PCMS_Philadelphia_Medicine_Spring2018 - 22

p h i l a m e d s o c  .org

Feature continued

Reimbursement for Advance Care Planning
Effective January 1, 2016, Medicare will pay $86 for 30 minutes
of Advance Care Planning (ACP) in a physician's office and will pay
$80 for the same service in a hospital (CPT billing code 99497).
In both settings, Medicare will pay up to $75 for 30 additional
minutes of consultation (add-on CPT billing code 99498).
Advance care planning includes the explanation and discussion of
advance directives such as standard forms (with completion of such
forms, when performed), by the physician or other qualified health
care professional, face-to-face with the patient, family member(s),
and/or surrogate.
* CPT #99497
* Discussion and completion of forms (includes POLST)
* First 30 minutes
* CPT #99498
* Each additional 30 minutes
* No limits within a time period

Delaware Valley Golden Retriever Rescue

Tuesday, Aug. 7, 2018
RiverCrest Golf Club
and Preserve
Phoenixville, PA

Score a hole-in-one for great
dogs in need by becoming a
Golden Golf Classic sponsor!
Promote your business or passion for dogs
with sponsorship levels that start at $250!
Sponsorship levels starting at $1,500
include player registrations!
Advertise in our program:
$200 quarter page or $50 for single line
With over 4,600 DVGRR dogs adopted, you'll be
advertising to a loyal, tail-wagging audience
while supporting a great mission!

Visit www.DVGRR.org for sponsor or
player details and email
Inza@dvgrr.org with any questions.
Le a rn m o re & re gi s ter:

w w w.DVGRR.org

22 Philadelphia Medicine : Spring 2018

How did we implement the POLST form for in-patients?
At Jefferson Health - Northeast, the Ethics Committee
recognized undesirable heterogeneity in using the terms:
1) DNR, 2) DNI, 3) Withhold Ineffective Treatments, 4)
Withdraw Ineffective Treatments, 5) Comfort Care, and 6)
Designated Organ Donor Status. The Ethics Committee chose
the POLST form as the means of reducing that heterogeneity.
A POLST educational program with a mandatory computerbased training was designed and initiated for all clinical staff
by Nursing Education. A policy and procedure was approved
by Nursing P&P, Administrative P&P and then the Medical
Executive Committee.
The POLST program went live on February 1, 2017. For
a patient requiring any of the designations of 1) to 6) above,
the attending physician or designee discussed end-of-life issues
with the patient. Palliative care and hospice care services were
consulted as needed. The POLST form was completed and
the original given to the patient or surrogate as part of their
patient education materials. The POLST content was entered
into the EHR, allowing in-patient POLST status to be viewed
for every patient using the EHR with details in the order
set. Patients and staff have noted a reduction in confusion
at end-of-life care. Families have expressed improved staff
communication for end-of-life issues.


https://philamedsoc.org/ http://www.DVGRR.org http://www.DVGRR.org

Table of Contents for the Digital Edition of PCMS_Philadelphia_Medicine_Spring2018

PCMS_Philadelphia_Medicine_Spring2018 - 1
PCMS_Philadelphia_Medicine_Spring2018 - 2
PCMS_Philadelphia_Medicine_Spring2018 - 3
PCMS_Philadelphia_Medicine_Spring2018 - 4
PCMS_Philadelphia_Medicine_Spring2018 - 5
PCMS_Philadelphia_Medicine_Spring2018 - 6
PCMS_Philadelphia_Medicine_Spring2018 - 7
PCMS_Philadelphia_Medicine_Spring2018 - 8
PCMS_Philadelphia_Medicine_Spring2018 - 9
PCMS_Philadelphia_Medicine_Spring2018 - 10
PCMS_Philadelphia_Medicine_Spring2018 - 11
PCMS_Philadelphia_Medicine_Spring2018 - 12
PCMS_Philadelphia_Medicine_Spring2018 - 13
PCMS_Philadelphia_Medicine_Spring2018 - 14
PCMS_Philadelphia_Medicine_Spring2018 - 15
PCMS_Philadelphia_Medicine_Spring2018 - 16
PCMS_Philadelphia_Medicine_Spring2018 - 17
PCMS_Philadelphia_Medicine_Spring2018 - 18
PCMS_Philadelphia_Medicine_Spring2018 - 19
PCMS_Philadelphia_Medicine_Spring2018 - 20
PCMS_Philadelphia_Medicine_Spring2018 - 21
PCMS_Philadelphia_Medicine_Spring2018 - 22
PCMS_Philadelphia_Medicine_Spring2018 - 23
PCMS_Philadelphia_Medicine_Spring2018 - 24
PCMS_Philadelphia_Medicine_Spring2018 - 25
PCMS_Philadelphia_Medicine_Spring2018 - 26
PCMS_Philadelphia_Medicine_Spring2018 - 27
PCMS_Philadelphia_Medicine_Spring2018 - 28
PCMS_Philadelphia_Medicine_Spring2018 - 29
PCMS_Philadelphia_Medicine_Spring2018 - 30
PCMS_Philadelphia_Medicine_Spring2018 - 31
PCMS_Philadelphia_Medicine_Spring2018 - 32
PCMS_Philadelphia_Medicine_Spring2018 - 33
PCMS_Philadelphia_Medicine_Spring2018 - 34
PCMS_Philadelphia_Medicine_Spring2018 - 35
PCMS_Philadelphia_Medicine_Spring2018 - 36
PCMS_Philadelphia_Medicine_Spring2018 - 37
PCMS_Philadelphia_Medicine_Spring2018 - 38
PCMS_Philadelphia_Medicine_Spring2018 - 39
PCMS_Philadelphia_Medicine_Spring2018 - 40
PCMS_Philadelphia_Medicine_Spring2018 - 41
PCMS_Philadelphia_Medicine_Spring2018 - 42
PCMS_Philadelphia_Medicine_Spring2018 - 43
PCMS_Philadelphia_Medicine_Spring2018 - 44
PCMS_Philadelphia_Medicine_Spring2018 - 45
PCMS_Philadelphia_Medicine_Spring2018 - 46
PCMS_Philadelphia_Medicine_Spring2018 - 47
PCMS_Philadelphia_Medicine_Spring2018 - 48
https://www.nxtbook.com/hoffmann/PCMS_Philadelphia_Medicine/PhiladelphiaMedicine_Spring2020
https://www.nxtbook.com/hoffmann/PCMS_Philadelphia_Medicine/PhiladelphiaMedicineFallWinter2019
https://www.nxtbook.com/hoffmann/PCMS_Philadelphia_Medicine/PhiladelphiaMedicine_Summer2019
https://www.nxtbook.com/hoffmann/PCMS_Philadelphia_Medicine/PhiladelphiaMedicine_Spring2019
https://www.nxtbook.com/hoffmann/PCMS_Philadelphia_Medicine/PhiladelphiaMedicine_Winter2019
https://www.nxtbook.com/hoffmann/PCMS_Philadelphia_Medicine/PhiladelphiaMedicine_Fall2018
https://www.nxtbook.com/hoffmann/PCMS_Philadelphia_Medicine/PhiladelphiaMedicine_Summer2018
https://www.nxtbook.com/hoffmann/PCMS_Philadelphia_Medicine/PhiladelphiaMedicine_Spring2018
https://www.nxtbook.com/hoffmann/PCMS_Philadelphia_Medicine/PhiladelphiaMedicine_Winter2017x
https://www.nxtbook.com/hoffmann/PCMS_Philadelphia_Medicine/PhiladelphiaMedicine_Fall2017
https://www.nxtbook.com/hoffmann/PCMS_Philadelphia_Medicine/PhiladelphiaMedicine_Summer2017
https://www.nxtbook.com/hoffmann/PCMS_Philadelphia_Medicine/PCMS_Philadelphia_Medicine_Spring2017
https://www.nxtbookmedia.com