04/21/2023?