Advance Directives Survey April 2012Advance Directives Survey April 2012

1

How many patients were admitted to the hospital during the period January - December 2011?

2

How many patients had the Section 166.046(b) review process initiated between January - December 2011?

3

If the Section 166.046(b) process was initiated on a patient, how many days transpired before the patient's family/surrogate decision maker was issued a letter? Please list the number of days for each patient if there is more than one patient.

4

How many of these patients were transferred to another facility after the letter was issued, but before the 10 day period ended?

5

How many of these patients passed away while receiving life-sustaining treatment during the 10-day period?

6

What was the length-of-stay for each patient before a Section 166.046(b) consultation? Please list the length-of-stay in days for each patient.

7

Since 2007, has your facility or system adopted any of the following policies consistent with language in SB 439 (80th Regular Session)? (Please check all that apply)

Providing a family or surrogate with a patient liaison?

Providing a copy of the medical record?

Allowing a family or surrogate to bring one person to the Ethics Committee meeting?

Increasing the length of time to inform the family or surrogate that the Ethics Committee will be meeting to discuss the patient?

No policies have been adopted

8

Do you have any additional comments concerning the Section 166.046(b) process?