The Patient Self-Determination Act: it's in effect

On November 5, 1990, Congress passed the Omnibus Budget Reconciliation Act of 1990, which included the Patient Self-Determination Act (PSDA). The PSDA, which became effective December 1, 1991, mandates that providers know the requirements of their respective state laws regarding the right to accept...

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Bibliographic Details
Published in:Health systems review 1992-01, Vol.25 (1), p.35-37
Main Authors: Weissburg, C, Paine, S J
Format: Magazinearticle
Language:English
Subjects:
Accreditation
Advance directives
Advance Directives - legislation & jurisprudence
Consent
Documentation - standards
Education
Federal legislation
Health administration
Health Facilities - legislation & jurisprudence
Health maintenance organizations
HMOs
Hospitals
Implications
Medicaid
Medical records
Medical treatment
Medicare
Patient Participation - legislation & jurisprudence
Patients
Powers of attorney
Provisions
Recommendations
State laws
United States
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Summary:On November 5, 1990, Congress passed the Omnibus Budget Reconciliation Act of 1990, which included the Patient Self-Determination Act (PSDA). The PSDA, which became effective December 1, 1991, mandates that providers know the requirements of their respective state laws regarding the right to accept and refuse medical treatment and to formulate advance directives. Providers' employees who interact with individuals must inquire about advance directives in a neutral way. Providers should assume that all patients have current decision-making capacity unless a physician has determined otherwise. However, their policies and procedures must be promulgated to deal with admissions under special circumstances. To that end, providers should work through the PSDA process with family or friends who accompany patients who are not capable of decision making or with a court-appointed conservator.
ISSN:1055-7466