washington state hospital association january 30, 2008
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Washington State Hospital Association January 30, 2008
Presenters
Carol WozniakLiving Will Registry ManagerWashington State Department of Health
Tom ByronChief Information OfficerWashington State Hospital Association(moderator)
Web cast Presentation Objectives
Describe the Living Will Registry Demonstrate how to register and
retrieve documents online Identify providers who are eligible
to receive 24/7 registry access Explain how your hospital can
apply for registry access approval Offer marketing strategies
What is the WA State Living Will Registry?
Secure, online database that preserves the end-of-life preferences of Washington State residents
It’s free! Signing up is easy Accessible to authorized health care
providers
Created by SHB 2342 (2006)
Representative James Moeller, Primary sponsor of the bill
Stakeholders identified a need to make health care declarations more widely available to health care providers
Natural Death Act RCW 70.122 was changed to include the registry
Do other states have registries?
Living will registries are a growing trend
Only a handful of state-sponsored registries exist and they are new in concept – Vermont, Montana, Arizona
National, independent registries also exist
What documents may be submitted?
Health Care Directive Durable Power of Attorney for
Health Care Mental Health Advanced Directive Physician Orders for Life-
Sustaining Treatment - POLST
How to register and file documents?
1. Prepare your health care declaration documents
2. Fill out the simple Registration Agreement form online
3. Mail or fax copies of your forms to the Registry
What happens next?
1. The Registry electronically stores your information and assigns you a unique registration ID number
2. You will receive: Stickers to place on your driver’s license, ID card
and/or health insurance card A wallet card with your registration ID number
3. Each year you will receive a letter reminding you to update your documents
Online demonstration on how to:
1. Register and file documents
2. Retrieve filed documents
3. Apply for registry access authorizationwww.doh.wa.gov/livingwill
Welcome Letter
Wallet Card – Front side
Wallet Card – Back side
US0000049137
Eligible health care providers who may receive 24/7 registry access using ONLY the patient’s name and birth date:
Medical Practice ProvidersHospitalsNursing HomesHome Health AgenciesHospice AgenciesBoarding HomesState Hospitals caring for the mentally illFacilities licensed under RCW 71.12.455Clinics that are part of a community mental
health service delivery system
How do health care providers apply?
Complete the “Facilities Access Application” form online
Select a Registry Manager within your organization to be the contact person
An approving authority needs to sign, date, and fax the application to DOH
Once your application is approved…
Your Registry Manager will receive an email message confirming authorization
The email will include your organization’s unique access codes and instructions for retrieving and storing documents
The step-by-step instructions will guide your Registry Manager through the process of adding and deleting users and creating usage reports
This report allows you to select a specific time period to view documents that were accessed, the day and time they were accessed, and who accessed the document.
Documents Accessed 01/01/2008 – 01/09/2008
Last Name First NameAccess
DateAccess Time Accessed At Accessed By
Doe John 01/03/2008 1:37:00 PM WA State Dept of Health Carol Wozniak
Record Test 01/04/2008 1:39:00 PM WA State Dept of Health Jeffrey Weldon
Smith Mary 01/08/2008 1:46:00 PM WA State Dept of Health Marena Kerr
Sample report – Documents Accessed
This report allows you to search a specific registrant to view who has accessed his/her documents, on what day and time, and the provider who accessed the documents.
Registrant Access Report – Document Accessed
Last NameFirst
NameAccess Date Access Time Accessed At Accessed By
Doe John 01/03/2008 1:37:00 PM Cascade Nursing Home Nancy Smith
Doe John 01/04/2008 8:39:00 AM Swedish Hospital William Harris
Doe John 01/07/2008 9:46:00 AM University Hospital Lois Roberts
Sample report – Registrant Access
Why use the living will registry?
Health care providers can be assured their patients’ documents are up to date
Take the guesswork out of where your patients’ important documents are kept
Gives providers accurate information about their patients’ end of life treatment wishes
An added bonus…
The registry is FREE
FREE to WA residents wishing to store their health care decision making documents
AND
FREE to health care providers wishing to store and retrieve their patients’ decision making documents
Marketing Materials
Patient brochure Physician brochure Poster Fact Sheet Website Written news articles
Patient Brochure
Physician Brochure
Wall Poster 11 x 17
How to order marketing materials?
Contact the WA State Medical Assoc. or the Dept. of Health for free brochures and posters
For WSMA members, next month you’ll receive sample brochures and a cover letter in your mail
For an in depth interview on the registry read January ’08’s WSMA “Reporter” cover story
Ways you can help to market the registry
Distribute registry brochures in your admissions, chaplain, trauma, and social work departments
Add the www.doh.wa.gov/livingwill link to your hospital’s website
Educate your staff about the importance of using the registry
Feature an article in your newsletter
What other ideas should we consider?
Public education campaign Patient Self-Determination Act (PSDA)
TV commercial Radio spots Joint mailings Key presentations Icon endorsements
How do hospitals sign up? Visit www.doh.wa.gov/livingwill
Questions? Call Carol Wozniak 360-236-4369 Email Carol.Wozniak@doh.wa.gov
Order brochures? Order online www.wsma.org Email requests LivingWill@doh.wa.gov
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