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Health
Decisions Policy
Maryland
law tries to help people who want to plan for medical situations
when they might not be able to speak for themselves. The law
also encourages health care professionals to give the best possible
care to people with advanced illness. This page offers resources
about Maryland's Health Care Decisions Act and related law. It
also includes information about the Attorney General's
initiatives and activities in other areas of Health Decisions Policy.
To
access most of the documents on this page, you will need a reader
such as Adobe Acrobat. Click for instructions on downloading
a free copy of Acrobat
Reader to your computer.
What's New in
Health Decisions Policy?
1. Workgroup
Report on Hospice Care, Palliative Care and End of Life Counseling
At the request
of the Maryland General Assembly’s Senate
Finance Committee and House Health and Government Operations Committee,
the Attorney General’s Counsel for Health Decisions Policy
formed a workgroup to study and make recommendations related to
end-of-life counseling and hospice care. The workgroup consisted
of persons representing a wide variety of agencies, organizations,
and points of view. The workgroup met monthly from July through
December, 2009, and agreed to common goals in improving the quality
of end of life counseling and care at the end of life. The workgroup’s
findings and recommendations are contained in this report.
2. The Life Sustaining Treatment options form has been released
in Spanish
-
A version of
the form in Spanish is available here.
3. The
Attorney General's Office has developed a wallet
card that you
can use to document the location of your Advance Health Care
Directive. Click here
to get the card.
4.
Health care professionals and facilities, their legal counsel
and others interested in health care decision making may wish to
visit the website marylandadvancedirectives.com. This website is
designed to
give practical guidance to health care professionals and facilities
in interpreting and implementing the laws regarding health care decisions
by providing legal text, links to official opinions, informal guidance,
forms, guidelines, tools and references. While this material is an
educational resource only and is not a substitute for obtaining legal
advice, it contains information that can be considered as health
care professionals and facilities make decisions about how they implement policies
on health care decision making.
5.
The New Life-Sustaining Treatment Options Form (Replacing the
Patient’s
Plan of Care Form)
The
new Instructions on Current Life-Sustaining Treatment Options
(“LST Options”) form came into use on
April 1, 2008. Click
here for the form. Click
here for the regulations governing its use. Three
Explanatory Guides for the LST Options form are now available:
6. The
State Advisory Council on Quality Care at the End of Life and
the Maryland Health Care Commission have issued a joint report
on pediatric palliative care. The report, “Study
of Health Care Services for Children with Life-Threatening Conditions,” discuses
the needs of these children, the current situation in Maryland,
projects on pediatric palliative care in other states, and policy
options.
7. State
Advisory Council on Quality Care at the End of Life Meeting
Notice
The
next meeting of the State Advisory Council on Quality Care at
the End-of-Life is on October
15,
2010 at 10:00 a.m. at
the Department of Aging, Room 1007, 301 West Preston St., Baltimore,
Md. 21201.
8.
New palliative care guidelines released:
The National Consensus Project for Quality Palliative Care has
released revised Clinical Practice Guidelines for Quality Palliative
Care, Second Edition. The eight domains-such as physical, psychological,
social, spiritual, cultural, and ethical and legal aspects of care-remain
the same but the panel clarified content in the original document,
making it more inclusive and expansive to all settings that provide
palliative care. In addition, some sections have been further developed.
Consensus project participants hope the guidelines will serve as
a blueprint from which to build optimal palliative care. National
Consensus Project for Quality Palliative Care Consortium Organizations
include the American Academy of Hospice and Palliative Medicine,
the Center to Advance Palliative Care, the Hospice and Palliative.
The link to the guidelines is http://www.nationalconsensusproject.org/guideline.pdf
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