Home Events Advance Directives: Ensuring Compliance with CMS and TJC

Advance Directives: Ensuring Compliance with CMS and TJC


Date: 5/9/23

11:00 A.M. – Noon Central time


Registration fees:      $225 per facility      |     Non-Members Registration Fee:  $350 per facility


Chief Medical Officer, Chief Nursing Officer, Compliance Officer, Emergency Department Personnel, Joint Commission Coordinator, Medical Records, Quality Improvement personnel, Risk Manager, Legal Counsel.


Advanced care planning involves making decisions about the care that patients want to receive if they become unable to speak for themselves. Both the Centers for Medicare & Medicaid Services (CMS) and The Joint Commission (TJC) have requirements on advance directives for hospitals. The federal Patient Self-Determination Act addresses advance directives, and compliance is mandatory. It has been shown that better end-of-life care can reduce hospital readmissions. This webinar will discuss the CMS hospital Conditions of Participation (CoPs) and The Joint Commission standards on advance directives to help hospitals ensure compliance.


At the conclusion of this session, participants should be able to:

  • Describe the CMS Conditions of Participation requirements for advance directives for hospitals.
  • Identify the Joint Commission standards on advance directives.
  • Explain what is required under the Patient Self-Determination Act.
  • Discuss which patients must and should be given information on the hospital’s advance directive policies.


Laura A. Dixon most recently served as the director of risk management and patient safety for the Colorado Region of Kaiser Permanente. Prior to joining Kaiser, she served as the director, facility patient safety and risk management and operations for COPIC from 2014 to 2020. In her role, Ms. Dixon provided patient safety and risk management consultation and training to facilities, practitioners, and staff in multiple states. Ms. Dixon has more than 20 years of clinical experience in acute care facilities, including critical care, coronary care, peri-operative services, and pain management. Prior to joining COPIC, she served as the director, Western region, patient safety and risk management for The Doctors Company in Napa, California. In this capacity, she provided patient safety and risk management consultation to the physicians and staff for the western United States As a registered nurse and attorney, Laura holds a Bachelor of Science degree from Regis University, RECEP of Denver, a Doctor of Jurisprudence degree from Drake University College of Law, Des Moines, Iowa, and a Registered Nurse Diploma from Saint Luke’s School Professional Nursing, Cedar Rapids, Iowa. She is licensed to practice law in Colorado and California.


This speaker has no real or perceived conflicts of interest that relate to this presentation.




May 09 2023


11:00 am - 12:00 pm

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